501c3 Founding Organizations ?

PDN HIE Board of Directors Jacob Cintron – University Medical Center of EP Sally Hurt Deitch – The Hospitals of Providence Frank Dominguez – El Paso First Health Plans Dr. Juan Escobar – El Paso County Medical Society Dr. Rick Lange – Texas Tech University HSC - EP Robert Resendes – El Paso Dept of Public Health Nicholas Tejeda – The Hospitals of Providence Tracy Yellen – Paso del Norte Health Foundation

Mission and Vision Mission – To improve health through collaboration and data technology. Vision – Our communities will be leaders in the collaborative use of HIT toward improved health care delivery.

Regional Population Level Health Information Ecosystem Improve public health by providing macro view of region’s health Increase understanding of chronic disease and related behaviors. Health Information Ecosystem HIE Services - Interoperability Improve patient care by getting right data, to right place, at right time Provide tools for partners to maximize benefit in value-based environment Practice Level Assist practices to adapt to electronic records Help practices respond to federal regulations Prepare practices for MACRA and other value-based care initiatives

Geographic Vision Note: Geographic vision based on health referral regions from Dartmouth Atlas. Source: darthmouthatlas.org.

PDN Organize - Face Sheet

PDN Organize – Patient Summary The Encounters section enables clinicians to see when, where and why a patient has been treated around the community. For this patient Tiffany Smith that we had very little information, the clinician s/he is starting to get a much better sense about the type of care received in the past with a recent inpatient admission for CHF as well as a history noted of diabetes and hypertension. During the review, we see there has been a relatively recent inpatient admission which may prompt wanting additional details about that event. Let’s move to Test Results and see what else we can find.

Community Health Record Who will be contributing data?  Organization Anticipated Target Date for “Data In” The Hospitals of Providence (Tenet) LIVE Veteran’s Administration  February 2017 WBAMC / Dept. of Defense March 2017 The Hospitals of Providence - Transmountain UMC of El Paso / El Paso Children’s Hospital 2017 – Q1  Legal/Administrative Review (Gray Fill = likely 2016) Texas Tech Health Sciences Center – El Paso Centro San Vicente Emergence (MHA) El Paso Department of Public Health Project Vida (FQHC)  Sunset ID Care

Privacy and Security Policies based on HIPAA and TX State Law Opt-Out Consent Model Processed at Provider Location Processed at HIE – Notarized Document Can revoke opt-out

Integration of two Products Practice & ACO Dashboards of Quality Metrics Clinical View Physician Practice Data PHIX Dashboard Hospital Data

Proposed Service – Components Community Health Record integration Quality metric reporting Gaps in care identification Population health Risk stratification CIN leadership dashboard Export data/reports in specific formats

PHIX Dashboard has pre-built connectors to 45+ EMR Systems Rapid Integration to EMRs PHIX Dashboard has pre-built connectors to 45+ EMR Systems

The Future of Health Care Funding = Value Based Healthcare MACRA The Future of Health Care Funding = Value Based Healthcare The Medicare ACCESS and CHIP Reauthorization Act of 2015: Path to Value. Centers for Medicare & Medicaid Services, n.d. Web. 26 July 2016.

Create Dashboards to Track Quality Measures Example: Diabetes Dashboard

Drill Down to Analyze Trends Example: Diabetes A1c Control and Testing by County in Service Area

Drill Down to Analyze Trends Example: Diabetes A1c Control in Yavapai County by Practice

Drill Down to Analyze Trends Example: Diabetes A1c Control by Provider in Southwestern Family Practice

Drill Down to Analyze Trends Example: Diabetes A1c Control by Patient for Provider J. Kirkland

Compare Performance to State and National Averages

Customize Quality Measures Pre-loaded with 800+ clinical measures. Ability to easily customize these measures and create new measures.

Manage PMPM Costs Example: Evaluate the Efficacy and Cost of Prescription Drugs in your Network

Manage PMPM Costs Example: View Drug Prescriptions and Performance by Provider

The Future ADT Notifications Facilitating Payer Authorizations

Thank You! Jon Law jlaw@pdnhie.org 915-242-0674 Questions? Thank You! Jon Law jlaw@pdnhie.org 915-242-0674