MyHealth Access Network: A Beacon Community in Oklahoma

1. MyHealth Access Network:A Beacon Community in Oklahoma David Kendrick, MD, MPH

2. Beacon Community Opportunity • $265M invested by ONC • 142 communities applied • 17 communities selected • Significant ONC involvement: “Cooperative Agreement Program” • To demonstrate what HIT can do for a community when fully and appropriately deployed. • Cost efficiency • Improved quality • Better population health • Announced 5/4/2010

3. The Beacon Communities

4. What is MyHealth Access Network? • A non-profit organization • Created by a grass roots, community-driven effort of more than 50 organizations • Focused on a common objective • To improve the health of our community by improving the Tulsa area healthcare system • For the benefit of all patients, employers, and providers

7. Real Health Disparities NORTH TULSA Shorter Life Expectancy 14 Year difference in Life Expectancy Across Tulsa County SOUTH TULSA Longer Life Expectancy

8. What to do about it? • June 8, 2009: Mayor Taylor hosted a community health strategy summit • 70 leaders in the Tulsa region healthcare community attended • MyHealth created, charter signed by 30 organizations • Planning Phase launched

9. Task Force Hierarchy Clinical use cases Data needs Quality Metrics Data needs ROI by stakeholder Financial Model Privacy Requirements Security Model Features, Functions RFP

10. Focus Objectives • Cancer prevention: • Increase cancer screenings • Population Health: • Increase immunizations in children and elderly • Care coordination: • Improve access to care for vulnerable populations • Decrease time required for patients to receive initial “touch” from specialists. • Reduce unnecessary care transitions and associated costs.

11. Basic Framework for Health Improvement using MyHealth Interventions • Health Information Exchange • Single-sign on • Context Management • Patient portal

12. Definitions: EMR vs. HIE vs. HIO vs. CCC HIE

13. Basic Framework for Health Improvement using MyHealth Interventions • Health Information Exchange • Single-sign on • Context Management • Patient portal • Community Analytics Platform using Pentaho • DocSite Analytics

15. Basic Framework for Health Improvement using MyHealth Interventions • Health Information Exchange • Single-sign on • Context Management • Patient portal • Clerk2Clerk Care Transition Management • Doc2Doc Care Coordination • eRx • Performance Reporting • DocSite Care Management • Community Analytics Platform using Pentaho • DocSite Analytics

16. Definitions: EMR vs. HIE vs. HIO vs. CCC HIE

17. Specialist Physician Interview, Examine Consultant DocSynergy Referral Request Regional DOC Physician Pre-Doc2Doc care coordination process • Understaffed • No written procedures in place • No quality monitoring or backup procedures • Initial contact: 4-60 days • 50 to 3,000 referrals behind • Many simply dropped PCP Clerk ? Schedule Patient Referral initiated Specialist Clerk Primary Care Provider

18. Specialist Physician Interview, Examine Consultant DocSynergy Referral Request Regional DOC Physician Doc2Doc care coordination process PCP Clerk Schedule Patient Need to see Referral initiated Add clinical story Specialist Clerk Primary Care Provider Doc2Doc Interaction

19. Questions? David-Kendrick@ouhsc.edu • Health Information Exchange • Single-sign on • Context Management • Patient portal • Clerk2Clerk Care Transition Management • Doc2Doc Care Coordination • eRx • Performance Reporting • DocSite Care Management • Community Analytics Platform using Pentaho • DocSite Analytics