On the Path to Secure, Interoperable HIE Everywhere

March 5, 2013

Mariann YeagerExecutive Director

www.healthewayinc.org 1

2 2008 PHIN Conference 25 August 2008

eHealth ExchangeHealth Bank or

PHR Support Organization

Community #1

IntegratedDelivery System

Community Health Centers

Community #2

State and Local Gov

Labs

Pharmacies

VA

CMS

DoD

SSA

The Internet

Standards, Specifications and Data Use & Reciprocal Support Agreement (DURSA) for Secure Connections

Shared trust framework and rules of the road

eHealth Exchange Anchor Participants

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• 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

eHealth Exchange Participants

• Lancaster General Health

• 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

• Social Security Administration (SSA)

• South Carolina Health Information Exchange (SCHIEx)

• South East Michigan Health Information Exchange (SEMHIE)

• Strategic Health Intelligence

• University of California, San Diego

• Utah Health Information Network (UHIN)

• Wright State University4

eHealth Exchange Growth• Participation reaching critical mass

• 38 Participants• More than 500 hospitals, 5000 physician practices • 100 million patients• More than 50 others in various stages of onboarding

• National-level coverage increasing• Footprint in all 50 states• Patient records securely shared across 23 states

• Collaboration extending breadth and depth of connectivity• Care Connectivity Consortium• EHR|HIE Interoperability Workgroup

• MU2 driving adoption among vendors and providers 5

Forming Strategic Collaboration

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eHealth ExchangePowered by Healtheway

Leverage CCC’s development and incubation of new services for the exchange

Leverage Healtheway’s robust onboarding and associated services to help minimize costs and improve efficiencies

Alignment with State HIE Efforts• Complements state HIE programs by enabling exchange

• Across geographic, organizational boundaries and technical platforms

• With federal health providers and in support of federal programs• Provides a mechanisms for states to interconnect based upon

a national-level trust and interoperability framework• Significant level of state participation and buy-in• Collaboration with EHR | HIE Interoperability Workgroup

aligns national-level and state HIE programs

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• 18 States represent ~ 52% of US Population

• 41 Vendors are leading EHR and HIE vendors with significant market share

• 19 EHR Vendors• 22 HIE Vendors

• MOU in place with states and vendors to use joint testing program

States EHR Vendors HIE Vendors

California Alere Wellogic 1MEDiX

Colorado Allscripts Alere Wellogic

Florida Cerner ApeniMED

Georgia Data Strategies dbMotion

Illinois DeFran Systems GE

Kansas Dr. First GSI Health

Kentucky eClinicalWorks Harris

Maryland eMDs HealthUnity

Michigan Epic ICA

Missouri ePocrates InterSystems

Nebraska GE Med3000

New Jersey Greenway MedAllies

New York McKesson MedFx

Oregon MdClick Medicity

Rhode Island MTBC Mirth

Utah NextGen Misys Open Source Solutions

Vermont Nortec Software NextGate

Virginia Sage OmniMD

Siemens OmniXchange

Optum

Orion

RelayHealth

EHR |HIE Interoperability Workgroup

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EHR |HIE Interoperability Workgroup - Healtheway Partnership• Assures overall success of the Compliance Testing Program:

• Achieves a larger market impact through support of a uniform set of testing requirements and testing process

• Helps unify industry and avoid market fragmentation• Required minor work to establish a harmonized set of

implementation specifications and testing requirements due to significant overlap in specifications

• Brings together shared stakeholders, as many states / vendors are engaged with both IWG and the eHealth Exchange

• Strengthens shared vision, evidenced through common testing program goals and objectives

Testing Program Goals • Overall Goal:

• Reduce barriers to HIE, establish interoperability, while minimizing cost and complexity when possible

• Test once and capable of exchanging with many others• Cover transport, transactions and content

• Product Certification • Provide market assurance and technical clarity in compliant

products• Assure Provider to HIE interoperability

• eHealth Exchange Participation Testing• Verify that implementations of successfully validated products are

compliant as a condition of participation in the eHealth Exchange• Assure interoperability among participants in the eHealth Exchange

HIE Certified Programs

• HIE Certified Community™, for electronic health records

(EHRs) and other health IT systems, that will enable state-

wide patient data inquiry allowing clinicians to query an HIE

for information on specific patients

• HIE Certified Direct™ that provides a simple way for

providers to send secure health information directly to

trusted recipients, including patients, over the Internet

• HIE Certified Network™ for HIE-to-HIE connectivity and for

connection to the eHealth Exchange

HIE Certified Seals

HISP

EHR

HIE Certified DirectONC Specs: Direct Project

Gateway Gateway

HIE Certified NetworkNHIN Specs: PD/QD/RD/MA

EHR EHR

GatewayCDR/MPI

HIE Certified CommunityNHIN Specs: PD/QD/RD/MAIHE Specs: XDS/PIX/PDQ

CDR/MPIGateway

HIE Certified CommunityNHIN Specs: PD/QD/RD/MAIHE Specs: XDS/PIX/PDQ

Health Care Organization A

S/SMTPXDS/PIX/PDQ

PD/QD/RD/MA

XDS/PIX/PDQ

PD/QD/RD/MA

PD/QDRD/MA

Health Care Organization B

EHR

XDR

EHR EHR

HIE Certified: Network

Pilot Launched• Pilot Launched• Program available in Spring 2013• For more information:

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For More Information• EHR | HIE Interoperability Workgroup

• www.interopwg.org • Healtheway and eHealth Exchange

• www.healthewayinc.org • Testing Program Updates and Resources

• www.cchit.org • Joint Task Group – Test Cases and Content Specifications

• http://exchange-iwg.wikispaces.com

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