iHT2 Health IT Summit Atlanta 2013, Michael Matthews, Chief Executive Officer, MedVirginia, Central & Eastern Virginia's Regional Health Information Exchange , Case Study “Health Information Exchange: State and National Updates”

1. TRUST, BUT VERIFY:
ON THE ROAD TO NATIONWIDE
INTEROPERABILITY
MICHAEL MATTHEWS, CEO
- CEO, MEDVIRGINIA
- PRESIDENT, HEALTHEWAY
Health IT Summit in Atlanta, April 23-24, 2013

2. Overview
 Growth in health
information exchange
 Case studies of HIE
value
 Lessons learned
 Looking to the future

3. Corporate Resume
 In production for seven years
 First HIE in production on NwHIN (2009)
 “ConnectVirginia” – Statewide HIE (2011)
 Author and first signatory to DURSA (2009)
 First HIE to connect to SSA (2009)
 First SSA expansion to new communities (Centra) (2010)
 First HIE to connect to VA and DoD health records systems (2010)
 One of 5 “HIEs to watch” by CMIO magazine (2011)
 One of 12 “HIE Leaders” by NeHC (2011)

4. MedVirginia Connectivity
eHealth Exchange

5. The Journey Towards
Improved Patient Access,
Enhanced Clinical Outcomes,
And Better Aligned Incentives
Begins Here.
Improved
Patient
Outcomes
Patient-Centered
Medical Home
Coordination of
Care
Agreement
on Principles
Health
Information
Exchange
Patient Access
and
Engagement
Population
Health Analytics
Better Aligned
Incentives

6. Drivers
 Continuity-of-care
 Patient safety
 Duplication of tests
 Population health
 ACO
 Meaningful use

7. “….an exchange formerly known as NHIN”
 Nationwide Health Information Network
 NHIN
 NwHIN
 NwHIN Exchange
 eHEALTH Exchange

8. eHealth Exchange Anchor Participants
8

9. “We are truly entering a new era.”
Brian Ahier

10. eHealth Exchange Growth
Participation reaching critical mass
 39 Participants
 More than 700 hospitals, 5000 physician practices
 100 million patients
 More than 75 preparing to onboard
National-level coverage increasing
 Footprint in all 50 states
 Patient records securely shared across 23 states
 Anticipate connecting about ½ of the US within next
12 months
Collaboration extending breadth and depth of connectivity
 Care Connectivity Consortium
 EHR|HIE Interoperability Workgroup
Meaningful Use (Stage 2) driving adoption among
vendors and providers
10

11.  Alabama One Health Record
 Centers for Medicare and Medicaid Services (CMS)
 Childrens’ Hospital of Dallas
 Community Health Information Collaborative (CHIC)
 Conemaugh Health System
 Department of Defense (DOD)
 Department of Veterans Affairs
 Dignity Health
 Douglas County Individual Practice Association (DCIPA)
 Eastern Tennessee Health Information Network (etHIN)
 EHR Doctors
 Hawaii Pacific Health
 HealthBridge
 HealtheConnections RHIO Central New York
 HEALTHeLINK (Western New York)
 Idaho Health Data Exchange
 Inland Northwest Health Services (INHS)
 Kaiser Permanente
 Lancaster General Health
eHealth Exchange Participants
 Marshfield Clinic
 Medical University of South Carolina (MUSC)
 MedVirginia
 MultiCare Health System
 National Renal Administrators Association (NRAA)
 New Mexico Health Information Collaborative (NMHIC)
 North Carolina Healthcare Information and Communications
Alliance, Inc. (NCHICA)
 OCHIN
 Quality Health Network
 Regenstrief Institute
 San Diego Beacon
 Social Security Administration (SSA)
 South Carolina Health Information Exchange (SCHIEx)
 South East Michigan Health Information Exchange (SEMHIE)
 Strategic Health Intelligence
 University of California, Davis
 Utah Health Information Network (UHIN)
 Wright State University
11

12.  ApeniMED
 Aurion
 Axolotl
 CareEvolution
 CGI
 Cogon
 CONNECT
 CSC
 Epic
 Greenway
 Harris
 K Force
 MEDecision
 MedFX
Technology Solution Providers
Supporting eHealth Exchange
 Medicity
 Mirth
 MobileMD
 NextGen
 Northrop Grumman
 OneHealthPort
 Orion Health
 SAIC
 Talis
 Thompson
 Vangent
 Wright State Research
Institute 12

13. Healtheway Mission
 To support network
operations, including
infrastructure, to enable
the safe and secure
exchange of data
 To advance
implementation of HIE
through cross-industry
collaboration
13

14. Context
Nationwide
Health
Information
Network
eHealth Exchange Healtheway
A portfolio of standards,
services and policies for
secure exchange of health
information over the
Internet
A community of exchange
partners who share information
under a common trust
agreement, using a common set
of technical requirements,
policies and testing process
Non-profit organization that
operates the eHealth Exchange;
focused on cross-industry
collaboration to advance HIE
implementation
Federal program initiative
lead by ONC
Operational governance
established by contract (Data
Use and Reciprocal Support
Agreement – DURSA).
Oversight by Coordinating
Committee
Corporate board of directors to
oversee Healtheway strategy
and sustainability. No authority
or oversight of eHealth
Exchange
14

15. HIE Certified Seals*
• HIO-to-HIO Interoperability
• Supports eHealth Exchange
• Provider-to-HIO Interoperability
• Supports State HIE Efforts
*HIE Certified Compliance Testing Body: CCHIT

16. Strategic Collaboration: CCC
16
eHealth Exchange
Powered by Healtheway
Leverage CCC’s development and incubation of new services
for health information exchange
Leverage Healtheway’s robust onboarding and associated
operational services to help minimize costs and improve
efficiencies

17. Relevance
 Emergencies
 Chronically ill
 Uninsured
 Minority
 Wounded warriors
 Disabled
 Rural
 Incarcerated

18. Serving the Disabled
 Avg. disability determination:
 90 days
 With MedVirginia:
 65 days
 5% in 1-2 days
 CCD to SSA
 Algorithms by SSA
 Replication of model

19. Project Impact
 Case study
commissioned by SSA
 Conducted by Kay
Center for eHealth
Research
 Perspectives:
 Claimant
 Provider
 SSA
 ROI

20. Wounded Warriors
70
DoD VADoD-VA Continuum of Care
Private
Sector Care
60% 40%
Veterans receive
approximately
40% of their care
outside of VA
treatment
facilities.
Up to 60% of
service member’s
healthcare is
provided outside
of the Military
Health System.

21. VLER Partners
Portsmouth Naval Hospital
Fort Eustis
Fort Eustis
Langley AFB
Langley AFB
Fort Eustis
McGuire VA Medical Center
Hampton VA Medical Center

22. Lessons for HIEs
 “Trust, but verify”
 “Keep your friends
close, and your physicians
closer”
 “Standard of care, not a
science project.”
 “Status quo is the
competition, workflow is
the enemy”
 “Just do it”, because…
 “It’s worth doing”