Camden Coalition of Healthcare Providers Camden Health Information Exchange Camden Coalition of Healthcare Providers www.camdenhealth.org 1.

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Presentation transcript:

Camden Coalition of Healthcare Providers Camden Health Information Exchange Camden Coalition of Healthcare Providers 1

2 Cooper Our Lady of Lourdes Virtua Underwood Camden HIE

Current HIE Interfaces Cooper o ADT o Lab o Radiology o Discharge summaries Lourdes o ADT o Lab o Radiology o Notes (IP) o Discharge summaries o Consults o H&P Virtua o ADT o Labs o Radiology o Discharge summaries (IP) Underwood o ADT (in progress) Reference Labs o LabCorp (in progress) o Quest Diagnostics (in progress)

Jersey Health Connect Health- e-cITies MOHIE Trenton SJ HIE TBD CHIE Hospitals Providers Jail Home Health LTC/ Rehab Behavioral health Hospice ACO/ Population Health Analysis State-Wide Exchange + Camden HIE

HIE Data and Utilization ,000 Camden patients (95% of population) 119 Users o ED physicians o Primary care providers o Nurses/unit clerks o Primary care based o Hospital based o Home Health o Social workers

HIE Benefits 6 Providers Reviewing own results Reviewing other providers’ results Trending labs Post discharge care Nursing Chart Preparation (diagnostic results) Referrals o More complete clinical information o Faster appointments Social Workers Notes on high utilizers o Discharge Summaries from other facilities o Clinical and Social work notes from CCHP Medication lists Other contacts for patients

HIE Data Uses Healthcare utilization analysis Population health research Healthcare cost analysis Case management/care coordination Provider directory

Population Health/Cost Analysis Inpatient Facts, ,823 patients with at least 1 inpatient stay 10,331 total inpatient visits 1.3 average visits per individual Maximum IP visits for 1 patient: 15 (3) Median length of stay: 3 days Number of hospitals – One hospital: 55% – Two hospitals: 34% – Three hospitals: 11%

Population Health/Cost Analysis ED Facts, 2011 Individuals with at least 1 ED visit: 50,947 Total ED visits: 107,171 Average visits per individual: 2.1 Maximum ED visits: 93 ED visits by hospital – Hospital 1: 36,404 (34%) – Hospital 2: 39,779 (37%) – Hospital 3: 30,988 (29%)

10 “Hospital Utilization EKG”

High Utilizer Targeting

Supporting CCHP Care Coordination Model 12 Recruit patients in the hospital High touch, in-the- field interventions Be the “caulk” between providers – Clinical – Social – Behavioral Discharge to a prepared primary care office

1 year pre-enrollment total charges = $297,430 Post-enrollment total charges to 7/1/12 = ~$15,000 Bending the Cost Curve

HIE Challenges End User Engagement Technical – Maintaining interfaces – Implementing new interfaces Understanding scope 14