1. Presented by Christina Galanis Executive Director

2. Medical Records Then

3. Medical Records Now

4. “The most remarkable feature of this 21 st century medicine is that we hold it together with 19 th century paperwork.” – Tommy G. Thompson Former Secretary U.S. Department of Health and Human Services

5. HEAL NY Background § 2818 Public Health Law - 2004 Health Care Efficiency & Affordability for New Yorkers Capital Grant Program $1B over 4 year period –Reform & reconfigure NY’s health care delivery system –Achieve improvements in patient care and increased operating efficiency Jointly administered between NYSDOH and DASNY

6. HEAL NY Background cont’d Primary objectives: –Identify and support opportunities for development and investment in health IT initiatives on a regional level, and –Identify and support opportunities for restructuring health care delivery systems on a regional basis in a manner that results in improved quality, efficiency and stability of health care services.

7. What is STHLNY? Southern Tier HealthLink NY (STHLNY) is a not for profit Regional Health Information Organization (RHIO) founded in 2005 by a collaboration between United Health Services Hospitals and Our Lady of Lourdes Memorial Hospital. STHLNY’s current project region includes 7 counties with approximately 956,000 residents, 11 hospitals, and 1,200 physicians. Currently in New York State there are 13 RHIO’s and multiple Community Health Information Technology Associations (CHITAs) working on HEAL NY Grant- funded projects

8. HEAL 1 Regions

9. STHLNY Board of Directors Rajesh Dave, MD (President) Christina Boyd, (Vice President) Mark McManus (Treasurer) Michael Rusnak (Secretary) Michelle M. Berry, CASA Merwyn Jones, Consumer Benjamin J. Krakauer, Public Health John LaLiberte, Hospital Afzal Rehman, Physician Group Christopher M. Szwagiel, Rural Health

10. The Role of a RHIO Governance Leadership Promote collaboration among stakeholders Advocate for patient data security Educating and engaging the community

11. STHLNY’s Mission To bring together employers, hospitals, long-term and home care providers, physicians, insurers, consumers, purchasers, and government in the Southern Tier and Central New York to improve health care quality, access, safety, and reduce overall associated costs by advancing health information technology.

12. The Current Health Care System

13. Currently Healthcare is segmented Too many opportunities exist for communication failures Lack of overall patient accountability for coordination and outcomes

15. With Healthcare IT STHLNY promotes collaboration and tighter sharing of information across providers and insurers By tying all parties involved into the State Health Information Network of NY (SHIN-NY), patient data could be shared accurately on demand with anyone who has a legitimate need to know STHLNY maintains the privacy and security of all patient records

16. What are the benefits? Lower healthcare costs Improved patient care Greater patient access to their information Preventing abuse of the system (i.e. individuals attempting to acquire several prescriptions for the same ailment)

17. Stakeholders Establish Framework for Collaboration Southern Tier Health Link NY membership continues to evolve. Participants United Health Services Hospitals Our Lady of Lourdes Hospital United Medical Associates Chenango Memorial Hospital Delaware Valley Hospital Broome County Free Clinic Southern Tier Imaging Southern NY Neurosurgical Group Excellus Mohawk Valley Plan Delaware Valley Hospital Professional Home Care Twin Tier Home Health Department of Health - Broome Department of Health - Tioga Department of Health - Delaware Department of Health - Chenango Ideal Senior Living Center Lourdes at Home and Lourdes Hospice Rural Health Network

18. Stakeholders Establish Framework for Collaboration Southern Tier Health Link NY membership continues to evolve. Participants (cont’d) SUNY Upstate Medical University Crouse Hospital Community General Hospital St. Joseph's Hospital Lab Alliance SUNY Upstate Practice East Hill Medical Cortland Regional Hospital Auburn Memorial Hospital Cardiology Associates Endwell Family Physicians Family Health Network, Cortland Other NextGen and Medent Clients CNY Family Care Family Care Medical Group Internist Associates Syracuse Community Health Center

19. HEAL 1 Grant Formation of regional health information organizations (RHIOs) Assist in building an infrastructure in NYS to share clinical info among patients, providers, payers, and public health entities Support the statewide adoption of systems compatible with the strategic HIT plan that is being developed at the Federal level Be able to be a part of the planned national network for sharing patient data

20. STHLNY HEAL 1 Grant Status Total project cost: $22 million NYS HEAL Grant Funding: $3.5 million 83% complete 11 of 13 individual Stakeholder system implementation projects complete Originally forecast to conclude May 31, 2008 Project extended to April 2010 due to vendor limitations

21. HEAL 5 Grant Strategic focus –Advance interoperability through funding a shared health information infrastructure available to and supported by all providers, payers, and patients. Awards –Total………..$105.75M –Individual…..$1M to $10M –Two-year grant period

22. HEAL 5 Grant STHLNY Eligible Applicant –Syracuse region included within the grant –Collaboration between Binghamton area RHIO (STHLNY) and Syracuse area RHIO known as the Health Advancement Collaborative of Central NY (HAC-CNY)

23. HEAL 5 The strategic focus is to advance interoperability based on a community driven model open to all providers, payers and patients. Grant award is $7.8 million (10% to HITEC and NyeC) 1% variance due to HEAL Office Accounting (71,000)‏ Over a 2 year grant period (option to renew for up to two additional one year periods to ensure completion of the project). GDAs will begin on August 1, 2008. Expected benefits include: –Improvements in Efficiency and Effectiveness of Care. –Improvements in Quality of Care. –Reduction in Costs of Care. –Improvements in Outcomes of Care. –Engaging New Yorkers in Their Care.

24. What’s in it for me? The business community, as a primary payer for health care, recognizes that serious problems exist within the nation’s health care system One symptom is the rise in the cost of health insurance, which largely falls on employers’ shoulders The work STHLNY is embarking on will result in better care, more effective treatments, and reduced healthcare costs by eliminating duplication of tests and a reduction in provider administrative costs. By lowering the cost of health care, health insurance premiums decrease as well.

25. What’s in it for me? (cont’d) Also impacting employers is the loss in productivity caused by employees who experience medical errors or undergo unnecessary, repetitive diagnostic tests. STHLNY will reduce the frequency of medical errors and the cost of providing health care in our area will decrease As the quality, cost, and safety of our local health care systems improve, so does the quality of life for our area residents, making it easier for employers to attract and retain qualified employees.

29. Questions? Christina Galanis cgalanis@sthlny.com STHLNY Web Site: http://www.sthlny.comhttp://www.sthlny.com