THE NEW YORK STATE OF HEALTH IT: WHEREARE WE TODAY AND PERSPECTIVES FORTHE FUTUREDAVID WHITLINGERExecutive Director, New York eHealthCollaborative

#DHC14 | @NYeHealth

THE VISION

A universally accessible, reliable, PUBLIC UTILITY of clinical health information on every New Yorker for every New Yorker…

Enable broad collaboration between patients, providers, public health officials, and payers to improvethe quality of care in New York.

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WHERE ARE WE TODAY?

The SHIN-NY is comprised of 9 Regional Health Information Organizations.

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SHIN-NY CONFIGURATION

SOA Gateway and Master Patient Index enabled by: 4

WHO’S UTILIZING THE NETWORK?

Percentage of Stakeholder Adoption

Hospitals

83%78%

FQHCs Clinical Practice Sites

14%

Home Care Agencies

35%

Long TermCare Facilities

26%

56%

Public HealthDepartments

• Hospitals are up +9 points since May 2014• FQHCs are up +3 points since May 2014

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PATIENT RECORD LOOKUP GROWTH

Patient Record Lookup functions like a highly secure search engine, allowing healthcareproviders to retrieve individual patient records from across the network after receiving consentfrom the patient.

700,000

300,000

74% GROWTH SINCE OCTOBER 2012

October 2012 October 2014

691,836Queries397,451

Queries

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DIRECT MESSAGING allows clinicians the ability to securely and seamlessly exchange authenticated, encrypted clinical data with one another.

Nearly 5 MILLION DIRECT MESSAGING TRANSACTIONS were conducted per monthin 2014. (Monthly average: 4,955,245)

ROBUST UTILIZATION OF DIRECT MESSAGING

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PATIENT CONSENT IS ON THE RISE

Over 6 million New Yorkers have granted consent to their healthcare providers to share their records.

July2012

Sept2012

Dec2012

Mar2013

Jun2013

Sept2013

Dec2013

May2014

Jul2014

Aug2014

Sept2014

Oct2014

7.0M

6.0M

5.0M

4.0M

3.0M

2.0M

1.0M

0M

1,218,937

3,864,792 4,008,3314,042,397

4,988,7155,395,497 5,668,541

5,948,069

20%

6%

20% 21%

25%25%

29%

30%

6,357,989

32% 33%6,416,158

33%34% 6,749,416

6,485,751

Affirmative Patient Consent (Volume)

30%28%

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2014 ACCOMPLISHMENTS

State & Federal Government funds New York’s electronic health records system –$55MM in state funding & $30MM in CMS funding for the SHIN-NY

SHIN-NY regulation in public comment phase of approval

RHIOs poised for Certification and Dial-Tone requirements

Significant programmatic alignment with Medicaid & DSRIP PPSs. 27% of PPS members currently belong to a Qualified Entity. (Approx. 1,600 total PPS members)

NYS DOH licenses EHR | HIE Interoperability Workgroup test tool

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THE INFORMATION YOU NEEDTO PROVIDE THE BEST CARE

The SHIN-NY Enables Better Care and Greater Efficiencies.

Healthcare Providers Can:Look-up a patient’s medical records, lab results and radiology reports all in one place

Direct exchange messaging with other healthcare providers, like secure email

Receive Notifications and Alerts on a specific patient (e.g., discharged/admitted to a hospital)

Access clinical data for analytics support

Provide data for Public Health reporting

Access immunization data and reporting 10

DIAL TONE SERVICES

Services that Will be Provided for Free

Statewide Patient Record Lookup

Statewide Patient Record Lookup

Notifications (Alerts/Subscribe and Notify)

Public health reporting integration

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WHAT’S IN STORE FOR 2015

LATE JANUARY, 2015Regulation goes

into effect

Q1, 2015 Statewide PatientRecord Lookup

available for connection

Q1, 2015 New York

Patient Portal Pilot

MARCH 1, 2015DSRIP implementation

plans due

JUNE, 2015 RHIOs meeting regulatory certification requirements

JUNE, 2015 Statewide

Dial-Tone Services Operational

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WHAT IT’LL TAKE FOR US TO BESUCCESSFUL IN 2015

What’s Needed to Realize the Vision?

What challenges do we need to adapt to…and overcome?

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Up next - additional perspectives from:

EUGENE HESLIN, MD - President, Bridge Street Medical Arts LLC

J. DAVID LISS - Vice President, External Relations, BioReference Laboratories, Inc.

DEVEN MCGRAW - Partner, Manatt, Phelps & Phillips, LLP

PATRICK ROOHAN - Director of the Office of Quality and Patient Safety (OQPS), New York State Department of Health

ADDRESSING THE CHALLENGES

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