Vital Role of HIE in Public Health Doug Dietzman, BS Chief Executive Officer, Great Lakes Health Connect Executive Director, Making Choices Michigan Creating Care Connected Communities
12/03/2018 |2 The Network Hospitals • Ambulatory Sites • Com. Mental Health • Agencies Health Departments • FQHCs • LTPAC • Health Plans • Social & Community • Agencies Jails • Others • Vital Role of HIE in Public Health Creating Care Connected Communities
12/03/2018 |3 The Most Complete + Real Time Record of Patient History in MI 10,390,802 Total patients Patients with 6,120,869 information from >1 source 3,080,393,928 Clinical records 1,232,700 CCDs ~250 Contributing orgs Patient lookups in 1.4 million the next year Patients looked up ~4,000 Source Organizations for VIPR every day Vital Role of HIE in Public Health Creating Care Connected Communities
12/03/2018 |4 Flint Community Had been working for years to integrate healthcare ecosystem • across Flint region – Greater Flint Health Coalition partnership Water crisis presented another example and “reason why” • connected communities are vital to residents Lots of focus on water bottles, filters, home pipes, water • infrastructure GLHC recognized need for advancing data infrastructure to support • healthcare & wellness goals of those affected in short and long term Physical health, Behavioral health, Social services, Schools, • Local public health Longitudinal health record, referral/care coordination, clinical • messaging, active health monitoring, intelligent alerts Vital Role of HIE in Public Health Creating Care Connected Communities
12/03/2018 |5 Challenges What often stands in the way of establishing this infrastructure across communities: • Cost • Politics • Education • Workflow integration & usage • Implementation resources • Busy-ness • Nobody wants to buy insurance Vital Role of HIE in Public Health Creating Care Connected Communities
6 12/03/2018 |6 Vital Role of HIE in Public Health Creating Care Connected Communities
12/03/2018 |7 Target Activities EMR integration (FQHC, CMH, Child Health Center, Pediatricians) • VIPR record • Community CHAP program • Pediatric & other family providers across the community • Hospitals: EDs, urgent care centers • “Potential/Actual” exposed patient identification from hospitals • Posting child assessments to VIPR • Referrals / Care Coordination • School nurses • Community-wide Reporting • Diagnostic lead testing results & lead poisoning symptoms risk report • Vital Role of HIE in Public Health Creating Care Connected Communities
12/03/2018 |8 Flint Investment Impact Vital Role of HIE in Public Health Creating Care Connected Communities
12/03/2018 |9 Perspectives Natural and Man-made disasters demonstrate over and over the • importance of strong, integrated healthcare communities CA fires, H. Florence, H. Michael, flash floods, earthquakes, chemical • spills/attacks, tornados/severe weather, etc, etc You may not be home to the disaster, but may be home to others • fleeing disaster and will need to take care of them Technology alone cannot integrate the heterogeneous business and • practice of medicine – much more than an EMR query Ultimately, this work boils down to enabling the broad healthcare • ecosystem to support the care and wellness of each person, wherever they show up for services, now and in the years to come Community-based exchange organizations are a vital to care- • connected communities Vital Role of HIE in Public Health Creating Care Connected Communities
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