Ohio’s CliniSync Health Information Exchange:

Leveraging Interoperability to

Improve Patient Care & Revenue

Scott Mash, MSLIT, CPHIMS, FHIMSSDirector of Consulting Operations & HIE Outreach

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OVERVIEW• History of CliniSync• Status of HIE and penetration across care continuum• Review available services• How the HIE improves care• Utilizing the HIE to reduce costs & increase revenue

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CliniSync is now a financially independent nonprofit.

GRANT FUNDING$28.3 Million

Assisted 6,000 + primary care providers in EHR adoption and Meaningful Use Achievement – highest of any Regional Extension Center in the nation!

REC

$14.7 Million

Connecting physicians, long-term care, hospitals, behavioral health and other care providers to the state Health Information Exchange

HIE

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GOVERNANCEWe are a grass-roots, community and statewide organization.

• Ohio Hospital Association, Ohio Osteopathic Association, Ohio State Medical Association and Ohio Department of Education.

Founders

• Physicians, hospitals, health plans, HIT, long-term care, consumer group.

Board of Directors

• Physicians, hospital systems, community and children’s hospitals, health plans, long-term care, behavioral health.

CliniSync Advisory Council

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A top-tier HIE vendor supporting multiple states (DE, HI, MI, VT, WI, CO, SD,

GA)

TECHNOLOGY PARTNER

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An HIE moves patient information electronically among physician offices, hospitals and other health professionals directly involved in a patient’s care, such as pharmacies and labs.

HEALTH INFORMATION EXCHANGE

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CARE COORDINATION

Hospitals

Physicians

Behavioral Health

Long-Term, Post Acute

CareHealth Plans

CommercialLabs

Public Health

CliniSync connects care providers to assist in better patient care coordination.

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OHIO’S CLINISYNC HIE HOSPITALS

Total Contracted Hospitals: 141 (soon to be 150)

Green: CliniSync Live Hospitals

Yellow: In implementation

Blue: HealthBridge Live Hospitals (20+)

Almost 90% of hospitals in Ohio have committed to an HIE.

Over 87% of 11.5M Ohioans are being served.

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IMPLEMENTATION SLIDE9 2 21 109

Community Memorial Magruder Hospital The Medical Center at

Elizabeth Place Samaritan Regional Wood County O’Bleness Memorial Wyandot Hospital Lake Health (2)

Wayne Community Knox Community

Hospital

Firelands Fisher Titus Harrison Community Holzer Health System (2) Ohio State (6) Wilson Memorial Summa Health (4) MedCentral (2) Akron Children’s (2) METROHealth

Adena Health System (3) Akron General (3) Alliance Community Aultman (3) – Lab Only Avita (2) Barnesville Bellevue Berger Hospital Blanchard Valley (2) Cleveland Clinic (12) Coshocton County Community Health and Wellness

(3) Dayton Children’s East Liverpool Elyria Memorial Fairfield Med Ctr Fayette County Fremont Memorial Fulton County Grand Lake/Joint Twp Genesis (2) Henry County Hocking Valley Humility of Mary (3) Joel Pomerene Mem Health Kettering (6) King’s Daughters - Rad only

*Signed off on results delivery

Licking Memorial Lima Memorial Marietta Memorial (2) Mary Rutan Mercer County Mercy Canton Mercy Lorain (2) Memorial Hospital Union

County Mercy Toledo (7) Morrow County Mount Carmel Health System

(4) – Rad/Trans only Nationwide Children’s - Rad

only Parma Community Premier Health Partners (4) Robinson Memorial Salem Community SEORMC St. John Saint Rita’s (2) St. Vincent Charity Southern Ohio Med Ctr Southwest General Trinity Health (2) Union Hospital University Hospitals (9) University of Toledo Med Ctr Van Wert Wooster Community Western Reserve

Data Collection Data Analysis

CertificationTesting Live

141

Total Active HospitalsAs of 10/20/2015

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CONNECTED PROVIDERS

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30 EMR Vendors Connected

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PROGRESS IN LTPAC SECTOR

• 356 facilitiesLTC/SNF

• 48 organizationsHome Health

• 4 organizationsHospice

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PATIENTS INDEXEDTotal patients indexed in CliniSync since inception: 7.2 million

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CHR QUERIESTotal number of queries performed during the month.

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CLINISYNC SERVICES

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SERVICES OVERVIEW

AA

Connect

Integrate

Notify Contribute

Consult

DIRECTory

Community Health RecordClinical Results InboxDIRECT MessagingHealth Plan Services

Clinical Results & Reports DeliveryElectronic OrdersIntegrated DIRECT Messaging

Admission & Discharge Notifications

Public Health ReportingSummary of Care Document (CCD)HL7 Interfaces

CliniSync Community LiaisonsMeaningful Use & More

DIRECT email addresses of providers

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• Community Health RecordAccess a single community record of your patients’ health encounters at hospitals and with other providers through CONNECT. You’ll get a comprehensive picture of a patient’s health history. HealtheWay Certified.

• Clinical Results InboxReceive clinical results and reports through CONNECT. You can receive lab results, radiology and transcribed reports directly into a secure, integrated inbox, or into your electronic health record system.

• ReferralsElectronically send and receive customized patient referrals with confirmation and tracking in real time through CONNECT. Your staff can streamline the referral process to reduce phone calls and faxing.

• DIRECT MessagingCONNECT with other providers using our HISP (Health Information Service Provider) by sending and receiving secure messages, called DIRECT. CliniSync is Direct Trust certified.

CONNECT

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INTEGRATE• Clinical Results DeliveryINTEGRATE patients’ lab results, radiology and transcribed reports into your EHR system, including, care summaries, history & physicals progress notes and more.

• Electronic OrdersIf your hospital chooses to participate in Electronic Orders through INTEGRATE services, you can place orders directly from your EHR system to the hospital without interrupting your workflow.

• Integrated DIRECT MessagingWith Integrated DIRECT messaging, you can send and receive secure messages from within your EHR system to other providers and these become part of your patient’s health record.

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NOTIFY

• Admission and Discharge Notifications

Receive a notification when one of your patients goes to the Emergency Department or is admitted to a hospital or discharged from it.

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CONTRIBUTE

• Public Health ReportingUse CliniSync to report public health data to the Ohio Department of Health.

• Summary of CareContribute care summary documents to CliniSync for other providers to access.

• HL7 InterfacesContribute clinical results to CliniSync for other providers to access.

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CONSULT

• CliniSync Community Outreach ManagersWork with a Community Outreach Manager in your region to connect with practices in your area.

• CliniSyncPLUSGet guidance on Quality Reporting: MU requirements, audits, PQRS, HEDIS.

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PROVIDER DIRECTORY

• Access a Provider DirectoryGain access to a secure Provider DIRECTory that includes DirectTrust or secure email addresses of other physicians and providers to improve transitions of care.

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WHAT TO EXPECT

Receive ADT and/or clinical data real-time

Leverage existing data streams

Select multiple methods for delivery

of data

Combine methods to meet your staff needs

FLEXIBILITYVOLUMESPEED

Access to statewide exchange

>27M incoming messages per month

More than 6.5M patients facilitated to-

date

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Health information exchange isn’t just about technology, it’s about community and trust.

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IMPROVING PATIENT CARE

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Connecting the Medical

NeighborhoodIt is no longer an issue of technology to enable care coordination, but the desire of a community to enable it and putting the policies in place to drive it’s use and to pay for it.

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• Allows providers of care to have information where they need it, when they need it.

• Reduced physical risks to patients by avoiding unnecessary duplicate tests.

• Improves the coordination of care for a patient among various care providers to avoid medication and clinical errors.

• Electronic health records and health information exchange are providing access to better data, especially for the chronically ill.

• Assists emergency room personnel with information about incoming patients.

CLINICAL BENEFITS OF HIEs

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REDUCING COSTS,

INCREASING REVENUE

& SURVIVING PAYMENT REFORM

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Better care, better health,

lower cost

Value Based vs Fee for

ServiceBundled

Payments for Episodes

of Care

HIE Coordinated

Care

Measures & Outcomes

Patient- Centered Medical Homes

Accountable Care Models

PAYMENT REFORM

Success with payment reform requires coordinated care across multiple settings, access to a patient’s complete clinical information and discrete data stored within your EHR.

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• When HIE is available to ED physicians, the number of laboratory tests and radiology exams decrease.

• Reduced costs to patients and rejected claims by avoiding unnecessary duplicate tests.

• Provides a coordination process to help reduce re-admission rates.

• Reduced staff hours for faxing and chart pulls.

REDUCING COSTS WITH HIEs

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• Serves as a mechanism to expand ancillary services and strategic partnerships.

• Supports team-based care models (PCMH, ACO & other payment reform models) that reduce Medicare and Medicaid spending (shared savings).

• Improved and more accurate reimbursement coding with improved documentation and data for highly compensated codes

• CCM (Chronic Care Management) and TCM (Transitional Care Management) provides higher reimbursement but requires HIEs.

INCREASING REVENUE WITH HIEs

Scott Mash614-541-2296

smash@ohiponline.org

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