California EMSA was one of 12 recipients of Advance Interoperable Health Information Technology Services to Support Health Information Exchange grants. The projects cover a wide variety of different target populations and providers including long-term care, skilled nursing facilities, and behavioral health. Besides California, Utah and Oregon have also targeted EMS for integration into HIE. A brief description of each program is below. We are excited to be part of it.
The Arkansas Office of Health Information Technology: Proposes to work with Eligible Professionals (EPs), Behavioral Health (BH) providers, and Long-Term and Post-Acute Care (LTPAC) providers to increase the adoption of Direct and/or query-based exchange among these providers.
California Emergency Medical Services Authority: Proposes to develop the Patient Unified Lookup System for Emergencies (PULSE) plus EMS (+EMS) to establish interconnectivity between at least four existing health information organizations to support health care provider exchange of clinically relevant patient information during disaster situations in California. This project will also establish interoperability and exchange of clinically relevant patient information during daily emergency medical treatment and transport.
The Colorado Department of Health Care Policy and Financing: Proposes to work with EPs, LTPAC providers, and behavioral health providers to enrich the data in health information exchange and the exchange of summary of care documents between these providers. Awardee will increase encounter-based C-CDA exchange and allow ambulatory, LTPAC, and behavioral health data to be queried. Awardee proposes to explore inclusion of patient-driven consent for the behavioral health population.
The Delaware Health Information Network: Awardee proposes to promote direct secure messaging to LTPAC and Behavioral Health providers and enable LTPAC providers to create and send C-CDA. Awardee also proposes to implement an HIE based patient portal or personal health record, implement admit, discharge, transfer (ADT) based event-notification services, increase the number of EP’s who automatically send a care summary to the community health record, and increase the number of EP’s using data analytics.
Illinois Health Information Exchange Authority: Proposes to integrate EPs, EHs, LTPAC providers and home health agencies into health information exchange to improve care transitions and close referral loops between EP’s and specialists.
The Nebraska Department of Administrative Services: Awardee proposes to increase utilization and exchange for both new (LTPAC and critical access hosptials) and current HIE participants and increase interoperability and integration while including public health and research and also increasing exchange with neighboring states via HIE to HIE Gateway.
The New Hampshire Health Information Organization Corporation : Proposes to work with LTPAC, behavioral health providers and eligible community health centers to expand education and outreach to increase the number of direct secure message transactions, reportable direct messaging activity, go-live, and production of direct for their target population to operationalize advanced care coordination activities.
The New Jersey Innovation Institute: Proposes to work with EP’s, LTPAC providers, and the New Jersey Immunization Registry to increase ADT transactions, transitions of care with an electronic summary of care record at both the EP and LTPAC level, and increase the number of TOC summary of care records that are available to qualified organizations.
The Oregon Health Authority (OHA): Proposes to increase adoption of health information exchange services among EPs, federally qualified health centers (FQHCs), CAHs, BH providers, EMS providers, and Social Services professionals their target population. OHA work with EMS providers to incorporate this data into a community health record. Awardee will work to ensure adoption of query based exchange, interoperability, expand data sources and ensure users integrate these into workflow. OHA will also develop standardized approaches for patient consent of sharing protected data.
The Rhode Island Quality Institute (RIQI): Proposes to work with EP’s (+ specialists), LTPAC providers, Individuals (patients and family members) to 1)increase adoption of health information exchange services including access to patient information (Current Care Viewer), Hospital Alerts (ADTs), and Direct secure messaging, 2) increase exchange by assisting providers with care transitions and assisting individuals to view, download, and transmit their data, and 3) address the ability of disparate systems to connect and increase the number of individuals, EPs, and LTPACs who use Alerts and leverage data exchanged by incorporating it into workflows.
The South Carolina Health Information Partners (SCHIE): Proposes to work with EP’s, EHs, Rural Health Centers, CAHs, LTPAC providers, and BH organizations. Awardee proposes to work with their target population to increase adoption and improve car coordination by increasing the percentage of TOC with electronic summary of care record, developing ADT alerting, and increasing Direct secure messaging.
The Utah Health Information Network: Proposes to connect siloed target populations – EP’s, EH’s, LTPAC providers, skilled nursing facilities (SNFs), CAHs, EMS providers, and Poison Control – to the HIE and facilitate communication amongst these providers. Awardee proposes to 1) work with EPs in the Price, Utah rural areas to utilize electronic tools, 2) allow EMS providers to access patient’s medical histories in their own systems, 3) work with the poison control center and the Utah Department of Health to utilize electronic tools, 4) work with behavioral health providers to electronically exchange clinical information with physical health providers, 5) improve transitions of care with an electronic summary of care record between EH and LTPAC providers, 6) improve patient engagement and use of a patient portal. Awardee proposes to reduce readmissions by 20% for each funding year.