Presentation to CFRHIO March 19 th 20 th

The Problem NYS Office of Health Information Technology Transformation

3 The Solution RHIO

3 Support “Healthcare reform can't even exist without a health IT foundation. No matter what direction you go in health reform you have to go with health IT.” President Barack Obama Joint Session of Congress September 9, 2009 “By computerizing health records, we can avoid dangerous medical mistakes, reduce costs and improve care.” President George W. Bush State of the Union Address January 20, 2004

Anecdotal evidence I used the LIPIX system to research a patient who came to us from an Outside Hospital (or as we call it, OSH) on Long Island. LIPIX helped us figure out that this patient was actually having a bad, bad (bad) asthma exacerbation, and NOT an NSTEMI heart attack, as the transfer center (and MDs at the other institution) alleged, so she did not undergo an expensive, potentially dangerous, and, in her case, useless procedure. From:

3 About Healthix

3 Incorporated as LIPIX in 2007 as an independent not-for- profit and invited the participation of area health providers. $36 million in funding from HEAL NY Grant Program –HEAL 1$ 5 million –HEAL 5$ 9 million –HEAL 10 $ 2 million –HEAL 17 $20 million –Federal Regional Extension Center funding ~$3 million Developed technical foundation, policy framework, and organizational infrastructure over first 4 years. Merged with NYCLIX in 2011 to become Healthix …. soon.

3 Healthix’ Vision for Interoperability To create a connected and interoperable, patient focused, healthcare infrastructure which will interconnect clinicians, allow patients health records to be easily transmitted from one point of care to another, and enable the advanced utilization of knowledge derived from patient information.

5 Healthix Goals Improve access to data at the point of care Improve the safety and quality of care Reduce cost inefficiencies within health care

3 About Healthix Over 6 million unique patient records! Over 120 facilities connected including 40+ Hospitals 4,000 clinicians enrolled Average 13,000 patient queries per quarter Approximately 10,000 PUSH transactions per quarter 1/3 of all hospital beds in New York State participate with Healthix

7 SHIN-NY NHIN A National Health Information Network

6 Connecting Through Healthix RHIO HUB Clinicians KEY = Transmission of Clinical Patient Information

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Healthix Architecture 14

Use Cases Enable patient-centric “PULL” –eg. Emergency Department clinicians can rapidly and securely obtain a patient’s personal health information from other hospitals, primary care providers, long term care facilities, reference laboratories etc. Route hospital data to ambulatory providers Route data in support of a transfer or referral Route lab and radiology data per subscriptions Enable eRx and med reconciliation on discharge Perform public health reporting Facilitate quality reporting and improvement Support research endeavors 15

Healthix Services Core Services –Clinical Viewer –MPI Matching –Consent Management –Application Support / Maintenance –HealthBook Basic Physician Directory Patient Scheduler Secure Messaging – Basic Text (Provider to Provider / Proxy) –Outreach and Training Premium Services Automatic ‘PUSH’ Notifications –Clinical Event Notifications –Clinical Results Distribution ePrescribing Medication Reconciliation SSO Integration with EHR HealthBook Advanced –Secure Messaging – Templates Service and Support Package – 100 Hours

Healthix consists of Four Businesses 17 Applications/Software Development Membership Policy Development Health Information Exchange Infrastructure Management Health Information Exchange Customer Service NYeC

HIE-ACO Building Blocks From a CIO perspective, use this simple equation: ACO = HIE + Analytics and you'll be ready for whatever tomorrow brings. – John Halamka, Dec 2011 “ Source : Image from MA HIE Lessons Learned from Efforts in Other States, Oct Quote from geekdoctor blog

LIPIX Encounter Tab –Clinicians can easily view Demographic Data, Other Addresses or Allergy information –The Encounter Timeline allows the Clinician to easily filter the results by specific encounters or a designated timeframe

LIPIX Routine Labs Tab Features –Displays lab results in a chronological order –* indicates there is a comment associated with that result –# indicates the results displayed have different ranges

LIPIX Lab Results Graph –Clinicians can add or remove specific tests by using the checkboxes –Utilizing the graph details a Clinician has the ability to actively filter by a date range and other criteria

Lessons Learned This is a marathon, not a sprint. Iteration, Iteration, Iteration –Exist, Embed, Enable, Expand Don’t believe the hype. Don’t try to boil the ocean with a match. Perfection is the enemy of good. Patient-centricity, trust, and network effect are foundational elements. Business before pleasure.

QUESTIONS ??? 26