ESRD Network 14 Supporting Quality Care 2 What is an HIE HIE Type - PowerPoint PPT Presentation

1 ESRD Network 14 Supporting Quality Care

2 What is an HIE • HIE Type • HIE Goal ▫ National ▫ Share health information ▫ State ▫ Better patient outcomes ▫ Region ▫ Lower costs ▫ Community

3 How do HIEs support Patient Care • Community Data Manager • Connecting health care systems • Comprehensive patient records • Real-time access

4 How do HIEs operate in Texas? • Greater Houston HEALTHCONNECT (GHH) • Healthcare Access San Antonio (HASA) • Integrated Care Collaboration (ICC) • PHIX (formerly known as Paso del Norte HIE) • Rio Grande Valley HIE (RGV HIE)

HEALTH INFORMATION EXCHANGE IN SUPPORT OF THE TRIPLE AIM: • Better Health care • Better Health • Affordable Care

Question: What is Health Information Exchange? -Is HIE a noun or a verb? Answer: It’s both. HASA is a politically and financially neutral Health Information Exchange organization that specializes in the secure, electronic, real-time exchange of data between healthcare providers, for the purpose of improving patient care through data interoperability. We are local, non-profit, governed by our members and accountable to you. • All HIEs are not created equal • All HIEs are not the same • There are other ways to accomplish data exchange 6 HASATX.ORG ( 210) 918-1357

HIO Coverage Area – to date HASA one of 5 State-funded initiatives Non-profit, with broad community participation HASATX.ORG ( 210) 918-1357

External Data Partners Future statewide/national connectivity via: Texas Association of Health Information Organizations (TAHIO), Strategic Health Information Exchange Coalition (SHIEC), & HIE Texas Partnerships Integrated Care Texas Health Resources Collaborative Paso Del (ICC) Norte HIE Greater Houston Health Connect RGV HIE 8 HASATX.ORG ( 210) 918-1357

HASA Stats Recent Successes: • Qualified Registry for CMS • SSO and Native Query Capabilities • High Utilizer “CTP” • 5 Payers using ALERTS • Hospital Admission Dashboards • MACRA Reporting • SDoH Survey • Whole-person Care Coordination • (CCM tools available) 9 HASATX.ORG ( 210) 918-1357

Data Contributors CONTRIBUTING MEMBERS Methodist Health System North Texas: Nix Healthcare Texas Health Resources CHRISTUS Santa Rosa Envision Imaging Centers CHRISTUS Children’s Hospital HeartPlace University Hospital Huguley Hospital University Medical Associates Southwest Diagnostic Imaging Center UT Medicine Methodist Healthcare Ministries Corpus Christi: Uvalde Memorial Hospital CHRISTUS Spohn Center for Health Care Services Cardiology Associates Southwest General Hospital Clarity Child Guidance West Texas: LabCorp Hendricks Health Lance Love MD, PA Texas Liver Institute Mid-Texas Family Practice South Alamo Medical Group Please check www.hasatx.org for an Hill Country Urology updated list. A thru Z Pediatrics HASATX.ORG ( 210) 918-1357

COMMITTED AND IN PROGRESS CPL Q3 2018 CentroMed Q3 2018 Communicare Health Centers Q3 2018 Quest Q3 2018 Dr. Cavasos Q3 2018 COMMUNITY ADVOCATES Texas Liver Institute Q3 2018 Community First Health Plans Texas Kidney Foundation Q3 2018 Humana Hunt Regional Q3 2018 Superior Health Plan Hunt Medical Partners Q3 2018 Oscar Health Texas Colon & Rectal Specialist Q3 2018 SA Military Health System SAPD & Sheriff’s Office Mi Doctor Q3 2018 MD Kids Q3 2018 Bexar County Medical Society MD Family Q3 2018 Nueces County Medical Society Hill Country Oncology Q3 2018 YMCA of San Antonio 11 HASATX.ORG ( 210) 233-7300

HASA Data Flow 2017 HASATX.ORG ( 210) 233-7300

HASA 5 Core Services Closed Loop Referral system Community Referrals Case Management for Gaps Near real-time report of in Care admit/discharge from all MACRA quality reporting data senders for specified patient population; Describe healthcare interface not required utilization, syndromic surveillance, quality studies, MACRA measurements and disease specific cohorts Aggregate patient information for community view Engage patients, population health management, prevention and wellness, health coaching HASATX.ORG ( 210) 233-7300

Virtual Health Record HASATX.ORG ( 210) 233-7300

Reporting Dashboard HASATX.ORG ( 210) 233-7300

HASAFacts Analytic Tools • MIPS/Quality Metrics Reporting • Readmission Report • Alert Report • LACE Report • Care Team Lookup • Soc. Determinants of Health • Geospacial location • Ad Hoc Reporting by request HASATX.ORG ( 210) 233-7300

Example Alert Report HASATX.ORG ( 210) 233-7300

Quality Metrics Example Report HASATX.ORG ( 210) 233-7300

LACE (Length of Stay, Acuity, Comorbidity, Emergency Visit)- Predictive Analytics HASATX.ORG ( 210) 233-7300

HASATX.ORG ( 210) 233-7300

REGISTRATION - PCP Lookup 21 HASATX.ORG ( 210) 918-1357

Thank you. Kimberly Harris South Texas Market Director 210-918-1372 (o) kharris@hasatx.org Jim Hoag North Texas Market Director 210-918-1513 (o) 972-375-7512 (c) jhoag@hasatx.org www.hasatx.org Twitter @HASA_TX Facebook @HASATX.org HASATX.ORG ( 210) 233-7300