1. Creating Care-Connected communities
West Michigan Health Forum
October 7, 2016

2. Origins Competing Healthcare Organizations
Commitment to Collaborating not Competing on Clinical Data Exchange
Focus on Solving Local Problems not Pushing Top-Down Use Cases
Private Sustainability
Technology that Makes a Real Difference for Residents

3. Health IT boils down to a personal story for each of us
WHY?
Health IT boils down to a personal story for each of us

4. Non-Profit 501(c)3 GLHC VISION
Significantly improved health outcomes, healthcare value, and wellness are enabled by comprehensive healthcare information being readily available wherever patient care is delivered or managed.

5. Overview 129 connected hospitals 85% of Michigan’s acute beds
4,000+ connected locations
18,000+ physicians
~6.8 Million persons in MPI
1 billion messages per year

6. Community Ecosystem
Transportation
Services

7. Technology Domains Push / Directed Exchange Pull / Query
Evaluate / Populations

8. Technology Domains Push / Directed Exchange Results Delivery
Event Notifications
CCD/CCDA Delivery
Care Transitions/Referrals
Basic Clinical Messaging
Orders

9. So What!?
Two large W. MI offices transacting ~1,000 closed- loop referrals each month
Improved care for patients
Improved provider efficiency
Better referral network tracking
>100 W. MI offices getting real-time results discretely in their EMR
Improved office efficiency
Reduced transposition errors

10. Technology Domains Pull / Query Longitudinal Health Record (VIPR)
EMR Single Sign On
Advance Care Documents
Patient Care Plans
MCIR Immunization Query
eHealth Exchange: VA/SSA/DOD
Patient Centered Data Home

11. So What!?
“I did… today… in the morning meeting with all the staff… we were like kids in a candy shop looking up a patient’s ER record from the previous day who had called us on-call… it was awesome. We could see the CT and MRI scan results and make a more informed decision knowing that the scans were negative for anything serious (s/p fall a couple days ago with possible LOC). It. Was. Awesome!!!” Dr. Cara Poland, Spectrum Health Center for Integrative Medicine

12. So What!?
“Use of VIPR to access patient's medical records from other facilities has become an essential tool we use at Mercy Health Saint Mary's to ensure safety and quality patient care. Knowing the results of previous medical testing, or opinions from other physicians plays a crucial role in diagnosing and treating our clients.
Patient's themselves rarely know the details of their medical records, yet they have come to expect that physicians across health systems have access to these records. 
It is particularly important in the emergency department where decisions need to be made quickly , 24 hours a day, 7 days a week.  In this setting, there is not time to go through the regular medical records request channels, and many medical records departments are not open or available at the time we need access to these records. Being able to check a patient's previous electrocardiogram, access their cardiac catheter report, or note that they have had multiple previous Emergency Department visits for the same complaint from a different hospital system can provide lifesaving information that would not be available without the VIPR system.
Our Emergency Department physicians at Mercy Health Saint Mary's use this system regularly to improve the care we provide to our patients.”
Dr. Daniel Roper, ED Medical Director, Mercy Health Saint Mary’s

13. Technology Domains Evaluate / Populations Individual Enterprise
Cross Enterprise
Community-wide
State-wide

14. So What!? High Complexity High ED Utilizers Across a Community
Dramatically better care for these individuals
Reduced uncompensated care costs
Risk Identification/Stratification
Identification of people needing proactive early intervention
Readmissions
Better patient care informed by community / state-wide information

15. Final Thoughts Interoperability is a means, not an end goal
No healthcare stakeholder is a self-contained island
A consolidated longitudinal health record is vital to patient care delivery and management
Optimal value will always be driven by solving tangible local problems and not by federal or state mandates
We have what many across the country envy – let’s make it count for our family, friends, & fellow residents

16. Doug Dietzman, Executive Director
Thank You!
Doug Dietzman, Executive Director
844-GLHC-HIE