3/12/2014 HIE in 2014 Next Steps for the Safety Net March 26, 2014 Panel Participants • Chris Jioras – Project Manager, North Coast Health Information Network • Christy Rosenberg – Executive Director, Community Clinics Health Network, San Diego • Sajid Ahmed – Chief Innovation and Information Officer, Martin Luther King Jr. Community Hospital • Moderator – Mark Elson, Principal & Founder, Intrepid Ascent HIE 101 2014 Version Mark Elson, PhD Principal & Founder Intrepid Ascent Email: [email protected] 1 3/12/2014 The Challenge • Providers under increasing pressure to enable data exchange • EHRs often replicate paper data silos and dependence on faxing persists • No silver bullet but multiple options for connectivity Organizations must determine their own HIE pathway appropriate to their clinical and business goals HIE on a Spectrum Community data repository Lab results delivery Level of Integration Overlapping Approaches Community HIE Enterprise HIE Point‐to‐point exchange National Standards 2 3/12/2014 Health Information Exchange Adoption 80% 73% 70% 60% Percent 50% 53% 47% 43% 40% 40% 30% 20% 10% 0% Overall Urban Clinic Rural Clinic Corporate Site Solo Site Overall and by Clinic Category This and the following four slides are from “Health information exchange among California clinics: results of a statewide survey,” Katherine Kim, San Francisco State, sponsored by CPCA and CHeQ, January 2014. Data Exchange Partners 100% 85% 80% 60% 40% 59% 59% 38% 37% 30% 25% 20% 9% 8% 0% 3 3/12/2014 Types of Data Being Exchanged 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Urban Rural HIE on a Spectrum Centralized community exchange Lab results delivery Level of Integration Direct messaging Enterprise systems Directed or “push” exchange Federated community exchange Query exchange Getting Started • Develop a plan for connectivity – CalHIPSO HIE toolkit – CHeQ provider guide • Consider Direct – California Direct • Evaluate local HIE efforts – CHeQ Map • Start Small with Population Health Analytics – Million Hearts Initiative Talk to partners with overlapping patient populations 4
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