1. Physicians and Health Information Exchange (HIE) What is HIE? Physicians and Health Information Exchange (HIE) What is HIE?

2. © eHealth Initiative & Foundation, 2006 2 Today’s Reality… Have you ever had an afternoon like this? Patient waiting in the room for follow up of emergency room visit Records not yet received How long does patient wait? How long do you wait? What assumptions do you not want to make…

3. © eHealth Initiative & Foundation, 2006 3 Today’s Reality… Data is stored in silos, across multiple stakeholder groups Clinical research and public health is hindered by paper- based, fragmented systems – costly and slow processes Data is required from multiple sources to have timely, and effective clinical decision support Public health agencies forced to utilize phone, fax and mail to conduct public health surveillance, detection, management and response Physicians spend 20 - 30% of their time searching for information…10 - 81% of the time, physicians don’t find the information they need in the patient record

4. © eHealth Initiative & Foundation, 2006 4 Why Health Information Exchange… Health information exchange (HIE): the mobilization of healthcare information electronically within a region or community. facilitate access to and retrieval of clinical data across organizations to provide safer, more timely, efficient, effective, equitable, patient-centered care.

5. © eHealth Initiative & Foundation, 2006 5 ‘HIT’ from ‘HIE’…Is There a Difference? Health Information Technology (HIT)  Local deployments of technology to support organizational business and clinical requirements Health Information Exchange (HIE)  Infrastructure to enable data sharing between organizations

6. © eHealth Initiative & Foundation, 2006 6 Example of Health Information Technology (HIT) Electronic Medical Record (EMR) Management Information System (MIS) Laboratory Information System (LIS) Computerized Physician Order Entry (CPOE) E-prescribing and order-entry only with (eRx) Personal Health Records (PHR)

7. © eHealth Initiative & Foundation, 2006 7 Public Interest in Health Information

8. © eHealth Initiative & Foundation, 2006 8 HIE: Opportunities to Consider Order tests, medications, referrals Receive results (labs, imaging, dispensing records) Get paid (claims, claims attachments) Query (patient eligibility, allergies, diagnoses, meds, labs, other providers, immunizations) Send/receive a message/document (d/c summaries, consultation results) Emergency alerting and situational awareness (PH alerts, system status e.g. ER saturation) Patient record access/communication (patient portal, e-visits, reminder/recall) Decision support (powered by ALL meds, allergies, etc.) Accountability (quality-safety-cost scorecards) Surveillance (outbreaks, underserved, disease trends) Collaborate (shared case management tools)

9. © eHealth Initiative & Foundation, 2006 9 Today’s Health Information Exchange Initiatives: What Are They Doing? Primary focus continues to be building systems to support sharing of clinical information

10. © eHealth Initiative & Foundation, 2006 10 Focus on Disease Management, Quality Reporting, and Population Health Advancements in functionality to support improvements in quality and safety are evident. Traditional uses to support care delivery, a number are now expanding functionality

11. © eHealth Initiative & Foundation, 2006 11 Physicians and Health Information Exchange: Tips for Success Trust and transparency  Neutral entity that brings together multiple stakeholders Physician Champions needed Incremental steps towards a long-term vision and strategy Select HIE functions that make a clinical difference and improve outcomes Point of care and work flow  Accessible and integrated into routines to provide value Data must be current and reliable Ensure privacy and integrity of data

12. © eHealth Initiative & Foundation, 2006 12 Engaging Physicians in Health Information Exchange For more information contact: