1. Kansas Health Information Network, Inc. How the Kansas Medical Society is building a provider-led platform to support interoperability and enable practices to thrive in the coming system transformation

2. Health Information Exchange (HIE) is similar to cell phone technology

3. What does a Health Information Exchange do? 1.Data Transport-Interoperability a)Transitions of Care b)Patient Engagement c)Public and Population Health 2.Data Normalization, Aggregation and Reporting

4. Kansas Health Information Network Community Mental Health Center ( 41 ) FQHC ( 42 ) Physician Practice ( 281) LACIE Connected Participant ( 162 ) Hospital ( 81 ) KHINs LIVE Participants

5. KHIN Key Statistics 1.Over 2 Million + Unique Patients in KHIN 2.Over 10 million patients available for query 3.1,238+ KHIN Members 4.620 +Health Care Organizations in Production

6. Interoperability: EHR Vendors Connected Allscripts3 Askesis1 Cerner4 Champ/Nightingale1 ClaimTrak1 CPSI7 Custom (CPSI: VHUB)6 Custom (Meditech: Iatrics)1 eClinical Works19 eMDs8 Epic3 GE Centricity/Qvera2 Greenway5 Healthland6 HMS2 KIPHS2 Mckesson/PDS12 McKesson Lytec MD1 McKesson/Relay Health1 McKesson/Paragon1 Meditech25 Medicity1 NextGen5 Netsmart5 Phoenix Ortho1 Prognosis1 Pulse3 Siemens28 SuccessEHS8 Total: 163

7. KHIN Products 2015 1.Secure Clinical Messaging/DIRECT 2.Provider Portal EHR Query functionality Web based access 3.Personal Health Record 4.Image Exchange 5.Public Health Interfaces Immunizations Syndromic Surveillance Reportable Diseases Cancer Registry Infectious Disease Registry 6.Alerts and Data Extracts

8. Kansas Health Information Network, Inc. Helping Providers Meet MU Requirements 2014-2015 83 Hospitals & 62 Clinics Public Health Transmissions 1.Immunizations 2.Electronic Lab Reporting 3.Syndromic Surveillance 4.Cancer 5.Infectious Diseases Patient Engagement 1.Summary of Care 2.Secure Messaging 3.Patient Education Transitions of Care 1.Summary of Care a)DIRECT b)eHealth Exchange

9. Certificates for MU Audit

10. Kansas Health Information Network, Inc. Helping Providers Participate in Value Based Payment Models 2014-2015: 108 Hospitals & 2330 Physicians Received BCBS Incentive Payments Data Sharing/Health Information Exchange Shared Personal Health Record for Patients Data Warehouse-Analytics/Risk Stratification Care Management for High Risk Patients Critical Incident Alerts for Admits and Discharges

11. Kansas Health Information Network works with KaMMCO Health Solutions (KHS) Data Warehouse Scalable Data Hosting Plan starting at 500GB of data featuring backup and remote site replication

12. Sample Analytic Reports

16. HIE Infrastructure Models HIE 1.0 Proprietary HIE 2.0 Shared Comparison Factor 1 Technology Solely Held: Contracts Technical Platform EHR hubs Nationwide Connections (eHealth Exchange) Help Desk Shared: Contracts Technical Platform EHR hubs Nationwide Connections (eHealth Exchange) Help Desk Comparison Factor 2 Personnel Hired Employees: CEO/COO/CFO Project Managers Integration Engineers Administration & Billing Data Management Analytics Shared Employees: CEO/COO/CFO Project Managers Integration Engineers Administration & Billing Data Management Analytics

17. HIE Infrastructure Models HIE 1.0 Proprietary HIE 2.0 Shared Comparison Factor 3 Data Management Private Data Warehouse: w/ back up and remote site replication Firewall Internet Licenses Security Reporting Shared Warehouse with Data Vaults for each region: Firewall Internet Licenses Security Reporting Individual reporting Comparison Factor 4 Analytics Private Analytics: Analytic Staff Licensed Software and Analytic Tools Proprietary Reports Shared Analytics: Analytic Staff Licensed Software and Analytic Tools Shared Reports Proprietary Reports

18. HIE Infrastructure Models HIE 1.0 Proprietary HIE 2.0 Shared Comparison Factor 5 Cost Large initial capital investment Large personnel investment Smaller base to spread costs Every connection is “new” with a resulting cost Exclusive Legal Documents Minimal capital investment Minimal personnel costs Large base to spread costs One connection serves all Shared Legal Documents Comparison Factor 6 Knowledge Limited Knowledge Base Proprietary Policies and Procedures Learnings not shared Broad, shared knowledge base Shared policies and procedures adapted to each region Learning community

19. QUESTIONS Laura McCrary Ed.D Executive Director Office: 785-861-7490 lmccrary@khinonline.org