1. 1 Get Ready to RHIO Health Information Exchanges and Emergency Preparedness Jeff Odell, Senior Vice President MedVirginia 804.359.4500 x227 jodell@medvirginia.net www.medvirginia.net

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4. 4 Topics Regional Health Information Organizations – MedVirginia Example Health Information Exchange principles The Nationwide Health Information Network – Why It Matters Specific Use Cases for Emergency Responders

5. 5 5 2014 Interoperable Electronic Health Information EHRs PHRs Public Health Home Telehealth Standards … Interoperability Nationwide Health Information Network Widespread Adoption of Interoperable Electronic Health Records by 2014 2004 Health IT AGENDA

6. 6 Definition: RHIO A governance entity composed of organizations and individuals with a stake in facilitating the electronic exchange of health information for the purpose of improving quality, safety and effectiveness for the communities in which they operate. Regional Health Information Organization

7. 7 MedVirginia Overview - Collaboration in Health IT -Health Information Exchange - Enhance Practice Automation Vision: “…Central Virginia as the most electronically integrated medical community in the U.S.” A RHIO created by not-for-profit hospitals and practicing physicians in Central Virginia for the purposes of:

8. 8 Health Information Technology (HIT) vs. Health Information Exchange (HIE) H LISRxISCISEMR HIE

9. 9 MedVirginia Health Information Exchange (HIE) Operational January 2006 One of a few “live” RHIO’s in the U.S. Targeting Central Virginia medical community Enrollment underway – 6 hospitals, 1000+ users in over 110 physician offices Master Patient Index of 540,000+ patients Over 1 million messages processed each month

10. 10 Clinical data repository Master patient index Hospitals create an enterprise view Radiology (RIS) Pharmacy Lab Emergency Order entry Billing Ambulatory Hospital Source: Forrester

11. 11 Entities come together in regions Hospital Hospital system Physician group Retail pharmacy Lab Clinic Public health agency RHIO Source: Forrester

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13. 13 Patient-centric Clinical Chart

14. 14 Nationwide Health Information Network NHIN “is a secure, nationwide, interoperable health information infrastructure that will connect providers, consumers, and others involved in supporting health and healthcare.” MedVirginia is a “Trial Implementations” contract awardee. Source- www.hhs.gov/healthit

15. 15 Health IT  Medical clipboard becomes a thing of the past  Secure interoperable electronic records are available to patients and their doctors anytime, anywhere  Immediate access to accurate information reduces dangerous medical errors and helps control health care costs One of Secretary Leavitt’s Priorities

16. 16 NHIN Awardees CareSpark Delaware Health Information Network Indiana University Long Beach Network for Health Lovelace Clinic Foundation MedVirginia New York eHealth Collaborative North Carolina Healthcare Information and Communications Alliance West Virginia Health Information Network

17. 17 Regions participate in a national network New Mexico Long Beach Southwest Tenn. Delaware Central VA Indiana Long Island NHIN W. VA NC

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19. 19 NHIN “Use Cases” Developed by the American Health Information Community (AHIC). Specific deployment of HIT in addressing prioritized needs:  Medication Management  EHR – Labs  Emergency Responder EHR  Biosurveillance  Quality  Consumer Empowerment - Registration and Rx History  Consumer Access to Clinical Information

20. 20 Emergency Responder Use Case Specifies “….timely electronic access to critical health information relating to the assessment, stabilization and treatment of the victims of emergency incidents. …range from individuals suffering from accidents or acute episodes of illness to large groups …as the result of widespread casualty incidents including natural disasters and terrorism.” Source: www.hhs.gov/healthit/usecases

21. 21 Emergency Responder Data Elements Demographics Emergency Contact Info Allergies Medication History Problem List Immunizations Pain Status Treatment History Patient Location Triage Category Advance Directive

22. MedVirginia’s Emergency Responder Vision #1 Discharge Summaries Reference Lab Results Clinical Results from Hospitals and Providers Medications Allergies Critical patient info available en-route & at scene Physician e-Prescribing

23. MedVirginia’s Emergency Responder Vision #2 Discharge Summaries Reference Lab Results Clinical Results from Hospitals and Providers Medications Allergies Critical patient info available via RHIOs post-disaster or post-evacuation Physician e-Prescribing Remote database populated during “good times”

24. MedVirginia’s Emergency Responder Vision #2 Critical patient info available via RHIOs post-disaster or post-evacuation Remote database web-accessible by providers where evacuees go

25. 25 And Vision #3 … Biosurveillance Feed Emergency Dept data (chief complaint, labs, diagnosis, etc.) into Early Event Detection & Syndromic Surveillance Systems operated at local Ambulance Authority. Support Public Health and 1 st Responders

26. 26 Final Thoughts Seek out & join your state/local RHIO or HIE projects Good source: www.ehealthinitiative.orgwww.ehealthinitiative.org Understand the Emergency Responder and Biosurveillance Use Cases. Google “AHIC Use Cases” Advocate for health information exchange to include emergency responders.