Enabling Informed Healthcare

1. Enabling Informed Healthcare Martin Brown, R.Ph., MSCS VP Information Services, CIO Nathan Littauer Hospital Scott Momrow, MPH VP. Marketing & Outreach Hixny

2. Presentation Agenda • Why informed healthcare is better • Brief introduction to Hixny • Hixny’s community patient portal • Consumer engagement strategy • MU Stage 2 – Measure 6 • Patient registration workflow • Support and other considerations • Questions 2

3. Problem: patients are not always informed

4. Informed healthcare is better healthcare • Better patient care • Better population health • Lower per capita cost

5. Albany Hixny’s mission is to connect providers, patients and organizations to enable informed healthcare • Population larger than 12 states (1.6M) • Over 25% of land mass of NYS

6. Hixny Services

7. Hixny is a national leader in HIE adoption … (% of Practices Connected) • Nearly 800 Participating Organizations: • 27 Hospitals • 610 Outpatient Physician Practices • 26 Skilled Nursing Facilities • 4 Public Health Organizations • 3 Health Plans • 125 Other Healthcare Provider Organizations • Other Members Include: • Employers and Business Coalitions • Educational Institutions • Consumer Advocacy Groups • Government Organizations 62% Source: Hixny, NYeC, and ONC as of March 2013

8. Hixny Community Patient Portal

9. Hixny Patient Portal – View Medical History

10. Hixny Patient Portal – Download and Transmit

11. Driving Consumer Engagement • Consumer engagement is a critical component of Hixny’s mission • Established a community patient portal task force in 2013 • Evaluated build vs. buy scenarios • Selected InterSystem’s HealthShare Community Patient Portal • First thing’s first • Assist stakeholders (hospitals and practices) in achieving minimum View, Download and Transmit requirements for Stage 2 MU attestation

12. Initial Roll-Out Plan • Plan is to use registration authorities (vs. Hixny’s website) • User authentication • Value-add for Hixny participants • Six hospitals are committed and implementations are in progress • Nathan Littauer Hospital • Ellis Medicine • CVPH • Saratoga Hospital • Adirondack Health • Columbia Memorial Hospital • Next - focus on broader roll-out • Use initial data to inform market research activities • Develop an informed patient engagement plan • e.g., benefit fairs, on-site at employers, retail outlets

13. Other Adoption Considerations • Numerator reports for members/participants with other patient portal solutions for MU • Caregiver access • Longer term possibilities include: • Scheduling appointments online • Billing integration • Granting consent to participating healthcare organizations • Upload self-report data • Including data from wireless health and fitness devices (activity trackers and pedometers, smart scales, blood pressure monitors, etc.) • Application partners leveraging the platform

14. Meaningful Use Stage 2 • Measure 6 of 16 Core Measures • Engage patients and families in their health care • Provide patients the ability to view online, download, and transmit information about a hospital admission • TWO components to this Measure

15. Measure 6 • 1. More than 50 percent of all patients who are discharged from the inpatient or emergency department (POS 21 or 23) of an eligible hospital or CAH have their information available online within 36 hours of discharge • Possess instructions needed to register or have registered username and password • 2. More than 5 percent of all patients (or their authorized representatives) who are discharged from the inpatient or emergency department (POS 21 or 23) of an eligible hospital or CAH view, download or transmit to a third party their information during the reporting period

16. Information Required • Patient name • Admit and discharge date and location • Reason for hospitalization • Care team including the attending of record as well as other providers of care • Procedures performed during admission • Current and past problem list • Current medication list and medication history • Current medication allergy list and medication allergy history • Vital signs at discharge • Laboratory test results (available at time of discharge)

17. Information Required Cont’d • Summary of care record for transitions of care or referrals to another provider • Care plan field(s), including goals and instructions • Discharge instructions for patient • Demographics maintained by hospital (sex, race, ethnicity, date of birth, preferred language) • Smoking status

18. Who Will ask the Patient? • Patient Registration at time of Admission • If using Inpatient data only • Must extend expiration of activation code • Care coordinator, or discharge planner • Sign patient up before discharge • Directly assist patient with first login

19. Who will take calls? • Patients are calling about accessing their records • Opportunity to convert those asking for copies • Create a well trained small group to manage user ids’, resend activations, or change passwords • Phone assistance to access the portal

20. Patient Portal Support • IT department help desk function? • HIM Correspondence?

21. Other Considerations • Responsible person sign-up on behalf of the patient • Should we have HCP or other consent form on file to release access? 21

22. For more information visit hixny.org www.hixny.org/patients/patient-portal www.hixny.org/contact/join-our-mailing-list 22

23. Scott Momrow, MPH smomrow@hixny.org Martin Brown,R.Ph., MSCS mdbrown@nlh.org