camden hie standard august2012
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Camden Coalition of Healthcare Providers
Camden HealthInformation Exchange
Camden Coalition of Healthcare Providers
www.camdenhealth.org
2
Camden Coalition of Healthcare Providers
www.camdenhealth.org
City of Camden• 9 square miles• Pop. 77,344• 36% poverty rate• 57% graduation rate• 63% healthcare paid by
Medicaid and Medicare
CCHP Mission: To improve the health status of all Camden residents by increasing the capacity, quality and access to care in the city.
3www.camdenhealth.org
CooperOur Lady of LourdesVirtuaUnderwood
Camden HIE
Current HIE Interfaces
• Coopero ADTo Labo Radiologyo Discharge summaries
• Lourdeso ADTo Labo Radiologyo Notes (IP)
o Discharge summarieso Consultso H&P
• Virtuao ADTo Labso Radiologyo Discharge summaries (IP)
• Underwoodo ADT (in progress)
• Reference Labso LabCorp (in progress)o Quest Diagnostics (in
progress)
Jersey HealthConnec
t
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
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HIE Data and Utilization
www.camdenhealth.org
• 85,000 Camden patients (95% of population)• 119 Users
o ED physicianso Primary care providerso Nurses/unit clerks
o Primary care basedo Hospital basedo Home Health
o Social workers
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HIE Benefits
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 informationo Faster appointments
Social Workers• Notes on high utilizers
o Discharge Summaries from other facilitieso Clinical and Social work notes from CCHP
• Medication lists• Other contacts for patients
HIE Data Uses
• Healthcare utilization analysis• Population health research• Healthcare cost analysis• Case management/care coordination • Provider directory
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%
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%)
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1/3/
2011
1/13
/201
1
1/23
/201
1
2/2/
2011
2/12
/201
1
2/22
/201
1
3/4/
2011
3/14
/201
1
3/24
/201
1
4/3/
2011
4/13
/201
1
4/23
/201
1
5/3/
2011
5/13
/201
1
5/23
/201
1
6/2/
2011
6/12
/201
1
6/22
/201
1
7/2/
2011
7/12
/201
1
7/22
/201
1
8/1/
2011
8/11
/201
1
8/21
/201
1
8/31
/201
1
9/10
/201
1
9/20
/201
1
9/30
/201
1
10/1
0/20
11
10/2
0/20
11
10/3
0/20
11
11/9
/201
1
11/1
9/20
11
11/2
9/20
11
12/9
/201
1
12/1
9/20
110
2
4
6
8
10
12
14
3
6
5
4
3
14
2
4
5
8
1 1
ED IP
Length
of
Sta
y
www.camdenhealth.org
“Hospital Utilization EKG”
High Utilizer Targeting
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Supporting CCHP Care Coordination Model
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
6-Mar
-11
21-M
ar-1
1
5-Apr
-11
20-A
pr-1
1
5-May
-11
20-M
ay-1
1
4-Ju
n-11
19-Ju
n-11
4-Ju
l-11
19-Ju
l-11
3-Aug
-11
18-A
ug-1
1
2-Se
p-11
17-S
ep-1
1
2-Oct
-11
17-O
ct-1
1
1-Nov
-11
16-N
ov-1
1
1-Dec
-11
16-D
ec-1
1
31-D
ec-1
1
15-Ja
n-12
30-Ja
n-12
14-F
eb-1
2
29-F
eb-1
2
15-M
ar-1
2
30-M
ar-1
2
14-A
pr-1
2
29-A
pr-1
2
14-M
ay-1
20
1
2
3
4
5
6
7
8
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ED IP
Length
of
sta
y
CCHP Intervention
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
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HIE Challenges
• End User Engagement• Technical –Maintaining interfaces– Implementing new interfaces
• Understanding scope
