Creating Care-Connected communities West Michigan Health Forum October 7, 2016

Origins Competing Healthcare Organizations Commitment to Collaborating not Competing on Clinical Data Exchange Focus on Solving Local Problems not Pushing Top-Down Use Cases Private Sustainability Technology that Makes a Real Difference for Residents

Health IT boils down to a personal story for each of us WHY? Health IT boils down to a personal story for each of us

Non-Profit 501(c)3 GLHC VISION Significantly improved health outcomes, healthcare value, and wellness are enabled by comprehensive healthcare information being readily available wherever patient care is delivered or managed.

Overview 129 connected hospitals 85% of Michigan’s acute beds 4,000+ connected locations 18,000+ physicians ~6.8 Million persons in MPI 1 billion messages per year

Community Ecosystem Transportation Services

Technology Domains Push / Directed Exchange Pull / Query Evaluate / Populations

Technology Domains Push / Directed Exchange Results Delivery Event Notifications CCD/CCDA Delivery Care Transitions/Referrals Basic Clinical Messaging Orders

So What!? Two large W. MI offices transacting ~1,000 closed- loop referrals each month Improved care for patients Improved provider efficiency Better referral network tracking >100 W. MI offices getting real-time results discretely in their EMR Improved office efficiency Reduced transposition errors

Technology Domains Pull / Query Longitudinal Health Record (VIPR) EMR Single Sign On Advance Care Documents Patient Care Plans MCIR Immunization Query eHealth Exchange: VA/SSA/DOD Patient Centered Data Home

So What!? “I did… today… in the morning meeting with all the staff… we were like kids in a candy shop looking up a patient’s ER record from the previous day who had called us on-call… it was awesome. We could see the CT and MRI scan results and make a more informed decision knowing that the scans were negative for anything serious (s/p fall a couple days ago with possible LOC). It. Was. Awesome!!!” Dr. Cara Poland, Spectrum Health Center for Integrative Medicine

So What!? “Use of VIPR to access patient's medical records from other facilities has become an essential tool we use at Mercy Health Saint Mary's to ensure safety and quality patient care. Knowing the results of previous medical testing, or opinions from other physicians plays a crucial role in diagnosing and treating our clients. Patient's themselves rarely know the details of their medical records, yet they have come to expect that physicians across health systems have access to these records.  It is particularly important in the emergency department where decisions need to be made quickly , 24 hours a day, 7 days a week.  In this setting, there is not time to go through the regular medical records request channels, and many medical records departments are not open or available at the time we need access to these records. Being able to check a patient's previous electrocardiogram, access their cardiac catheter report, or note that they have had multiple previous Emergency Department visits for the same complaint from a different hospital system can provide lifesaving information that would not be available without the VIPR system. Our Emergency Department physicians at Mercy Health Saint Mary's use this system regularly to improve the care we provide to our patients.” Dr. Daniel Roper, ED Medical Director, Mercy Health Saint Mary’s

Technology Domains Evaluate / Populations Individual Enterprise Cross Enterprise Community-wide State-wide

So What!? High Complexity High ED Utilizers Across a Community Dramatically better care for these individuals Reduced uncompensated care costs Risk Identification/Stratification Identification of people needing proactive early intervention Readmissions Better patient care informed by community / state-wide information

Final Thoughts Interoperability is a means, not an end goal No healthcare stakeholder is a self-contained island A consolidated longitudinal health record is vital to patient care delivery and management Optimal value will always be driven by solving tangible local problems and not by federal or state mandates We have what many across the country envy – let’s make it count for our family, friends, & fellow residents

Doug Dietzman, Executive Director Thank You! Doug Dietzman, Executive Director ddietzman@gl-hc.org 844-GLHC-HIE