HIE/HIO Organizations Supporting Meaningful Use (MU) Stage 2 Goals Q4 Update from HIE Survey Participants January 9, 2015
Purpose of HIE Survey Update The purpose of the HIE Survey was two-fold: To recognize trends and progress compared to our HIE Survey results To identify areas where the HIMSS HIE Committee could develop resources or provide information to support to our nation s HIEs/HIOs Key information: Methodology: For both the and HIE Surveys, HIMSS used an online survey tool which allowed self reporting and participants to remain confidential. Survey: The HIMSS HIE Committee conducted a survey in to report if local, regional, private HIE/HIOs are offering Meaningful Use related services to their stakeholders. The survey targeted an audience of HIE/HIO organizations. Survey Update: The HIMSS HIE Committee asked the survey participants to provide updated answers to the same questions in an effort to help identify any potential trends or areas that the would generate impactful results for the HIE community.
Demographics Participation - Total Organizational Participants 23 19 State Designated Entities (SDEs) 35% (8) 31.5% (6)
Computerized Provider Order Entry (CPOE) Does your HIE provide services or a gateway to facilitate orders/results delivery? 48% 52% 26% 74% Use CPOE for medication, laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. If order goes beyond organizational boundaries, then Enterprise HIE is implied and could be involved.
Demographics Recording Does your HIE MPI or empi act as a Patient Cross Reference Manager to maintain a global community ID? 26% 74% 11% 89% EP Record the following demographics: preferred language, sex, race, ethnicity, date of birth. EH/CAH Record the following demographics: preferred language, sex, race, ethnicity, date of birth, date and preliminary cause of death in the event of mortality in the EH or CAH.
Clinical Decision Support Rules Does your HIE facilitate population health management best practices by providing clinical decision support rules systems? 91% 9% 95% 5% Use clinical decision support to improve performance on high-priority health conditions.
Patient Reminders Does your HIE provide this publish/subscribe functionality for care coordination? 78% 22% 58% 42% [EP Only] Use clinically relevant information to identify patients who should receive reminders for preventive / follow-up care and send these patients the reminder, per patient preference.
Lab Results (Ambulatory) Does your HIE organization normalize lab data with LOINC or an alternative? 43% 57% 37% 63% Provide structured electronic lab results to ambulatory providers.
Lab Test Reporting Does your HIE transport Electronic Lab Test Result reporting information to your state department of health on behalf of your connected stakeholders? 52% 48% 47% 53% [EH / CAH Only] Capability to submit electronic reportable laboratory results to public health agencies, except where prohibited, and in accordance with applicable law and practice.
Patient Access Does your HIE organization offer this service? 32% 47% 68% 53% [EP/ Only] Provide patients the ability to view online, download and transmit their health information within 4 business days of the information being available to the EP. [EH/CAH only] Provide patients the ability to view online, download, and transmit information about a hospital admission.
Secure Messaging Does your HIE offer Direct HISP services for secure messaging between providers and patients? 41% 59% 21% 79% [EP Only] Use secure, electronic messaging to communicate with patients on relevant health information.
Summary Care Record Does your HIE provide a summary of care record on behalf of your connected stakeholders for transitions of care or referrals? 30% 70% 16% 84% The EP, EH or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary of care record for each transition of care or referral.
Immunization Registries Does your HIE transport Immunization Registry information to your state department of health on behalf of your connected stakeholders? 41% 59% 42% 58% Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice.
Cancer Registry Does your HIE transport Cancer Registry information to your state department of health on behalf of your connected stakeholders? 13% 21% 87% 79% [EP Only] Capability to identify and report cancer cases to a public health central cancer registry, except where prohibited, and in accordance with applicable law and practice.
Data Protection Has your HIE organization reviewed or conducted a security risk analysis? 13% 87% 100% Protect electronic health information created or maintained by Certified EHR Technology through the implementation of appropriate technical capabilities.
Advance Directives Does your HIE organization facilitate access to advance directives for a community? 22% 32% 78% 68% [EH / CAH Only] Record whether a patient 65 years or older has an advance directive.
Syndromic Surveillance Does your HIE transport Syndromic Surveillance information to your state department of health on behalf of your connected stakeholders? 30% 37% 70% 63% [EH / CAH Only] Capability to submit electronic syndromic surveillance data to public health agencies, except where prohibited, and in accordance with applicable law and practice.
Imaging Results Does your HIE organization facilitate access to imaging results for a community? 22% 42% 78% 58% Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through Certified EHR Technology.
Lab-Test Results (CEHRT) Who does your HIE currently receive feeds from? 83% 89% 70% 74% 100% 80% 60% 0% 0% 13% 16% 22% 26% 22% 0% 40% 20% 0% Other Responses: Independent labs & imaging centers Regional based labs Unaffiliated hospitals Nursing homes Other diagnostic facilities Incorporate clinical lab-test results into Certified EHR Technology as structured data. Lab results are ideally electronically incorporated into the EHR via a structured format and shared within an organization, and ultimately across both public and private HIE organizations.
Resources HIE: un & Verb - A LinkedIn Group a discussion about transforming health through HIE https://www.linkedin.com/groups/hie-un-verb-8203304/about HIMSS HIE Committee http://www.himss.org/get-involved/committees/healthcare-information-exchange HIMSS Ambulatory HIE Toolkit http://www.himss.org/library/health-information-exchange/ambulatory-hie/toolkit HIMSS Enterprise HIE Toolkit http://www.himss.org/library/health-information-exchange/enterprise-hie/toolkit HIMSS State HIT Dashboard http://statedashboard.himss.org/ HIMSS Membership http://www.himss.org/membership/ HIE Symposium at HIMSS15 http://www.himssconference.org/education/symposia/health-information-exchange-symposium