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Inland Empire Health Information Exchange (IEHIE)
Past, Present and Future
Dr. Richard Swafford, PhDExecutive [email protected]
Past, Present and Future
• Overview of IEHIE• Timeline of IEHIE Activities• Initial Goals versus Current Status• Current Activities• Future Activities
IEHIE: A Regional HIE• The Inland Empire Health Information Exchange (IEHIE) covers the San Bernardino and Riverside Counties with a population of over 4.1 million.
• The IEHIE represents a large group of hospitals and medical centers, medical groups, IPAs and physician practices.
• The IEHIE operates as 501(c)3 under the Inland Empire EHR Resource Center.
To achieve continuity of care in the Inland Empire community by allowing providers and patients trusted, timely and secure access to patient health information.
IEHIE Mission
What is HIE: 40,000 Foot View• Health Information Exchange (HIE) is defined as the mobilization of healthcare information electronically across organizations within a region, community or hospital system.
• HIE provides the capability to electronically move clinical information among disparate health care information systems while maintaining the meaning of the information being exchanged.
• The goal of HIE is to facilitate access to and retrieval of clinical data to provide safer, more timely, efficient, effective, equitable, patient-centered care.
Timeline of IEHIE Activities (2009)
• Apr 2009 – Riverside County Medical Association (RCMA) and Hospital Association of Southern California (HASC) bring together the Inland Empire Health Information Technology Consortia (IEHITC). Health Information Exchange (HIE) is the primary focus.
• Jul 2009 – IEHITC Founding Board adopted with 27 original members
• Sep 2009 – Financial model adopted that included fees for IEHITC membership
• Dec 2009 – Request for Information (RFI) issued for HIE Vendors and HIE Organizations.
Timeline of IEHIE Activities (2010)• Apr 2010 – Formal Leadership Group (LG) created and a
RFP to hire a consultant is presented and approved. Funding model to pay for consultant is approved.
• Jun 2010 – Consultant selected – Object Health• Sep 2010 – IEHIE IS BORN and becomes a project within the
IEEHRC 501.c.3.• Nov 2010 – RFP for HIE vendor is approved and sent to 22
HIE vendors. Governing Council (GC) is created and the first elections are accomplished. Subcommittees are also created within the GC.
• Dec 2010 – 5 HIE finalists are identified.
Timeline of IEHIE Activities (2011)• Jan 2011 – IEHIE Charter adopted and IEHIE Financial Model
approved.• Feb 2011 to Apr 2011 – HIE Vendor selection including
demonstrations and site visits is accomplished.• May 2011 – Orion Health selected and contract negotiations begin• Jul 2011 – Project Director contracted and pilot participants
identified. Participation agreement finalized and sent• Sep 2011 – Orion Contract negotiations complete and IEHP
announces funding of both counties• Oct 2011 – IEEHRC Board approves IEHIE 5 year budget and sets
financial target for contract signature• Nov 2011 – IEHIE Executive Director hired.• Dec 2011 – IEHIE web site and marketing materials approved and
launched as well as the second GC elections
Timeline of IEHIE Activities (2012)
• Jan 2012 – Orion contract signed and executed. Pilot launched with 14 pilot participants
• Feb 2012 – IEHIE awarded CHCF Grant
That takes us up to today…
Initial Goals Versus Current Status
July 2009 IEHITCC Goals:1. Share information on a specific patient for
the care of the patient.2. Fulfill requirements to receive stimulus
funds3. Facilitate sharing and reporting of data4. Develop a list of core data fields to share5. Organize Data in a way that is usable6. Comply with Privacy Requirements7. Comply with Meaningful Use Requirements8. Establish Sustainability Model
March 2012 Status:
Current Activities (Structure)
INLAND EMPIRE EHR RESOURCE CENTER501 (c) 3
Board of Directors
Local Extension Center
IEHIE Governing Council
Finance & Funding Committee
Technical/Operations Committee
Policy/Legal Committee(Privacy &Security)
Communications/Outreach Committee
Current Activities (Structure)IEHIE Governing Council
Elected 12.11(15 seats)
Hospitals (4 seats)
LargeDoug
Leeper (LLUMC)
Sm/MedRich Gagnon
(Redlands Comm. Hosp.)
At LargeAndrew
Robertson, MD(St.
Bernardine)
Inland Region HASC
Christina Bivona-Tellez)
Physicians(4 Seats)
IPA/Medical Group
Leigh Hutchins (Prime Care)
Sm/MedHarold
Jackson, DO(Raincross Med. Grp)
At LargeNabil Razzouk (Arrowhead Orthopedics)
RCMA/SBCMS
Tarek Mahdi, MD
Public Health(1 seat)
Sarah Mack(Riv. Co.
Dept. Public Health)
Other Healthcare Providers(1 seat)
Brian Hughes (VNA)
Business/Community
(1 seat)
Bill Davenhall
ESRI
Health Plans
(1 seat)
Brad Gilbert,
MD (IEHP)
Board of Supervisors
(2 seats)
Riverside Seat
Supervisor Bob Buster
LEC(1 seat)
Leroy Ounania
n, MD
Current ActivitiesMembership and Participation
21
21
2 4
Members (48)
Hospital Medical GroupsHealth Plan Associations
6
8
1
Participants (15)
Hospital Medical GroupsHealth Plan
Current Activities
• Financial Model– Self-sustaining model based on participant and
member fees• Hospitals – Bed Count• Medical Groups – Physician Count• Health Plans – Member Lives
– Project-specific grants• Ex: CHCF Grant for HL7 ELINCS Lab Orders
Savings Example - Alabama
Future Activities
• Clinical Portal• Patient Portal• Site
Connectivity
Phase 1: Spring 2012
• Case Management: Diabetes
• Orders
Phase 2: Summer
2012
• Imaging• EMR Lite• eRX
Phase 3: Fall 2012
Three Phased Implementation approach:• Each facility begins with Phase 1• Facilities can be at any phase at any time• Future expansion beyond 2012 available
Modules beyond Phase 1 (Base HIE):• Menu format for additional modules• Pay as you go • Fees based on size are available
Future Activities
2012 2013 20140
5
10
15
20
25
30
14
19
27
17
28 28
12 2
3 Year Projected Growth by Facility
HospitalMedical GroupHealth Plan
Years
Parti
cipa
nt F
acili
ties
IEHTC
RCMA
SBCMS
HASC
IEHIE
HIE
IEHIE has come a long way in a relatively short period.The future holds many exciting opportunities.
