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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


  1. 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

  2. 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

  3. 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

  4. 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

  5. 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. 6 12/03/2018 |6 Vital Role of HIE in Public Health Creating Care Connected Communities

  7. 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

  8. 12/03/2018 |8 Flint Investment Impact Vital Role of HIE in Public Health Creating Care Connected Communities

  9. 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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