Post on 22-Feb-2016
description
Partnering to Improve Patient Health Outcomes
Polly Mullins-Bentley, RN, RHIT, CPHQActing Executive Director
Governor’s Office of Electronic Health InformationState Health I.T. Coordinator
Healthcare Today: A Disconnected System
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• Islands of data
• Poor coordination
• Fragmented processes
• Limited connectivity
• Patients and clinicians often left without tools and data required
8/19/2011 3
NQS Framework
National Quality Initiative: Aims, Priorities and Goals for Improving Quality
1. Making Care Safer2. Ensuring Person- and Family-Centered Care 3. Promoting Effective Communication and
Coordination of Care 4. Promoting the Most Effective Prevention and
Treatment of the Leading Causes of Mortality, Starting With Cardiovascular Disease
5. Working With Communities to Promote Wide Use of Best Practices to Enable Healthy Living
6. Making Quality Care More Affordable
eHealth in Kentucky
• eHealth Milestones• March/2005
• Legislation (Senate Bill 2) to create a secure interoperable statewide electronic health network
• 2007 -2008• Medicaid Transformation Funding - $4.9 million• Built the technical infrastructure for the KHIE
• 2009• ARRA/HITECH Funding - $9.75 million
• 2010• Kentucky Health Information Exchange LIVE
Polly Mullins-Bentley, Acting Executive Director, CHFS, Governor’s Office of Electronic Health Information (GOEHI)
Kentucky Health Information Exchange:Governance Structure
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Governor’s Office of Electronic Health InformationStrategic Priority Goals
• Promote and increase the adoption and use of health information technology
• Assist with and facilitate state-wide meaningful use initiatives (with other HITECH programs)
• Provide governance and oversight to the Kentucky Health Information Exchange
• Provide HIE Connectivity to as many providers as possible as quickly as possible
• Build critical mass• Demonstrate value
• Assist providers in meeting meaningful use
• 2012 Key Goals• Immunization Testing for Stage One MU• Work with pharmacies to increase electronic prescribing in KY• Implement lab results exchange with delivery• Facilitate exchange of key clinical information to improve transitions of care• Implement Direct Secure Clinical Messaging
How the Exchange ‘Works’Data Sharing!Community/Master Patient Index
• Populated by ADT’s/patient demographics
Record Locator Service• Locates all the patient encounters• Consolidates patient information for presentation to the provider
Access • KHIE Community Portal/Virtual Health Record• Provider EHR Portal/Dashboard
KHIE Community Portal (Virtual Health Record)
Implementation Success
• 226 Participation Agreements Signed• Represents 500+ provider organizations• Active implementations
• 82 LIVE Connections• Data is being exchanged between providers today
• Labs, Rads, Transcribed Reports• Clinical Summaries (CCD’s)• Immunizations routed to the KY IR
• Policies written, approved and in effect
Participation AgreementsHospitals/Physicians by County
226 Signed PA’sUpdated 08/10/12
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician Lab Combination
Other Participation Agreements:• Kentucky Immunization Registry• Kentucky Cancer Registry• Kentucky State Laboratory• Cumberland Medical Lab• Labcorp
Congressional District 1
Congressional District 2
Congressional District 3
Congressional District 4 Congressional District 6
Congressional District 5
KHIE Hospital Participation AgreementsHospitals by County
64 Signed PA’s representing 90 Hospitals (22 are CAH)Updated 08/13/2012
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital
Congressional District 1
Congressional District 2
Congressional District 3
Congressional District 4 Congressional District 6
Congressional District 5
Critical Assess Hospital
FQHC Participation AgreementsFQHC by County
11 Signed PA’s representing 51 Sites
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
FQHC
Congressional District 1
Congressional District 2
Congressional District 3
Congressional District 4 Congressional District 6
Congressional District 5
FQHC Sites live on KHIE
Rural Health Clinics Participation Agreements
RHC by County42 Signed PA’s representing 80 Sites
Updated 08/13/2012
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
RHC
Congressional District 1
Congressional District 2
Congressional District 3
Congressional District 4 Congressional District 6
Congressional District 5
LIVE Connections
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Hospital Physician/Clinic Lab Combination
Others:• Kentucky Immunization Registry• State Lab (Microbiology)
(Franklin)• Grundy, VA
Congressional District 1
Congressional District 2
Congressional District 3
Congressional District 4 Congressional District 6
Congressional District 5
8/19/2011
Outreach Coordinator Regions
Adair
Allen
Anderson
Ballard
Barren
Bath
Bell
Boone
Bourbon
Boyd
Boyle
Bracken
Breathitt
Breckinridge
Bullitt
ButlerCaldwell
Calloway
Campbell
Carlisle
Carroll
Carter
Casey
Christian
Clark
Clay
Clinton
Crittenden
Cumberland
Daviess
Edmonson
Elliott
Estill
Fayette
Fleming
Floyd
Franklin
Fulton
Gallatin
Garrard
Grant
Graves
Grayson
Green
Greenup
Hancock
Hardin
Harlan
Harrison
Hart
Henderson
Henry
Hickman
Hopkins
Jackson
Jefferson
JessamineJohnson
Kenton
Knott
Knox
Larue
Laurel
Lawrence
Lee
Leslie Letcher
Lewis
Lincoln
Livingston
Logan
LyonMcCracken
McCreary
McLean
Madison Magoffin
Marion
Marshall
Martin
Mason
MeadeMenifee
Mercer
Metcalfe
Monroe
Montgomery
Morgan
Muhlenberg
Nelson
Nicholas
Ohio
Oldham
Owen
Owsley
Pendleton
Perry
Pike
Powell
Pulaski
Robertson
Rockcastle
Rowan
Russell
ScottShelby
Simpson
Spencer
Taylor
ToddTrigg
Trimble
Union
Warren
Washington
Wayne
Webster
Whitley
Wolfe
Woodford
Region 1 – Laura ShonkRegion 2 – Teresa PoffRegion 3 – Ann O’HaraRegion 4 – Dawn GasserRegion 5 – Pat Robinson
GOEHI’s Plan/Scope of Work
• Assist the existing Pennyroyal Behavioral Health recipient with KHIE connectivity
• Provide connectivity for other CMHCs
• Enhance the capability of the KHIE and the current CCD
• Develop a 42 CFR 2 compliant consent
• Develop consent training protocols
• Inform both healthcare providers and consumers about this process
What’s Possible? With a Connected Community
CommunityPharmacy
ImagingCenter
Loosely Affiliated Physicians
Hospitals
Patients
Tightly Aligned Physicians
Better CareAffordable CareHealth People/Healthy Community
Owned Practices/
ClinicsReference
Lab
Non-affiliated Practices
More information on the KHIE can be found on the Governor’s Office of Electronic Health Information website athttp://khie.ky.gov
Polly.Mullins-Bentley@ky.gov