June 20, 2012

An EHR/HIE in the Jackson area since 2005 Connects ~50% of all providers ◦ AllegianceHEALTH employed providers ◦ Many private practice providers ◦ Federally Qualified Health Center ◦ Jackson County Health Department ◦ AllegianceHEALTH clinics

Tightly integrated with AllegianceHEALTH One shared EHR for the community of

providers

Medication lists, reconciliations and drug interactions across practices.

Lab Results automatically assigned to the appropriate physician and patient independent of an electronic order.

All allergies are shared across practices.

Shared patient ID, demographics, med list, allergies, problem list, notes, etc.

Closed-loop ordering – referrals, tests, procedures Uniform decision support Advanced clinical information sharing Support in achieving meaningful use Real-time interfaces Local payer pay for performance reporting Local support

All social, family and past medical history is available.

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Patient identifier Demographics & insurance Lab orders and results (closed loop) Radiology orders & results Discharge summaries Operative Notes Histories & Physicals ePrescribing to pharmacies Tasks across practices Referrals across practices (as tasks) Enterprise Chart – eliminates the need for many other interfaces Auto populates JCMR and NextGen report systems Auto populates Phytel population management registries Phytel calls to remind patients to make appointment for overdue

care

Providers ◦ 214 Practice Management ◦ 155 Electronic Health Record ◦ >1,000 users

Patient Volumes ◦ 140,000 shared active patients ◦ 47,000 + encounters / month ◦ 35,000 Surescripts e-prescriptions / month

Monthly Interface Volumes Interface Volume

Lab Orders 68,273 Radiology Orders 4,623 Lab Reports 111,162 Radiology Reports 38,948 Hospital Reports (discharge, etc) 20,222 Total 243,228

Half of our 140,000 active community patients have visited more than one practice. By being connected to one enterprise database, our doctors and caregivers simply have more valuable and accurate data to take care of these patients.

Patient Centered Medical Home certified practices Provider incentives ◦ PQRI/PQRS from Medicare ◦ e-Prescribing from Medicare ◦ PCMH from Blue Cross & Medicare ◦ PGIP from Blue Cross ◦ Meaningful Use - stage 1 certified from Medicare

Reduced duplication of tests (est. 15-20%) Patient safety: medication interactions, pain contracts, doctor

hopping for meds… unknowable. It’s Your Life in JCMR to coordinate goals with Primary Care

Physicians. One click smoking cessation referrals and documented in

chart. Diabetes tracking. Automated outreach & new chronic disease registries

are getting patients in to see their physicians for overdue care (Phytel)

Provider workflow is critical ◦ Primary Care ◦ Specialty Care ◦ Emergency Department ◦ Hospital…

Support team based care ◦ PCMH ◦ Top of license ◦ Care coordination ◦ Change management

Support population health management ◦ Patients that should see a provider ◦ Patient self-management

Testing MCIR to State of Michigan

Reviewing Qualified Data Services

Organization (QDSO) agreement