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Camden Health Information Exchange

Camden HIE provides a platform for efficient information exchange among healthcare providers, benefiting 85,000 Camden patients. Enhance coordination, analyze population health, and reduce costs. 

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Camden Health Information Exchange

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  1. Camden Coalition of Healthcare Providers Camden HealthInformation Exchange www.camdenhealth.org

  2. Camden HIE Cooper Our Lady of Lourdes Virtua Underwood www.camdenhealth.org

  3. Current HIE Interfaces • Virtua • ADT • Labs • Radiology • Discharge summaries (IP) • Underwood • ADT (in progress) • Reference Labs • LabCorp (in progress) • Quest Diagnostics (in progress) • Cooper • ADT • Lab • Radiology • Discharge summaries • Lourdes • ADT • Lab • Radiology • Notes (IP) • Discharge summaries • Consults • H&P

  4. Camden HIE Health- e-cITies Jersey Health Connect ACO/ Population Health Analysis LTC/ Rehab Hospitals Trenton Providers Hospice + MOHIE Behavioral health State-Wide Exchange CHIE Home Health Jail SJ HIE TBD

  5. HIE Data and Utilization • 85,000 Camden patients (95% of population) • 119 Users • ED physicians • Primary care providers • Nurses/unit clerks • Primary care based • Hospital based • Home Health • Social workers www.camdenhealth.org

  6. HIE Benefits • Providers • Reviewing own results • Reviewing other providers’ results • Trending labs • Post discharge care • Nursing • Chart Preparation (diagnostic results) • Referrals • More complete clinical information • Faster appointments • Social Workers • Notes on high utilizers • Discharge Summaries from other facilities • Clinical and Social work notes from CCHP • Medication lists • Other contacts for patients www.camdenhealth.org

  7. HIE Data Uses • Healthcare utilization analysis • Population health research • Healthcare cost analysis • Case management/care coordination • Provider directory

  8. Population Health/Cost Analysis Inpatient Facts, 2011 • 7,823 patients with at least 1 inpatient stay • 10,331 total inpatient visits • 1.3 average visits per individual • Maximum IP visits for 1 patient: 15 (3) • Median length of stay: 3 days • Number of hospitals • One hospital: 55% • Two hospitals: 34% • Three hospitals: 11%

  9. Population Health/Cost Analysis ED Facts, 2011 • Individuals with at least 1 ED visit: 50,947 • Total ED visits: 107,171 • Average visits per individual: 2.1 • Maximum ED visits: 93 • ED visits by hospital • Hospital 1: 36,404 (34%) • Hospital 2: 39,779 (37%) • Hospital 3: 30,988 (29%)

  10. “Hospital Utilization EKG” www.camdenhealth.org

  11. High Utilizer Targeting

  12. Supporting CCHP Care Coordination Model • Recruit patients in the hospital • High touch, in-the-field interventions • Be the “caulk” between providers • Clinical • Social • Behavioral • Discharge to a prepared primary care office www.camdenhealth.org

  13. Bending the Cost Curve Post-enrollment total charges to 7/1/12 = ~$15,000 1 year pre-enrollment total charges = $297,430 www.camdenhealth.org

  14. HIE Challenges • End User Engagement • Technical • Maintaining interfaces • Implementing new interfaces • Understanding scope

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