camden health information exchange
DESCRIPTION
Camden Coalition of Healthcare Providers. Camden Health Information Exchange. www.camdenhealth.org. Camden HIE. Cooper Our Lady of Lourdes Virtua Underwood. www.camdenhealth.org. Current HIE Interfaces. Virtua ADT Labs Radiology Discharge summaries ( IP) Underwood - PowerPoint PPT PresentationTRANSCRIPT
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Camden Coalition of Healthcare Providers
Camden HealthInformation Exchange
Camden Coalition of Healthcare Providers
www.camdenhealth.org
2www.camdenhealth.org
CooperOur Lady of LourdesVirtuaUnderwood
Camden HIE
Current HIE Interfaces• Cooper
o ADTo Labo Radiologyo Discharge summaries
• Lourdeso ADTo Labo Radiologyo Notes (IP)
o Discharge summarieso Consultso H&P
• Virtuao ADTo Labso Radiologyo Discharge summaries (IP)
• Underwoodo ADT (in progress)
• Reference Labso LabCorp (in progress)o Quest Diagnostics (in
progress)
Jersey HealthConnec
t
Health-e-cITies
MOHIE
Trenton
SJ HIE TBD
CHIE
Hospitals
Providers
Jail
Home Health
LTC/ Rehab
Behavioral
health
Hospice
ACO/ Population Health Analysis
State-Wide Exchange
+
Camden HIE
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HIE Data and Utilization
www.camdenhealth.org
• 85,000 Camden patients (95% of population)• 119 Users
o ED physicianso Primary care providerso Nurses/unit clerks
o Primary care basedo Hospital basedo Home Health
o Social workers
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HIE Benefits
www.camdenhealth.org
Providers• Reviewing own results• Reviewing other providers’ results• Trending labs• Post discharge care
Nursing• Chart Preparation (diagnostic results)• Referrals
o More complete clinical informationo Faster appointments
Social Workers• Notes on high utilizers
o Discharge Summaries from other facilitieso Clinical and Social work notes from CCHP
• Medication lists• Other contacts for patients
HIE Data Uses
• Healthcare utilization analysis• Population health research• Healthcare cost analysis• Case management/care coordination • Provider directory
Population Health/Cost Analysis
Inpatient Facts, 2011• 7,823 patients with at least 1 inpatient stay• 10,331 total inpatient visits• 1.3 average visits per individual• Maximum IP visits for 1 patient: 15 (3)• Median length of stay: 3 days• Number of hospitals
– One hospital: 55%– Two hospitals: 34%– Three hospitals: 11%
Population Health/Cost Analysis
ED Facts, 2011• Individuals with at least 1 ED visit: 50,947• Total ED visits: 107,171• Average visits per individual: 2.1• Maximum ED visits: 93• ED visits by hospital– Hospital 1: 36,404 (34%)– Hospital 2: 39,779 (37%)– Hospital 3: 30,988 (29%)
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1/3/20
11
1/13/2
011
1/23/2
011
2/2/20
11
2/12/2
011
2/22/2
011
3/4/20
11
3/14/2
011
3/24/2
011
4/3/20
11
4/13/2
011
4/23/2
011
5/3/20
11
5/13/2
011
5/23/2
011
6/2/20
11
6/12/2
011
6/22/2
011
7/2/20
11
7/12/2
011
7/22/2
011
8/1/20
11
8/11/2
011
8/21/2
011
8/31/2
011
9/10/2
011
9/20/2
011
9/30/2
011
10/10
/2011
10/20
/2011
10/30
/2011
11/9/2
011
11/19
/2011
11/29
/2011
12/9/2
011
12/19
/2011
0
2
4
6
8
10
12
14
3
6
5
4
3
14
2
4
5
8
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ED IP
Leng
th o
f St
ay
www.camdenhealth.org
“Hospital Utilization EKG”
High Utilizer Targeting
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Supporting CCHP Care Coordination Model
www.camdenhealth.org
• Recruit patients in the hospital
• High touch, in-the-field interventions
• Be the “caulk” between providers– Clinical– Social– Behavioral
• Discharge to a prepared primary care office
6-Mar-
11
21-Mar-
11
5-Apr-
11
20-Apr-
11
5-May-
11
20-May
-11
4-Jun-
11
19-Jun
-11
4-Jul-
11
19-Jul-
11
3-Aug
-11
18-Aug
-11
2-Sep
-11
17-Se
p-11
2-Oct-
11
17-Oct-
11
1-Nov
-11
16-Nov
-11
1-Dec-
11
16-Dec-
11
31-Dec-
11
15-Jan
-12
30-Jan
-12
14-Feb
-12
29-Feb
-12
15-Mar-
12
30-Mar-
12
14-Apr-
12
29-Apr-
12
14-May
-120
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2
3
4
5
6
7
8
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ED IP
Leng
th o
f st
ay
CCHP Intervention
1 year pre-enrollment total charges = $297,430
Post-enrollment total charges to 7/1/12 =
~$15,000
Bending the Cost Curve
www.camdenhealth.org
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HIE Challenges• End User Engagement• Technical –Maintaining interfaces– Implementing new interfaces
• Understanding scope