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IN HIMSS Fall Conference

IN HIMSS Fall Conference. November 6 th , 2012. Agenda. HIT Stimulus State HIE Updates Information Liberation Consumer at the Center Strategies to Consider. HIT Stimulus. HITECH Programs Address Barriers to Adoption , Meaningful Use, Exchange. Intervention. Barriers. Funds Allocated.

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IN HIMSS Fall Conference

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  1. IN HIMSS Fall Conference November 6th, 2012

  2. Agenda HIT Stimulus State HIE Updates Information Liberation Consumer at the Center Strategies to Consider

  3. HIT Stimulus

  4. HITECH Programs Address Barriers to Adoption, Meaningful Use, Exchange Intervention Barriers Funds Allocated MU Incentives Cost of EHR Adoption $27.3B* Meaningful Use difficult to achieve for small providers REC and HITRC $643M $50M HIE Program Standards & Interoperability $548M Barriers to health information exchange $64.3M Lack of trained workforce Workforce $118M Privacy and Security Addressed across all Programs Lack of trust, policy framework Beacon SHARP Need for “real world” examples of HIT contribution to Health Care Transformation $250M $60M *$27.3B is high scenario

  5. Federal Health IT Strategic Plan 2011-2015

  6. Medicare EHR Payments

  7. Medicaid EHR Payments

  8. E-Prescribing Providers

  9. E-Prescribing Providers June 2010 Sept 2012

  10. E-Prescribing Transactions June 2010 Sept 2012

  11. State HIE Program

  12. Indiana HIO’s

  13. What is IHIT? Indiana Health Information Technology, Inc. State Designated Entity (SDE) Received $10.3 million in April 2010 Responsible for further HIE activities within the state

  14. IHIT Funded Projects • Connectivity Matching Grant Program ($2.45M) • 30 additional Rural/Critical Access Hospitals • 80 FQHC and Rural Health Clinics • 20 stand-alone lab and radiology entities • Data Mapping and Normalization ($750K) • Preferred Standards for Data Elements • Patient ID • Radiology Results • Lab Results • Clinical Documents • Privacy and Security Policy Development ($200K) • Indiana Policy Environmental Scan • External State/Federal Scan • Gap Analysis • Roadmap for addressing gaps

  15. IHIT Funded Projects, cont. • HIO Connectivity ($5M) • HIO to HIO message routing • CCD/CCR routing • Message Extraction to Data Repository • Consolidated Care Summaries by push and query methodologies • Web Communication Tool ($100K) • Blogging • Discussion Forums • Statewide HIT Calendar • Immunization Registry Integration ($1M) • HIO and EMR bi-direction interfacing with CHIRP • Increased access to immunization data

  16. Indiana HIE Progress 5 HISPs deployed (Secure Messaging) HISP Directory interoperability All sub-state HIO deployed Connect gateways Statewide Cross-HIO query by January 2013 28 hospitals, 66 clinics, 7 lab/rad entities enrolled in HIE Connectivity Program Over $260K distributed to Connectivity Program enrollees

  17. Indiana HIE Metrics 51% of Hospitals have access to Care Summaries 65% of Hospital Labs Submitting Results 39% of Hospitals Submitting Immunizations 20% of Hospitals Submitting ELR 97% of Hospital ER’s submitting Surveillance data 43.5 Million Pushed (Directed) Transactions Q3 2012 5.2 Million Public Health Messages Q3 2012

  18. Stage 2 Meaningful Use“The Consumer Enters”

  19. Stage 2 EP Consumer Objectives Use EHR to identify and provide more than 10% with reminders for preventive/follow-up - Core Provide online access to health information for more than 50% with more than 10% actually accessing - Core Provide office visit summaries in 24 hours - Core Use EHR to identify and provide education resources more than 10% - Core More than 10% of patients send secure messages to their EP - Core Record family health history for more than 20% - Menu

  20. Stage 2 Hospital Consumer Objectives Provide online access to health information for more than 50% with more than 10% actually accessing - Core Use EHR to identify and provide education resources more than 10% - Core Record indication of advanced directive for more than 50% - Menu Record family health history for more than 20% - Menu

  21. The iPatient

  22. Consumer Mediated ExchangeChallenge Grant

  23. Personal Health Records

  24. PHR Pilot Outcomes • 7 of 12 Pilot Sites Live • 3,672 PHR’s deployed at pilot sites • All 5 Sub-state HIO’s participating • Patients Recruiting Friends • Higher Patient Activation Scores • Addressing the Challenges • Patient ID and Matching/Authentication • Data Use Agreements • Minor Consents

  25. MyVaxIndiana Home Page

  26. Search MyVaxIndiana

  27. Vaccine View Screen

  28. HIE/HIT Strategies

  29. HIT as a Foundation Improved Quality, Efficiency, Pop. Health Care Delivery Innovations Provider Feedback & Measurement Payment Reform Health IT Foundation

  30. Observations to Consider Meaningful Use is Just a Floor Make an Impact on Quality Public Health is Critical Consumer Engagement Partnerships with Other Providers HIE/HIT is the Glue for a Fractionalized Industry

  31. Contact Information Andrew VanZee Statewide Health IT Director andrew.vanzee@fssa.in.gov 317-232-1165 www.indianahealthit.com @IndianaHealthIT

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