january 2012 bill beighe, cio caleconnect bod calhipso bod
TRANSCRIPT
January 2012Bill Beighe, CIO
CaleConnect BODCalHIPSO BOD
PMG & Santa Cruz County
• Only IPA• Enjoy Excellent Relationship with Santa Cruz Medical
Society– Many members in common– Co-sponsor the Medical Society EHR Demo Day for 3 years– Collaborate on Health Improvement Projects
• Collaborate on care with virtually all in the community – Exchange is open to all
• Sutter / PAMF has a large presence
Point to Point Interfaces $$$Scanning/Faxing Re-KeyingData
Single Bi-directional InterfaceScanning/Faxing Automated EntryStructured Data
Connectivity: Community Level Traditional vs HIE
HIE Is Key • HealthCare Reform• “Bending the Cost Curve”• Prevention• Inform• Quality Outcomes• Deliver Information about the patient to the provider
at the point of care• Challenge – How will we Enable, Promote, Accelerate
HIE in the State of CA
• Regional HIO • Started in 1996• County Population 270,000• 95% in Patient Index• Bi-directional Exchange
130,000 + clinical documents / month
• Two full-service hospitals• 367+ MDs – 900+ Users• Web & EHR Interfaces • 4 Outpatient Laboratories• 5 Radiology Centers• County Health Services &
Jail• Safety Net Clinics
Monterey Bay
California
Timeline of HIE in Santa Cruz
• Community Collaboration
• PMG• Dominican Hospital• Unilab (Quest)
1995
• 1st Exchange of Clinical Data
1996• Web-based HIE
interface• EMR Lite• County Clinics
2001
• 3 HIE to EMR Interfaces
• NHIN• Safety Net Clinics• 4 Additional Labs
2004- 2006
• 1st Partner Connection to HIE
2007
• EMR Lite• 600+ electronic• NHIN at Redwood
MedNet
2009 • 7 Connected EMR’s • 750+ electronic• NHIN at HIMSS
2010
• 9 Connected EHR’s
• 4 Certified EHR’s
2011
• Lab• Radiology•
Transcription
2 Hospitals - 8 Feeds
Santa Cruz HIE Stats
• Increase in Data Traffic
• Usage increase over past 6 Years
600%
• Clinical Page Views Monthly
1.3M
• SureScripts per Month Including eRx from EHR and HIE
23,000 Rx
• Referrals• Transitions of
Care per Month
3,400+
• Electronic Lab Results per Month
28,000+
• VHR Views per Month
• Longitudinal Patient Record
17,000+
• EMR / EHR Interfaces to 90+ MD’s
9
Data Types & Features
Lab ResultsRadiology Reports from Hospitals and IndependentADT feeds Chart NotesReferrals and Authorizations Hospital – Dictations, Op Reports, ED, H&P etc Discharge Summaries Consultant Reports Patient Summary (Print and CCD)EHR / EHR Interface (McKesson Practice Partner and 8 others) Problems, Allergies, Immunizations, ConsentProvider to Provider Secure CommunicationsCommunity Patient Index (MPI) Virtual Health Record
Infrastructure & Resources
HIE ( $2.25 per patient per year – hard costs across community – Hospitals, Labs, Users Pay) The SC HIE core infrastructure is hosted by Axolotl Locally PMG provides– EMR Interface Implementation, Operational and User Support, and
Reporting– 2 FTE at PMG
– 1st Line Support, MPI Administration, User Administration and Training 2 FTE at PMG
Management / Oversight / Marketing / Governance .5 FTE at PMG
Tech Support, EHR Implementation, Hosting, REC Services 9 FTE at PMG
PMG Services in Santa Cruz County• Insurance and Health Plan Contracting and
Administration• Claims Payment• Case Management• Credentialing• Billing Service• Technology Support• Service Partner to CalHIPSO – ARRA REC Services• Electronic Health Records Deployment and Hosting• Health Information Exchange (SCHIE)
Axesson, LLC • Owned by PMG• Interface & Interoperability Services Nationwide• HIO Operations
