1. Overview 2017
Updated: July 18, 2017

2. Table of Contents Slides 3 – 13: About Healthix
Slides 14 – 26: Healthix Services
Slides 27 – 32: Healthix Integration Models
Slides : Uses of Healthix Data
Slides: 36 – 39: Patient Consent
Slides that need updating monthly with latest stats: 5,9,12,15,37 (7,13,39)

3. About Healthix Statistics SHIN-NY Role of Healthix Solutions Sources of data & Types of data Timeline Participants

4. Largest Public HIE in the Nation
More than 16,000,000 patients
Healthix contains data from healthcare organizations throughout New York City and Long Island. Healthix uses sophisticated software to reconcile data of over 58 million provider Medical Record Numbers (MRNs) to create composite profiles of over 16 million patients.

5. Healthix Monthly Statistics (June 2017)
About Us
46 Million inbound clinical messages
206,000 Real-time clinical alerts
121,000 Patient Summary Documents Shared (CCDs)
Healthix Monthly Statistics (June 2017)
Healthix is the largest public Health Information Exchange (HIE) in the United States
Supplies secure data to improve healthcare quality, efficiency and effectiveness
Provides a range of clinical information in real-time
Facilitates care coordination
Hundreds of healthcare organizations at more than 1,500 facilities across New York City and Long Island participate in Healthix.

6. Healthix and the SHIN-NY
The SHIN-NY is composed of 8 HIEs or Qualified Entities (QEs). The NYS DOH establishes common services, privacy and security policies, and technical standards for interoperability.
When a user queries for patient data, Healthix automatically returns data from both Healthix and the SHIN-NY.

7. Role of Healthix in Exchanging Information
SHIN-NY
PRIVATE HIEs
PRIVATE HIEs INCLUDE:
Health Plans
Large Provider Systems
PPS
Pharmacies
More
eHealth exchange and SHIEC
450 Participants
~ 1,500 Facilities
HEALTHIX

8. Providing Solutions, Adding Value
Coordinated Care: Complete View of Patient
Real-time Intervention at the Point of Care
Determine Risk and Provide Actionable Data 1 2
Opportunity for a Richer
Patient
Portal 3 4
BETTER
OUTCOMES
COST EFFICIENCY
HIGHER
SATIS-FACTION

9. Sources of Data In development
The breadth of data in Healthix is expanding in the number and type of contributors
In development
Hospitals
Independent Physician Practices of
All sizes
Long-term Care, Nursing Facilities
Behavioral
Health Facilities
Federally
Qualified Health Centers (FQHCs)
Community Based Organizations
Home Care
EMS 63
213
123 57 35 30 21
Medicaid Claims
Health Plans
PPS Leads
Medicaid Health Homes
Independent Pharmacies
Independent Labs & Radiology Centers
NYC Correctional Health Services
All Other Public HIEs in New York State
Veterans Administration 13 9 3 5 2 1 7

10. Types of Data
Demographics (Name, Gender, DOB, Race, Ethnicity, Language)
Allergies
Medications
Medication Allergies
Smoking Status
Immunizations
Encounters
Observations
Vital Signs (Hgt, Wgt, BP, BMI)
Pharmacy Fill Data
Lab Tests, Values / Results
Radiology Reports / Images
Other Diagnostic Results
Diagnoses
Problem Lists
Procedures
Functional / Cognitive Status
Care Plans / Team Members
Discharge Instructions /Clinical Summaries
Advanced Directives
In development
Care Plans
eMOLST
EMS Run Sheets
Image Exchange
Medicaid Claims Data
Social Determinants of Health

11. Timeline: Growth & Milestones
2007
ALL RHIOS certified as QEs . All receive funding from HCRA to cover increase participation, utilization, provide core services
and connect through SHIN-NY
NYCLIX merges with LIPIX to form
HEALTHIX and other RHIOS
outsource their IT operations to NYeC
6 different RHIOS establishe d in NYC and Long Island
NYS DOH AWARDS HEAL NY GRANTS: $28M to 13 organization s in NYC and Long Island
HEALTHIX
Receives Grant to form RHIO named NYCLIX
PATIENT DATA
PATIENT DATA
HEALTHIX insources its IT resources
HEALTHIX merges with BHIX
2005
2006
New York State starts SHIN-NY
2012
2013
2014
2015
2016
PATIENT DATA
2008

12. Healthix Participating Organizations
More than 1,500 facilities across New York City and Long Island
To see list of
participants and what data they

13. Over 450 Geographic Coverage
Healthcare Organizations with more than 1,500 facilities Across New York City and Long Island

14. Healthix Services Healthix Portal Delivery of Clinical Summaries Clinical Event Notification Direct Messaging Predictive Analytics

15. Healthix core services
JUNE USAGE
Patient Record Search: Access to a more comprehensive patient profile Statewide Delivery of Clinical Summaries: Ability to push clinical summaries (CCD, C-CDA) and lab results
Clinical Event Notifications (CENs): 24/7 Custom alerts provide real-time updates for patients in care Direct Messaging: Secure HIPAA-compliant messaging
Predictive Analytics: Assessing risk and managing patients to optimize care
PATIENT RECORDS SEARCHED VIA PORTAL NA
CLINICAL SUMMARIES DELIVERED
121,524 CENs SENT TO: ALL CLINICAL PROGRAMS 125,900 CENS SENT TO: PUBLIC HEALTH (NYSDOH)
80,188 DIRECT MESSAGES SENT 12,226

16. Patient Search HEALTHIX PORTAL Search by Demographics Search by MRN
Patient Summary Screen

17. Patient Search

18. Patient Search by Demographics
Name plus 2 other fields then hit search

19. Patient Search by MRN

20. Patient Summary Screen
Side Menu Shows Data Available

21. Clinical Event Notifications
Workflow
Current Offerings
Future Offerings

22. Clinical Event Notification Workflow

23. Clinical Event Notifications: NOW
Current Functionality
Subscription file
All patients
Rule-based
IP admission/discharge
ED admission/discharge
SNF admission/discharge
Incarceration/release from NYC jail
Patient expiration (death)
Frequent ED notifications
at time of encounter
Healthix Clinical Message Center (Portal)
HL7 v2 MDM interface
Method of Subscription
Trigger
Method of Notification

24. Clinical Event Notifications: FUTURE
Future Functionality
Subscription file
All patients
Rule-based
Method of Subscription
Trigger
Method of Notification
Complex CEN, change in patient condition
Real-time notification of readmission (configurable)
Frequent ED Visits – Detect at time of encounter
Detect receipt of clinical notes and notify PCP
Detect duplicate CT scans real-time
Detect when prescription is filled or not
Augment information in notification: diagnosis, recent encounters
CEN digests – summary
Detect receipt of clinical notes and notify PCP

25. Predictive Analytics Population Health Management
Acute Patient Care Management
Market Share & Volume Analysis
DEMO/TRAINING:

26. Predictive Risk Scores
Population Risk Models
Patient History
Patient Risk of Event or Outcome
Risk Model Development
Multivariate Statistical Modeling – Decision Tree Analysis Machine Learning
(predicts future 12 months)
Predicted future cost
Risk of inpatient admission
Risk of emergency department (ED) visit
Risk of acute myocardial infarction (AMI)
Risk of asthma
Risk of cerebrovascular accident (CVA)
Risk of congestive heart failure (CHF)
Risk of COPD
Risk of diabetes
Risk of hypertension
Risk of mortality
Event Based Risk Models
(predicts future 30 days)
Risk of 30 day readmission
Risk of 30 day ED re-visit
1000s of Patient Features
Age
Gender
Geography
Income
Education
Race
Diagnoses
Procedures
Chronic conditions
Visit and admission history
Outpatient medications
Vital signs
Lab orders and results
Radiology orders
Social characteristics
Behavioral characteristics

27. Healthix Integration Methods Standard Integration Single Sign On EHR Integration Flags Hub Models HIE to HIE

28. Integration methods
Standard Integration Single Sign-On EHR Integration Flags Hub Model Integrations
HIE to HIE

29. EHR Integration Flags FLAG Green Yellow Red Consent YES NOT GIVEN N/A
Data NO
New Data

30. Patient data : Green Message on Mouse Over
Consent Status: Yes External Data: Yes New Data: : Yes
Message on Mouse Over

31. Patient data: Yellow Message on Mouse Over
Consent Status: Not Given External Data: Yes New Data: : N/A

32. Patient data: Red Message on Mouse Over
Consent Status: N/A External Data: No New Data: N/A
Message on Mouse Over

33. Uses of Healthix Data

34. to facilitate care management
uses of Healthix data
to facilitate care management
Accessing Patient Data in an Emergency Situation
Managing Patients with Serious Medical Conditions using Clinical Event Notifications
Providing Transition of Care Documents for Physicians
Supporting Secure Direct Messaging Between Providers
Providing Alerts for Frequent Users of ED (3+ visits in 30 days)
Facilitating Research using De-identified Data
Connecting PPS Leads and Partners IN DEVELOPMENT
Delivering Alerts from Health Plans to Providers re: Gaps in Care

35. to improve public health
uses of Healthix data
to improve public health
Supporting Persons with HIV/AIDS
Providing Data for Emergency Patient Search (NYCEPS)
Helping in Public Health Outbreaks (e.g. Zika, Legionella)
Improving Health of Uninsured - Action Health NYC

36. Patient Consent

37. patient consent & engagement
3,854,060 HEALTHIX UNIQUE PATIENT CONSENTS GRANTED
18,553 PROVIDERS WITH ACCESS TO PATIENT DATA
AS OF MAY 2017
Consent to a Single Participant Organization
Healthix Community Consent
One-to-One Exchange
Supporting Patients’ Access to their Health Data
IN DEVELOPMENT
Working with Employers to Increase Access and Consent for Employees

38. State Policies
Healthix and State Policy governs how providers and patients engage in health information exchange, and how they access patient information
Compliance with policy facilitates data sharing across RHIOs
Obtaining Consent
Consent Audit, User Audit
Password Strength / Failed Attempts
User Roles, Patient Notices
SAMHSA / Sensitive Data Re-disclosures

39. Patient Gives “Provider Consent”
data
450 Participants
~ 1,500 Facilities
data
Provider queries data from all sources
Patient Gives Consent
HEALTHIX
Provider receives CENs of events at all sources
Patient

40. Contact Us
If you have questions, would like to see a demonstration or are interested in connecting with Healthix
Your Name