updated september 30, 2014 · unauthorized use, disclosure or reproduoduction is strictly...
TRANSCRIPT
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 1 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 1
Updated September 30, 2014
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 2 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 2
CommonWell Health Alliance Introduction
May 2012 BPC Meeting
Farzad Mostashari
challenge to the group:
“you need to solve
this problem
yourselves”
March 4, 2013 at HIMSS13
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 3 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 3
Our Vision
We are an independent, not-for-profit trade association open to all HIT suppliers and others
devoted to the simple notion:
+ That health data should be available to individuals and providers regardless of where care
occurs and;
+ That provider access to this data must be built-in to HIT at a reasonable cost for use by a
broad range of health care providers and the people they serve
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 4 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 4
2Q13 3Q13 4Q13 1Q14 2Q14 3Q14 4Q14 1Q13
Dec 2013
First 4
geographies
announced
for initial
service
launch
Jan 2014
First
providers live
on
CommonWell
Services
HIMSS14
Feb 2014
12 providers
live; Tenet
signs as
provider;
specs
publically
released
New members
Brightree &
MacPractice
join; General
membership
opens July 2014
Member Summit
New Members CVS
Caremark &
MEDHOST join HIMSS14
Feb 2014
Alliance
launched HIMSS13
March 4, 2013
New founding
members CPSI
& Sunquest join July 2013
Formally
incorporated,
Board of
Directors
elected October 2013
Oct 2013
Member
Connect-a-
thon
April 2013
Specification
development
begins
July 2014
Evaluate initial
launch efforts;
Expand on
service launch to
additional
geographies
Winter 2014
Expanded,
national
deployment
20
13
20
14
20
15
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 5 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 5
CommonWell Health Alliance Members
Interoperability for the Common Good
42%+ of acute EHR
21%+ of ambulatory EHR Source:
SK&A, a Cegedim Company and KLAS
Initial service provider
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 6 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 6
CommonWell Health Alliance Board of Directors
Chairman
Jeremy Delinsky
athenahealth
Secretary
Rod O’Reilly
McKesson
Treasurer
Bob Robke
Cerner
Vice Chairman
Rich Elmore
Allscripts
Nick Knowlton
Greenway
Keith Laughman
Sunquest
Scott Tierney
CVS
Scott Schneider
CPSI
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 7 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 7
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 8 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 8
Current Interoperability Approaches Simply Don’t Scale
+ Data is siloed within health
IT system
+ Organizations are forced to
create contract-by-contract
interoperability between local
IT systems
+ Regional “networks” achieve
only regional results
Community
Hospital
Lab
IDN Physician
Office
Long-Term
Care
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 9 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 9
Many Business Deterrents to the Flow of Health Data
- Farzad Mostashari, MD, ScM | National Coordinator for Health IT, HHS; Aug. 7, 2013
+ Cost
+ Competition
+ Complexity
+ Consent
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 10 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 10
Meet Jennifer Lived in
7 cities,
4 states,
2 countries
Fairly healthy,
but does have
one chronic
condition
Visited 40+
health care
facilities
Got married in
Nov. 2013 – now
Mrs. Smith
Primary Care
Provider
Women’s
Health
Specialty
Doctor
Physical
Therapist
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 11 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 11
There are a lot of Jennifer Smiths out there...
None that are all that Common.
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 12 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 12
Number of
patients in
County
Hospital
database
Patients
sharing the
same last and
first names
Five or more
patients share
the same last
and first
names
Share the
same last &
first names &
date of birth
3,428,925 249,213 76,354 69,807 2,488 231
Patients
named
Jennifer
Smith
Number of
Jennifer
Smiths
sharing the
same date of
birth
Matching of Demographics Alone can be a Struggle
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 13 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 13
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 14 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 14
Long-Term
Care
IDN
Community
Hospital
Lab
Physician
Office
CommonWell Health Alliance for Record Location and Retrieval
CommonWell Services
+ Consent Management
+ Identity Management
+ Record Locator
+ Document Query
+ Document Retrieval
Tru
sted
Da
ta A
cces
s
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 15 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 15
Organizations Work-Effort – Point to Point
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 16 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 16
Solving for the Organization
Member Company Member Company Member
Company
Member
Company
Member
Company
Quickly and easily allows each organization to:
+Join + Enroll Patients + Contribute + Discover
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 17 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 17
Solving for Jennifer Smith
Specialist
OB-GYN
Physical Therapy
Hospital (Surgery)
Lab
Primary Care
Would you like your
providers to have
secure accessibility
to your health data?
Is there a unique ID
I can use?
NO MATCH
MATCH
MATCH
MATCH
All this happens while ensuring: • No data shown without the human validation step.
• Linked locations have access to data on future visits.
• Providers see the documents natively in their EHR.
Can you verify that
you have been to
these providers?
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 18 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 18
CommonWell Adds Value to Interoperability
Challenges with
Clinical Data Exchange
Patient Matching Data Access Rising Cost
Current
System Today
Duplicative
How CommonWell
will Improve &
Differentiate
Siloed Multiple Interfaces
Standardized Nationwide One Interface
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 19 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 19
+ More relevant data through
stronger matching and
validation
+Access data from health IT
systems– go beyond state or
local HIEs or any one
vendor’s network
+Data is fetched real time
from health systems– no
central repository
Benefits and Differentiators
More access to relevant
patient information
+Centralized patient
matching, consent and record
location services
+Embedded in EHR for
universal interoperability and
care coordination
+Lower cost of
access/implementation –
fewer interfaces
Faster, easier, more cost
effective access
+Help drive significant
industry change
+Support the public interest in
improving access to the
complete record
Leadership
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 20 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 20
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 21 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 21
2Q13 3Q13 4Q13 1Q14 2Q14 3Q14 4Q14 1Q13
Dec 2013
First 4
geographies
announced
for initial
service
launch
Jan 2014
First
providers live
on
CommonWell
Services
New Members CVS
Caremark &
MEDHOST join HIMSS14
Feb 2014
HIMSS14
Feb 2014
12 providers
live; Tenet
signs as
provider;
specs
publically
released
New members
Brightree &
MacPractice
join; General
membership
opens July 2014
Member Summit
Alliance
launched HIMSS13
March 4, 2013
New founding
members CPSI
& Sunquest join July 2013
Formally
incorporated,
Board of
Directors
elected October 2013
Oct 2013
Member
Connect-a-
thon
April 2013
Specification
development
begins
July 2014
Evaluate initial
launch efforts;
Expand on
service launch to
additional
geographies
Winter 2014
Expanded,
national
deployment
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 22 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 22
Initial Service Launch Locations
Chicago
Columbia,
SC
Henderson,
NC
Elkin,
NC
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 23 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 23
Initial Launch Engagement and Usage Is Strong
14 provider sites live
Dozens of clinicians leveraging the
organization’s services daily
Nearly 20,000 people enrolled
“Within 24 hours of our ‘go live’, our
team enrolled almost 200 patients in
CommonWell’s services and we
continue to enroll additional patients.”
—Randy Williams, director of IT
Maria Parham Medical Center
Henderson, NC
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 24 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 24
What Our Members’ Clients Are Saying
William “Tripp” Jennings, M.D,
System Vice President, Medical Informatics Office
Palmetto Health, Columbia, SC
“One of the frustrations is that we have
all this technology, and yet, we haven’t
been able to truly trade that information
electronically. The CommonWell pilot
provides an opportunity to take the next
step toward real data exchange so we’re
excited to participate.”
AnnMargaret McCraw, CEO
Midlands Orthopaedics, PA
Columbia, SC
“We should have overcome these interoperability
challenges years ago. It’s the right thing to do for the
patients. The cool thing about [CommonWell is] it’s
presented in the context of what the provider is used to
seeing for that system.”
Client panel at
HIMSS14 hosted by
Janet Marchibroda, BPC
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 25 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 25
Success Criteria: Key Service Launch Results
+ Demonstrate CommonWell members can work together Initial members to work together & interoperate
+ CommonWell members are live & in production use Members using service functionality by HIMSS 2014
+ Deliver value to providers Enable providers to access broader clinical patient information within their workflow.
+ Better matching Improved matching criteria to improve challenges of duplicates and false positive patient matches.
+ Access to more data Broader longitudinal patient record through increased network of data access.
CommonWell
Nationwide
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 26 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 26
© 2013. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 27 © 2014. All rights reserved. This information is subject to confidentiality obligations. Unauthorized use, disclosure or reproduction is strictly prohibited. 27
Resources
CommonWell overall
Alliance website: www.commonwellalliance.org
CommonWell Community blog: http://commonwellcommunity.com
CommonWell on Twitter: @CommonWell
CommonWell Facebook Page
CommonWell LinkedIn Page
Membership specific:
Email: [email protected]
Membership Web Page: http://www.commonwellalliance.org/membership-information