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Building an Employer Sponsored Rural Medical Neighborhood: A Case Study in Today’s Interoperability Challenges and Solutions ​ DISCLAIMER: The views and.

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Presentation on theme: "Building an Employer Sponsored Rural Medical Neighborhood: A Case Study in Today’s Interoperability Challenges and Solutions ​ DISCLAIMER: The views and."— Presentation transcript:

1 Building an Employer Sponsored Rural Medical Neighborhood: A Case Study in Today’s Interoperability Challenges and Solutions ​ DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

2 Mohawk Industries Health Plan Vision: The safest and healthiest workforce in industry Clinical integration is key component to reach vision

3 Strategy: Evolved from cost control to create healthier members in our health plan Initiatives –Population health management –Effective utilization of healthcare services –Engagement and accountability Members – education, incentives and surcharges –Your Choice Health Plan Health care professionals treating our members Increase services: preventive, Primary care and specialty care for condition management Compliance to recommended condition care paths

4 Strategy: Evolved from cost control to create healthier members in our health plan Infrastructure to achieve: –Services accessible and convenient –Mohawk Medical Neighborhood – a clinically integrated network (narrow) to support engagement, collaboration and data integration –On-site clinics –On-site and telephonic coaching –Consistent messaging –Mobile solutions: Dental, Mammography

5 Strategy: Evolved from cost control to create healthier members in our health plan Dilemmas (especially in NWGA where over 15,000 members purchase healthcare services) –Health information exchange - How to effectively share medical information between community providers and our On- site clinics –How to engage members –How to engage community providers – we have learned this is a totally new concept to most health care professionals unless they are a Patient Centered Home primary care practice

6 Phase 1: Actors in Data Flow Data Flow: –Mohawk Healthy Life Center (HLC) Sends referrals to orthopedics Sends encounter information to HealthVault –Orthopedics Practice Sends result Mohawk HLC Schedule physical therapy (PT) Sends copy of result to HealthVault Therapists Send or update patient's adherence to Health Coach –Health Coach Access to patient information from e- MD or HealthVault

7 Phase 1: “Dilemmas” Health information exchange EHR\DIRECT Version Upgrade Status Security Policy Reconciliation Trust! –Authorization\Authentication Workflow Redesign –“totally new concept to most health care professionals” 1 1 2 2 2 3 3 4 4

8 Phase 1: Solution Health information exchange –‘Re-platformed’ to Holon Solutions –“Perfect is the enemy of Good” Simple replacement of fax & document flow Platform for resolving other dilemmas –Member engagement –Provider engagement & workflow redesign Flexibility to enhance to DIRECT & FHIR as available on nodes –“Start small & smart, release early & often” Holon Solutions CollaborNet ®


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