A Patient/Community Centered Approach to Health Information Exchange & Meaningful Use

1. A Patient/Community Centered Approach to Health Information Exchange & Meaningful Use Rurally-driven Health Information Exchange: Statewide Value

2. Learning Objective After hearing this presentation, participants will be able to describe the benefits of health information exchange between providers and patients

3. RURAL HEALTH PARTNERSHIP • Federally-designated RHN incorporated in 1996 • Quasi-governmental 501c(3) charged with coordinating rural healthcare delivery systems and patient health information exchange [F.S.381.0406] • Works with 50+ organizations to ensure that rural and urban medical communities can exchange health information, meet MU requirements, and coordinate patient care (org infrastructure built with $640,000 HIT grant) • Has $900,000 federal HIT grant to build-out network • MHS selected to exchange electronic veteran data with civilian providers for national VA:ONC:HHS project

4. DSM: Direct Secure Messaging across Florida & beyond • Providers and Institutions • Web-based interface • Up to five accounts are free • HISP services available • Provider-to-Provider messaging http://fhin.net/content/kms/index.shtml#ui-tabs-3 Link for latest DSM participation

5. Annual Costs* $75,400 - $109,900 • Single patient, federated query • PLU Network of Networks * based on Florida Health Information Exchange pricing Policies and Annual Fees January 2014

6. Florida HIE Expenses* • PLU Costs: • $49,000 node fee + $14/bed annually • $25,000 maintenance fee annually • $12,000 onboarding fee • DSM Costs: • $500/5 accounts annually (up to 5 accounts free) • HISP Costs: • $7,500 trust services annually • $25,000 for up to 15,000 DSM transactions Full-Service $109,900 annually PLU (100-bed hospital) First Year $87,400 Annual Costs $75,400 DSM (25 accounts) $2000 annually HISP $32,500 annually * based on Florida Health Information Exchange pricing Policies and Annual Fees January 2014

7. Helping Hospitals and Providers Achieve Meaningful Use The Hospital/EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide a summary care record for each transition of care or referral.

8. Local Gaps in Statewide Exchange* • No patient engagement or participation • Cost barriers for individual provider and small institution participation in FLAHIE-PLU • Lack of workflow-integrated solutions for providers • Lack of local data sources in many communities • No longitudinal aggregated record *based on interviews and experiences with North Central Florida hospitals and providers

9. Mission To give healthcare providers and their patients immediate access to relevant medical information anytime healthcare happens in a way that is: 1) secure and private 2) patient-friendly 3) physician-responsive 4) community-activated

10. CommunityHealth IT’s Purpose “HIT Soup to Nuts” “Activated” Community HIE FCC HIE MU EHR Implementation High-speed Internet Connectivity Engaged Patients

11. EMS Services Pharmacies Patient Physician Hospitals Laboratories Hospitalist Specialist MD The Current State of Care Confusion

12. EMS Services Hospitals Pharmacies Laboratories Patient Physician Hospitalist Specialist MD

13. CommunityHealth IT Strategic Partners 50+ Organizational Partners 13

14. VICTOR-HIE Leads Consumer-Mediated Exchange Efforts • Joint national exchange initiative with VA:ONC:HHS • Only system in the country currently exchanging electronically • 24,000+ veterans using MyHealtheVet in North Florida-South Georgia

15. Connected Healthcare CommunITies

16. Local Exchange Empowering Providers and Patients Secure Provider and Patient messaging Online referrals and Consultations Delivering info (e.g results) Answering questions Broadcast messaging WebVisits (Billable online encounter) Medication history Surescripts RX history Secure Patient-Provider, Patient-Admin messaging Request appt, labs, referral,questions Delivered information (e.g. results) Questions answered Broadcast messages WebVisits (Care without physical appt) Medication history Surescripts RX history powered by:

17. Communicator for Direct messaging Hospital Connect to populate health summaries Transitions of Care View, Download, Transmit Secure Messaging Results Core for EP: >55% electronic results Menu for Hospital: >20% electronic results > 10% of transitions of care from acute environment have summary transmitted via Direct Meaningful Use 2Objectives >5% of patients send a secure message Required for Physicians PHR Populated for more than 50% of patients 5% of patients View, Download, Transmit their information Required for hospitals and physicians Communicator for VDT Hospital Connect to populate health summaries Ambulatory CCD integration to populate from practices One login applies to both acute and ambulatory numerator Communicator for PHR Results distributed to ambulatory practice EHR powered by: Tracking Compliance

18. An Engaged CommunITy • CommunityHealth IT ensures that area healthcare providers, hospitals, and communities using MyHealthStorySM services receive: • Comprehensive neutral outreach to providers in the entire region, regardless of affiliation • Comprehensive outreach to patients allowing for more engagement through a unified community message • Greater economies of scale in savings of costs, work effort, and manpower (e.g., shared HIE communication platform, shared state HIE connections) Office of the National Coordinator for Health IT 5

19. Learning Objective After hearing this presentation, participants will be able to describe the benefits of health information exchange between providers and patients

20. Kendra Siler-Marsiglio, PhD Rural Health Partnership Director CommunityHealth IT President kendrasm@wellflorida.org 904.318.5803 (call or text) FOLLOW MyHealthStory! On Twitter: CommunityHealth IT @CommHIT #MyHealthStoryHIE #VICTORhie On Facebook: My Health Story On LinkedIn: MyHealthStory Websites: Communityhealthit.org