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National eHealth Collaborative’s HIE Learning Network Makes Significant Progress in Finding Solutions to Some of the Toughest Issues Faced By Industry Today

Workgroups recommend a formula for HIE sustainability, a framework for measuring interoperability, bundles of high value/low cost HIE services and critical success factors for supporting new payment and delivery models

Washington, DC (November 28, 2012) – The National eHealth Collaborative (NeHC) Health Information Exchange (HIE) Learning Network today presented a groundbreaking set of suggested solutions for some of the most challenging HIE issues at the inaugural Technology Crossroads Conference.  These recommendations are the culmination of five months of work by a group of over 450 stakeholders.

“Health information exchange can improve healthcare quality and help to contain costs – something our health system is under enormous pressure to achieve.  Progress is being made to bring successful widespread HIE and all of its benefits to providers and patients nationwide, but challenges remain.  The NeHC HIE Learning Network has worked collaboratively to tackle tough issues and develop solutions that we hope will continue to advance HIE,” said NeHC CEO Kate Berry.

Created as a result of feedback from contributors to NeHC’s HIE Roadmap: The Landscape and a Path Forward, the NeHC HIE Learning Network launched in July 2012 by convening four workgroups: addressing variations in interoperability standards, phasing and prioritizing implementation of HIE services, HIE functions to support new payment and delivery models, and business models for sustainability.  An expert team of co-chairs led each of the workgroups, with overall strategic direction provided by an extraordinary group of national and regional health IT thought leaders.

“It has been eye-opening to serve on the NeHC HIE Learning Network Leadership Council and to see the dialogue and workgroups progress,” said Laura Adams, CEO, Rhode Island Quality Institute and member of the NeHC HIE Learning Network Leadership Council.  “HIE is an important function to enable improvements in healthcare outcomes and this work will help us continue to make progress in the right direction.”

The Business Models for Financial Sustainability workgroup conducted an in-depth study of the financial performance of HIE initiatives to identify and recommend strategies that can lead to financial sustainability.  The workgroup gathered detailed financial information from HIE initiatives serving 38 million people, produced an income statement representing the current financial position of the HIE community and compared a group of HIE initiatives that are currently profitable to those that are currently unprofitable.  The average profitable HIE realized a higher revenue from operations per capita due to a more aggressive pricing strategy, greater market share/penetration, and higher investment in product development.  The workgroup was able to define the magnitude of the “sustainability gap” and develop recommendations for how to address it.

“We read and hear frequently that HIEs lack a sustainable business model and are failing.  The Sustainability workgroup collected and analyzed HIE financial information and can state with confidence that it is premature to conclude that health information exchange is ultimately doomed.  Based on this groundbreaking work, we know the level of revenue and investment at which HIE sustainability should be achievable.  Further, it is clear that some HIEs are progressing toward sustainability,” said Jeff Rose, Venture Partner, ICG Group, Inc. and Co-Chair, NeHC HIE Learning Network workgroup on Business Models for Financial Sustainability.

Achieving interoperability between inter-related software systems in a way that does not require steep technical interface costs is also a major challenge.  The NeHC HIE Learning Network workgroup on Addressing Variations in Implementation of Interoperability Standards reviewed current interoperability efforts, identified gaps, and recommends that the industry come together to develop consensus on a method for defining and measuring interoperability.  The key conclusion was that doing so would ultimately lead to better coordinated efforts and accelerated progress in reaching the ideal state of interoperability.

“With the increased focus on HIE in Meaningful Use Stage 2 and potentially more in Stage 3, and an ever-increasing need to ‘do more with less,’ it is time to determine whether the standards and tools we have developed thus far are actually meeting interoperability objectives.  There is much work being done in this area, but as an industry, we have yet to measure progress.  If we do not start to measure, how will we know that we are truly moving forward in making a difference for our patients and providers?” said Richard Wang, Director, Product Marketing, RelayHealth and Co-Chair, NeHC HIE Learning Network workgroup on Addressing Variations in Implementation of Interoperability Standards.

The NeHC HIE Learning Network workgroup on Best Practices for Prioritizing and Phasing Implementation of HIE Services worked to identify options for how HIEs should prioritize and phase implementation of technology infrastructure and exchange services.  The workgroup recommends that HIE organizations first clearly understand the needs of their community and consider whether a comprehensive set of HIE services is required.  In communities that need a full set of HIE services, the workgroup recommends implementing a series of high value bundles of services built on the lightest possible technology infrastructure.  In communities that may not need comprehensive services, the workgroup recommends possible niche strategies that fulfill a specific need, such as offering HIE services to support meaningful use, respond to a specific government or market requirement such as Social Security disability determinations or Veterans Administration benefits determinations, or support transitions of care.

“Depending on the needs of community stakeholders, HIE initiatives can do a lot or a little.  But regardless of the strategy that best serves the community, offering high value, low cost services is critical to success.  The recommendations of the workgroup on Prioritizing and Phasing Implementation of HIE Services are on point with WHIE’s philosophy to start simple, demonstrate value and then move forward,” said Kim Pemble, Executive Director, Wisconsin HIE (WHIE) and Co-Chair, NeHC HIE Learning Network workgroup on Best Practices for Prioritizing and Phasing Implementation of HIE Services.

Economic pressures, health reform, and a healthcare system that is transitioning from “pay for volume” to “pay for value” are driving the establishment of new payment and delivery models and HIE will be a critical foundation of these new models.  The NeHC HIE Learning Network workgroup on HIE Functions to Support New Payment and Delivery Models recommends that in addition to providing basic, but critical, care coordination services (e.g. results delivery, continuity of care summaries, immunization reporting), HIEs should be prepared to provide analytic tools, including business intelligence and comparative analytics, and to develop the infrastructure necessary to perform quality reporting and referral processing.  The workgroup has also outlined a set of characteristics and actions that are necessary for HIEs seeking to support new models.  Some of these characteristics include a focus on providing timely, usable and valuable data that can drive decision making and behavior change; open, transparent and trustworthy governance that encourages competitors to share data; services that are patient-centered and easy for providers; and serving as a collaborator to bring together broad stakeholder groups involved in exchanging both clinical and non-clinical data to support whole patient care.

“HIE is a critical component to transform healthcare.  New payment and delivery models are still evolving, as is the role of HIEs in supporting them.  That said, the New Models workgroup believes HIEs can be an important enabler of healthcare transformation,” said Jeri Kirschner, Federal Health Liaison, Orion Health and Co-Chair, NeHC HIE Learning Network workgroup on HIE Functions to Support New Payment and Delivery Models.

In addition to the presentation of findings and recommendations at the HIE Learning Network symposium at the Technology Crossroads Conference, each NeHC HIE Learning Network workgroup has prepared a detailed whitepaper documenting their work, including the process, landscape, survey analysis, conclusions, recommendations and case study examples that bring the recommendations to life.  These whitepapers will be released in conjunction with a deep dive webinar on the findings of the workgroups during the week of December 3, 2012.  Additional information on this webinar will be available soon.

Specific information on each workgroup’s project scope, work plan, leadership and stakeholder participation is available on the NeHC website at http://www.nationalehealth.org/hie-learning-network/#workgroups.

About National eHealth Collaborative

National eHealth Collaborative (NeHC) is a public-private partnership that accelerates secure and meaningful use of health IT through education and stakeholder engagement to advance health and transform healthcare.  Through its NeHC University online education program, its Consumer Consortium on eHealth patient engagement initiative, and its ongoing study of critical success factors for health information exchange through the HIE Learning Network, NeHC works to educate, connect and encourage healthcare stakeholders in efforts to promote the successful deployment of health IT and health information exchange nationwide.

NeHC is a cooperative agreement partner with the Office of the National Coordinator for Health IT (ONC).

About the NeHC HIE Learning Network

The NeHC Health Information Exchange (HIE) Learning Network is a group convened by National eHealth Collaborative (NeHC) to collaboratively develop and recommend solutions for some of the biggest challenges faced by those implementing electronic health information exchange.  Born out of feedback from expert contributors to NeHC’s HIE Roadmap: The Landscape and a Path Forward (released in April 2012), NeHC kicked off the HIE Learning Network in July 2012.

December 20, 2012 I Written By

NeHC University Celebrates Achievement of Major Milestones

Rapid growth and diversity of audience shows tremendous value of popular health IT education program

WASHINGTON, DC (October 11, 2012)National eHealth Collaborative (NeHC) today celebrate major milestones for its professional education program and thanked its Board of Directors, NeHC University Advisory Council, members, speakers, and especially NeHC University attendees for their role in making the program an overwhelming success.

Originally launched in 2010 and then widely expanded in 2011, NeHC University’s total attendance from inception through September 2012 has exceeded 22,000. The NeHC University audience remains very diverse, with participation from federal and state government, health information exchange organizations, health systems, health plans, physicians, nurses, pharmacists and other clinicians, educational institutions, technology companies, consulting firms, health related associations, and others.  Indicative of the high quality of NeHC University programs, 85% of attendees have consistently rated NeHC classes “excellent or above average.”

“We are proud of our track record in framing important and timely health IT topics and bringing outstanding speakers to discuss those topics with NeHC University attendees,” said NeHC CEO Kate Berry. “From our perspective, the dramatic growth in our audience, the strong level of interaction during the question and answer sessions, and the consistently positive evaluations are clear signs that stakeholders find great value in our programs.”

Since April 2011, NeHC University has conducted over 80 webinars on subjects such as health IT orientation, health IT trends, health information exchange, consumer and patient engagement strategies, ONC programs and policies, meaningful use, trends in HIT innovation, payer health IT engagement, and IT in behavioral health, in addition to individual briefings from top industry leaders.  NeHC University speakers have included Dr. Farzad Mostashari, National Coordinator for Health Information Technology, Office of the National Coordinator (ONC); Todd Park, U.S. Chief Technology Officer; Dr. Carolyn Clancy, Director, Agency for Healthcare Research and Quality (AHRQ); Jodi Daniel, Director of Policy and Planning at ONC; Dr. Patrick Conway, CMO, Centers for Medicare and Medicaid Services (CMS); Chuck Parker, Executive Director at Continua Health Alliance; Dr. Danny Sands, President, Society for Participatory Medicine; David Whitlinger, Executive Director of the New York eHealth Collaborative (NYeC); Claudia Williams, Director of the State HIE Program at ONC; Deven McGraw, Director of the Health Privacy Project at the Center for Democracy and Technology; and Laura Adams, President and CEO of the Rhode Island Quality Institute (RIQI).

NeHC is also pleased to announce that additional NeHC education programs will take place during the Technology Crossroads Conference on November 27-28 in Washington, DC. The first of its kind, this conference will spotlight the many ways in which multiple industries are working together to accelerate healthcare transformation. Programs at the conference will include “Telehealth: Best Practices, Implications, and How to Scale,” “Using Technology to Improve the Patient-Provider Relationship,” “Keeping the Network Secure,” and “Trends and Projections at the Intersection of AV and HIT.” Additionally, the results of NeHC HIE Learning Network workgroup efforts to address HIE sustainability, prioritization of HIE services, variations in interoperability standards, and HIE functions to support new payment and delivery models will be presented during a special session at the conference. Interested participants can learn more and register for the conference at http://www.nationalehealth.org/technology-crossroads-conference.

NeHC is excited to recognize the public and private sector organizations whose employees take full advantage of NeHC University programs.  Government organizations with the highest attendance in NeHC University programs include the U.S. Department of Veterans Affairs (VA), Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA), and the Centers for Medicare & Medicaid Services (CMS). Top attending private sector organizations include Booz Allen Hamilton, Cerner Corporation, McKesson, MITRE, and Siemens Corporation.

“VA is delighted to be acknowledged as one of the top attendees of NeHC University programs,” said Tim Cromwell, Director of Standards and Interoperability for the Office of Informatics and Analytics, Veterans Health Administration, U.S. Department of Veterans Affairs.  “Our employees are very interested in keeping up with the dynamic progress of health IT and NeHC University ably meets this need. It is because of the valuable information they present that we encourage all VA team members to take full advantage of all of the outstanding health IT education programs that NeHC offers. We see access to these programs as a key member benefit and we will continue to attend NeHC’s programs well into the future.”

“NeHC University has consistently been a great source of timely, detailed information that is of great value to Booz Allen Hamilton,” said Kristine Martin Anderson, Senior Vice President at Booz Allen Hamilton. “With health IT being a complex and constantly-changing industry, we highly value an organization that brings in expert thought leaders to spotlight best practices and give updates on key issues and topics that affect the industry. We are proud to support NeHC and are looking forward to participating in upcoming programs.”

NeHC recently announced its schedule for upcoming NeHC University programs, which can be viewed on the NeHC University webpage at http://www.nationalehealth.org/program/nehc-university. Recorded webinars and transcripts for past NeHC University programs can be accessed on the NeHC website. University classes and materials are offered free to NeHC members and for a modest fee to non-members.  NeHC encourages its many repeat attendees to take advantage of the significant discount offered through NeHC membership.

About National eHealth Collaborative

National eHealth Collaborative (NeHC) is a public-private partnership that accelerates secure and meaningful use of health IT through education and stakeholder engagement to advance health and transform healthcare. Through its NeHC University online education program, its Consumer Consortium on eHealth patient engagement initiative, and its ongoing study of critical success factors for health information exchange through the HIE Learning Network, NeHC works to educate, connect and encourage healthcare stakeholders in efforts to promote the successful deployment of health IT and health information exchange nationwide.

NeHC is a cooperative agreement partner with the Office of the National Coordinator for Health IT (ONC).

About NeHC University

National eHealth Collaborative’s NeHC University is a web-based education program designed to provide stakeholders with timely and relevant information on health information technology and health information exchange in the United States. By offering introductory programs focused on providing an orientation to health IT, as well as deep dives into specific health IT topics, NeHC University provides unique opportunities for interested stakeholders to learn about multiple health IT initiatives, programs, and trends all in one place.

About Technology Crossroads Conference

National eHealth Collaborative in partnership with InfoComm International, is proud to announce the inaugural Technology Crossroads Conference, which will take place in Washington, DC on November 27 and 28, 2012. During the conference, keynote speakers, panel discussions, case studies and technology demonstrations will examine the many uses of AV products and services in various healthcare settings, including telemedicine and telehealth, surgical video, mobile and personal connected health tools, remote patient monitoring, medical instruction and network security.  View the conference agenda at http://www.nationalehealth.org/technology-crossroads-agenda

November 17, 2012 I Written By