1. DHIN Customer Profile Webinar September 25, 2009 Better Communication for Better Healthcare Gina B. Perez, MPA DHIN Executive Director Advances in Management, Inc.

2. About DHIN Created statutorily in 1997 as a public instrumentality of the State of Delaware The Nation’s First Statewide Clinical Health Information Exchange State Designated Entity Public – Private Partnership Funded by Federal, State and Private Resources (beginning in 2005) Went live in May 2007

3. DHIN Vision Develop a network to exchange real-time clinical information among all health care providers (office practices, hospitals, labs and diagnostic facilities, etc.) across the state to improve patient outcomes and patient-provider relationships, while reducing service duplication and the rate of increase in health care spending.

4. DHIN’s Success Critical Mass –Over 50% provider adoption –Distributes more than 85% of lab tests in DE –648,000 unique patient records –40 million transactions per year (and growing) Only HIE with both LabCorp and Quest Diagnostics Participating Improved efficiency and quality of care

5. Christiana Care Health System Beebe Medical Center Nanticoke Memorial Hospital Bayhealth Medical Center LabCorp Doctors Pathology Services Quest Diagnostics DuPont Hospital for Children VA Hospital (FedCONNECT) St. Francis Hospital Data Senders

6. DHIN Functionality Secure Results Delivery with Standard Result Format (since 2007) –Lab and Pathology Results –Radiology Reports –Admission Face Sheets Patient Record SearchInquiry( Live June 15 th ) Medication History Pilot (planned) Public Health Reporting –Real-time reporting of data from hospitals to the Division of Public Health’s DERSS system (Delaware Electronic Reporting and Surveillance System) - Secure Inbox (68%)* - Auto-Print/Fax (12%) - EMR Interface (20%) *Pending EMR Connection (26%)

7. EMR Connectivity DHIN Certified EMRs –Allscripts- Misys –STI Computer Services- eClinicalWorks –Varian- MediNotes/Eclipsys EMR Vendors in Negotiations (expected to go live in 2010) –NextGen- GE/Centricity –Cerner- McKesson –Advanced Data Systems Corp Negotiated Discounts

8. Electronic Order Entry Incorporate Lab Results into EHRs as structured data Maintain an Active Medication List Perform Medication Reconciliation Implement Drug-Allergy, Drug Formulary, Drug- Drug Interactions Standards-Based Transactions Meaningful Use: How HIEs Can Help

9. Electronic Insurance Eligibility Verification Electronic Claims Submission Maintain an up-to-date “problem list” of current and active diagnoses based on ICD-9 and SNOMED Record Demographic Data (preferred language, insurance type, gender, race and ethnicity) Quality Reporting –Generate List of patients by specific conditions for outreach and quality improvement

10. Meaningful Use: How HIEs Can Help Patient Access to Electronic Information –Provide Access to Patient-Specific Education Resources –Send Reminders to Patients for Preventative and Follow-Up Care Exchange Key Clinical Information –Clinical Summary Public Health Reporting –Immunization Registry –Electronic Syndromic Surveillance Proof of Compliance with HIPAA Privacy and Security Rules