1. NeHII, Nebraska’s Statewide HIE Population Health Services Delivery
August 3, 2016

2. Presentation Objectives
Overview of the Nebraska Health Information Initiative (NeHII), Inc.
Current functionalities of the HIE 1.5 platform
Future added functionalities to support population health
Contact information

3. NeHII Adoption

4. Current NeHII Participants
CHI Health (AHS)
Bergan Mercy, Creighton University Medical Center, Immanuel Hospital, Lakeside Hospital, Nebraska Spine Hospital, Omaha NE
Community Memorial Hospital - Missouri Valley, IA  
Memorial Hospital - Schuyler, NE 
Mercy Hospital - Council Bluffs, IA 
Midlands Hospital - Papillion, NE A
Nebraska Heart Hospital – Lincoln, NE
Plainview Hospital - Plainview, NE
St. Francis – Grand Island, NE
Good Samaritan – Kearney, NE
St. Elizabeth’s, Nebraska Heart – Lincoln, NE
St. Mary’s – Nebraska City, NE
Avera Creighton Hospital (ACH) - Creighton, NE 
Avera St. Anthony's Hospital (SAH) - O'Neill, NE 
Beatrice Community Hospital & Health Center (BCHHC)- Beatrice, NE 
Boys Town National Research Hospital  (BTNRH) - Omaha, NE
Cass County Health System (CCHS) - Atlantic, IA 
Chase County Community Hospital, Imperial, NE
Children's Hospital & Medical Center (CHMC) - Omaha, NE 
Community Hospital, McCook, NE
Columbus Community Hospital (CCH) - Columbus, NE 
Great Plains Health (GPRMC) - North Platte, NE 
Mary Lanning Healthcare (MLMH) - Hastings, NE 
Methodist Health Systems (NMHS) 
Methodist Hospital - Omaha, NE 
Methodist Women's Hospital - Omaha, NE 
Jennie Edmundson - Council Bluffs, IA 
Montgomery County Memorial Hospital (MCMH) - Red Oak, IA 
Myrtue Medical Center - Harlan, IA
Nebraska Medicine (NMC) 
University of Nebraska Medical Center - Omaha, NE 
Nebraska Medical Center - Omaha, NE 
Bellevue Medical Center - Bellevue, NE 
Nemaha County Hospital (NCH) - Auburn, NE 
Regional West Medical Center (RWMC) - Scottsbluff, NE 
Sidney Regional Medical Center (SRMC) - Sidney, NE
St. Francis Memorial Hospital (FCS) – West Point, NE 
Payer/Insurance Companies:
Blue Cross and Blue Shield of Nebraska
Arbor Health

5. NeHII Virtual Health Record Users

6. Total Number of Results Sent to Exchange

7. New Users Added by Quarter

8. Total Clicks for Last 24 Months

9. Unique Number of Patients Queried in the VHR

10. Current Value Add Service Offerings
Value added service offerings
Virtual Health Record (VHR)
Direct messaging/Statewide Provider Directory
Single Sign-on (SSO)
Public Health Gateway (PHG) Syndromic Surveillance
Immunization Gateway
Admit and discharge for payers
Readmission reporting
Subscription services for admits and discharges
Nebraska’s PDMP

11. Population Health Support Services - Readmission Reporting
Reporting details
Collect admission and discharge information on a 30-day rolling basis
Determine readmits within that 30-day timeframe
Provide a listing of all readmits to requesting facility
Data provided – initial discharge data from the requesting facility and subsequent admission information
New data – Discharge disposition and discharge location fields recently added to the report
Opted out patients’ information is never shared
Transport medium – secure encrypted

12. Sample Readmit Report Last Name First Name DOB Discharge Facility
Discharge Timestamp
Discharge MRN
Discharge Patient Class
Discharge Patient Location
Discharge Disposition
Discharge Location
Admit Patient Location
Admit Facility
Admit Timestamp
Admit MRN
Visit Type
Content
FLOYD
PINK
1/31/1972
HOSPITAL A
7/9/ :09 I
6315
202
HOME
4881
7/18/ :09
Admit/visit notification
ZEPPLIN
LED
1/16/1977
7/6/ :25
4475
Home with No
6253
7/18/ :19
FIVE
MAROON
4/24/1986
7/12/ :21
1250
206
Other
4022
7/18/ :36
SHAKES
ALABAMA
5/26/1999
6/22/ :20
6684
Living
2827
HOSPITAL B
7/18/2016 9:57

13. Population Health Support Services - Notification Services
Near ‘real time’ or batch notification
Push notification of inpatient admits, discharges and emergency room visits
Clinical results including lab, radiology and transcription reports to third party EHRs
More granular functionality on HIE 2.0 platform
Ability to send notifications based on ordering provider, consulting provider, etc.
Opted out patients’ information is never shared
Delivery methodology
Online access through NeHII viewing screen
Batch delivery of information on a daily basis in spreadsheet format through secured encrypted or Direct messaging
Delivery to third party EHRs

14. Future Added Functionalities

15. Definitions
Identity Management
Solution

16. User Dashboard

17. Patient Event Subscription Services
Moving from querying individual patient to delivering the results automatically
Untapped value found in ADT messages of HIE in combination with the MPI from the expanded community beyond the reach of the EHRs
Event notification for high utilizers, chronic disease ADT, high risk populations
User designs what data will be delivered automatically to his/her EHR
Expanded ADT messaging to contain timely, localized, more comprehensive public health data
Allows for public health officials to identify hot and cold spots for PH outbreaks/chronic disease mgmt. and then rapidly evaluate impact of interventions
11/7/2018

18. The Next 12 Months
Thank you once again to the payers, providers, hospitals and health systems that have invested heavily in building the exchange to date
Vendor relationships with Optum, DrFirst and ICA continues to be effective and valued
Working with other networks such as UniNet, Enhance etc. to offer shared services
State’s continued support necessary in delivering PDMP services and NeHII must deliver
Expanded Medicaid participation in the HIE and working with the MCOs: Well Care, Nebraska Total Care and UHC to deliver value add services in managing their covered lives
Need to achieve 85% participation of hospital beds and four payers
HITECH 90/10 funding key to next round of adoption and added functionalities such as ELR and enhanced immunization gateway data exchange.
Capitalize on the fact that CMS is working much closer with ONC by enhancing statewide provider directory and ADT alerting services.
Staffing to support provider training for HIE 2.0 and PDMP adoption activities for dispensers and prescribers
Working with partners to deliver HIT enabled communities and analytics using the ONC Interoperability Grant funding
Migration to HIE 2.0 platform will be behind us!
Continue to expand the social media campaign to raise NeHII awareness with consumers. Please follow NeHII on Twitter and Facebook
Implement a consumer facing application to engage consumers
Continue to explore value add services including readmission reporting, identification of high ED utilizers, quality reporting, unnecessary testing, public health reporting etc.
Develop a new pricing model based upon value added service delivery

19. NeHII CONTACT INFORMATION
Dr. Michael Westcott - President, NeHII Board of Directors
Deb Bass - Chief Executive Officer, NeHII
NeHII, Inc.
P.O. Box 27842
Omaha, NE 68127
Cell:
Follow NeHII on