1. Camden Coalition of Healthcare Providers Camden Health Information Exchange Camden Coalition of Healthcare Providers www.camdenhealth.org 1

2. 2 Cooper Our Lady of Lourdes Virtua Underwood Camden HIE

3. Current HIE Interfaces Cooper o ADT o Lab o Radiology o Discharge summaries Lourdes o ADT o Lab o Radiology o Notes (IP) o Discharge summaries o Consults o H&P Virtua o ADT o Labs o Radiology o Discharge summaries (IP) Underwood o ADT (in progress) Reference Labs o LabCorp (in progress) o Quest Diagnostics (in progress)

4. Jersey Health Connect Health- e-cITies MOHIE Trenton SJ HIE TBD CHIE Hospitals Providers Jail Home Health LTC/ Rehab Behavioral health Hospice ACO/ Population Health Analysis State-Wide Exchange + Camden HIE

5. HIE Data and Utilization 5 www.camdenhealth.org 85,000 Camden patients (95% of population) 119 Users o ED physicians o Primary care providers o Nurses/unit clerks o Primary care based o Hospital based o Home Health o Social workers

6. HIE Benefits 6 www.camdenhealth.org Providers Reviewing own results Reviewing other providers’ results Trending labs Post discharge care Nursing Chart Preparation (diagnostic results) Referrals o More complete clinical information o Faster appointments Social Workers Notes on high utilizers o Discharge Summaries from other facilities o Clinical and Social work notes from CCHP Medication lists Other contacts for patients

7. HIE Data Uses Healthcare utilization analysis Population health research Healthcare cost analysis Case management/care coordination Provider directory

8. Population Health/Cost Analysis Inpatient Facts, 2011 7,823 patients with at least 1 inpatient stay 10,331 total inpatient visits 1.3 average visits per individual Maximum IP visits for 1 patient: 15 (3) Median length of stay: 3 days Number of hospitals – One hospital: 55% – Two hospitals: 34% – Three hospitals: 11%

9. Population Health/Cost Analysis ED Facts, 2011 Individuals with at least 1 ED visit: 50,947 Total ED visits: 107,171 Average visits per individual: 2.1 Maximum ED visits: 93 ED visits by hospital – Hospital 1: 36,404 (34%) – Hospital 2: 39,779 (37%) – Hospital 3: 30,988 (29%)

10. 10 www.camdenhealth.org “Hospital Utilization EKG”

11. High Utilizer Targeting

12. Supporting CCHP Care Coordination Model 12 www.camdenhealth.org Recruit patients in the hospital High touch, in-the- field interventions Be the “caulk” between providers – Clinical – Social – Behavioral Discharge to a prepared primary care office

13. 1 year pre-enrollment total charges = $297,430 Post-enrollment total charges to 7/1/12 = ~$15,000 Bending the Cost Curve www.camdenhealth.org

14. HIE Challenges End User Engagement Technical – Maintaining interfaces – Implementing new interfaces Understanding scope 14