davidson

							                          Connecting Communities:
                        Lessons From Six State Health
                            Information Exchange
                               Demonstrations
7351 Lowry Boulevard,
Suite 400
                                   Arthur Davidson, MD, MSPH
Denver, CO 80230

                                       September 16, 2009

                            Agency for Healthcare Research and Quality
                                      Annual Conference
                  Objectives


• provide an opportunity for several State
  and Regional Demonstration Projects to
  talk about their successes

• show how HIE can impact health reform



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State and Regional Demonstration (SRD)
               Projects

   •   5-year contracts,
   •   $5M total direct/indirect costs
   •   2004 to 2009
   •   6 States
       –   CO
       –   DE
       –   IN
       –   RI
       –   TN
       –   UT                            3
                               Context


•   health reform is still poorly-defined

•   most agree with three basic health reform goals:
     – increase quality,
     – Increase access, and
     – reduce costs.

•   Focus of session:
     – What impact have the SRD had on these goals through health
       information exchange (HIE)?



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                                  CORHIO Impact


•   Linked 4 large healthcare providers (Denver Health, Kaiser Permanente, The Children’s
    Hospital and University of Colorado Hospital)
•   Working toward a comprehensive statewide health information exchange
•   Evaluation: valuable patient identity management service (eMPI) for proper record merging
    across/within partner institutions
•   CORHIO is a convener/collaborator and technical service provider/broker
•   State Designated Entity plays major role building quality improvement focus (re: HITECH and
    meaningful use functionality)

•   As CORHIO continues to evolve to a clinical messaging service, key demonstration
    lessons (e.g., usability and data integrity) are being incorporated in newer technology
    solutions (being solicited)

•   Waiting for health reform, CORHIO focused on:
     – a sustainability model,
     – ways to address meaningful use
     – make progress toward 2 of the 3 goals:
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          • improve quality and reduced cost,
                     SRD Representatives


•   Gina Perez – DE: Delaware Health Information Network (DHIN)
     – how HIE plays a role in meaningful use,
     – share some success stories of DHIN
     – anecdotal information about successes DHIN has had improving care
       and reducing costs.

•   Mark Frisse – TN: Midsouth eHealth Alliance (MSeHA)
     – results from the Vanderbilt evaluation team working across emergency
       departments in Memphis hospitals

•   Marc Overhage – IN: Indiana Health Information Exchange (IHIE)
     – quality improvement performed by Regenstrief team
     – focus on reduction in duplicated tests                                 6