hie emergency preparedness and response: rsvps from … · 2019. 2. 12. · hie emergency...

1

HIE Emergency Preparedness and Response: RSVPs from Florence and Michael

Session #88, Wednesday, February 13, 2019

Gary D. Parker, Chief Data Officer, Alabama Medicaid Agency

Tara Cramer, Executive Director, GRAChIE

2

Gary Parker

Tara Cramer

Has no real or apparent conflicts of interest to report.

Conflict of Interest

3

• Identify unique roles HIEs play during emergency situations

• Describe importance of tight coordination with local communities

in disaster response

• Discuss emerging areas of value HIEs deliver in their regions and

on a national level

Learning Objectives

4

• GRAChIE – Overview

• Alabama One Health Record® - Brief Spotlight

• Learning Objectives

• Questions and Contact Information

Agenda

5

SHIEC—A Nationwide Approach to Interoperability

Providing health data to more than

75% of Americans

More than

130Members

70+ HIE Members

60+ SB&T Members

6

GRAChIE

501c3 status/ Independent Entity

Staff of 5

GRAChIE is well established with committed Stakeholders

7

GRAChIE’s Founding Focus

• Care Coordination

• Clinical Integration/Affiliation

• Building a Community Record/Data Repository

GRAChIE

8

• Over 400 locations across Georgia contributing data

- Hospitals

- Independent Practices

- Behavioral Healthcare

- Correctional Healthcare

- Long-term Care

• 17 EMR Vendors

• 2.6 million Unique Patients

• Crossover up to 11 sources

• Over 180,000 queries in December 2018

• Over 800,000 records viewed in 2018

• Centralized HIE with External Partners

GRAChIE Stats

9

GRAChIE

Demographic data

Visit history

Problems and Diagnoses

Medications

Allergies

Vital signs

Lab results

Immunizations

Discharge Summaries

History and Physical

Radiology reports

Provider reports

HIE is dependent on the information sent to it by the EMR

Sharing data beyond the “standard”

10

Known

• Care Coordination

– Primary care to specialist (multiple sites of care)

– CAH/rural hospital to large health system

– Trauma transport

– Tele-medicine

– ED visits

• Meaningful Use/payment reform

• Clinical integration/affiliation

Realized

• Back-up for planned or unplanned downtime

• EMR migration

• Disaster Planning and Preparedness

HIE Benefits

11

• Use this as your last slide

• Add speaker contact information (email, Twitter handle,

LinkedIn address, if available)

• Organization logo(s) can be placed on this slide

• Remind attendees to complete online session evaluation

Questions

12

12

Alabama HIE - No One Left Behind….

Legend:

Green – live facilities

Red - Most recent and pending facilities

covered lives

1/2019 >3.28 million

12/2018 = 2.8 million

2010 Census 4.77 million

operational since

April 2012; August 2016vision

state-wide network of

information exchange

execution

Current: 323 Locations 14 Hospitals & 72

County Health Depart sites.

12/2019 projected: >500+ Locations value

unified health record

across State, Region, & Nation

HIESpotlight

13

• The unique roles HIEs play during emergency situations

• The importance of tight coordination with local communities in disaster response

• The emerging areas of value HIEs deliver in their regions and on a national level

Learning Objectives - Alabama

14

• Guardian Angel: Unaware, but always around; there to serve in particularly in times of distress.

• Security Blanket: A sense of ease knowing your medical data is available if needed, regardless of your dislocation.

• Comrade-in-arms: We got your back…covered!

• Health IT “Prime Star” – Location, location, location….of the displaced population, and ability to search for those “lost”.

Objective #1: The unique roles HIEs play during emergency

situations.

15

• Composure and Continuity to Counter the Commotion caused by

Catastrophic Chaos.

• Adequate time for planning for the expected.

• Understanding the weak link(s) in the chain.

• Knowledge of the limitations of the planning.

• Confidence in your ability to respond.

• Timing is everything.

Objective #1: The unique roles HIEs play during emergency

situations.

16

• The expansion of the multi-tier exchange levels.

• First responders access to medical data. (Pilot in queue)

• HIE network Continuity of Operations Plan (COOP). (PCDH

and SE; process refinement)

• Search as a service. (32 matches for AL/ FL & 34 for

AL/GRAChIE)

• EMA leveraging the HIE framework for points of care.

• It’s all about the value of “Relationships”.

Objective #1: The unique roles HIEs play during emergency

situations.

17

• Build awareness

– WE ARE HERE

– Being a part of the discussion is everything

– This is what we do!

• HIEs can assist in areas, other than treatment, during times of a disaster.

Objective #2: The importance of tight coordination with local communities in disaster response.

18

• National connectivity with MPI management, consent management, and normalized data delivery

• ACO partnerships

• Event Notification, Result Delivery, Analytics supported

• Support for community level projects

• HIE collaboration allowing for stronger standards, sharing of best practices and more.

Objective #3: The emerging areas of value HIEs deliver in their regions and on a national level

19

What we know?

• Natural and Man-made disasters demonstrate over and over the

importance of a strong, integrated healthcare communities

• Technology alone cannot integrate the heterogeneous business

and practice of medicine

• Ultimately, this work boils down to enabling the broad healthcare

community to support the care and wellness of each individual,

wherever they show up for services, now and in the years to come

• Community-based exchange organizations are vital to care-

connected communities

20

• Push participation from ALL healthcare providers

• Providers improve documentation in CCDs

• Broaden standards of what is shared

• Coordination and connectivity throughout our states

• Incorporate and fund HIEs in Emergency Management Programs

at the Fed, State, and Local levels

• Establish HIEs as a standard part of coordinating care everyday

What do we do now?

21

Contact Information

Gary D. Parker

Gary.Parker@medicaid.Alabama.gov.

www.onehealthrecord.Alabama.gov.

Tara Cramer

Tcramer@augusta.edu

THANK YOU!

Questions