SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 1

Advancing Quality Healthcare Through National, State and Local Community Collaboration

MiHIN HIE Day: Sub-State Panel Ann Arbor, MI June 20, 2012

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SEMHIE Organization & Membership

• Michigan non-profit membership corporation, incorporated in 2008

• Filing for 501(c)(3) status • Membership is diverse:

– six major health systems, payers, employers, providers, medical societies, quality organizations, safety-net providers, universities, governmental entities and healthcare professional associations

SEMHIE Proprietary and Confidential 6/25/2012 2:28 PM, slide 3

SEMHIE Officers, Board, & Advisors

Officers Group • Robert Jackson, MD, CMM, President

(Western Wayne Physicians) • Jeanette Klanow, Vice-President (St.

John Providence Health System) • Michael (Mick)Talley, Treasurer,

Project Manager (University Bank) • Paula Smith, Secretary (Oakwood

Health System) • Helen Hill, Immediate Past President

(Henry Ford Health System) Board Members • Lee Hawkins (Wayne County Medical

Society • Julie Moran (Trinity Health)

Board Members (cont.) • Gary Petroni (SEMHA) • Carole Pritchard (Henry Ford Health

System) • Dr. Gary Assarian (JVHL) • Carla Smith (HIMSS) Advisors • Jackie Rosenblatt, MPRO • Nancy Walker (MHIMA) • Stephen Lange Ranzini, University

Bank • Howard Burde, Legal Counsel

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SEMHIE’s Mission and Vision

• The SEMHIE Consortium will advance the implementation of an integrated, interoperable health information exchange across the region, supporting the data needs of physicians, health systems/ hospitals, patients, employers, health plans and other regional constituents

• The exchange will provide a platform for the delivery and sharing of electronic health information in a secure and timely manner to authorized users across organizational boundaries

• SEMHIE stakeholders are dedicated to: – Enhancing patient care quality and safety – Increasing effectiveness and efficiency of healthcare delivery – Reducing healthcare costs

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SEMHIE’s Objectives

• Establish a sustainable, self-sufficient business model for the

SEMHIE that aligns costs with benefits for the stakeholders • Provide for secure, private, and efficient cross-institutional exchange

of clinical and administrative healthcare data • Create a secure, ubiquitous, and interoperable health information

technology infrastructure consistent with recognized international, state and federal standards/guidelines

• Link to national and regional efforts through use of a common trust framework, business & operating rules, technical infrastructure, and governance models for federated identity management and interoperability

• Develop and maintain an environment of trust among stakeholders

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Recent SEMHIE Accomplishments

SSA e-Disability Claims: • Authorized NwHIN participant, certified NwHIN Gateway • Certified C32 Standard CCD exchange between providers and SSA

– Patient Summary Information – structured demographics, medications, labs, radiology & ancillary results, allergies, problem lists, encounters, etc –

– Provides complete range of patient authorized dates of service • Completing SSA contract July 6, 2012 • Designated as Pay-for-HIT site for SSA – ongoing funding source NwHIN Coordinating Committee: • Mick Talley named to Privacy-Security Committee • Helen Hill named SEMHIE SSA Rep on Coordinating Committee

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Recent SEMHIE Accomplishments

ONC Standards & Interoperability Framework: • Designated as Reference Implementation Site for Transitions of

Care Discharge Summary Use Case • Selected to demo in ONC Interoperability Showcase at 2012 HIMSS

Annual Conference, Las Vegas NV, Feb 2012 • Invited to demo at S&I Face-Face, Alexandria VA, April 2012

NSTIC: • Mick Talley, Stephen Ranzini, Helen Hill invited to participate in

NSTIC Workshop at NIST, Gaithersburg MD, March 2012

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Looking Ahead Opportunities: Ability to Expand Better, Cheaper, Faster

• SEMHIE’s HIE infrastructure, hosting, tools & services allow – Standard, flexible, rapid and cost-effective expansion – Add more providers for SSA (Pay-for-HIT) – Add more business services for SEMHIE members

• Further Develop and Expand Transitions of Care Service

• Member-Member Document Submission Service provides opportunity for development / acquisition of many new member services following TOC

• Rules for data extraction are easily modified for additional use cases (such as DoD/VA VLER; CMS Innovation projects; S&I Framework esMD, Query Health, etc.)

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Looking Ahead Opportunities: Ability to Expand Better, Cheaper, Faster

• SEMHIE is authorized by ONC to provide NwHIN CONNECT services – first HIE in state – business opportunities to be evaluated

• Provide Semantic Interoperability service (through Clinical Architecture) to members, prospects

• Many privacy-security, mobile health, financial services opportunities

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SEMHIE’s SSA e-Disability Claims Contract

Brief Overview

One of 12 National SSA e-Disability Contracts

1.Center for Healthy Communities, Wright State University, Healthlink, Dayton, OH

2.Central Virginia Health Network / MedVirginia, Richmond, VA 3.Community Health Information Collaborative (CHIC), Duluth, MN 4.Douglas County Individual Practice Association, Roseburg, OR 5.EHR Doctors Inc., Pompano Beach, FL 6.HealthBridge, Cincinnati, OH Lovelace Clinic Foundation (LCF),

Albuquerque, NM 7.Marshfield Clinic Research Foundation, Marshfield, WI 8.Oregon Community Health Information Network (OCHIN),

Portland, OR 10.Regenstrief Institute, Inc, Indianapolis, IN 11.Science Applications International Corporation (SAIC), Reston,

VA 12.Southeastern Michigan Health Assoc. (South East Michigan

Health Information Exchange), Detroit MI

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HIE Core Services Delivered to SEMHIE thru SSA Contract

Portal (patient search, workflow processing, system monitoring)

Transaction engine

RLS and MPI

NHINConnect gateway

CCD creation capability (extract and share clinical data: results, allergies, problem lists, medications, care summaries, etc.) Semantic interoperability engine

Clinical terminology mapping engine/tools

XDS A&B repositories, registries

Service Oriented Architecture (SOA)

Hosting services w/24x7 support, security, backup/recovery

Secure message routing

Secure, encrypted exchange with NwHIN and a federal agency

Open source interoperability standards and run time software (model driven messaging interoperability)

Improved Patient access to Healthcare: Shortening the Determination Cycle With SSA e-Disability

Claims Process from 489 Days to 1-2 Weeks

SEMHIE SSA e-Disability Claims: Benefits

• Quicker eligibility determination for applicants in bad economy – Reduces cycle from 459 day national average to under 1 week – 40,000 disability claims await final determination in the Detroit area (Detroit Free Press

July 2010) – Speeds access to needed healthcare, funding for approved patients

• Reduces provider & SSA time, labor, cost to get data for claims review – Speeds payment for approved healthcare claims – 45% reduction in SSA time – Retains current reimbursement for data gathering – Ongoing funding stream for SEMHIE (Pay-for-HIT) – SSA/MedVirginia study (Kay Center for eHealth Research) shows significant ROI to

providers ($2.1 million)

• Meets Stage 1 Meaningful Use Criteria for HIE Interoperability • Provides funding to build SEMHIE’s health exchange infrastructure

• Demographics, allergies, problem lists, medications, labs, radiology and other ancillary results, encounters and other key clinical data

– Connects to SSA and NwHIN through NHINCONNECT

• Available for extension to all state and regional healthcare providers