Axolotl

This panel will discuss how their HIE organizations are using the standards and specifications of the Direct Project to send data from electronic health records systems to their regional and statewide health information exchanges.

Alternatives for making effective and affordable “last mile” connections between small and rural physician practices, HIE and EMR support for Direct and NHIN, HISP adoption of SMPT/SMIME, and other means of low-cost, secure transport will be examined.

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HIE-specific business analytic and reporting tools are documenting system usage and value to build stakeholder support in HIEs across the country – as well as automating the challenging population health and quality reporting requirements of local, state and Federal programs.

This panel of Axolotl Discover™ users will share how they are using analytics to achieve sustainability, provide physicians with Meaningful Use reports, sharpen their strategies, and support their customers in more effective ways.

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Many hospitals and community physicians use EPIC to manage patient care. However expanding this network to include other ambulatory EHRs, local labs, public health departments, PHRs and other participants invited to exchange is challenging. Learn how the Santa Cruz (CA) RHIO and the Atlantic Coast HIE in South Florida have successfully implemented their Epic connections to exchange data with the greater community for improved patient care.

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Sustainability is one of the critical issues for HIEs today. A new white paper focused on this key area will be discussed in detail by established HIEs that contributed their thoughts and experiences to this expert piece.

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Health Information Exchange between the Department of Veteran Affairs (VA) and established HIEs is underway and improving the coordination of patient care for the veterans and service members living in their HIE areas.

The Western New York Clinical Health Information Exchange and Utah Health Information Network are among the first to connect to The Department of Veterans Affairs. This panel will share their experience with DURSA, testing, provider engagement and consent management.

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Consent and Sustainability are two critical issues for HIEs today. New white papers focused on these key areas will be discussed in detail by established HIEs that contributed their thoughts and experiences to those expert pieces.

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For HIEs in any phase of development or operation, there are new resources available to provide guidance, examples, models and other important information to help achieve your current goals.

A guide to finding the information needed will be provided, along with valuable insights from successful HIEs and RHIOs on how they have participated in the creation of these resources and where they seek information.

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Health information exchanges are leading the way in improving the quality, safety, and efficiency of patient care. Faced with the need to address these criteria while confronting rising healthcare costs, the health system is turning to health information exchanges. As the amount and type of data being exchanged increases, health information exchanges will continue to grow and find new ways to bring value to providers and patients and other stakeholders. This webinar offers a view of the value-add services of the future, focusing on public health, care coordination, and accountable care organizations.

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With the accelerating momentum of HIE, the financial incentives now available for deploying EMR, and the continued growth in imaging procedures as an valuable tool for diagnosis and treatment, health care providers are seeking ubiquitous access to diagnostic quality medical images along with other components of patient medical records. However, there are a number of significant challenges associated with achieving this objective:

• Medical images are inherently large, making it difficult and expensive to store and transfer them over the variety of networks to community-based users.
• Most images today are shared outside the originating facility via CD or DVD, which is costly, inefficient, slow, and places an undue burden on radiology providers, patients, and the referring physician community.
• Community-wide access using web-based access to PACS has been largely unsuccessful for a variety of reasons, including the complexity of working with multiple PACS web viewing environments, high IT support costs, as well as patient consent and privacy concerns.
• Relying on routing of DICOM images between locations has also failed to be broadly accepted for a variety of reasons, including inconsistencies in how DICOM is implemented, its lack of built-in security, challenges associated with managing multiple patient identifier schemes, and overall network bandwidth consumption.

This webinar explores the myths and realities associated with the sharing of images. It will compare and contrast various architectures such as centralized, federated and hybrid federated. It will explore the advantages and disadvantages of using a “stand alone” approach vs. incorporating image sharing into an overall HIE service. It illustrates how it is possible to readily deliver a unified diagnostic quality image viewing solution to large numbers of community users using technologies such as streaming and server side computing. The speakers also highlight how some of the more common objections in the radiology community can be overcome with a properly-designed image exchange solution.

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Franciscan established an HIE in 1999 with the primary goal of streamlining the delivery of Franciscan Health System clinical results to physicians and beginning to link the care community. This resulted in a repository of patient data that has since evolved into the largest HIE in Western Washington. Over the last 5 years, the focus has been on increasing the use of an interoperable EMR in ambulatory clinics – as it immediately connects any physician to the HIE and will get them to meaningful use and in providing tools to assist with handoffs between hospitals, physicians, skilled nursing facilities (SNFs), and numerous other providers – which is becoming increasingly essential as they move to a more managed care environment.

Speaker shares how they built a financial model, value proposition, a competitive advantage, increased quality of care, and have met physicians need for comprehensive information.

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Hear from today’s leading, sustainable HIEs to understand how they fund operations and meet their near term and long term goals. Speakers will share how they achieved a sustainable business model, determined their HIE value proposition, got stakeholder buy in, put a payment method in place and how they are using it to fund their initiatives for today and the future.

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With heightened interest and incentives for EMR and image and information sharing as part of a health information exchange – healthcare executives are focusing on coordinating their financial, clinical and technical resources on building and integrating a healthcare image and information archive that leverages their current IT investments while providing the foundation for imaging exchange workflow and EMR integration.

Physicians in the Rochester RHIO, using their EMR, or the community wide Virtual Health Record are able to view and access diagnostic quality medical images - including X-rays, MRI, CT scans and Ultrasound-from six radiology centers.

Speakers discuss the issues of implementing a next generation image and information exchange and the benefits realized by the physicians, radiologists, hospitals, radiology centers and patients.

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Building a successful HIE requires considerable planning in order to implement a business model that creates incentives for use, and recognizes the need for funding from those stakeholders that derive value and benefits for using technology to share health information. The Chesapeake Regional Information System for our Patients (CRISP), the state of Maryland’s REC and the state-designated health information exchange recently chose Axolotl's technology as the core infrastructure for the state's HIE.

Speaker shares CRISP's ambitious plan for advancing health information technology (HIT), its approach to funding the HIE and selecting a technology vendor to implement a private and secure statewide HIE in Maryland.

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Integrating Public Health as part of a Health Information Exchange is a critical component to improving patient care and meeting meaningful use. Industry leading HIEs will share lessons learned in getting public health department participation and case studies that demonstrate improved patient care and reduced health care dollars.

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Santa Cruz HIE has been exchanging data in a multi-stakeholder environment for more than a decade, but now with the adoption of EMRs, data needs to be to be seamlessly exchanged across the entire community – in order to achieve Meaningful Use. With over 300 providers, 42 specialties, and 100 locations, Physicians Medical Group of Santa Cruz County (PMG) is the organization that supports and connects them all to each other via the Santa Cruz HIE. As the nation’s longest running HIE, the Santa Cruz HIE enables electronic clinical data communication between PMG providers, 2 hospitals, County Health Clinics, 7 national and local reference labs, 5 imaging centers, and several safety net clinics.

In 2008 Santa Cruz HIE led the interoperability charge and connected disparate HIS and EMR systems, Clinically Networking them to enable complete interoperability to improve patient care and practice efficiencies. Using an Interoperability Hub, physicians will easily meet the clinical data exchange objective for meaningful use. For smaller practices that don't already have an EMR, Santa Cruz HIE offers an EMR Lite solution, providing immediate interoperability with the entire HIE and EMR functionality enabling practices to apply for stimulus funds - leaving no physician behind.

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The buzz is SOA but what is it and how does it provide speed to value for HIE stakeholders? Rochester RHIO is one of the most integrated HIEs in the country – providing clinical information when and where it is needed. With over 20 health care organizations connected, including competing hospitals, labs, radiology centers, providers, EMS, elder care services etc. they are putting the HIE to work for everyone in the continuum of care. Plugging in best of breed applications is an integral component to the success of an HIE. The speakers will share the concepts behind SOA technology and best practices to getting it to work for your HIE.

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A common misconception is that implementing an EMR will enable HIE and meaningful use – what about outside the hospital and for affiliated physicians? An HIE breaks the silos of care so that all medical trading providers have the data they need, when and where it is needed. These HIEs will talk about the importance of being able to do EMR to EMR referrals, ePrescibing with Pharmacies, Image Exchange with Radiologists, Immunization and Public Health Integration and more - looking at care from a holistic standpoint and how that will impact patient, community and nationwide care.

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Industry leaders will share their experiences in promoting EMR adoption to clinics and small physician practices. Speakers will discuss benefits of web based/ SaaS applications, the importance of affordability and simple implementation and utilization as well as interoperability as a critical component to achieving meaningful use in the time required.

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Health Information Exchange is no longer an option – but what exactly is Health Information Exchange and how does it improve care for patients while benefiting the hospitals bottom line. The speakers will compare their hospitals referring physicians workflow pre and post HIE, ROI derived and how they got the HIE to pay for itself and their plans for connecting into regional and state exchanges where they exist.

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This highly anticipated event featured experts providing initial reactions and thoughts on the Centers for Medicare and Medicaid Services 'Meaningful Use' proposed rule, which was released on December 30th.

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Health information exchange and meaningful use of EHRs is no longer an option, its a mandate. Ambulatory EHR applications can no longer operate in silos'; they need to be able to receive and send data with their business partners. Industry experts share their community, hospital and practice level experience in creating an interoperable environment between disparate HIS and EMR applications, for meaningful exchange.

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Rolling out a multi-system Health Information Exchange has to be well planned and executed. Hear from leaders of some of the nation’s largest HIE projects; on their initial technology objectives, implementation experience, what was a success and what could have been done better.

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Portal sites require clinicians to look for the information they want in various hospital information systems. As the adoption of electronic medical records grows, physicians want automated delivery that can be easily incorporated into their work flow. Our speakers shared their experience on portals versus health information exchange.

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