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Better Communication for Better Healthcare (Text Version)

Slide presentation from the AHRQ 2009 conference.

On September 16, 2009, Gina Perez made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (1.67 MB).

Slide 1


Better Communication for Better Healthcare

DHIN Customer Profile Webinar

September 25, 2009

Gina B. Perez, MPA
DHIN Executive Director
Advances in Management, Inc.

Slide 2


About DHIN

  • Created statutorily in 1997 as a public instrumentality of the State of Delaware
  • The Nation's First Statewide Clinical Health Information Exchange
  • State Designated Entity
  • Public - Private Partnership
  • Funded by Federal, State and Private Resources (beginning in 2005)
  • Went live in May 2007

Slide 3


DHIN Vision

Develop a network to exchange real-time clinical information among all health care providers (office practices, hospitals, labs and diagnostic facilities, etc.) across the state to improve patient outcomes and patient-provider relationships, while reducing service duplication and the rate of increase in health care spending.

Slide 4


DHIN's Success

  • Critical Mass
    • Over 50% provider adoption
    • Distributes more than 85% of lab tests in DE
    • 648,000 unique patient records
    • 40 million transactions per year (and growing)
  • Only HIE with both LabCorp and Quest Diagnostics Participating
  • Improved efficiency and quality of care

Slide 5


Data Senders

  • Christiana Care Health System
  • Bayhealth Medical Center
  • LabCorp
  • Doctors Pathology Services
  • Quest Diagnostics
  • Beebe Medical Center
  • DuPont Hospital for Children
  • VA Hospital (FedCONNECT)
  • Nanticoke Memorial Hospital
  • St. Francis Hospital

Slide 6


DHIN Functionality

  • Secure Results Delivery with Standard Result Format (since 2007)
    • Lab and Pathology Results
    • Radiology Reports
    • Admission Face Sheets
  • Patient Record SearchInquiry(Live June 15th)
  • Medication History Pilot (planned)
  • Public Health Reporting
    • Real-time reporting of data from hospitals to the Division of Public Health's DERSS system (Delaware Electronic Reporting and Surveillance System)

Secure Inbox (68%)*
Auto-Print/Fax (12%)
EMR Interface (20%)
*Pending EMR Connection (26%)

Slide 7


EMR Connectivity

  • DHIN Certified EMRs
    • Allscripts
    • Misys
    • STI Computer Services
    • eClinicalWorks
    • Varia
    • MediNotes/Eclipsys
  • EMR Vendors in Negotiations (expected to go live in 2010)
    • NextGen
    • GE/Centricity
    • Cerner
    • McKesson
    • Advanced Data Systems Corp
  • Negotiated Discounts

Slide 8


Meaningful Use: How HIEs Can Help

  • Electronic Order Entry
  • Incorporate Lab Results into EHRs as structured data
  • Maintain an Active Medication List
  • Perform Medication Reconciliation
  • Implement Drug-Allergy, Drug Formulary, Drug-Drug Interactions
  • Standards-Based Transactions

Slide 9


Meaningful Use: How HIEs Can Help

  • Electronic Insurance Eligibility Verification
  • Electronic Claims Submission
  • Maintain an up-to-date "problem list" of current and active diagnoses based on ICD-9 and SNOMED
  • Record Demographic Data (preferred language, insurance type, gender, race and ethnicity)
  • Quality Reporting
    • Generate List of patients by specific conditions for outreach and quality improvement

Slide 10


Meaningful Use: How HIEs Can Help

  • Patient Access to Electronic Information
    • Provide Access to Patient-Specific Education Resources
    • Send Reminders to Patients for Preventative and Follow-Up Care
  • Exchange Key Clinical Information
    • Clinical Summary
  • Public Health Reporting
    • Immunization Registry
    • Electronic Syndromic Surveillance
  • Proof of Compliance with HIPAA Privacy and Security Rules
Current as of December 2009
Internet Citation: Better Communication for Better Healthcare (Text Version). December 2009. Agency for Healthcare Research and Quality, Rockville, MD.


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