{"id":8061,"date":"2017-08-31T23:25:00","date_gmt":"2017-08-31T23:25:00","guid":{"rendered":"https:\/\/orionhealth.com\/?p=8061"},"modified":"2024-08-13T02:33:25","modified_gmt":"2024-08-13T02:33:25","slug":"the-hie-has-developed-tools-to-integrate-population-health-management-directly-into-participants-ehr-systems","status":"publish","type":"post","link":"https:\/\/orionhealth.com\/nz\/media-releases\/the-hie-has-developed-tools-to-integrate-population-health-management-directly-into-participants-ehr-systems\/","title":{"rendered":"The HIE has developed tools to integrate population health management directly into participants\u2019 EHR systems"},"content":{"rendered":"

Operational since 2005, Keystone Health Information Exchange (KeyHIE) is one of the oldest and largest health information exchanges (HIEs) in the country.<\/p>\n\n\n\n

The Pennsylvania HIE began with only three participating hospitals but has since expanded to include 100 unique healthcare organizations comprising 26 hospitals, 335 physician practice groups, 29 home health agencies, 89 long-term care facilities, one pharmacy, four EMS services, and three insurance payers.<\/p>\n\n\n\n

KeyHIE aims to improve care coordination at all participating facilities in Pennsylvania. And in an industry subject to as many technological shifts as healthcare, that requires the ability to adapt. Most recently, KeyHIE has developed a tool \u2014 the Information Delivery Service (IDS) \u2014 to consolidate a patient\u2019s data into a single comprehensive health record.<\/p>\n\n\n\n

The health data tool is also capable of identifying high-risk patients as well as patients with chronic conditions. By aggregating each patient\u2019s data into a central repository, the system enables improved population health management for care teams and accountable care organizations (ACOs) part of the KeyHIE network. The service also provides alerts, notifications, and patient data to inform providers of where patients receive care within the KeyHIE network.<\/p>\n\n\n\n

So far, IDS has paid off.<\/p>\n\n\n\n

A POPULATION HEALTH MANAGEMENT SOLUTION SAVING TIME AND MONEY<\/strong><\/h3>\n\n\n\n

\u201cWe\u2019re actually seeing a huge cost savings for these practices,\u201d KeyHIE Director of Operations Kim Chaundy told EHRIntelligence.com. \u201cWe did a case study for just one month and found we\u2019re saving one practice $56,000.00 in one year, just through utilizing this service.\u201d<\/p>\n\n\n\n

The service was designed with population health management in mind \u2014 developers built the technology to have the capabilities to identify specific patient populations, notify providers of when results or specific information is coming through the system, and identify qualifiers informing providers of what to do with issued results.<\/p>\n\n\n\n

\u201cWhen it comes through we look at the ordering doctor to see if that patient is already identified in a special cohort,\u201d said Geisinger Health System Associate CIO Joe Fisne. \u201cThen it goes through an algorithm that says, \u2018Okay. This particular doctor wants it delivered to them via HL7 and directly into their EHR chart.\u2019\u201d<\/p>\n\n\n\n

By using sets of standards \u2014 including HL7 \u2014 as part of its technology, KeyHIE can directly embed incoming information from IDS into patient medical records.<\/p>\n\n\n\n

\u201cWe route it directly into the EHR system, the patient\u2019s chart, and it follows the natural workflow,\u201d said Fisne. \u201cIt follows their existing workflow \u2014 it\u2019s a new clinical document that needs to be reviewed and signed off on, but you don\u2019t have to physically touch that piece of paper or move that electronic chart to say where it needs to be filed. That\u2019s where the cost savings is.\u201d<\/p>\n\n\n\n

Integrating information directly into the workflow places documents where providers need them to be right away, saving providers money and an extra step. Reducing the amount of time providers need to spend filing and managing patient medical records improves clinical efficiency and expedites patient care.<\/p>\n\n\n\n

Beyond HL7, IDS is also capable of delivering notifications according to the DirectTrust exchange framework.<\/p>\n\n\n\n

\u201cWe can deliver it via direct secure messaging,\u201d said Fisne. \u201cWe could do HL7. We have also the ability to send it off to an ACO or to a care manager.\u201d<\/p>\n\n\n\n

Furthermore, IDS can deliver information to several different providers at once or separately.<\/p>\n\n\n\n

\u201cDepending on what the patient\u2019s relationship is or what the physician has chosen as his delivery mechanism, that\u2019s how we can send it off and automatically deliver and disseminate it in real time to multiple physicians at multiple times,\u201d he continued.<\/p>\n\n\n\n

According to Fisne, solutions such as IDS owe their creation to KeyHIE\u2019s focus on enabling interoperability at all care sites connected to the network.<\/p>\n\n\n\n

\u201cIt’s really in the aspect of how we deploy the connectivity,\u201d he said. \u201cThe beauty of how we work with this is that it doesn\u2019t matter what type of EHR you have \u2014 although there\u2019s a lot of work behind the scenes in terms of putting the standards together \u2014 but we focus on the interoperability standards that tie it together.\u201d<\/p>\n\n\n\n

ENABLING INTEROPERABILITY ACROSS CARE SETTINGS<\/strong><\/h3>\n\n\n\n

Using standardized frameworks such as DirectTrust and HL7 are helpful in enabling this level of interoperability. However, KeyHIE still needs to make exceptions for certain care settings that lag behind technologically.<\/p>\n\n\n\n

\u201cYou have to think about organizations \u2014 like nursing homes \u2014 that have not truly been automated to the nth degree that we have,\u201d said Fisne. \u201cA lot of them still run paper, so how do we get their paper transactions into an exchange that can be interoperable between sites?\u201d<\/p>\n\n\n\n

KeyHIE\u2019s Transform tool is the solution to this problem.<\/p>\n\n\n\n

\u201cThe Transform tool allows organizations such as home health agencies or nursing homes that use different systems to take data and ingest it directly into the exchange,\u201d he said.<\/p>\n\n\n\n

The Transform tool pulls information from minimum data sheets (MDS) or outcome and assessment information set (OASIS) forms and converts them into HL7-compliant documents.<\/p>\n\n\n\n

\u201cFor example, if you have a patient that was in the hospital and has been admitted to a nursing home or vice-versa, they fill out the MDS,\u201d said Fisne. \u201cThen we use the tool to send a standard document directly to the health exchange so that information can be freely utilized by the physician. So my physician knows I\u2019ve gone to a nursing home, been in a hospital, or whatever it may be.\u201d<\/p>\n\n\n\n

Converted documents from these care settings can be accessed by multiple EHR systems.<\/p>\n\n\n\n

\u201cWe look at all of the basic systems, try to make sure they\u2019re connected, and then we can go to the very complex EHRs and make them connect based on standards,\u201d he added.<\/p>\n\n\n\n

This level of interoperability falls in line with KeyHIE\u2019s vision as an information highway allowing participating organizations to improve clinical efficiency and yield positive patient outcomes.<\/p>\n\n\n\n

KeyHIE attributes its success in enabling seamless health data exchange to its infrastructure, which is provided through a collaborative effort with its partner Orion Health.<\/p>\n\n\n\n

\u201cWe look at ourselves as the connection point \u2014 the bridge to distribute that information to where it needs to be,\u201d said Chaundy. \u201cWe can take information for an ACO that\u2019s focusing on a given population of patients. We collect data from all of those edge points of the system and then begin to bring that together into a point and distribute that to an analytics system that can demonstrate where care gaps may exist.\u201d<\/p>\n\n\n\n

Forthcoming projects for KeyHIE include a statewide HIE collaboration called the Pennsylvania Patient & Provider Network (P3N) which aims to further improve clinical efficiency and care coordination through the use of notifications that alert providers to a patient\u2019s movement across the continuum of care in the state.<\/p>\n\n\n\n

\u201cCurrently we\u2019re doing a pilot project to send and administer notifications from one HIE to the other HIE,\u201d said Chaundy. \u201cSo if our patients leave our community for some reason and are seen in a different community area, we want our physicians to be able to get the same clinical information, the same notification that they would get if that patient was here within our existing geographical area.\u201d<\/p>\n\n\n\n

The project is presently in the proof of concept stage at a beta-testing site.<\/p>\n\n\n\n

\u201cWe are starting out with just emergency departments, just to pilot it to make sure that it works instead of causing complete chaos,\u201d she said. \u201cThen if that does go well, and we work through any potential stumbling blocks, we want to move on to the acute setting by the middle of the winter months.\u201d<\/p>\n\n\n\n

Chaundy expects P3N will be deployed for production in mid to late fall. <\/p>\n\n\n\n

The original article can be found at the EHR Intelligence site here<\/a>.<\/strong><\/p>","protected":false},"excerpt":{"rendered":"

Operational since 2005, Keystone Health Information Exchange (KeyHIE) is one of the oldest and largest health information exchanges (HIEs) in the country. The Pennsylvania HIE began with only three participating hospitals but has since expanded to include 100 unique healthcare organizations comprising 26 hospitals, 335 physician practice groups, 29 home health agencies, 89 long-term care […]<\/p>\n","protected":false},"author":35,"featured_media":8544,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[225],"tags":[],"region":[],"class_list":["post-8061","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-media-releases"],"yoast_head":"\nThe HIE has developed tools to integrate population health management directly into participants\u2019 EHR systems - Orion Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/orionhealth.com\/nz\/media-releases\/the-hie-has-developed-tools-to-integrate-population-health-management-directly-into-participants-ehr-systems\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The HIE has developed tools to integrate population health management directly into participants\u2019 EHR systems - Orion Health\" \/>\n<meta property=\"og:description\" content=\"Operational since 2005, Keystone Health Information Exchange (KeyHIE) is one of the oldest and largest health information exchanges (HIEs) in the country. 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