1. Indiana Health Information Exchange:
An Indiana success story and a national model in healthcare
September 15, 2016

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3. Lori LeRoy, Vice President of Communications, BioCrossroads;
Central Indiana Corporate Partnership

4. Indiana Health Information Exchange
John Kansky,
President & CEO,
Indiana Health Information Exchange

5. BioCrossroads Frameworx – September 2016
IHIE Board of Directors
BioCrossroads Frameworx – September 2016
Copyright © 2015 Indiana Health Information Exchange, Inc

6. Copyright © 2015 Indiana Health Information Exchange, Inc
Today’s Presentation
A Brief History (and Current State) of IHIE
IHIE Strategic Plan
Focus: The Need for Inter-HIE & Inter-State Data Exchange
SHIEC and the Patient-centered Data Home Initiative
Copyright © 2015 Indiana Health Information Exchange, Inc

7. Brief History of IHIE
The Shortest Possible Version of the (Whole) Story:
Pre-IHIE
Sam Regenstrief and the Regenstrief Institute (begins 1969)
The Indiana Network for Patient Care (begins 1993)
Birth of IHIE (founded 2004)
Grew out of a conversation among healthcare and business leaders based on the belief that healthcare had many challenges and that information technology should be able to help
Many organizations had a role: BioCrossroads, iCareConnect, 5 “Charter” hospital systems, Central Indiana Coalition to Reinvent Healthcare, Health and Hospital Corp/MCPHD, Regenstrief, Healthbridge (Cincinnati)
Key assets (and attitudes)
Regenstrief and the INPC existed
Healthcare leaders with open minds and open (enough) wallets
An initial value proposition: Docs4Docs clinical messaging
Lore: It still almost died 3 times

8. Brief History of IHIE The Shortest Possible Version of the Story:
Growth of IHIE (2004 to the present)
Growing participation beyond central Indiana (2007 – present)
INPC as a sustainable service (2010)
Quality Health First & the ONC Beacon Communities Program (2008 – 2013)
Attempted for-profit subsidiaries (2008, 2013)
IHIE Today
Re-centered, not-for-profit HIE
Strong financially and technologically
In-house Agile-Scrum development capabilities
Supportive Board of Directors
Forward-thinking partners (including neighboring HIEs)
Asking “What’s next?” (Strategic Plan)

9. Strategic Planning Process
Timing: March – September 2015
Strategic planning meetings with:
The IHIE Executive Committee
Representatives from the charter hospitals
Representatives from key stakeholders
IHIE leadership team members
External perspectives panel
Informed by:
Environmental assessment
SWOT analysis
Interviews with key stakeholders
Customers
Franciscan Alliance
Indiana University Health
Community Health Network
Eskenazi
St. Vincent Health
Suburban Health Organization
Government
Family & Social Services Administration
Associations
Indiana Hospital Association
Indiana Employers Quality Health Alliance
Payors
Anthem
Healthcare Stakeholders
Regenstrief Institute
BioCrossroads
Other HIEs
Healthbridge
Michiana Health Information Network
Copyright © 2015 Indiana Health Information Exchange, Inc

10. IHIE 2020 Vision: Patient & Population Focused Interoperability
EHR Interoperability
INPC-to-EHR inter-operability jointly designed with customers and EHR vendors
Neighboring HIEs / States
Statewide and Interstate data exchange that strengthens the HIE value proposition in healthcare markets that cross state lines
Support for Population Health
Services to provide data and information to support population health management

11. IHIE “Footprint”
Hospitals
Physician Practices

12. Copyright 2016 Indiana Health Information Exchange, Inc.
Percentage of Indiana Population with data in the INPC
Copyright 2016 Indiana Health Information Exchange, Inc.

13. Copyright 2016 Indiana Health Information Exchange, Inc.
Percentage of Indiana Population with data in the INPC
Copyright 2016 Indiana Health Information Exchange, Inc.

14. Copyright 2016 Indiana Health Information Exchange, Inc.
Percentage of Indiana Population with data in the INPC
Copyright 2016 Indiana Health Information Exchange, Inc.

15. Copyright 2016 Indiana Health Information Exchange, Inc.
Percentage of Indiana Population with data in the INPC
Copyright 2016 Indiana Health Information Exchange, Inc.

16. Copyright 2016 Indiana Health Information Exchange, Inc.
Percentage of Indiana Population with data in the combined HIEs…MHIN + IHIE
Copyright 2016 Indiana Health Information Exchange, Inc.

17. Copyright © 2015 Indiana Health Information Exchange, Inc
Why is it important that HIEs share data/information? (Colored regions depict Dartmouth Atlas Hospital Referral Regions)
Copyright © 2015 Indiana Health Information Exchange, Inc

18. Dartmouth Atlas Hospital Referral Regions
Copyright © 2015 Indiana Health Information Exchange, Inc

19. What About HIE Nationally?
The buzz word to know is Interoperability
Call it whatever you want…its still not magic
Healthcare providers have made significant investments in their EHR
Portals aren’t good enough anymore…(for the more sophisticated)
HIEs are making progress but…it (still) depends what state/market you are in
Competing ideas of how to make the healthcare system “interoperable”
eHealthExchange (formerly NwHIN)
Commonwell
EPIC’s CareEverywhere
State-run HIE
Community/Regional HIE
Copyright © 2015 Indiana Health Information Exchange, Inc

20. What IHIE and Other HIEs Are Doing
Inter-HIE data exchange (interoperability)
Solutions driven by clinical and business needs
Clinical messaging – HIE-to-HIE-to-EHR
Hospital shares data with INPC
Solutions driven by government regulation
HIE-to-HIE data hand-offs to support federal “meaningful use”….and public health needs
SHIEC’s Patient-Centered Data HomeTM

21. Strategic HIE Collaborative
What is the Strategic HIE Collaborative (SHIEC)? … The National Trade Association for Health Information Exchange Organizations And SHIEC has a nation-wide HIE interoperability initiative called … Patient-Centered Data HomeTM
Copyright © 2016 Indiana Health Information Exchange, Inc

22. SHIEC & the Patient-Centered Data Home
What is the Patient-Centered Data HomeTM (PCDH) Initiative?
Shares data between HIEs on behalf of patients as they seek care
Three pilots: AZ-CO-UT, AR-OK, IN-MI-OH-KY-TN
Step 1: ZIP code look up tables
Step 2: Share patient encounter “alert” (From “non-home” to “home” HIE)
Step 3: Share post-encounter summary (to “home HIE”)
Copyright © 2015 Indiana Health Information Exchange, Inc

23. Copyright © 2015 Indiana Health Information Exchange, Inc
Thank You
Copyright © 2015 Indiana Health Information Exchange, Inc

24. Kelly Hahaj, Chief Executive Officer,
Michiana Health Information Network

25. Senior Vice President & CIO, Franciscan Alliance, Inc.
William G. Laker,
Senior Vice President & CIO, Franciscan Alliance, Inc.

26. Robert Steffel,
Executive Director, Strategic Health Information Exchange Collaborative

27. Vice President, Indiana Hospital Association
Andrew Vanzee,
Vice President, Indiana Hospital Association

28. Kelly Hahaj William G. Laker Robert Steffel Andrew Vanzee John Kansky
Panel
Kelly Hahaj
Chief Executive Officer, Michiana Health Information Network
William G. Laker
Senior Vice President & CIO, Franciscan Alliance, Inc.
Robert Steffel
Executive Director, Strategic Health Information Exchange Collaborative
Andrew Vanzee
Vice President, Indiana Hospital Association
Moderator
John Kansky
President & CEO, Indiana Health Information Exchange

29. @BioCrossroads
@IndianaHIE
@IHAConnect
@MHINute
#SHIEC
#HIE

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October 4-5, 2016
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October 27, 2016

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