Connecting Michigan Conference

National HIE Landscape

June 6th, 2013

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Agenda

• Definitions – What is “HIE”?

• National Perspective & Survey Findings

• Personal Perspective

• Q&A

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WHAT IS HIE?

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3 Primary Noun Buckets

• Enterprise HIE (“Private HIE”)– Health system HIE– Provider Organization HIE– Vendor-based HIE

• Regional HIE (“Community HIE”)– Predefined region– Open region

• State HIE – State is the HIE– State provides services to regional and private HIEs

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Very different…•Objectives•Governance•Funding•Customers

•Landscape•Outlook

SuperHIE!

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NATIONAL PERSPECTIVE

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7Source: HIT Trends Report, May 2013

eHealth Initiative’sHIE Stages of Development Scale

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HIE Stages of Development

9Source: eHealth Initiative 2012 Survey of HIE

eHI 2012 Survey Key Findings

• Data exchange is increasing

– The number of initiatives solicited in 2012 was 322, an increase from the 255 in 2011.

– 107 respondents completed the survey in 2012 that also completed the survey in 2011.

– 54 new respondents completed the survey in 2012.

– 88 initiatives are in the advanced stages of development (Stages 5, 6 or 7 on the eHealth Initiative’s HIE development scale), an increase of 15 from 2011

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Exchange Methods (Respondents = 161)

• 106 use a Push Model (Push refers to one-directional electronic messaging, such as DIRECT)

• 114 use a Query Model (Query/retrieve refers to exchange in which a query is initiated from one participant and retrieves data from multiple other sources)

• 89 use an End-to-End Integration Model (Interfaces between systems enable seamless exchange to take place with no user-initiated effort required)

11Source: eHealth Initiative 2012 Survey of HIE

eHI 2012 Survey Key Findings

• Data exchange is playing a key role in healthcare reform efforts

– More than half (109) of the initiatives reported that they are currently supporting ACOs and/or PCMHs

– 63 indicated that they plan on doing so in the future

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eHI 2012 Survey Key Findings

• Federal funding is still supporting many organizations

– The single most substantial source of financial support for advanced initiatives in 2012 was federal funding, as indicated by 28 of the HIEs surveyed

– 22 of those 28 HIEs were SDEs

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eHI 2012 Survey Key Findings

• Support of Direct is growing

– The Direct is a protocol that aims to enable secure health information exchange over the Internet for primary care physicians, specialists and public health agencies

– 112 HIE organizations reported they are currently supporting DIRECT or plan on supporting DIRECT in the future

– The most common use cases are transitions of care and/or the exchange of laboratory results

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ONC Governance Guidance for Trusted HIE

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PERSONAL PERSPECTIVE

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Personal Perspective

• Data exchange will increase outside of the “enterprise box”, but organizations who facilitate that exchange will consolidate

• Amidst all the experimentation, sustainable models are coming to the forefront while other models struggle

• Certification of HIE organizations is likely

• Increased recognition that HIEs can’t change the way individual patients are treated, but are instead another enabler for clinicians

• EMR interoperability will evolve into Business interoperability

• Standards won’t replace need for clinical exchanges any more than standards replaced need for administrative exchanges

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QUESTIONS

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Doug DietzmanExecutive Director, Michigan Health

Connectddietzman@michiganhealthconnect.org

616-588-4700

www.michiganhealthconnect.org

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