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Mississippi HIT Adoption and Information Exchange

Mississippi HIT Adoption and Information Exchange. Panel Discussion. NRHA Meaningful Use Survey. All rural hospitals invited to participate Random sample of 500 CAH’s selected Generalize to CAH’s as a whole Survey in your packet Due March 12, 2010 Please complete and submit!.

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Mississippi HIT Adoption and Information Exchange

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  1. Mississippi HIT Adoption and Information Exchange Panel Discussion

  2. NRHA Meaningful Use Survey • All rural hospitals invited to participate • Random sample of 500 CAH’s selected • Generalize to CAH’s as a whole • Survey in your packet • Due March 12, 2010 • Please complete and submit!

  3. NRHA MU Survey: Goals • Inform policy makers • Inform Legislators • Rural providers may need special assistance and dollars • This survey will assist in that advocacy effort on YOUR behalf

  4. HIE and HITECH • HIE: “Health Information Exchange” • HITECH Act: “Health Information Technology for Economic and Clinical Health”

  5. Prescription refill request on fax machine (Right behind the joke of the day) “Hey Sally! Where is Mrs. Jones x-ray?” Printer with results from one lab Unopened mail Courier just dropped off more envelopes Unsorted results Web portal (from one hospital) About to ring with stat results

  6. HIE Background “It’s not just about Health Information Technology in isolation: it’s all about how HIT communicates and interacts to support improved system performance and quality.” Neil Calman, President/CEO of the Institute for Family Health, New York and member of ONC HIT Policy Committee

  7. ARRA’s Impact on HIE Changes the game at the State Level • Previously, Regional Health Information Organizations (RHIO’s) created as a public/private partnership drove HIE development

  8. HIE Map 2006

  9. ARRA’s Impact on HIE Changes the game at the State level • Most States, like Mississippi, are reconfiguring HIT/HIE Policy to have the State take a more active leadership role in ensuring policy implementation and coordination with the Feds.

  10. Health Information Exchange Services Negotiated Access Health Information Exchange Services • Clinical Messaging • Medication Reconciliation • Shared EMR • Credentialing • Eligibility checking Hospitals Payers Hospital • Results delivery • Secure document transfer • Shared EMR • Clinical Decision Support • Credentialing • Eligibility checking Health Information Exchange Physicians Labs • Clinical Messaging • Orders Labs Data repository Network applications Outpatient RX & PBMs • Needs Assessment • Surveillance • Reportable conditions • ADE detection Public health • Clinical Quality Measurement • Claims Ajudication • Secure document transfer Payer Physician office Ambulatory centers (e.g. imaging) • De-identified, longitudinal clinical data Public health Researchers

  11. Public Health Labs Clinical Labs State and Local Health Departments Personal Health Records Hospital or Healthcare System Other Surveillance Sources Pharmaceutical Stockpile Electronic Health Records CDC, FDA, USDA, EPA, VA, DHS, etc. R X Consumers National Healthcare Information Network Public Health Information Network Common Services and Components NHIN Directory Messaging Vocabulary Security Identification Analysis Intervention Communication Patient Data Health Record Locator Data Brokering Data & Information

  12. A Final Word "Coming together is the beginning. Keeping together is progress. Working together is success."   --  Henry Ford

  13. Session Participants: • Anna Lyn Whitt • Richard Ferrans, M.D. • Craig Orgeron, Ph.D. • Candice Whitfield

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