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

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

The Beacon Communities

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

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

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

Task Force Hierarchy Governance/ Oversight ClinicalQuality ROI/ Business Model Privacy/ Security Technology Clinical use cases Data needs Clinical use cases Data needs Quality Metrics Data needs Quality Metrics Data needs ROI by stakeholder Financial Model Privacy Requirements Security Model Privacy Requirements Security Model Features, Functions RFP Features, Functions RFP

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.

Basic Framework for Health Improvement using MyHealth Interventions Community- wide Health Data Analysis and Synthesis of Care Opportunities Tools to Address Care Opportunities Health Information Exchange Single-sign on Context Management Patient portal Health Information Exchange Single-sign on Context Management Patient portal

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

Basic Framework for Health Improvement using MyHealth Interventions Community- wide Health Data Analysis and Synthesis of Care Opportunities Tools to Address Care Opportunities Health Information Exchange Single-sign on Context Management Patient portal Health Information Exchange Single-sign on Context Management Patient portal Community Analytics Platform using Pentaho DocSite Analytics Community Analytics Platform using Pentaho DocSite Analytics

Basic Framework for Health Improvement using MyHealth Interventions Community- wide Health Data Analysis and Synthesis of Care Opportunities Tools to Address Care Opportunities Health Information Exchange Single-sign on Context Management Patient portal Health Information Exchange Single-sign on Context Management Patient portal Community Analytics Platform using Pentaho DocSite Analytics Community Analytics Platform using Pentaho DocSite Analytics Clerk2Clerk Care Transition Management Doc2Doc Care Coordination eRx Performance Reporting DocSite Care Management Clerk2Clerk Care Transition Management Doc2Doc Care Coordination eRx Performance Reporting DocSite Care Management

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

Pre-Doc2Doc care coordination process Consultant DocSynergy Referral Request Interview, Examine Specialist Physician Regional DOC Physician Primary Care Provider Specialist Clerk PCP Clerk Referral initiated Schedule Patient ? 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

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

Questions? Community- wide Health Data Analysis and Synthesis of Care Opportunities Tools to Address Care Opportunities Health Information Exchange Single-sign on Context Management Patient portal Health Information Exchange Single-sign on Context Management Patient portal Community Analytics Platform using Pentaho DocSite Analytics Community Analytics Platform using Pentaho DocSite Analytics Clerk2Clerk Care Transition Management Doc2Doc Care Coordination eRx Performance Reporting DocSite Care Management Clerk2Clerk Care Transition Management Doc2Doc Care Coordination eRx Performance Reporting DocSite Care Management