A Vision for Connected Healthcare

Connecting Michigan for Health 2013

June 5th 2013

Lansing Michigan

Becoming a “Connected State” Michigan’s Connected Dots Going Forward

Keeping Patients in the Center

Vision for a “Connected State”

• Healthcare data integrated across all stakeholders in the care delivery continuum

• Critical clinical data available anywhere anytime for any Michigander traversing the state or beyond

• Effective population health management thru data transparency & analytics

Do not compete on data

Where are we today..

• 7 state HIE’s at multiple levels of maturity– Significant number of Healthcare Providers

represented

• Escalating use of EMR’s both in Acute care facilities as well as Physician offices– 11 Health major systems have the same EMR– MU driving adoption

• Key stakeholders positioned to drive integration

Connected Health Vision

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Automation Opportunities

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Clinician Access

• Ability to quickly find out what is already known about a patient’s condition

• Ensure that other’s do not need to repeat or start over again

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Alerting Clinicians!• Automatically notify

doctors and their clinical support teams when significant health care events happen to their active patients

• Ensure the data integrates to into the workflow vs. creating additional work

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Reducing the Provider Burden

• Automate as much as possible

• Reuse the same infrastructure for multiple purposes

• Leverage common standards

• Take advantage of functionality in certified EHR‘s

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Consumer Engagement

• Encouraging patients to access their own medical information

• Enable patients to capture, share, and take action on their data

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Keeping Patient’s Trust

• Maintain patient confidentially

• Comply with privacy and consent management laws and expectations

• Proactively implement security mechanisms

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Existing Connectivity In Michigan

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State of Michigan

HealthPlans

More to Come…

MDCH Data Hub

Medicaid

MSSS

State LABSState LABS

Doctors & Community Providers

HIEs(QOs, VQOs or sub-

state HIEs)

Basic Data Flow

Data Warehouse

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State-wide Shared Services

DIRECTHISP

Virtual Qualified

Organizations

Health Plans

Statewide Types of Data Sharing

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Push Alerts & Notification

Pull/Query Care Summaries

Health Provider Directory

Public Health Reporting

Vaccination Reporting

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HIE(QOs, VQOs or sub-state HIEs)

Public Health Reporting

State-wide Shared Services

Health Provider Directory

• Source of trusted provider information for secure routing and HIE information

• State-wide provider address book• Direct• Referrals

• Sets the stage for provider relationship management

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HPD

Direct Address Book

Directory Services

Provider Relationship Management

Routing Preferences

Qualified Sub-state HIE

or VQO

Qualified Sub-state HIE

or VQO

Qualified Sub-state HIE

or VQO

Qualified Sub-state HIE

or VQO

Transition of Care Notification

Patient to Provider Attribution

Delivery Preference

Lookup

1) Patient goes to the hospital, hospital sends a registration message

2) MiHIN checks for Patient to Provider Attribution and identifies three providers

3) Using the HPD, MiHIN identifies a Delivery Preference for each provider

4) Notification is routed to the providers based on their preference

Primary Care

Specialist

Care Coordinator

Alerts & Notification

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Animation

State-wideRecord Locator

Service

Query for Patient History

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HIE

HIE

HIE

1) Doctor see’s a new patient in the Emergency Department (ED)2) ED sends out a “patient discovery” request for information about the patient

DoctorPatient

3) Sources that know the patient respond4) ED queries for patient clinical information5) Sources respond with clinical document(s), typically CCDs

CareSummary

Patient Found

Patient Found

Patient Not Found

Animation

How Does Michigan Become a “Connected State”?

1. Healthcare organizations can get connected to one of Michigan’s sub-state HIEs

2. Health plans can help incentivize care coordination and cross organizational data sharing

3. Government can work with organizations to ensure that “meaningful use” reporting requirements meet the multiple needs such as public health and quality reporting

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Thank You & Questions?