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Connecting Communities: Lessons From Six State Health Information Exchange Demonstrations

Connecting Communities: Lessons From Six State Health Information Exchange Demonstrations Arthur Davidson, MD, MSPH September 16, 2009 Agency for Healthcare Research and Quality Annual Conference.

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Connecting Communities: Lessons From Six State Health Information Exchange Demonstrations

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  1. Connecting Communities: Lessons From Six State Health Information Exchange Demonstrations Arthur Davidson, MD, MSPH September 16, 2009 Agency for Healthcare Research and Quality Annual Conference

  2. provide an opportunity for several State and Regional Demonstration Projects to talk about their successes show how HIE can impact health reform Objectives

  3. State and Regional Demonstration (SRD) Projects • 5-year contracts, • $5M total direct/indirect costs • 2004 to 2009 • 6 States • CO • DE • IN • RI • TN • UT

  4. health reform is still poorly-defined most agree with three basic health reform goals: increase quality, Increase access, and reduce costs. Focus of session: What impact have the SRD had on these goals through health information exchange (HIE)? Context

  5. Linked 4 large healthcare providers (Denver Health, Kaiser Permanente, The Children’s Hospital and University of Colorado Hospital) Working toward a comprehensive statewide health information exchange Evaluation: valuable patient identity management service (eMPI) for proper record merging across/within partner institutions CORHIO is a convener/collaborator and technical service provider/broker State Designated Entity plays major role building quality improvement focus (re: HITECH and meaningful use functionality) As CORHIO continues to evolve to a clinical messaging service, key demonstration lessons (e.g., usability and data integrity) are being incorporated in newer technology solutions (being solicited) Waiting for health reform, CORHIO focused on: a sustainability model, ways to address meaningful use make progress toward 2 of the 3 goals: improve quality and reduced cost, CORHIO Impact

  6. Gina Perez – DE: Delaware Health Information Network (DHIN) how HIE plays a role in meaningful use, share some success stories of DHIN anecdotal information about successes DHIN has had improving care and reducing costs. Mark Frisse – TN: MidsoutheHealth Alliance (MSeHA) results from the Vanderbilt evaluation team working across emergency departments in Memphis hospitals Marc Overhage – IN: Indiana Health Information Exchange (IHIE) quality improvement performed by Regenstrief team focus on reduction in duplicated tests SRD Representatives

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