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HIE Community Meeting: Background

HIE Community Meeting: Background. Nov 2011 Lyman Dennis Organizer & Facilitator. What is Health Information Exchange?. Exchange of clinical (and administrative) information among unaffiliated providers Push data point-to-point called “clinical messaging”

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HIE Community Meeting: Background

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  1. HIE Community Meeting: Background Nov 2011 Lyman Dennis Organizer & Facilitator

  2. What is Health Information Exchange? • Exchange of clinical (and administrative) information among unaffiliated providers • Push data point-to-point called “clinical messaging” • Starter approach; will always work but more complex as add more participating providers • Options • Direct provider-to-provider exchange • Provider-to-central HIE; HIE to relevant providers

  3. HIE Players • Cal eConnect – State-designated entity • Active HIEs (e.g.s) • Standalone HIEs • Santa Cruz HIE • Western Health Information Network • Redwood MedNet • Orange County Partnership… (OCPRHIO) • Vertical HIEs • Kaiser • VA • John Muir • Sutter Health • CHW • Partnership HealthPlan of California • Startups

  4. Meaningful Use for Incentives • Stage 1 • EHR • Basic exchange • Limited number of clinical measures • Stage 2, Stage 3 • Use of EHR features for more patients (to 50% to 90%) • Menu items become core items • Electronic medication administration • Chemotherapy automation • Record patient communication preferences • Judge clinician performance based on patient adoption of PHRs • Longitudinal care planning • Public health enhancements

  5. Why bother with HIE?

  6. Cal eConnect – Current Plan • Focus on what is important to the stakeholders • Focus on what is needed to sustain the grant funding from ONC and the State: • Provide an ability for ePrescribing • Receipt of structured lab results • Sharing patient care summaries • Enabling data sharing through Direct and emphasizing importance of and reliance on local HIEs

  7. Cal eConnect Strategic & Operational Framework Technical Assistance² Governance ¹ Sustainable HIE in California Coordination³ ¹ Policy, Leadership, & Barrier Removal ² Expert support to select or develop solutions to problems ³ Conserving scarce resources and making big impacts ONC & CHHS Priorities • Establish Trust Environment • Robust Support for Ancillary Services • Public Health • Community Pharmacies • Community Diagnostic Laboratories • Coordinate, Monitor,& Report on HIE Landscape

  8. Interoperability • States’ Vendors’ EHR/HIE Interoperability Project • Increase the value of the individual EHR systems by assuring integration with HIE providers • Create a set of interoperable implementation specifications not unlike what IHE has developed for the Interoperability showcase • Leverage the power of a consortium of states to influence vendors to adopt the reference implementations (1/3 to ½ of the US population) • Encourage vendors to provide these standard interfaces “out-of-the-box” for all installs • Encourage other states and vendors to adopt the reference implementations

  9. Multi State/Vendor Collaborative EHR Vendors States • Allscripts • eClinicalWorks • eMDs • Greenway • McKesson • NextGen • Sage • Siemens • California • New York • Maryland • Massachusetts • New Jersey • Ohio • Oregon • Delaware • Colorado

  10. HIE Vendors New States New HIE Vendors • Medicity • Axolotl • InterSystems • Cerner • Arizona • Florida • Virginia • Maine • Texas

  11. Accomplishments • August: Data and Metadata Workgroup completed work on the C32 specifications to create a fully defined and constrained implementation specification. • September: Push Workgroup completed work on a robust specification for implementation of NwHIN Direct using SMTP s/MIME or SOAP/HPD+ with Directory Services. • September: C32 specification fully aligned with Beacons and ONC S&I efforts. • October: Pull Workgroup completed a constrained implementation specification for NwHIN Connect using XCPD and an optional state-wide MPI. • In Process: Alignment of the States’ Interop work with ONC – ONC statement of support imminent. Pilots being sought.

  12. Privacy & Security • Privacy & Security Advisory Board and CalOHII have led the State in development of guidelines. • PSAB Eliminated by Gov Brown Exec Order. • Regulations now in their second draft out for public comment and input: http://www.ohi.ca.gov/calohi/ • Committees: • Privacy Committee: Focused on consent and use of data http://www.ohi.ca.gov/calohi/eHealthPolicy/PrivacySteeringTeam.aspx • Security Committee: Focused on securing the data http://www.ohi.ca.gov/calohi/eHealthPolicy/SecuritySteeringTeam.aspx

  13. Privacy & Security • Cal eConnect Committees: • Policy Advisory Group: Focused on policies governing the use of Cal eConnect funded services. The goal is to build and leverage HIE policy based on evidence and supported by consensus. http://www.caleconnect.org/?page_id=525 • Technology Advisory Group: Provides a neutral forum for adoption and/or establishment of standards-based approaches to technical operations for those organizations that wish to participate in Cal eConnect services. http://www.caleconnect.org/?page_id=527

  14. Discussion

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