RHIOs: CHINs or Champs? Health TechNet

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RHIOs CHINs or Champs?Health TechNet
October 21, 2005

• Robert Steffel, Executive Director
• HealthBridge
• rsteffel_at_healthbridge.org

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Greater Cincinnati Demographics

• 2.2 million population
• 14 county tri-state area (OH, KY, IN)
• 25 hospitals / 4 billion annual expenses
• 3 dominate private health plans
• Approximately 4,000 active physicians
• Engaged employers / Low reimbursement
• History of collaborative activities

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HealthBridge Timeline

• 1997 Funded by 5 Health Systems 2 Insurers
• Began service as a community-wide MD portal
• A true multi-stakeholder collaborative
• 2000 Purchased Axolotl Clinical Messaging
• Community license funded by content providers
• 2003 Public health/physician alerts added
• 2004 Syndromic Surveillance added
• 2005 Ambulatory Order Entry (In Process)

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The HealthBridge Portal Homepage
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HealthBridge Clinical Messaging System Overview
HealthBridge Clinical Messaging System Overview
Health Systems 17 Hospitals Lab Results,
Radiology Reports, Transcribed Reports, ADT
Transactions
Ancillary Data Feeds
LabOne
Community Standards
Physician Access to Clinical Results
MD Dictation
-Data Feeds (HL-7) -MD Directory -Patient
Index -HIPAA Access Audit
Public Health
Health Alerts
Clinical Messaging Servers
RODS Lab
Syndromic Surveillance
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Awaiting Action Inbox
HealthBridge Clinical Inbox
Clinical Messaging Electronic Inbox
Note lab, radiology transcribed reports from
several hospitals for a two physician office
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Inbox by Abnormal View
HealthBridge Clinical Inbox
Results sorted by abnormal lab values
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Community Standard CBC Result
Sample of a Clinical Messaging CBC Result
Community Standard CBC Result
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Final View EMR Light
Final View- Used To Access All Electronic Results
for a Practice
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Community Patient Index
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Public Health Alert
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Sept 2005 Results Sent
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Paper to Electronic
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Results Per Envelope
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Before After Daily Printing
Before
After
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Problems, Choices Lessons Learned
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Key Issues We Had To Address

• Respond to pressure to start a CHIN
• Fund and form a collaborative network
• Offer content/services that deliver value
• Build trust, collaboration utilization
• Show value of stakeholder participation