No Population health withouth the right foundation
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Transcript of No Population health withouth the right foundation
AGENDA• Introduction to Orion Health
• Introduction to North Dakota HIN
• Goals for today
• North Dakota HIN presentation
• Use Cases
• Industry trends
• New foundational platform and pop health
applications requirements
• Q&A
SHELDON H. WOLFNorth Dakota Health Information
Technology Director
SUZANNE COGANVice President
Healthier Populations
Page 3 • 2016 © Orion Health™ group of companies
Orion Health | Interoperability and PHM Customers Around the World
55 PHM communities
worldwide
102 million patient records viewed
Over 60 US health
departments
30+ large CINs and ACOs, and HIEs in the US
Page 4 • 2016 © Orion Health™ group of companies
Our People | Global Footprint
1Mexico
243United States
16Canada
5Spain
2Italy
1Greece
1Turkey 1
Kuwait
34UK
4Ireland
4Belgium
2Netherlands
3Denmark
1Norway
2Austria
1Germany
1Sweden
1Finland
1Saudi Arabia 2
Qatar
1UAE
1India
1Thailand
1Hong Kong
1Malaysia
1Singapore
14Australia
20New Zealand
73China
2Korea
4Japan
1Russia
1Argentina
1South Africa
4France
Orion Health | Global Clients & Offices
Page 5 • 2016 © Orion Health™ group of companies
Orion Health | Unique Qualifications in the New Era of Healthcare
FUTURE PROOFARCHITECTURE
FOCUS
EXPERIENCE
POPULATION & PRECISION
HEALTH
END TO ENDSOLUTION
BUILDING CAPACITY, USAGE, AND VALUEFOR POP HEALTHINITIATIVESSheldon H. WolfNorth Dakota Health Information NetworkTechnology Director
North Dakota HIN Facts
42Hospitals
186Provider
Organizations
2Major Payers:
Blue Cross & Sanford Health
880,000Patients in eMPI
19th Largest State
36Critical Access Hospitals
NDHIN Innovative Services Today
Communicate HubDIRECT secure messaging(over 800 messages per week)
Alerts and notifications
Clinical portal withclaims and clinical data
(500 record look-ups per week)
Prescription drug-monitoring
program
Longitudinal medical record with
image viewing
Real-time public healthreporting
NDHIN Current State• NDHIN Public/Private Partnership• Orion Health Technology Platform
• eMPI, patient matching• Provider Directory• Longitudinal Clinical Record• Image Exchange• ADT Alerting• Single Sign-on (SSO)• PDMP access w/SSO• Immunization Registry• Electronic Reportable Labs• Syndromic Surveillance• Access to 25-30 out State HIE’s
NDHIN Future State Additions
Infrastructure
• Orion Health Amadeus Platform Upgrade
• Provider Directory Upgrade• Medications• Additional Single Sign-on• C-CDA Discrete Data• Genomic Data
State Systems
• Cancer Registry• Enhanced Immunization System • Behavioral Health EHR• Developmental Disabilities EHR• Corrections EHR• State Vets Home EHR• University Health systems EHR
Federal Systems
• VA, IHS, DOD• South Dakota• Snow Bird aStates• 40 additional States
& HIEs
NDHIN Future State Additions
Payer
§ Access§ Data contribution§ All Plans
• Medicaid• Medicare• Commercial• Large Employer• Workman’s Comp
Patient
§ Global Personal Health Record§ Patient Reportable Data,
Telehealth, Wearables
MU Providers
§ Hospitals§ Clinics
• Traditional• Urgent Care• Pharmacies
§ Large Reference Labs§ Chiropractors§ Optometrists§ Dentists
NDHIN Future State Additions
Non MU Providers
§ Long Term Care• Assisted Living• Basic care
§ Behavioral Health§ Residential Treatment Centers
§ Home Health Care§ Hospice, Palliative Care§ EMS§ Pharmacies§ DME§ Audiology
§ Podiatry§ Prosthetics§ New Born Screening§ Local Health Departments
• K-12 Schools
NDHIN Future State Additions Strategic Statewide Applications
Care CoordinationCoordinate integrates with Engage - Social Services Referrals - Risk ScoresGaps in care - Clinical & Claims Data
Analytics, Population Health
Statewide Credentialing
Advance Directives, POLST/MOLST Registry
NDHIN- Tools
Patient-centeredcare
Shared care plans
Collaborative worklists
Referral management
Risk calculators
Patient engagement
Medication management
Assessments
Hospitals Clinics
Behavioral Health
Long Term Care
Local Public Health
Ø K-12 school nurses
ND DevelopmentalDisabilities
VA
Home Health
ND University System
IHS
Medicaid
ACOs
NDPERS/ state employees health plan
Commercial
SNAP
Foster care Child care assistance
TANF
Autism services
Special-needsadoption
LIHEAP
Transportation
Job programs
Housing Assistance
Department of Corrections
ND Veteran’s Home
Care Coordination Partners
Future State: New Data types Integration and Care CoordinationClinical Care – Behavioral Health – Social Services
KeyProvidersPayersHuman ServicesCommunity Services
Medicare
Self-insured Employers
VA
DODSSA
Chiropractors
Optometrists Hospice
EMS
Labs
Pharmacies
University Health
DMS
Audiology
Podiatry
New Born Screening
Prosthetics
NDHIN Use CasesLocal Public Health Units Care Coordinators Medical Records
InformationPrescription Drug
Monitoring Requirement
Referrals Hypertension/Vital Records Meaningful Use Claims Payment
(Medicaid)
MU
Page 21 • 2016 © Orion Health™ group of companies
Industry Trends | Precision Medicine: The Right Treatment at the Right Time
FUTURE PROOFARCHITECTURE
A vast amount of untapped data could have a great impact on our health
Source: Health Aff (Millwood). 2002 Mar-Apr;21(2):78-93. The case for more active policy attention to health promotion.McGinnis JM, Williams-Russo P, Knickman JR.
Page 22 • 2016 © Orion Health™ group of companies
Industry Trends | Healthcare Data Explosion
2012500 Petabytes
=
10 billionFour drawer
cabinets
202025,000 Petabytes
=
500 billionFour drawer
cabinets
The amount ofhealthcare data worldwide is expected to grow
by 50 times in 8 years
Page 23 • 2016 © Orion Health™ group of companies
New Platform Requirements | Handling Data Complexity
Healthcare is changing from a closed community into an ecosystem centered around the patient and their record which will include many elements not traditionally captured.
Page 26 • 2016 © Orion Health™ group of companies
Orion Health | Key Pop Health Needs to Address
Quality and Compliance Reporting
Managing Revenue and Costs
Coordinating Care
‣ Monitor and manage key performance metrics under value based contracts:
‣ Pay for Performance‣ Shared Savings‣ Bundled Payments
‣ Give practices and providers the tools required to identify and close care gaps.
‣ Population exploration tools for care coordination staff
‣ Patient risk stratification tools
‣ High risk discharge and medication adherence analysis
‣ Tools to identify key contributors to costs:
‣ Readmissions‣ Utilization‣ PMPM
‣ Manage network leakage and referrals.
Page 28 • 2016 © Orion Health™ group of companies
Amadeus | With Integrated Analytics Engine
Open APIs
3rd Party AppsEngage Coordinate
Data Processing Pipeline
Cleansing
SequencingRouting
Mapping
Replay Enriching
Analytics App Suite (Pop Health, MSSP)
Analytics EngineData Engine
Rhapsody
3rd Party Analytics
Patient Registries
Streaming & Computation
Pipeline
In Memory Massively Parallel Processing
Raw DataStore
Privacy Service
Clinical Portal EMR Connect Bulk DownloadDocument Exchange
C-CDA ServicesTerminology ServicesEMPIConsent
Consumer
EMR / PMS
Lab
Payer
HIE
Data Spaces
Clinical
Payer
Consumer
Custom
Page 30 • 2016 © Orion Health™ group of companies
Orion Health Amadeus | Integration of Analytics & Care Coordination
Page 31 • 2016 © Orion Health™ group of companies
Orion Health Amadeus | Drill down to Patient-Centric Longitudinal Health Record + Gaps in Care
Page 32 • 2016 © Orion Health™ group of companies
Orion Health Amadeus | Drill down to Patient-Centric Longitudinal Health Record + Gaps in Care