1. TITLE GOES HERE
September 25, 2018

2. Slides 3 – 13: About Healthix Slides 14 – 26: Healthix Services
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: 5,9,14,36 (7,12,38,39)

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 17,000,000 patients
Healthix contains data from healthcare organizations throughout New York City and Long Island. Healthix uses sophisticated software to reconcile data of over 81.7 million provider Medical Record Numbers (MRNs) to create composite profiles of over 17 million patients.

5. Healthix Monthly Statistics (Aug. 2018)
About Us
57.4 Million inbound clinical messages
1.5 Million Real-time clinical alerts
845K Patient Summary Documents Shared (CCDs)
Healthix Monthly Statistics (Aug. 2018)
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
Over 700 health care organizations at more than 6,100 sites across New York City and Long Island participate in Healthix.

6. SHIN-NY “Network of Networks”
The State Health Information Network – New York (SHIN-NY) is comprised of 8 HIEs or Qualified Entities (QEs)
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
eHealth exchange
and SHIEC
HEALTHIX

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

9. Healthix: Uses of Data

10. Healthix: Sources of Data

11. Healthix: Types of Data

12. 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 established 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
HEALTHIX insources its IT resources
PATIENT DATA
PATIENT DATA
HEALTHIX merges with BHIX
2005
2006
New York State starts SHIN-NY
2012
2013
2014
2015
2016
PATIENT DATA
2008

13. Over 700 Geographic Coverage
Healthcare Organizations with more than 6,100 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. Care Management, Treatment, Quality Improvement1
Querying Patient Data: Gaining a More Complete View View real-time patient data and history -- all sources in Healthix and SHIN-NY:
- In Healthix Portal or Import C-CDA document into EHR
Clinical Event Notifications: Alerts of New Events
Admit/discharge at ED, Inpatient, or SNF; frequent ED visits;
incarceration/release from NYC jails
- Practice can identify which patients to monitor
Determine Risk: Monitor when to Intervene
Document a patient’s risk, to enhance care management 2 3

16. Healthix core services
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: 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
AUGUST USAGE
PATIENT RECORDS SEARCHED VIA PORTAL 1.240
CLINICAL SUMMARIES DELIVERED
845,591 CENs SENT TO: ALL CLINICAL PROGRAMS 1,451,263 CENs SENT TO: PUBLIC HEALTH (NYSDOH)
687,666 DIRECT MESSAGES SENT 6,649

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

18. Patient Search

19. Patient Search by Demographics
Name and 2 other fields then hit search

20. Patient Search by MRN

21. Patient Summary Screen
Side Menu Shows
Data
Available

22. Clinical Event Notifications
Workflow
Current Offerings
Future Offerings

23. Clinical Event Notification Workflow

24. Healthix Clinical Alerts

25. Clinical Alerts Essentials
Without Healthix Consent
With Affirmative Consent
Clinical Alerts
Participants receiving the Clinical Alert must provide treatment or care management
for the patient.
Clinical Alerts Essentials
Clinical Alerts Plus
data
Content
Patient Identity
Location/Date
Type of Event
Chief Complaint
Initial Diagnosis
Clinical Results/Data
Healthix CFR Part 2 facilities
Cross SHIN-NY √ √
SHIN-NY
data
HEALTHIX
Sources

26. Clinical Alerts
By year-end 2018, Essential Alerts (without Healthix consent) will include data and events from entire SHIN-NY. Until then, they only contain data from Healthix.

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

29. Predictive Risk Scores
Population Risk Models
Predictive Risk Scores
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

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

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

32. EHR Integration Flags FLAG Green Yellow Red Consent YES NOT GIVEN N/A
Data NO
New Data
DEMO/TRAINING:

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

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

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

36. Uses of Healthix Data

37. 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
Delivering Alerts from Health Plans to Providers re: Gaps in Care

38. 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

39. Patient Consent

40. patient consent & engagement
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
4,297,587
HEALTHIX UNIQUE PATIENT CONSENTS GRANTED
21,189 PROVIDERS WITH ACCESS TO PATIENT DATA
AS OF AUGUST 2018

41. 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

42. Patient Gives “Provider Consent”
550 Participants
~ 4,400 Facilities
data
data
Patient Gives Consent
Provider queries data from all sources
Provider receives CENs of events at all sources
HEALTHIX
Patient

43. One-to-One Exchange Participant A Participant B data data Healthix
Patients in Common
Treatment, Care Management
Quality Improvement
Participant A
Participant B
data
data
Healthix
Authorizes Healthix to provide its data to Participant B
Participant B can query data from Participant A
data
NOTE:
Participant B can receive Clinical Event Notifications from Participant A
Other Participants
(1) One-to-One Exchange can be reciprocal – each Participant can authorize exchange of its data with the other (2) Excludes data and CENs from any 42 CFR Part 2 facilities of Participant A
(3) Excludes data of any patient who has explicitly denied consent to Participant B
(4) One-to-One Exchange allows Healthix to provide one Participant with data of the other Participant, but not data from all of Healthix.
550 Participants
~ 4,400 Sites

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