1. Sonoma County Health Services Data Exchange at DHS in Sonoma County March 21, 2013 John Wise Department Information Systems Manager

2. Data Exchange at DHS in Sonoma County 2001-2013 A Brief History Sonoma Healthcare Summit and Technology Taskforce Care Data Exchange Key Learning Today ConnectHealthcare Redwood Mednet HIE Biosense II Mirth Connect HIE and Patient Centered Care

3. Sonoma Healthcare Summit Sonoma Healthcare Summit – 2001 Technology Taskforce – Sonoma County Health Information Network

4. Care Data Exchange

5. Key Learning ROI and Cost (no value proposition for funders) Mitigated now partly by HITECH and MU reimbursements Lack of a viable business plan/model Data held as competitive asset Limited penetration of Electronic Health Records Limited availability of broadband in many areas Hindsight perhaps the wrong model (CDE)

6. Today Participating in two efforts ConnectHealthcare from a Regional Perspective Redwood MedNet local HIE in Sonoma County Baby Steps Connecting PH LAB to RWMN for ORM and ORU Hosting Mirth Virtual Appliance Mirth Channel Engineering PH LABS Apollo and RWMN Hope to be testing soon with SVCH Mirth selected – unlimited channel possibilities Discussions with CalRedie for future exchanges of data BH Avatar – FQHC’s Mutual Clients CD DB for electronic reporting

7. Future Biosense II Initiative Health Officer reviewing data use agreement LHD Epidemiologist unlimited access to collected data RWMN HIE Expansion project

8. Mirth Connect

9. HIE and Patient Centered Care

10. Thank you – Questions John.Wise@Sonoma-County.org (707) 565-5390 www.sonoma-county.org/health www.healthysonoma.org www.iwalksonoma.org www.igrowsonoma.org