Brian Yeaman MD CMIO NRHS Medical Director, Greater OKC Hospital Counsel

1. Concepts and Terminology Of HIE Brian Yeaman MD CMIO NRHS Medical Director, Greater OKC Hospital Counsel

2. Core Concepts of HIE Health Information (Medical Records) Exchange (Electronic Transfer/Display)

3. Core Concepts of HIE Key Attributes Patient Privacy Secure Records Providers Proficiency

4. Core Concepts of HIE Medical Records Request Seconds Not Hours Information When it Matters When Seconds Count Unifies Fragmented Records Across Providers and Hospitals and Specialty Centers Cost Effective (Faxing/Personnel Time)

5. Core Concepts of HIE Provider to Provider Discussion The Hallway/Lounge/Phone Conversation Facilitates Specialty Consultation Facilitates Patient Satisfaction

6. Core Concepts of HIE Implications for Health Care Improved Patient Safety Improved Quality of Care Cost Containment- Less Duplication De-Fragments Medical Records Care Of The Uninsured

7. Terminology of HIE Core Contributors Hospitals Service Providers (Labs and Imaging Centers) Physician Offices and Health Centers Specialty Centers State Agencies/Health Departments/OHCA Payers Pharmacies Patients

8. Terminology of HIE Hospitals EHR- Electronic Health Record Lab, Vitals, Medications, Reports, Images, Coded History

9. Terminology of HIE Physicians and Providers EMR- Electronic Medical Record (Ambulatory) Lab, Vitals, Medications, Reports, Images, Coded History

10. Terminology of HIE PHR- Personal Health Record Patient Driven/Owned Portable Between Providers/Institutions Interchangeable Between EHR’s/EMR’s Retrievable Data From HIE Actionable Items

11. Terminology of HIE CCR- Continuity of Care Record/Document Demographics Medication List Drug Allergies Encounter History Labs Vitals Diagnosis/Problem Lists/ICD 9’s

12. Terminology of HIE HIE- Health Information Exchange Network Allowing Data Sharing Centralized Server MPI- Master Patient Index Web Access EMR/EHR Access

13. Local Example of HIE Personal Health Record Physician Portal Web Administrative Portal HIE Server Hospitals, Labs, Imaging Centers Provider Offices

14. Terminology HIO- Health Information Organization Governance Body of HIE

16. Health Information Exchange Goals Restated Quality and Safety Speed of Access and Accuracy of Data Patient Satisfaction Cost Containment Portability Governance-Why We Are Here Today