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Camden Coalition of Healthcare Providers Camden Health Information Exchange Camden Coalition of Healthcare Providers www.camdenhealth.org 1
1
Camden Coalition of Healthcare Providers
Camden HealthInformation Exchange
Camden Coalition of Healthcare Providers
www.camdenhealth.org
2www.camdenhealth.org
CooperOur Lady of LourdesVirtuaUnderwood
Camden HIE
Current HIE Interfaces• Cooper
o ADTo Labo Radiologyo Discharge summaries
• Lourdeso ADTo Labo Radiologyo Notes (IP)
o Discharge summarieso Consultso H&P
• Virtuao ADTo Labso Radiologyo Discharge summaries (IP)
• Underwoodo ADT (in progress)
• Reference Labso LabCorp (in progress)o Quest Diagnostics (in
progress)
Jersey HealthConnec
t
Health-e-cITies
MOHIE
Trenton
SJ HIE TBD
CHIE
Hospitals
Providers
Jail
Home Health
LTC/ Rehab
Behavioral
health
Hospice
ACO/ Population Health Analysis
State-Wide Exchange
+
Camden HIE
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HIE Data and Utilization
www.camdenhealth.org
• 85,000 Camden patients (95% of population)• 119 Users
o ED physicianso Primary care providerso Nurses/unit clerks
o Primary care basedo Hospital basedo Home Health
o Social workers
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HIE Benefits
www.camdenhealth.org
Providers• Reviewing own results• Reviewing other providers’ results• Trending labs• Post discharge care
Nursing• Chart Preparation (diagnostic results)• Referrals
o More complete clinical informationo Faster appointments
Social Workers• Notes on high utilizers
o Discharge Summaries from other facilitieso Clinical and Social work notes from CCHP
• Medication lists• Other contacts for patients
HIE Data Uses
• Healthcare utilization analysis• Population health research• Healthcare cost analysis• Case management/care coordination • Provider directory
Population Health/Cost Analysis
Inpatient Facts, 2011• 7,823 patients with at least 1 inpatient stay• 10,331 total inpatient visits• 1.3 average visits per individual• Maximum IP visits for 1 patient: 15 (3)• Median length of stay: 3 days• Number of hospitals
– One hospital: 55%– Two hospitals: 34%– Three hospitals: 11%
Population Health/Cost Analysis
ED Facts, 2011• Individuals with at least 1 ED visit: 50,947• Total ED visits: 107,171• Average visits per individual: 2.1• Maximum ED visits: 93• ED visits by hospital– Hospital 1: 36,404 (34%)– Hospital 2: 39,779 (37%)– Hospital 3: 30,988 (29%)
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1/3/20
11
1/13/2
011
1/23/2
011
2/2/20
11
2/12/2
011
2/22/2
011
3/4/20
11
3/14/2
011
3/24/2
011
4/3/20
11
4/13/2
011
4/23/2
011
5/3/20
11
5/13/2
011
5/23/2
011
6/2/20
11
6/12/2
011
6/22/2
011
7/2/20
11
7/12/2
011
7/22/2
011
8/1/20
11
8/11/2
011
8/21/2
011
8/31/2
011
9/10/2
011
9/20/2
011
9/30/2
011
10/10
/2011
10/20
/2011
10/30
/2011
11/9/2
011
11/19
/2011
11/29
/2011
12/9/2
011
12/19
/2011
0
2
4
6
8
10
12
14
3
6
5
4
3
14
2
4
5
8
1 1
ED IP
Leng
th o
f St
ay
www.camdenhealth.org
“Hospital Utilization EKG”
High Utilizer Targeting
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Supporting CCHP Care Coordination Model
www.camdenhealth.org
• Recruit patients in the hospital
• High touch, in-the-field interventions
• Be the “caulk” between providers– Clinical– Social– Behavioral
• Discharge to a prepared primary care office
6-Mar-
11
21-Mar-
11
5-Apr-
11
20-Apr-
11
5-May-
11
20-May
-11
4-Jun-
11
19-Jun
-11
4-Jul-
11
19-Jul-
11
3-Aug
-11
18-Aug
-11
2-Sep
-11
17-Se
p-11
2-Oct-
11
17-Oct-
11
1-Nov
-11
16-Nov
-11
1-Dec-
11
16-Dec-
11
31-Dec-
11
15-Jan
-12
30-Jan
-12
14-Feb
-12
29-Feb
-12
15-Mar-
12
30-Mar-
12
14-Apr-
12
29-Apr-
12
14-May
-120
1
2
3
4
5
6
7
8
9
ED IP
Leng
th o
f st
ay
CCHP Intervention
1 year pre-enrollment total charges = $297,430
Post-enrollment total charges to 7/1/12 =
~$15,000
Bending the Cost Curve
www.camdenhealth.org
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HIE Challenges• End User Engagement• Technical –Maintaining interfaces– Implementing new interfaces
• Understanding scope
