Partnering to Improve Health Outcomes

Partnering to Improve Health Outcomes
Update: July 2016

Agenda eHealth: National & State Health Information Exchange: Defined
KY Healthcare Goals & Initiatives The audience is providers from all settings, nursing homes, home health. Course the QIO is focused on HAI reduction, building communities for coordination of care, improvement of cardiovascular health and then all those pesky reporting programs including VBP, VM, and PQRS … KHIE of course touches many of these areas by virtue of being the HIE so it is a perfect match.

President George W. Bush
Transforming Health Care: The President’s Health Information Technology Plan “By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care.” --President George W. Bush, State of the Union Address, January 20, 2004 President Bush has outlined a plan to ensure that most Americans have electronic health records within the next 10 years. The President believes that better health information technology is essential to his vision of a health care system that puts the needs and the values of the patient first and gives patients information they need to make clinical and economic decisions – in consultation with dedicated health care professionals. The President’s Health Information Technology Plan will address longstanding problems of preventable errors, uneven quality, and rising costs in the Nation’s health care system.

Governor Fletcher & Senate Bill 2
Kentucky Response: Governor Fletcher & Senate Bill 2 The Kentucky eHealth Network Board will hold its first meeting Nov. 7, 2005, marking the beginning of the board’s efforts to improve Kentucky’s health care system through improved utilization of information technology. The board is composed of 22 leaders in health care, government, academia and business.. “Establishing an eHealth network is an exciting and crucial step in improving the lives of Kentuckians,” said Gov. Ernie Fletcher, who signed legislation creating the eHealth Network Board on March 8. “Information technology offers great opportunities to improve health outcomes and efficiency. The board will be at the forefront of Kentucky’s efforts to take advantage of these opportunities.” Created to implement and oversee a statewide electronic health network, the eHealth board was appointed by Gov. Fletcher after the 2005 General Assembly passed legislation that laid the groundwork for the development of an eHealth Network in the commonwealth. The legislation, known as Senate Bill 2, also created the Kentucky Health Care Infrastructure Authority. The University of Kentucky and University of Louisville will comprise the authority, which is tasked with improving quality and lowering costs in Kentucky’s health care system. The goal of Kentucky’s eHealth efforts is to use health information technology to improve the state’s system of health care delivery and administration. Such a system could improve patient privacy, reduce medical errors, lower administrative costs and help make electronic medical records available to more Kentuckians. The effort positions Kentucky to meet the goal set forth by President Bush for most Americans to have electronic medical records by 2014. The board consists of nine at-large members appointed by the governor and 13 other members who serve by virtue of their position in the General Assembly, the administration, the University of Kentucky or the University of Louisville. - Techlines, Commonwealth Office of Technology News, November 2005 “Information technology offers great opportunities to improve health outcomes and efficiency. The board will be at the forefront of Kentucky’s efforts to take advantage of these opportunities.” - Former Kentucky Governor Ernie Fletcher

President Barack Obama
President-Elect Urges Electronic Medical Records in 5 Years By Dan Childs, Haeree Chang, Audrey Grayson ABC NEWS MEDICAL UNIT Jan. 9, 2009 In the latest step toward the computerization of Americans' medical information, President-elect Barack Obama said in a speech Thursday that the government will push for electronic health records for all Americans within five years in order to save both dollars and lives. "To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that, within five years, all of America's medical records are computerized," Obama said in a speech from George Mason University in Fairfax, Va. "This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests."

American Recovery and Reinvestment Act (ARRA)
Health Information Technology for Economic and Clinical Health (HITECH) $19.2B $17.2B Provider Incentives $2B HIT (HHS/ONC)

Kentucky Response: Governor Beshear
Former Kentucky Governor Steve Beshear issued an Executive Order in August, 2009 establishing an agency in the Cabinet for Health and Family Services (CHFS) to oversee the advancement of health information exchange in Kentucky. Funding for this momentous task was received from both the Centers for Medicare and Medicaid Services (CMS) and the American Recovery and Reinvestment Act (ARRA). In addition to the funding opportunity, the ARRA provided a roadmap and guidance for the development and implementation of electronic health information systems transforming healthcare from paper records to electronic. - Former Kentucky Governor Steve Beshear Kentucky received over 9 million dollars to advance the use of electronic health information exchange and support eligible healthcare providers across the state in achieving meaningful use of certified technology. Eligible providers who demonstrate meaningful use of certified EHRs started receiving incentive payments in Kentucky beginning in January, 2011. In light of the benefits and consequences to the healthcare providers and consumers alike, KHIE has a solid commitment to support statewide adoption of electronic health information exchange. To that end, KHIE provides a common, secure electronic information infrastructure.

Health Information Exchange: Official Definition
The goal of HIE activities is to facilitate access to and retrieval of clinical data to provide safe, timely, efficient, effective, equitable, patient-centered care. (The Office of the National Coordinator/ONC) Official definition from the ONC!

The increased availability of health information via HIE:
Why Build HIEs? Provides a building block for improved patient care, quality and safety Makes relevant information available when needed at the point of care Provides the means to reduce duplicative services Improves efficiency in healthcare delivery Promotes transparency Provides the backbone technical infrastructure for state level HIT initiatives The increased availability of health information via HIE:

KHIE Community Health Record Health Information Exchange
Health Data Exchange = Patient Community Health Record eHealth Exchange (Other states/VA) KHIE Community Health Record Hospitals Clinical Repository Medicaid Health Information Exchange Corrections Clinics Physician Offices Integrated Networks Pharmacies

Community Based Services
Cabinet for Health & Family Services Aging Vital Statistics Community Based Services Public Health OIG eKasper Birth & Death Registry Medicaid Behavioral Health kynect OATS/IT Office Of Health Policy -Discuss familiarity of KHIE and explain how KY is situated among several departments in the CHFS. 1. State HIE Recognition – On December 11th/One of Two States recognized for HIE Progress and Success State Highlights with the KY REC – On December 12th/One of Three States recognized for Collaboration on Meaningful Use 2. Successful data feed between KHIE and pilot behavioral health organization (Pennyroyal) via NetSmart Kentucky presented progress and success on November 16th at Center for Integrated Solutions Meeting in Washington DC 3. October 19, :45AM – Kentucky Cancer Registry (KCR) was the first Central Cancer Registry in the nation to receive a live "Ambulatory Healthcare Provider Reporting to Central Cancer Registries" message from a physician Electronic Health Record (Team Chart Concepts) 4. Now over 1000 “live” connections as of March 2015 5. Over $450 Million dollars EHR Incentive payments to providers across Kentucky (Medicaid and Medicare) 6. Re-organization in 2014 aligned the operations of KHIE and Kynect for a long-term sustainability model, which uses the premium assessment fee from KY payors (Ky Access) – important because providers are not assessed a fee, do not incur cost for participating in the state HIE (versus most other state HIE models)

Vision Who We Are Goals for 2016
The Kentucky Health Information Exchange is a secure, interoperable network for electronic patient records to flow and follow the patient for better care, at the point of care. Integrated patient record accessible at the point of care, to support improved quality and controlled costs. Vision Who We Are The KHIE Vision Slide for 2016 Interoperability Integrated patient record at the point of care, to support improved quality and controlled costs Goals for 2016 Outreach and Education! Improved technology for more robust exchange Increased utilization of the KHIE Community Record

1,336 Provider Locations Submitting
LIVE Data to KHIE 2,606 Data Feeds Pharmacy Physician Campbell Boone State Lab (Microbiology) Kenton Lexington Fayette County Detention Center Gallatin Pendleton Bracken Hospital Carroll Grant Trimble Mason Owen Robertson Lewis Henry Greenup Harrison Combination Oldham Franklin Nicholas Fleming Carter Scott Boyd Shelby Jefferson Bourbon Rowan Woodford Bath Elliott Spencer Montgomery Lawrence No Hospital (39 Counties Total) Bullitt Anderson Fayette Clark Menifee Meade Jessamine Hancock Morgan Henderson Mercer Powell Johnson Breckinridge Nelson Martin Union Washington Wolfe Daviess Hardin Garrard Madison Estill Magoffin Boyle Lee McLean Larue Marion Webster Breathitt Floyd Pike Ohio Lincoln Grayson Jackson Owsley Crittenden Taylor Rockcastle Knott Livingston Hopkins Hart Casey Muhlenberg Butler Edmonson Green Perry Caldwell Clay Pulaski Ballard Adair Laurel Leslie Letcher McCracken Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Logan Knox Trigg Todd Cumberland Harlan Graves Wayne Whitley Hickman Simpson Allen Monroe Clinton McCreary Bell Calloway Fulton

Hospital Connections 95 Hospitals Live (27 CAH/68 Acute)
Acute with Signed Agreement Acute LIVE CAH with Signed Agreement CAH LIVE Campbell Boone Boone Kenton Kenton Campbell Gallatin Bracken Carroll Pendleton Trimble Grant Mason Owen Robertson Lewis Henry Greenup Harrison Oldham Franklin Nicholas Fleming Carter Boyd Scott Shelby Jefferson Bourbon Rowan Woodford Bath Elliott Bullitt Spencer Montgomery Lawrence Anderson Fayette Clark Menifee Meade Jessamine Hancock Powell Morgan Johnson Hospitals share a lot of data with KHIE, not only for meaningful use purposes but for the purpose of care coordination. Public Health Reporting for Meaningful Use, for hospitals requires: Immunizations ADT for Syndromic Surveillance Labs for Electronic Laboratory Reporting Many of our hospitals share more than what is required, so also send: Transcribed Documents (Discharge Summaries, Op Notes, Consults) Radiology Reports Summary of Care Records Henderson Mercer Breckinridge Nelson Martin Union Daviess Washington Hardin Garrard Madison Estill Wolfe Magoffin Boyle Lee McLean Larue Marion Webster Lincoln Breathitt Floyd Pike Ohio Grayson Jackson Owsley Crittenden Taylor Rockcastle Knott Livingston Hopkins Hart Casey Muhlenberg Butler Edmonson Green Perry Caldwell Clay Adair Pulaski Ballard Laurel Leslie Letcher McCracken Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Logan Knox Trigg Todd Cumberland Harlan Wayne Whitley Hickman Graves Simpson Allen Monroe Clinton McCreary Bell Calloway Fulton

Pharmacies Participating in KHIE By County
Reynolds Pharmacy Campbell Family Health Clinic Pharmacy Boone Kenton Rowan Pharmacists Group Gallatin Carroll Pendleton Bracken Grant Trimble Mason Owen Robertson Lewis Henry Greenup Harrison Oldham Franklin Nicholas Fleming Carter Scott Boyd Shelby Jefferson Bourbon Rowan Woodford Bath Elliott Spencer Montgomery Lawrence Bullitt Anderson Fayette Clark Menifee Meade Jessamine Hancock Morgan Henderson Mercer Powell Johnson Breckinridge Nelson Martin Union Washington Wolfe Daviess Estill Hardin Garrard Madison Magoffin Boyle Lee McLean Larue Marion Breathitt Floyd Webster Ohio Lincoln Pike Grayson Jackson Owsley Crittenden Taylor Rockcastle Hopkins Hart Casey Knott Livingston Muhlenberg Butler Edmonson Green Perry Caldwell Clay Ballard Adair Pulaski Laurel Leslie Letcher McCracken Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Knox Trigg Todd Logan Cumberland Harlan Wayne Whitley Hickman Graves Simpson Allen Monroe Clinton McCreary Bell Nova Pharmacy Calloway Fulton

Anchor Organizations Campbell Boone Kenton Gallatin Pendleton Bracken Carroll Grant Trimble Mason Owen Robertson Lewis Henry Greenup Harrison Oldham Franklin Nicholas Fleming Carter Scott Boyd Shelby Jefferson Bourbon Rowan Woodford Bath Elliott Spencer Montgomery Lawrence Bullitt Anderson Fayette Clark Menifee Meade Jessamine Hancock Morgan Mercer Powell Johnson Henderson Breckinridge Nelson Martin Union Washington Wolfe Daviess Hardin Garrard Madison Estill Magoffin Boyle Lee McLean Larue Marion Breathitt Floyd Webster Ohio Lincoln Pike Grayson Jackson Owsley Crittenden Taylor Rockcastle Hopkins Hart Casey Knott Significant to note that all the large integrated networks in KY participate in KHIE, with plans to increase their level of participation over the coming years. Livingston Muhlenberg Butler Edmonson Green Perry Caldwell Clay Adair Pulaski Ballard Laurel Leslie Letcher McCracken Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Logan Knox Trigg Todd Cumberland Harlan Hickman Graves Wayne Whitley Simpson Allen Monroe Clinton McCreary Bell Calloway Fulton

Health Information Exchange: Use Cases
HIE Use Cases Data Intermediary & Delivery Public Health Reporting/MU Care Coordination & Transitions Health Home Integrated Health Model Event Notification/Alerts Practice Transformation Corrections, ACOs, PCMH Quality/Data Analytics KY Health Data Trust Disaster/Emergency Management Public Health Emergency Operations Infection Control & Prevention Present on Admission HAI/HAC

Care Transitions Today

KHIE Community Record VHR Summary Page

Integrated Health Model
Primary Care Substance Abuse Oral Health Mental Health THE SOLUTION The solution lies in integrated care – the coordination of mental health, substance abuse, primary care, and oral health services. Integrated care produces the best outcomes and is the most effective approach to caring for people with complex healthcare needs.

I.T. Modernization of Public Health & Behavioral Health
Assessment completed eCW for Health Departments; Meditech for Behavioral Health Demonstration of Interoperability with KHIE Implementations in Progress! NEW Electronic Health Record for Local Health Departments & State Psychiatric Facilities!!

Correctional Facilities
Including Detention Centers in the HIE can vastly improve community health Division of Community Corrections Lexington-Fayette Urban County Government 24,000 people annually Every day: 865 people on medication 90 inmates seen by mental health doctors 194 inmates seen by nurses The facility can now push its data onto the exchange allowing all treatments that inmates receive and medications they take be accessed by doctors in the community should he or she seek treatment upon release. The facility is also working on receiving data. Healthcare providers and correctional institutions are recognizing that public health and correctional health should be treated as one.

Real World Use Case: Emergency/Disaster Operations
During Large Scale Disasters During Emergency Situations KHIE can be queried from shelter locations to provide medical information including diagnosis and medications KHIE can be used during a patient’s transition of care to provide a medical history including treating physicians, diagnosis and medications It is important all hospitals and providers have personnel trained in the use of the KHIE CCD or the Community Portal so that these resources are available in the event of an emergency This includes being credentialed to use the system (user name and password)

Meaningful Use, KHIE & Public Health
Stage 1 Data Capturing and Sharing Stage 2 Advanced Clinical Processes Stage 3 Improved Outcomes

Immunization Registry (Electronic Lab Reporting)
Kentucky Public Health Reporting BioSense Immunization Registry NEDSS (Electronic Lab Reporting) Cancer Registry EHR

Medicaid eHR Incentive Payments
Physicians by County As of 5/1/16 Total Provider Incentive Payments to date $82,652,583.85 Campbell Boone Kenton Gallatin Pendleton Bracken Carroll Trimble Grant Mason Owen Robertson Lewis Greenup Henry Harrison Oldham Nicholas Fleming Carter Boyd Shelby Franklin Scott Jefferson Bourbon Rowan Bath Elliott Spencer Woodford Lawrence Bullitt Anderson Fayette Montgomery Clark Menifee Meade Morgan Hancock Henderson Mercer Jessamine Powell Johnson Breckinridge Nelson Martin Union Washington Wolfe Daviess Estill Hardin Garrard Madison Magoffin Boyle Lee Larue Marion Breathitt Floyd Webster McLean Lincoln Pike Ohio Grayson Jackson Owsley Crittenden Taylor Rockcastle Hart Casey Knott Hopkins Muhlenberg Butler Edmonson Green Perry Livingston Caldwell Clay Adair Pulaski Ballard McCracken Laurel Leslie Letcher Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Logan Knox Trigg Todd Cumberland Harlan Hickman Graves Wayne Whitley Simpson Allen Monroe Clinton McCreary Bell Fulton Calloway

Medicaid eHR Incentive Payments
Hospitals by County As of 5/1/16 Total Hospital Incentive Payments to date $125,832,771.45 Campbell Boone Kenton Gallatin Pendleton Bracken Carroll Trimble Grant Mason Owen Robertson Lewis Greenup Henry Harrison Oldham Franklin Nicholas Fleming Carter Scott Boyd Jefferson Shelby Bourbon Rowan Bath Elliott Spencer Woodford Lawrence Bullitt Anderson Fayette Montgomery Clark Menifee Meade Morgan Hancock Mercer Jessamine Powell Johnson Henderson Breckinridge Nelson Martin Union Washington Daviess Madison Estill Wolfe Hardin Magoffin Boyle Garrard Lee Larue Marion Floyd Webster McLean Lincoln Breathitt Pike Ohio Grayson Jackson Owsley Crittenden Taylor Rockcastle Livingston Hart Casey Knott Hopkins Muhlenberg Butler Edmonson Green Perry Caldwell Clay Adair Pulaski Ballard Laurel Leslie Letcher McCracken Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Todd Logan Knox Trigg Cumberland Harlan Graves Wayne Whitley Hickman Simpson Allen Monroe Clinton McCreary Bell Fulton Calloway

KY Immunization Registry
Hospital Physician Lab Combination Direct Secure Messaging Others: Kentucky Immunization Registry State Lab (Microbiology) (Franklin) Grundy, VA Scioto, OH 900+ LIVE Connections Boone Boone Kenton Campbell Campbell Gallatin Bracken Carroll Pendleton Trimble Grant Mason Owen Robertson Lewis Greenup Henry Harrison Oldham Franklin Nicholas Fleming Carter Scott Boyd Shelby Jefferson Bourbon Rowan Woodford Bath Elliott Spencer Montgomery Lawrence Bullitt Anderson Fayette Clark Menifee Hancock Meade Jessamine Morgan Mercer Powell Johnson Immunization data is flowing from almost every county across the state of Kentucky through KHIE to the KY Immunization Registry, and many locations in the work queue in the process of connecting Henderson Breckinridge Nelson Washington Martin Union Estill Wolfe Daviess Hardin Boyle Garrard Madison Magoffin Lee Larue Marion Floyd Webster McLean Ohio Grayson Lincoln Breathitt Pike Jackson Owsley Crittenden Taylor Rockcastle Hopkins Hart Casey Knott Edmonson Green Perry Muhlenberg Butler Livingston Caldwell Clay Ballard McCracken Adair Pulaski Laurel Leslie Letcher Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Todd Logan Knox Trigg Cumberland Harlan Graves Wayne Whitley Hickman Simpson Allen Monroe Clinton McCreary Bell Fulton Calloway

Immunization Registry Update
New Registry Vendor Selected Envision/Work began late 2014 ‘Soft Launch’ in 2015 Look-Up Only/VFC Providers Only Conversion of historical data is in progress Interface with KHIE Complete!

Syndromic Surveillance Reporting: KY & BioSense 2.0
Image from a BioSense 2.0 prototype of the shared space that shows the system’s ability to provide authorized users with features allowing them to share information through social controls, data visualizations, and basic statistical analyses. Does not reflect a real event

549 Syndromic Surveillance Connections via KHIE
Hospitals/Physicians by County Updated 5/31/2016 Physician Campbell Boone Kenton Gallatin Hospital Carroll Pendleton Bracken Grant Trimble Mason Owen Robertson Lewis Henry Greenup Harrison Combination Oldham Franklin Nicholas Fleming Carter Scott Boyd Shelby Jefferson Bourbon Rowan Woodford Bath Elliott Spencer Montgomery Lawrence Bullitt Anderson Fayette Clark Menifee Meade Jessamine Hancock Morgan Mercer Powell Johnson Henderson Breckinridge Nelson Martin Union Washington Daviess Madison Estill Wolfe Hardin Boyle Garrard Magoffin Lee McLean Larue Marion Floyd Webster Lincoln Breathitt Pike Ohio Grayson Jackson Owsley Crittenden Taylor Rockcastle Hopkins Hart Casey Knott Livingston Muhlenberg Butler Edmonson Green Perry Caldwell Clay Adair Pulaski Ballard Laurel Leslie Letcher McCracken Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Logan Knox Trigg Todd Cumberland Harlan Hickman Graves Wayne Whitley Simpson Allen Monroe Clinton McCreary Bell Calloway Fulton

NEW Kentucky Legislation for electronic laboratory reporting:
902 KAR 2:020 Increases the requirements for reporting with flexibility to add in the future Requires all electronic reporting through KHIE Requires a full ADT and Lab Feed LOINC and SNOMED are required NEW Kentucky Legislation for electronic laboratory reporting: 1.Providers must have a signed participation agreement and a disease surveillance addendum with KHIE 2.Laboratory feeds and reference lab orders and results must be fully mapped to Logical Observation Identifiers Names and Codes and Systematized Nomenclature of Medicine, with the exception of HIV- and AIDS-associated laboratory reports 3.The established all-inclusive laboratory data feed must contain HL ELR Standard Unsolicited Observation or Unsolicited Lab Observation messages from a 2014 certified electronic health record system 4.An established all-inclusive admit, discharge and transfer feed

Reportable Diseases

KY Central Cancer Registry
In April of 1990, the State General Assembly passed legislation that formally established KCR as the population-based central cancer registry for the Commonwealth. The legislation provided recurring funding for staff, travel and computer equipment. Mandatory reporting to KCR officially began January 1, 1991. All Kentucky acute care hospitals and their associated outpatient facilities are required to report each case of cancer to the KCR. The KY Cancer Registry, housed within the University of KY is known around the country as one of the most comprehensive Cancer registries existing.

DirectTrust Accredited Network
Direct (Point-to-Point) Network Cerner Med Allies Cerner Users Allscripts Users EHRs with HISPs DirectTrust Accredited Network Long-Term Care HISP 35+ DTAAP-accredited HISPs Post-Acute Care Meditech Users Health Departments Epic Users Rehabilitation

Secure Exchange Solutions
EHR <->DTAAP-Accredited HISP Connections Meditech Ulrich, ModuleMD, QRS, CorrecTek, Connexin SuccessEHS AthenaHealth Aprima Medicity Nitor DataMotion AthenaHealth EMRDirect CPSI, Netsmart Cerner Inpriva Cerner AmazingCharts,e-MDs, Eyefinity, First Insight, Greenway, Healthland, Medinformatix,Modernizing Med, Practice Fusion Updox ADP, Falcon, GE, gloStream, HealthFusion, Meditab, OCERIS, VersaSuite, Vitera Surescripts MedAllies Secure Exchange Solutions NextGen Share KHIE ICA AllScripts Meditech Relay Health Acumen, Allmeds, Elekta, gMed, Health Innov Tech, HMS, NexTech Epic, Meditech NextGen McKesson

Sample CQMs eCQMs: KY Medicaid EHR Incentive Program Outcomes
Aggregate-Level Data: QRDA Category III Eligible Providers EHR System Sample CQMs Domains: Patient and Family Engagement Clinical Process & Effectiveness Patient Safety Effective Use of Healthcare Resources Population and Public Health Care Coordination KY Medicaid eCQM Warehouse Data Analytics Population Health Management Retained Healthcare Costs Coordinated Care Improved Patient Health Improved Outcomes Alignment of State and Federal Quality Reporting Outcomes

Strategic Health Information Exchange Collaborative (SHIEC)
National Trade Organization for HIEs Work includes… Standards for Interoperability Sustainability Models Negotiations with Payers Patient Centered Data Homes Initiative KHIE joined in 2015

Heartland Patient Centered Data Home
Regional Initiative/Pilot for SHIEC 7 HIE’s Kentucky/Ohio/Michigan (2)/ Chicago/East Tennessee/Indiana Whiteboard Session June 2016 Stay Tuned! Must be SHIEC Members

Public Health Reporting
KHIE Services 2016 Meaningful Use Immunizations/SS/ELR/Cancer Statutory Electronic Laboratory Reporting Public Health Reporting Care Coordination/Community Record Meaningful Use/Transitions of Care Direct/HISP Services XDS.B/Platinum Support for Practice Transformation PCMH/ACOs Health Information Exchange

Next Generation KHIE eHealth Exchange Health Information Exchange
KHIE Community Health Record XDS.b Repository XDS.b Registry Enterprise Network Provider without an EHR Clinical Repository ……. XDS.b Repository HL7 Datafeeds Health Information Exchange Enterprise Network BRAND New slide – reflects KHIE’s certification with HealtheWay/eHealth Exchange as well as the new technical platform KHIE has implemented (ihe profiles), which implemented a Clinical Document Repository and XDS.b exchange of Summary of Care Record. KHIE’s certification with the eHealth Exchange enables query exchange not only with other states who are also eHealth exchange participants but also the Veterans Administration (!!). News: CMS has approved the use of KHIE to fulfill the Stage 2 Requirements for Transitions of Care. Enterprise Network XDS.b Repository XDS.b Repository

Next Generation KHIE Services
Alerts/Event Notifications Admission/Discharge/Transfer Messages Coordination of Care/Care Transitions Direct Messaging Integration Incorporate ‘whitespace’ providers data Interoperability/Data & Analytics APCD KY Health Data Trust

America’s Health Rankings
How Did We Get Here? How Are We Doing? KENTUCKY RANK POOR MENTAL HEALTH DAYS 50 CANCER DEATHS PREVENTABLE HOSPITALIZATIONS CHILDREN IN POVERTY SMOKING 49 DRUG DEATHS 48 POOR PHYSICAL HEALTH DAYS 47 OBESITY IN ADULTS 46 UNDEREMPLOYMENT RATE 45 PREMATURE DEATH/100,000 44 CARDIOVASCULAR DEATHS/100,000 43 PHYSICAL INACTIVITY 42 LOW BIRTHWEIGHT 38 DIABETES IN ADULTS 33 LACK OF HEALTH INSURANCE 28 HIGH SCHOOL GRADUATION 22 44th America’s Health Rankings 2015

HIT Infrastructure to Support SIM Reforms
VISION: HIT Infrastructure to Support SIM Reforms The enhanced QHI Framework for Value-based Care depicts the HIT environment that is needed in order to successfully support Kentucky’s SIM goals. It was developed to align with the ONC vision for an “HIT stack” in a value-based care environment. DRAFT November 2015 Angie – this is HOT off the press – it is the DRAFT from the HIT Plan we will be submitting to CMS. It is the VISION we have for pulling all of this together.

What is a health data trust?
Designed to address need for comprehensive information across health care and other settings Aggregation of data from multiple sources Can include: disease registries, public health data, vital statistics, lab, EHR, multi-payer data “We cannot manage what we cannot measure”

Architecture Overview
Data Sources Integrating HHS data across the Community Solutions and Use Cases Data Assets Outcomes-base Information Solution (ObIS) Data Enhancements Real World Evidence MMIS De-Identification ID Mgmt. / MDM Geocoding Benchmarks Cost of Care Utilization TANF Care Content Library Terminology Metadata 3M Bundle Quality Measurement Fraud and Abuse SNAP Analytic Data Marts Medical Home / ACO Provider Performance Data Integration Hub Analytics Engine PBM Cleansed, Normalized Health Community Data Network Adequacy Network Adjustment Health Plans KY Quality Health Information Data Trust Population Miner & Outcomes Miner MCOs This is an old slide I found in one of Dr. Langefeld’s slide decks (from last year). I like it because it reflects that KHIE is only ONE of the data sources for the QHI/Data Trust/APCD structure. Real World Evidence Population Health KHBE HIX Quality Assurance and Data Integrity External Data Extracts and Reports Care Management Content Manager KHIE Member Provider Care Pathway Optimization Eligibility Encounters Provider Supply Claims Lab Results Custom Solutions PH / Vital Statistics PH Data Resources Benefits TBD TBD TBD

KHIE Outreach Coordinator
Coverage Regions Campbell Boone Region 1 – Laura Shonk Region 2 – Teresa Poff Region 3 – Ann O’Hara Region 4 – Tiffany Pierson Region 5 – June Madden Kenton Gallatin Pendleton Bracken Carroll Trimble Grant Mason Owen Robertson Lewis Greenup Henry Harrison Oldham Franklin Nicholas Fleming Carter Boyd Shelby Scott Jefferson Bourbon Rowan Bath Elliott Spencer Woodford Lawrence Bullitt Anderson Fayette Montgomery Clark Menifee Hancock Meade Jessamine Morgan Mercer Powell Johnson Henderson Breckinridge Nelson Washington Martin Union Daviess Madison Estill Wolfe Hardin Magoffin Boyle Garrard Lee Larue Marion Floyd Webster McLean Lincoln Breathitt Pike Ohio Grayson Jackson Owsley Crittenden Taylor Rockcastle Livingston Hart Casey Knott Hopkins Muhlenberg Butler Edmonson Green Perry Caldwell Clay Adair Pulaski Ballard Laurel Leslie Letcher McCracken Lyon Metcalfe Russell Warren Barren Carlisle Marshall Christian Todd Logan Knox Trigg Cumberland Harlan Graves Wayne Whitley Hickman Simpson Allen Monroe Clinton McCreary Bell Fulton Calloway

HHS Secretary Sylvia M. Burwell
“The flow of information is fundamental to achieving a health system that delivers better care, smarter spending, and healthier people. The steps we are taking today will help to create more transparency on cost and quality information, bring electronic health information to inform care and decision making, and support population health.“ HHS Secretary Sylvia M. Burwell

Visit Us

Questions???

Partnering to Improve Health Outcomes

Similar presentations

Presentation on theme: "Partnering to Improve Health Outcomes"— Presentation transcript:

Similar presentations

About project

Feedback

Log in

Auth with social network:

Partnering to Improve Health Outcomes

Similar presentations

Presentation on theme: "Partnering to Improve Health Outcomes"— Presentation transcript:

Similar presentations

About project

Feedback