Information Exchange Organizations Based on the HIMSS 2016 HIE - PowerPoint PPT Presentation

Real vs. Perceived Views on Health Information Exchange Organizations Based on the HIMSS 2016 HIE Measures and Enterprise Survey

Moderator: Joshua Vest, PhD, MPH • Associate Professor, Health Policy and Management, Indiana University • Director, Center for Health Policy • Affiliated Scientist, Regenstrief Institute • Research focuses on the adoption, utilization, and policy issues of technologies that facilitate HIE

Terminology Community Health Information Organization (cHIO) : Generally non-profit collaboratives or government agencies facilitating HIE for a state or region (aka: public HIEs, regional health information organizations and State Designated Entities). Enterprise Health Information Exchange (eHIE) : Health system lead efforts to connect affiliated providers, referring practices, and medical trading partners (aka: private HIEs).

Methodology Sample : HIMSS North America membership with knowledge of HIE Selection : Invitations through HIMSS North America email distribution lists, newsletters and members of the Strategic Health Information Exchange Collaborative [SHIEC] Administration : Anonymous & web-based during Spring 2016 Questions : Organizational demographics, participation in HIE organizations, perceptions, and market characteristics Analysis : Frequencies, percentages, and medians by HIE type

Sample n (%) Organization type Community HIO 26 (38.2) Health system 17 (25.0) Hospital (single system or 5 (7.4) standalone ) Ambulatory care 6 (8.8) Long term care 2 (2.9) Payer 2 (2.9) Other 10 (14.7) Participation in HIE Community HIO 34 (50.0) Enterprise HIE 11 (16.2) No participation 23 (33.8)

Panelist: David Kendrick, MD, MPH, FACP • CEO, MyHealth Access Network • MyHealth serves more than 3 million patients and is focused on improving health in Oklahoma and beyond by implementing a community- wide infrastructure for healthcare IT • Works closely with the ONC

Panelist: Mariann Yeager, MBA • CEO, The Sequoia Project • Oversaw transition of eHealth Exchange from ONC to 501(c)3 non-profit; quadrupling growth of the network • Led the successful launch of Carequality which is now interconnecting data sharing networks

Panelist: Jitin Asnaani, MBA • Executive Director, CommonWell Health Alliance • On a mission to make nationwide health data exchange a reality • Previously with athenahealth, ONC • Member of several Federal Advisory Committees, and an investor and advisor to several health and care entrepreneurial ventures

Panelist: Christina Galanis • President & CEO, Healthlink NY • Under her leadership, HealthlinkNY has expanded to cover 13 counties and experienced 68% growth in hospital participation and 28% in physician participation. • Worked for over 10 years in web-based integration and communications systems in the healthcare industry.

Improving quality Community HIOs will improve the Enterprise HIEs will improve the quality of care quality of care 45 45 40 40 35 35 30 30 25 25 20 20 15 15 10 10 5 5 0 0 Strongly Disagree Neutral Strongly agree Strongly Disagree Neutral Strongly Agreee

Seeing other providers Community HIOs make it EASIER for Enterprise HIEs make it EASIER for patients to see providers in different patients to see providers in different health systems health systems 40 45 40 35 35 30 30 25 25 20 20 15 15 10 10 5 5 0 0 Strongly Disagree Neutral Strongly agree Strongly Disagree Neutral Strongly Agreee

HIE and Vendor Mediated Exchange Vendor-mediated HIE (e.g. Vendor-mediated HIE (e.g. CommonWell) CommonWell) eliminates the need for cHIO eliminates the need for eHIE 50 50 45 45 40 40 35 35 30 30 25 25 20 20 15 15 10 10 5 5 0 0 Strongly Disagree Neutral Strongly Agreee Strongly Disagree Neutral Strongly agree

Is the statement more about cHIOs or eHIEs? Strategic advantage Public health 60 45 40 50 35 40 30 25 30 20 20 15 10 10 5 0 0 More Applies More More about Applies More about about equally to about eHIE equally to cHIO eHIE both cHIO both

Open discussion • In FIVE years, what do you think the future of HIOs will look like? • If we could overcome ONE barrier to health information exchange, what would it be? • What is the ONE piece of advice you would you give to the Trump Administration? • If you could create ONE policy lever for the health IT community, what would it be?

Audience Q&A Please raise your hand to ask a question and a HIMSS Staff Member will bring you a microphone

Real vs. Perceived Views on Health Information Exchange Organizations Based on the HIMSS 2016 HIE Measures and Enterprise Survey