Health Information Technology and Coordinating Care in Ohio

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Gabriel O’Brien’
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1 Health Information Technology and Coordinating Care in Ohio 1 Dan Paoletti, CEO Ohio Health Information Partnership CliniSync Health Information Exchange

2 Health Information Technology in Ohio HITECH Federal Funding in ARRA Office of the National Coordinator for HIT (under HHS) Regional Extension Centers for EHR Adoption Health Information Exchanges Centers for Medicare and Medicaid EHR Incentive Program 2

3 Ohio Health Information Partnership The future of health care is connected communities across the nation that can communicate with one another and coordinate care, no matter where the patient goes. 3

4 Founders 4

5 HIT Federal Funding REC $28.3 Million Assist providers in EHR selection, implementation and achieving Meaningful Use HIE $14.7 Million Connect physicians long-term care, hospitals, behavioral health, and other care providers to the state Health Information Exchange 5

6 Electronic Health Record Adoption OHIP - 6,000+ primary care physicians adopted EHRs OHIP - Over 5,700 achieved Meaningful Use Ohio - $1 Billion in Medicare and Medicaid to 16,803 providers 6

7 Connectivity The next goal 7

8 Person-Centered Coordinating Care Care 8

9 Interoperability Interoperability Is it a technological problem? 9

Connected Connecting Community Hospitals Total Contracted Hospitals: 143 Green: CliniSync Live Hospitals (53) Yellow: Hospitals in Implementation

10 Connected Connecting Community Hospitals Total Contracted Hospitals: 143 Green: CliniSync Live Hospitals (53) Yellow: Hospitals in Implementation (90) Blue: HealthBridge Live Hospitals (20+) Almost 90% of hospitals in Ohio have committed to an HIE. More than 87% of 11.5M Ohioans are being served. 10

11 Connecting Clinicians 628 practices are signed up with CliniSync. The CliniSync provider directory has 10,630 direct addresses. 11

12 Connecting Long-Term & Acute Care 225+ long-term and acute care facilities have joined CliniSync. Some include hospice and home health. 12

13 Connecting The Medical Neighborhood Hospitals Public Health Physicians Commercial Labs Behavioral Health Health Plans Long- Term, Post Acute Care 13

14 Data Follows Person Enable the data to follow the person for coordination of care and other services key to facilitating successful outcomes. Put the information at the fingertips of those who need it. 14

15 Transitions of Care National Standards 15

16 Transitions of Care Federal requirements for Meaningful Use Stage 2: Hospitals and physicians must electronically send summaries of care, discharge summaries and other information in a C-CDA format to other care providers. 16

17 What s on a Transition of Care Document CCDA? Allergies, adverse reactions, alerts Encounters What s on a Transition of Care document (C-CDA)? Medications Problem List Procedures Relevant diagnostic tests and/or laboratory data Family history Functional Status Immunizations Providers/payers Advance directives Plan of care Chief complaint and reason for visit Social history Hospital discharge instructions and medications 17 Vital signs

Smooth Transitions Smooth transitions of care through CliniSync: Electronic communications fosters better care, lower costs for patients http://www.clinisync.org/images/stories/toc_for_long-term_care.

18 Smooth Transitions Smooth transitions of care through CliniSync: Electronic communications fosters better care, lower costs for patients This kind of electronic exchange decreases cost, eliminates unnecessary tests, reconciles medication problems, reduces duplication of tests, and allows our clinicians to respond more quickly to the results that come from hospitals. Joyce Miller Evans, VP & CIO Ohio Presbyterian Retirement Services 18

19 Coordinating Care Helping coordinate care and streamline the tool set The CliniSync Collaboration Suite Community Health Record Inbox for Results and reports delivery Transitions of care referral tool Direct, secure messaging Notification tool set 19

20 Patient Coordinating Engagement Care Patients should be involved in their own health care. Patient Privacy & Consent Patient Portals 20

21 Patient Benefits Accurate and complete information about your health Faster diagnosis with a complete picture of your health Reduction in unnecessary tests and procedures Lower costs for you through reduction in co-pays The ability to better coordinate the care providers give to you and your family Reduction in medication and medical errors Safe and secure transmission of your health records Better health for you, your family and Ohio s citizens 21

22 Improved Population Health 22

23 electronic Long-Term Services & Supports (eltss) Initiative

eltss Success Metrics: Alignment with National Interoperability Vision Leverage Health IT to increase health care quality, lower health care costs and improve population health

24 eltss Success Metrics: Alignment with National Interoperability Vision Leverage Health IT to increase health care quality, lower health care costs and improve population health Support health not limited to care delivery Build incrementally from current technology Establish best minimum possible Create opportunities for innovation Empower individuals 24

25 eltss Success Metrics: Alignment with National Quality Strategy Source: 25

26 Get Engaged 26 Dan Paoletti, CEO

Nonprofit partnership. A grass roots organization where Board of Directors have vested interest in its success.

Nonprofit partnership. A grass roots organization where Board of Directors have vested interest in its success. 1 Nonprofit partnership A grass roots organization where Board of Directors have vested interest in its success. The Board ensures representation from many of stakeholders throughout Ohio. 2 3 Federal