inland empire health information exchange (iehie) past, present and future dr. richard swafford, phd...
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Inland Empire Health Information Exchange (IEHIE)
Past, Present and Future
Dr. Richard Swafford, PhDExecutive [email protected]
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Past, Present and Future
• Overview of IEHIE• Timeline of IEHIE Activities• Initial Goals versus Current Status• Current Activities• Future Activities
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IEHIE: A Regional HIE• The Inland Empire Health Information Exchange (IEHIE) covers the San Bernardino and Riverside Counties with a population of over 4.1 million.
• The IEHIE represents a large group of hospitals and medical centers, medical groups, IPAs and physician practices.
• The IEHIE operates as 501(c)3 under the Inland Empire EHR Resource Center.
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To achieve continuity of care in the Inland Empire community by allowing providers and patients trusted, timely and secure access to patient health information.
IEHIE Mission
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What is HIE: 40,000 Foot View• Health Information Exchange (HIE) is defined as the mobilization of healthcare information electronically across organizations within a region, community or hospital system.
• HIE provides the capability to electronically move clinical information among disparate health care information systems while maintaining the meaning of the information being exchanged.
• The goal of HIE is to facilitate access to and retrieval of clinical data to provide safer, more timely, efficient, effective, equitable, patient-centered care.
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Timeline of IEHIE Activities (2009)
• Apr 2009 – Riverside County Medical Association (RCMA) and Hospital Association of Southern California (HASC) bring together the Inland Empire Health Information Technology Consortia (IEHITC). Health Information Exchange (HIE) is the primary focus.
• Jul 2009 – IEHITC Founding Board adopted with 27 original members
• Sep 2009 – Financial model adopted that included fees for IEHITC membership
• Dec 2009 – Request for Information (RFI) issued for HIE Vendors and HIE Organizations.
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Timeline of IEHIE Activities (2010)• Apr 2010 – Formal Leadership Group (LG) created and a
RFP to hire a consultant is presented and approved. Funding model to pay for consultant is approved.
• Jun 2010 – Consultant selected – Object Health• Sep 2010 – IEHIE IS BORN and becomes a project within the
IEEHRC 501.c.3.• Nov 2010 – RFP for HIE vendor is approved and sent to 22
HIE vendors. Governing Council (GC) is created and the first elections are accomplished. Subcommittees are also created within the GC.
• Dec 2010 – 5 HIE finalists are identified.
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Timeline of IEHIE Activities (2011)• Jan 2011 – IEHIE Charter adopted and IEHIE Financial Model
approved.• Feb 2011 to Apr 2011 – HIE Vendor selection including
demonstrations and site visits is accomplished.• May 2011 – Orion Health selected and contract negotiations begin• Jul 2011 – Project Director contracted and pilot participants
identified. Participation agreement finalized and sent• Sep 2011 – Orion Contract negotiations complete and IEHP
announces funding of both counties• Oct 2011 – IEEHRC Board approves IEHIE 5 year budget and sets
financial target for contract signature• Nov 2011 – IEHIE Executive Director hired.• Dec 2011 – IEHIE web site and marketing materials approved and
launched as well as the second GC elections
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Timeline of IEHIE Activities (2012)
• Jan 2012 – Orion contract signed and executed. Pilot launched with 14 pilot participants
• Feb 2012 – IEHIE awarded CHCF Grant
That takes us up to today…
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Initial Goals Versus Current Status
July 2009 IEHITCC Goals:1. Share information on a specific patient for
the care of the patient.2. Fulfill requirements to receive stimulus
funds3. Facilitate sharing and reporting of data4. Develop a list of core data fields to share5. Organize Data in a way that is usable6. Comply with Privacy Requirements7. Comply with Meaningful Use Requirements8. Establish Sustainability Model
March 2012 Status:
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Current Activities (Structure)
INLAND EMPIRE EHR RESOURCE CENTER501 (c) 3
Board of Directors
Local Extension Center
IEHIE Governing Council
Finance & Funding Committee
Technical/Operations Committee
Policy/Legal Committee(Privacy &Security)
Communications/Outreach Committee
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Current Activities (Structure)IEHIE Governing Council
Elected 12.11(15 seats)
Hospitals (4 seats)
LargeDoug
Leeper (LLUMC)
Sm/MedRich Gagnon
(Redlands Comm. Hosp.)
At LargeAndrew
Robertson, MD(St.
Bernardine)
Inland Region HASC
Christina Bivona-Tellez)
Physicians(4 Seats)
IPA/Medical Group
Leigh Hutchins (Prime Care)
Sm/MedHarold
Jackson, DO(Raincross Med. Grp)
At LargeNabil Razzouk (Arrowhead Orthopedics)
RCMA/SBCMS
Tarek Mahdi, MD
Public Health(1 seat)
Sarah Mack(Riv. Co.
Dept. Public Health)
Other Healthcare Providers(1 seat)
Brian Hughes (VNA)
Business/Community
(1 seat)
Bill Davenhall
ESRI
Health Plans
(1 seat)
Brad Gilbert,
MD (IEHP)
Board of Supervisors
(2 seats)
Riverside Seat
Supervisor Bob Buster
LEC(1 seat)
Leroy Ounania
n, MD
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Current ActivitiesMembership and Participation
21
21
2 4
Members (48)
Hospital Medical GroupsHealth Plan Associations
6
8
1
Participants (15)
Hospital Medical GroupsHealth Plan
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Current Activities
• Financial Model– Self-sustaining model based on participant and
member fees• Hospitals – Bed Count• Medical Groups – Physician Count• Health Plans – Member Lives
– Project-specific grants• Ex: CHCF Grant for HL7 ELINCS Lab Orders
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Savings Example - Alabama
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Future Activities
• Clinical Portal• Patient Portal• Site
Connectivity
Phase 1: Spring 2012
• Case Management: Diabetes
• Orders
Phase 2: Summer
2012
• Imaging• EMR Lite• eRX
Phase 3: Fall 2012
Three Phased Implementation approach:• Each facility begins with Phase 1• Facilities can be at any phase at any time• Future expansion beyond 2012 available
Modules beyond Phase 1 (Base HIE):• Menu format for additional modules• Pay as you go • Fees based on size are available
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Future Activities
2012 2013 20140
5
10
15
20
25
30
14
19
27
17
28 28
12 2
3 Year Projected Growth by Facility
HospitalMedical GroupHealth Plan
Years
Parti
cipa
nt F
acili
ties
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IEHTC
RCMA
SBCMS
HASC
IEHIE
HIE
IEHIE has come a long way in a relatively short period.The future holds many exciting opportunities.