1. Improving the Quality of Healthcare through Health Information Exchange Results from eHI’s Third Annual Survey of State, Regional and Community-Based Initiatives
Janet Marchibroda
Francois de Brantes
Third Annual HIT Summit
Washington, D.C.
eHealth Initiative and Foundation
Bridges to Excellence

2. eHealth Initiative and Foundation
Highlights of 2006 Survey
Fielded in May 2006
Includes 165 responses from health information exchange (HIE) initiatives located in 49 states, the District of Columbia and Puerto Rico.
eHealth Initiative and Foundation
Bridges to Excellence

3. eHealth Initiative and Foundation
Key Findings
The level of activity at the state level has increased significantly in the last year
Policy development, planning, and HIE implementation activities are taking place at various levels of the system….survey results indicate trends
Health information exchange initiatives are continuing to mature
Interest in improving quality and safety, inefficiencies experienced by providers, and rising healthcare costs are the primary drivers for efforts.
eHealth Initiative and Foundation
Bridges to Excellence

4. eHealth Initiative and Foundation
Key Findings
Over 20 percent of respondents are exchanging clinical data
Services designed to support care delivery processes continue to be the primary focus of HIE exchange efforts
HIE efforts are continuing to offer services focused on quality improvement, positioning them for "value-based healthcare" support
Engagement of the multiple stakeholders in healthcare is expanding considerably with largest increases in hospital, health plan, employer and primary care physician involvement
eHealth Initiative and Foundation
Bridges to Excellence

5. eHealth Initiative and Foundation
Key Findings
Health information exchange efforts are significantly increasing efforts to connect with physicians.
Increasingly, health information exchange efforts are tapping into users of their services to provide funding for ongoing operations….hospitals, health plans, physician practices, labs
eHealth Initiative and Foundation
Bridges to Excellence

6. eHealth Initiative and Foundation
Key Findings
The confluence of efforts around Information technology and quality improvement create a near-term opportunity for transformation in the U.S. healthcare system.
eHealth Initiative and Foundation
Bridges to Excellence

7. The P4R/P4P/P4Q Movement is Just Heating Up
Fueled by the transparency movement:
AQA/HQA/BQI – Public-private sector effort to create “Better Quality Information”
Care Focused Purchasing – multiple health plan collaborative to create physician scorecards nationally
Consumer-Directed Health Plans – need good information to make good decisions
Fueled by the value-based purchasing movement:
Bridges To Excellence – rewarding physicians and practices for demonstrating better performance
High-performance Networks – creating tiered networks where the highest tier delivers more value to purchasers
eHealth Initiative and Foundation
Bridges to Excellence

8. You Really Need Clinical and Claims Data to Make This all Work
Plan A
Plan B
Health Information Exchange
Claims Data Aggregation
Plan C
Medicaid
Medicare
eHealth Initiative and Foundation
Bridges to Excellence

9. eHealth Initiative and Foundation
HIT Activities:
NHIN
Policies & standards
Broad data sharing support
HIE
Systems integration & interoperability H
HIT Adoption and use P
Fisher
Six Planks
IHE
P4P
AHIC
Markle
Measure/Improve/ Report interventions
Wagner
Medical Home
QIOs
ACP/AAFP
ONC
Congress
IHI
JCAHO
eHI
BTE
Supported by:
eHealth Initiative and Foundation
Bridges to Excellence

10. eHealth Initiative and Foundation
Discussion
eHealth Initiative and Foundation
Bridges to Excellence