1. Virginia Association of Free and Charitable Clinics _______________________ March 15, 2013 Sandy McCleaf, Executive Director ConnectVirginia

2. 2009 HITECH Act is passed as part of ARRA 2010 HITAC developed a Strategic Plan and an Operational Plan for the Virginia Statewide HIE Spring 2011 VDH issued an RFP for a contractor to establish a Statewide HIE governance structure, create the Statewide HIE organization, manage the Statewide HIE’s operations on an ongoing basis, and put in place and operate the technology infrastructure of the Statewide HIE October 2011 VDH awarded Community Health Alliance the contract for the Statewide HIE History 2

3. 3 ConnectVirginia is the Statewide Health Information Exchange initiative being led by Community Health Alliance under contract with VDH

4. 4 Connectvirginia.org

5. Governance 5

6. Governing Body Twenty-one individuals representing various stakeholder groups across the Commonwealth Officers –Chair, Dr. William Hazel –Vice-Chair, Dr. Marshall Ruffin –Secretary/Treasurer, Terri Ripley Responsibilities 6 StrategyOversightPolicyTechnology

7. Governing Body Highlights 7 Governing Body, HIPAA, Operation, DIRECT Messaging, EXCHANGE Created and Adopted Policies and Procedures Adopted DIRECT Messaging End User License Agreement Adopted EXCHANGE Trust Agreement

8. Technology 8

9. Technical Infrastructure 9 Adheres to Nationwide Health Information Network Standards Adheres to VITA and HITSAC standards Adheres to HIPAA and HITECH privacy and security standards Services Offered: DIRECT Messaging & EXCHANGE

10. ConnectVirginia Direct Messaging Service 10

11. 11 Push of Information

12. 12 Individual Account Sample

13. 13 Organization Account Sample

14. 14

15. 15

16. ConnectVirginia EXCHANGE Service 16

17. Regional HIE Agency Node 17 Query and Retrieve on Demand

18. Master Patient Index Patient Consent Registry Record Locator Service 18

19. Master Patient Index A Master Patient Index (MPI) is an electronic medical database that holds basic identifying information on each patient who provides consent to participate 19

20. Consent Registry The Consent Registry is a repository for consent documents that each patient has signed Yes, count me in! 20

21. Record Locator Service The Record Locator Service (RLS) holds information about where a patient’s medical information can be found, but not the actual information – no Centralized Clinical Data Repository. 21

22. ABC Health Care Organization ABC Health Care’s Clinical Portal QUERY RETRIEVE 22

23. eHealth Exchange Nationwide Health Information Network COV Agency Node 23

24. 24` Real World Uses Send Referral Info to Specialist Send Patient Care Summary to Referring Provider Hospital sends discharge summary to PCP Care Manager or Health Coach sends summary to PCP Emergency Dept. pulls patient medical info; sees allergies, meds, conditions Patient’s New PCP pulls patient’s medical info on previous care Patient medical info sent to SSA in response to a Disability Determination Query

25. Thank-you 25