NM Health Information Collaborative Using Clinical Health Information Exchange to Improve Population Health September 27, 2007 New Mexico Experience Robert E. White, MD. MPH. Lovelace Clinic Foundation New Mexico Health Information Collaborative

NM Health Information Collaborative New Mexico Cast of Characters 1.Lovelace Clinic Foundation 2.New Mexico Health Information Collaborative 3.New Mexico Department of Health

NM Health Information Collaborative New Mexico Cast of Characters 1.Lovelace Clinic Foundation Non-profit health services research entity Patient care database research experience HIT project experience History of community collaborative projects

NM Health Information Collaborative New Mexico Cast of Characters 2.New Mexico Health Information Collaborative Based at Lovelace Clinic Foundation 2004 AHRQ initiated HIE Extensive community involvement: 33 different organizations regularly involved

NM Health Information Collaborative New Mexico Cast of Characters 3.New Mexico Department of Health One, state-wide public health authority Employs 3900 state workers Provides medical care services as well as surveillance, policy, monitoring and other traditional public health duties

NM Health Information Collaborative First Full-Length Production: Grant Submission Performance 2003 Lead Roles By: 1.Lovelace Clinic Foundation 2.New Mexico Department of Health (NMDOH) To create NMHIC proposal

NM Health Information Collaborative Cast Collaboration: Grant Performance NMDOH is an Extra: 2004: Building technology, educating community participants, and organizing steering body & work groups 2005: Building a Master Patient Index with NMHIC participant data

NM Health Information Collaborative Cast Collaboration: Grant Performance 2005 NMDOH Search for Supporting Role Send fact-of-death reports from NMDOH to the MPI and improve MPI accuracy and help clinicians? Assist in e-vital record entry? Integrate into immunization registry? Submit a new grant?

NM Health Information Collaborative Cast Collaboration: Grant Performance 2005 NMDOH Search for Supporting Role Fact-of-death idea died. e-vital project too advanced for NMDOH to alter plan Immunization process on its own project plan Grant submitted, but our movie script was rejected by the major studios.

NM Health Information Collaborative Cast Collaboration: Grant Performance 2005 NMDOH Lead Role Found July-December NMHIC emphasis: add secure, clinical messaging to MPI December 2005: E-report newborn hearing screening test results Replace Fax Track actions Automate report receipt by multiple NMDOH staff No one owned the movie rights already!

NM Health Information Collaborative Cast Collaboration: Grant Performance Jan-May 2006 NMDOH Supporting Role Six month progress: Add secure messaging technology to MPI/RLS system Find a pilot test site May 2006: Taos Holy Cross Hospital willing to Star: pilot electronic newborn hearing test reporting and other messaging services

NM Health Information Collaborative Cast Collaboration: Grant Performance 2006 NMDOH Lead Role Again Last 6 months of 2006: Build newborn hearing screening test functionality Interact with NMDOH and Taos community

NM Health Information Collaborative Cast Collaboration: Grant Performance 2007 NMDOH Supporting Role Next 5 months: Slow progress State Legislature trumped the stage Taos computer support cast slow

NM Health Information Collaborative Movie Premieres June 2007 NMDOH and Taos Hospital Star! Infant hearing reports sent electronically: Hospital report entry worked NMDOH received and can track

NM Health Information Collaborative Producer Lessons: Public Health Use NMDOH involved throughout Search for the nexus Meet, meet and greet, greet Leverage the advantage: community has public health “must do’s” Star born every minute

NM Health Information Collaborative Considering The Sequel 2007 CDC Contract for HIE and Situational Awareness Coincidental search for vendor collaborator had started February 2007 We already made one movie together! Newborn reporting legitimized our HIE to a major studio (CDC) Strong support by NMDOH CIO (multiple, overlapping interactions)

NM Health Information Collaborative The Sequel is a Blockbuster? 2007 CDC Contract for HIE and Situational Awareness Our Strengths: One state wide, public health entity Community supporting cast already developed Sought new cast members: Indian Health Service and rural hospitals Data exchange actually happening

NM Health Information Collaborative New Mexico Is A Good Place to Make Movies AND Electronically Exchange Health Information Thanks to AHRQ staff for our HIE seed money and today’s discussion Thanks to MANY NMDOH staff for their support, persistence and patience.