1. Accrediting HIEs An idea whose time has come? October 30, 2013

2. HIMSS Analytics Findings ~3/4 of hospital respondents indicated that they were participating in an HIO – Does not ensure complete access to patient information – Data sharing within HIOs is not robust – Reducing the value of the information that is available to healthcare providers It should be safe to assume that physician practices and other small clinical environments are having an even harder time determining a viable strategy for HIE, making the robust sharing of health information more of a distant reality.

3. Overall Hospital Participation

4. Data Sharing Challenges

5. Excuses for Non-Participation

6. Data Sharing Methods

7. How to Enhance Participation Resolve user pain points – The ability to analyze data across patient populations and getting access to data beyond their enterprise – deliver lab and radiology results electronically – Up front interface costs and charges based on EHR in use or contemplated Treat them like customers – Listen intently their needs and try to respond to them – Aggregate and make available clinical data – Think about what else you could do that would have value for your customers and then validate whether they want you to do that and be willing to pay for it

8. Presenting EHNAC The Electronic Healthcare Network Accreditation Commission A voluntary, self-governing standards development organization (SDO) Established to develop standard criteria and accredit organizations that electronically exchange health care data Founded in 1993, a tax-exempt 501(c)(6) nonprofit organization Partnering with Texas Health Services Authority (THSA) to develop a state accreditation program for public and private HIE organizations operating in Texas

9. A Test Case in Texas A joint venture Accrediting organizations facilitating the electronic exchange of health information every two years A variety of technical standards and specifications – no mandates The main purpose is to establish trust

10. “The providers and all stakeholders need to recognize that by at least mandating and trying to say to entities that we’re not going to do business unless an organization has achieved a certain level of either accreditation or certification.” EHNAC Executive Director Lee Barrett

11. References Barriers, Challenges and Opportunities with Information Sharing in HIEs: Output/Print Environments HIE adoption: Value of resolving user pain points at IHIE HIE participation gaining with hospitals but faxing persists What ensuring trust means to health information exchange