Connecting Communities: Lessons From Six State Health Information Exchange Demonstrations

On September 16, 2009, Arthur Davidson made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (167 KB).

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Slide 1

Connecting Communities: Lessons From Six State Health Information Exchange Demonstrations

Arthur Davidson, MD, MSPH
Colorado Regional Health Information Organization
September 16, 2009
Agency for Healthcare Research and Quality Annual Conference.

Slide 2

Objectives

• Provide an opportunity for several State and Regional Demonstration Projects to talk about their successes.
• Show how HIE can impact health reform.

Slide 3

State and Regional Demonstration (SRD) Projects

• 5-year contracts.
• $5M total direct/indirect costs.
• 2004 to 2009.
• 6 States
  • CO
  • DE
  • IN
  • RI
  • TN
  • UT

Slide 4

Context

• Health reform is still poorly-defined.
• Most agree with three basic health reform goals:
  • Increase quality.
  • Increase access, and
  • Reduce costs.
• Focus of session:
• What impact have the SRD had on these goals through health information exchange (HIE)?

Slide 5

CORHIO Impact

• Linked 4 large healthcare providers (Denver Health, Kaiser Permanente, The Children's Hospital and University of Colorado Hospital).
• Working toward a comprehensive statewide health information exchange.
• Evaluation: valuable patient identity management service (eMPI) for proper record merging across/within partner institutions.
• CORHIO is a convener/collaborator and technical service provider/broker.
• State Designated Entity plays major role building quality improvement focus (re: HITECH and meaningful use functionality).

• As CORHIO continues to evolve to a clinical messaging service, key demonstration lessons (e.g., usability and data integrity) are being incorporated in newer technology solutions (being solicited).

• Waiting for health reform, CORHIO focused on:
  • A sustainability model.
  • Ways to address meaningful use.
  • Make progress toward 2 of the 3 goals:
    • Improve quality and reduced cost.

Slide 6

SRD Representatives

• Gina Perez - DE: Delaware Health Information Network (DHIN).
  • How HIE plays a role in meaningful use.
  • Share some success stories of DHIN.
  • Anecdotal information about successes DHIN has had improving care and reducing costs.

• Mark Frisse - TN: Midsouth eHealth Alliance (MSeHA).
  • Results from the Vanderbilt evaluation team working across emergency departments in Memphis hospitals.

• Marc Overhage - IN: Indiana Health Information Exchange (IHIE).
  • Quality improvement performed by Regenstrief team.
  • Focus on reduction in duplicated tests.