Georgia Health Information Exchange Georgia Rural Health IT Forum January 26, 2012.
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Transcript of Georgia Health Information Exchange Georgia Rural Health IT Forum January 26, 2012.
Georgia HIE Mission & Vision Revisited
Facilitate a statewide health information exchange for Georgia that is trusted and valued by all stakeholders in order to improve health care coordination, reduce costs, and establish a solid foundation for long-term financial sustainability.
Mission
Foster a healthier Georgia through the use and exchange of electronic health information by improving patient-
centered health care, increasing efficiency and promoting the health status of the entire state population.
Vision
2
Provides
input
Provides
input
Georgia HIE Governance Structure
Georgia Medicaid
Committees & Workgroups
eHealth State Agency
Council
HIT Coordinator
GHIE Inc. GA-HITREC
Local/Regional HIEs
Data Contributors
(Providers, Payers, Others)
GHIE Board Recommends
Georgia State GovernmentActual & Potential Participants
Georgia Public/Private Collaborative
Statewide HIE Policies & Requirements 6
DCHApproves & Enforces Policies
GHIE Committees and Workgroups
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GHIE,
• Legal & Privacy• Secondary Use (On Hold)• Service Area Health Information
Exchanges (SAHIEs)• Technology
Act and Get Involved
• Clinical– E-prescribing– Lab results exchange– Patient care summary exchange
• Finance
To get involved inquire at [email protected]
Stay Engaged & Spread the Word
• Quarterly DCH Town Halls
• Monthly eNewsletter: DCH-I
Coming Soon• Follow us on Facebook and Twitter
• Regular webcasts and roundtable events
8
Recent Progress
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• Technical & Policy Readiness Assessment• Environmental Scan• Legal & Privacy Services• Financial Modeling Services• Advertising & Marketing Services
Georgia HIE Development Status
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• Phase 1 – Direct (Secure Messaging)– Active RFP; responses due Jan 31st
– Q2 deployment• Phase 2 and 3
– Core and Value-Added Services– RFP expected to post in Q1– Deployment
• Phase 2: Q3• Phase 3: Q4
By September 30, 2012Georgia providers will share at least
1 million electronic health information
messages using Direct
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Connecting more than50 counties
40 healthcare organizations
Tens of thousands of clinicians and patients
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In 2012, Georgia will…
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• Enter Top 10 of states using Direct
• Enter Top 20 of ePrescribing states
• Have one of the most robust statewide health information exchanges in the country
ONC stated that with Phase 1, Georgia will “leap frog most other states” in its progress to establish a statewide health information exchange.
Upcoming Events
March 12, 2012• Georgia eHealth Summit
June 2012: Georgia Health IT Town Hall• Provider registration for the Georgia HIE• Measurement framework• Phase 2 implementation progress
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Health Information Exchange
• What is HIE?– Enables secure exchange of patient health information
between providers and healthcare organizations• Why is HIE important?
– HIE saves lives and improves health care outcomes by enhancing communication between providers, allowing for improved decision support and enabling patients to access information and better manage their personal healthcare
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Health Information Exchange
• What are the benefits of HIE?– When clinical records are available at the point of care,
patients receive more accurate and timely service.• Reduced likelihood of dangerous drug interactions• Avoidance of duplicate testing and unnecessary procedures• Improved provider-patient communication and coordination of care• Enhanced security for personal health information
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Georgia & Interoperability
27Payor OrganizationsSpecialty Facilities
EMS ProvidersCommunity Service Boards
Primary Care Physicians
Personal Health Records
SAHIEs
Health Systems
Radiology Federal Agencies
Telemedicine
FCHCs
Nursing Homes
State Agencies
Laboratories
Pharmacies Georgia Hospitals & Health Centers
What is Direct?
[email protected] [email protected]
• Simple. Connects healthcare stakeholders through universal addressing using simple push of information.• Secure. Users can easily verify messages are complete and not tampered with en route.• Scalable. Enables Internet scale with no need for central network authority that must provide sophisticated
services such as EMPI, distributed query/retrieve, or data storage.• Standards-based. Built on well-established Internet standards, commonly used for secure e-mail
communication; i.e.,. SMTP (or XDR) for transport, S/MIME for encryption, X.509 certificates for identity assurance
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What you need for Direct
• HIE Participant– Individual or organization that has a demonstrated need to
exchange health information• Certificate Authority (CA)
– Issues digital certificates to HIE Participants• Registration Authority (RA)
– Verifies identities of HIE Participants• HISP (Health Information Service Provider)
– Provides and manages Direct addresses, publishes certificates, routes (possibly storing) Direct messages
– HISPs can offer other HIE services
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Direct Addresses
• Direct Addresses are used to route information– Look like email addresses– Used only for health information exchange
• An individual may have multiple Direct addresses
Endpoint Domain
Direct Address
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Georgia Statewide HIE: Use Case #1Referral to Specialist (Example of “Push”)
Patient visits primary care provider; provider needs to refer patient to a specialist
1. Provider uses EHR to initiate referral message and locate specialists
Provider’s EHR system looks up specialist practices in GA’S HIE provider directory
3. GA HIE Network documents access to Network in audit log
4. Specialist receives referral request and sends response to referring physician through the GA HIE Network
5. Specialist sees patient
2. Referring provider sends referral and reference clinical documents to the specialist system
Provider DirectoryProvider DirectorySecurity Services & Authorization Framework
Security Services & Authorization Framework
Secure Message Exchangevia Direct Project
Secure Message Exchangevia Direct Project
Transaction Audit Log & Reporting
Transaction Audit Log & Reporting
Georgia Statewide Health Information ExchangePhase 1