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Healthix Master Deck

Healthix Master Deck. April 25, 2019. Table of Contents. Slides 3 – 13: About Healthix Slides 14 – 32: Healthix Services Slides: 33 – 37: Patient Consent. MISSION. Mobilizing health information across our communities to advance patient care. VISION. Healthix.

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Healthix Master Deck

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  1. Healthix Master Deck April 25, 2019

  2. Table of Contents • Slides3 – 13: About Healthix • Slides14 – 32: Healthix Services • Slides: 33 – 37: PatientConsent

  3. MISSION Mobilizing health information across our communities to advance patient care. VISION Healthix The trusted partner sharing health information to improve people’s lives VALUES PurposeWe are dedicated to improving the health of the community. InnovationWe are passionate about building innovative and lasting solutions. Respect We respect the strengths that make each of us unique. Accountability We own what we do and share our success. Teamwork We think independently, speak openly, and act collectively. HarmonyWe foster joy and work-life balance. Growth We constantly learn and embrace challenges.

  4. Largest Public HIE in the Nation More than17,000,000patients Healthix uses sophisticated software to reconcile data of over 81.7 million provider Medical Record Numbers (MRNs) to create composite profiles of over 17 million unique patients whohave had encounters in the past 24 months.

  5. Healthix is Exchanging Data to Support: Clinical Care Public Health • IMPROVING CLINICAL OUTCOMES • Individual patient care • Emergency care • Improved care for chronic disease • Care management • PROTECTING THE PUBLIC GOOD • Clinical care in Public Health (HIV, homeless, BH and DD) • Public health investigation • Disaster response, bio-surveillance Clinical Care Public Health Population Health Research • QUALITY REPORTING & RISK MGMT • Pay for performance • Quality measures • Disease management • Social Determinants of Health Population Health • COMPREHENSIVE DATA SETS • Cohort Identification • Retrospective analyses • Prospective studies • Clinical trial enrollment Research ConsumerEngagement ConsumerEngagement • Life Insurance health assessment • Consumer Access to their data

  6. About Us Healthix is the largest publicHealth Information Exchange (HIE) in the United States • Supplies secure data to improve healthcare quality, efficiency and effectiveness • Provides a range of clinical information in real-time • Facilitates care coordination Healthix Monthly Statistics (Feb. 2019) • 18.8 Million inbound clinical messages • 1.2 Million Real-time clinical alerts • 636K Patient Summary Documents Shared (CCDs) Over 1,000 health care organizations at more than 7,000 sites across New York City and Long Island participate in Healthix.

  7. SHIN-NY “Network of Networks” The State Health Information Network – New York (SHIN-NY) is comprised of 7 HIEs or Qualified Entities (QEs) When a user queries for patient data, Healthix automatically returns data from both Healthix and the SHIN-NY.

  8. Role of Healthix Role of Healthix in Exchanging Information eHealth exchange and SHIEC HEALTHIX

  9. Healthix: Providing Solutions, Adding Value Determine Risk and Provide Actionable Data • Real-time Intervention at the Point of Care Opportunity for a Richer Patient Portal • Coordinated Care: Complete View of Patient 1 2 3 4 BETTER OUTCOMES COST EFFICIENCY HIGHER SATISFACTION

  10. Healthix: Sources, Types and Uses of Data Uses of Data Types of Data Sources of Data • Demographics • Encounters and Problem Lists • Diagnoses and Procedures • Medications & Allergies • Lab Tests, Values, Results • Radiology Reports & Images • Discharge and Care Plans • Health Plan Claims Data • Medicaid Claims Data • Pharmacy Fill Data • 42CFR Part 2 Data and More • Fuller picture of patient’s data • Access to data in an emergency • Managing chronic conditions • Facilitating transition of care • Supporting value-based care • Public Health Initiatives: HIV/AIDs linkage to care, Emergency patient search, public health emergencies, organ transplant matching, opioid prescribing database, identification of homelessness • Hospitals & Health Systems • Physician & Ambulatory Practices • Long Term, Post Acute and Home Care • Diagnostic Treatment Center • Federally Qualified Health Centers • Behavior Health Organizations • Community Based Organizations • IPAs, ACOs, Health Plans • And More

  11. Geographic Coverage: 17 Million Patients Over 1,000 Healthcare Organizations with more than 7,000 facilitiesAcross New York City and Long Island

  12. Healthix Core Services PATIENT RECORD SEARCH CLINICALALERTS CLINICAL INFORMATION DELIVERY PREDICATIVE ANALYTICS Access to a more comprehensive patient profile Statewide 24/7 Custom alerts provide real-time updates for patients in care Assessing risk and managing patients to optimize care Ability to push clinical summaries (CCD, C-CDA) and lab results

  13. PORTAL: Patient Record Search

  14. PORTAL: Patient Record Search by Demographics Name and 2 other fields then hit search

  15. PORTAL: Patient Search by MRN

  16. PORTAL: Patient Summary Screen Side MenuShows Data Available

  17. Clinical Alerts

  18. Clinical Alerts: Workflow into CMC Portal

  19. Clinical Information Delivery: Updates CIU allows Healthix to provide continuous real-time updates on all aspects of a person’s clinical record.

  20. 20 Clinical Information Delivery: Flags API Green light: Press button - open portal or fetch CCDThe user has consent, and Healthix has new data from external sources since the last time the user looked Yellow light: get consent first Healthix has data from external sources, but the user will need consent to see it Red light: Healthix has no data from external sources on this patient • When provider searches for a patient in their EMR, an automated web-service sends Healthix the clinician’s User ID, Facility ID and Patient MRN. • In the background Healthix uses the IDs sent by the EMR to query the status of three characteristics: Consent (Y/N), is there data elsewhere (Y/N) and is there any new data since this user last viewed this record (Y/N).

  21. Clinical Information Delivery: API - Green Consent Status: Yes External Data: YesNew Data: : Yes Message on Mouse Over

  22. Clinical Information Delivery: API - Yellow Message on Mouse Over Consent Status: Not GivenExternal Data: YesNew Data: : N/A

  23. Clinical Information Delivery: API - Red Consent Status: N/AExternal Data: NoNew Data: N/A Message on Mouse Over

  24. Population Risk Models Predictive Analytics: Risk Scores Patient Risk of Event or Outcome Patient History Risk Model Development Multivariate Statistical Modeling – Decision Tree Analysis Machine Learning • (predicts future 12 months) • Predicted future cost • Risk of inpatient admission • Risk of emergency department (ED) visit • Risk of acute myocardial infarction (AMI) • Risk of asthma • Risk of cerebrovascular accident (CVA) • Risk of congestive heart failure (CHF) • Risk of COPD • Risk of diabetes • Risk of hypertension • Risk of mortality • Event Based Risk Models • (predicts future 30 days) • Risk of 30 day readmission • Risk of 30 day ED re-visit • 1000s of Patient Features • Age • Gender • Geography • Income • Education • Race • Diagnoses • Procedures • Chronic conditions • Visit and admission history • Outpatient medications • Vital signs • Lab orders and results • Radiology orders • Social characteristics • Behavioral characteristics

  25. Patient Consent

  26. New York State Policies • Healthix and State Policy governs how providers and patients engage in health information exchange, and how they access patient information • Compliance with policy facilitates data sharing across Public HIEs • Obtaining Consent • Consent Audit, User Audit • Password Strength / Failed Attempts • User Roles, Patient Notices • 42CFR Part 2 Sensitive Data Re-disclosures http://healthix.org/who-we-are/healthix-policies/

  27. Patient Gives Provider Consent Provider data data Provider queries data from all sources Patient Gives Consent Provider receives CENs of events at all sources HEALTHIX Patient

  28. One-to-One Exchange Patients in Common Treatment, Care Management Quality Improvement Participant A Participant B data data Healthix Authorizes Healthix to provide its data to Participant B Participant B can query data from Participant A data NOTE: Participant B can receive Clinical Event Notificationsfrom Participant A Other Participants (1) One-to-One Exchange can be reciprocal – each Participant can authorize exchange of its data with the other(2) Excludes data and CENs from any 42 CFR Part 2 facilities of Participant A (3) Excludes data of any patient who has explicitly denied consent to Participant B (4) One-to-One Exchange allows Healthix to provide one Participant with data of the other Participant, but not data from all of Healthix.

  29. Contact Us If you have questions, would like to see a demonstration or are interested in connecting with Healthix Your Name646.000.0000yourname@healthix.org

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