Mais conteúdo relacionado Semelhante a Sustainability of HIE - A How To Guide (20) Sustainability of HIE - A How To Guide1. Better Outcomes. Delivered.
Health Information Exchange (HIE) Sustainability:
Lessons Learned by the Indiana Health Information Exchange
John P. Kansky, MSE, MBA
Vice President – Strategy and Planning
Indiana Health Information Exchange
8/22/2012 Copyright ©2012 Indiana Health Information Exchange, Inc. 1
2. The Indiana Health Information Exchange
• Founded in February 2004
• Based on the technology,
knowledge, and experience of the
Regenstrief Institute
• 75 employees
• Non-grant revenue in excess of $5
million annually
• Participation from 93 hospitals (30
health systems), 19,000 clinicians,
and 5 payors
• Serving an area with a population of
approximately 4 million people
Copyright © 2011 Indiana Health Information Exchange, Inc
www.ihie.org
3. The Soapbox and the Green Eyeshade
There are services that a health information exchange could theoretically provide
for which there is no apparent business model. There are also services that have
business models that are outside the mission of a typical HIE.
The The Green
Soapbox Eyeshade
Services on
Stuff an HIE which you can Stuff an HIE
could do to base a could do that
help “save the someone will
healthcare sustainable pay for
system” Health
Information
Exchange
Copyright © 2011 Indiana Health Information Exchange, Inc
www.ihie.org
4. HIE Sustainability – Basic Conceptual Principles
Based on the experience of 8 years of operation and an on-going history
of service development, launch, and support, IHIE bases its sustainability
plans seven basic principles. We believe these principles are key to
health information exchange being a self-sustaining endeavor.
• Principle 1: HIE is a Business
• Principle 2: The Leveraging of High-cost, High-value Assets
• Principle 3: No Loss Leaders
• Principle 4: Independent, Local Sustainability
• Principle 5: Natural Monopoly
• Principle 6: The Need for Scale
• Principle 7: Avoidance of Grants for Operational Cost
Copyright © 2011 Indiana Health Information Exchange, Inc
www.ihie.org
5. Principle 1: HIE is a Business
HIE is a business and as with all
businesses, creating a sustainable HIE
requires:
• offering services that the market wants…
• at a price the market will bear…
• doing so in such a way that revenue exceeds
expenses.
• services delivered by the HIE must be at a
level that healthcare organizations have
come to expect from their suppliers.
Copyright © 2011 Indiana Health Information Exchange, Inc
www.ihie.org
6. Health Data Sources Value-Added Services
• Results Delivery
• MU Support
• Public Health Integration
Hospital Hospital
s s
• Results Delivery
Physician • MU Support
• Clinical Quality Services
• Community Health
Record Access
Physician Physician
Offices Offices
• Results Delivery
• Community Health
Health Information Exchange Record System
Labs / Imaging Labs / Imaging
Centers Centers
Patient Physician
• Biosurveillance
• Reportable Conditions
Data Network • Results Delivery
Public Health Repository Application Public Health
s
• Quality Reporting
• Physician Bonus
Administration
Payors
Payors
Physician Data
Stewardship • De-identified,
longitudinal clinical
data
Outpatient Researchers
Rx
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
7. Health Data Sources Value-Added Services
• Results Delivery
• MU Support
• Public Health
Integration
Hospitals Hospital
s
• Results Delivery
Physician • MU Support
• Clinical Quality
™
Services
Physician Physician • Community Health
Offices Offices Record Access
• Results Delivery
• Community
Health Information Exchange Health
Record System
Labs / Imaging Labs /
Centers Imaging
Patient Physician Centers
• Biosurveillance
• Reportable
Data Network
Public Health Conditions
Repository Application Public
• Results Delivery
s Health
• Quality Reporting
• Physician Bonus
Administration
Payors
Physician Data
Stewardship Public Health
• De-identified,
Emergency Surveillance
longitudinal clinical
data
System (PHESS)
Outpatient Rx Researchers
Copyright © 2012 Indiana Health Information Exchange, Inc
www.ihie.org
8. The Leveraging of High-cost, High-value Assets
HIE assets are interdependent and, once created, can be leveraged to
deliver additional services.
New
ED Abstract Inpatient Ambulatory Clinical
Value-
and Results Results Results Quality
New added
Review Review Review Services
Medication Value- Service
New Profile added
Public Health Clinical Value- Service
Surveillance Messaging added Layer III: Including Repository Services…
Service
Layer II: Including Mapped/Normalized Data…
Layer I: Including Interface Engine, Community Trust, …
A layer of necessary investment
Value-added services that can be built upon the HIE investment
Copyright © 2011 Indiana Health Information Exchange, Inc
www.ihie.org
9. The Peanut Butter Principle
Problem to Solution Byproduct Secondary Outcome
Solve Issue Solution
George Soil depleted Plant Peanuts What to do with Make and sell Sustain the
Washington by Cotton to replenish all the peanuts? products that use southern
Carver lost nutrients peanuts, e.g.: economy
in the soil • Peanut butter (Keep growing
(early 1900’s) cotton)
• Peanut oil
Health • Rising cost of Build HIE How does Offer/sell services Make positive
healthcare infrastructure society (or a that use (and contributions to
Information
• Need to (and use it to given reuse) the HIE health and
Exchange community) pay infrastructure, e.g.: healthcare
improve address the
(2012) healthcare problems) for HIE? • Electronic Results
quality and i.e. financially delivery
safety sustain it • Clinical Quality
Services
• Medication profile
Copyright © 2011 Indiana Health Information Exchange, Inc
www.ihie.org
10. Questions?
For Further Information, Please Contact:
John P. Kansky
Vice President – Strategy and Planning
Indiana Health Information Exchange
Jkansky@ihie.org
Copyright © 2011 Indiana Health Information Exchange, Inc
www.ihie.org