2011 Virginia Telehealth Summit presentation

2. “Worms In A Micro-Wave!”
Hypothesis:
I Predict that the Fatest worm will blow up
the quickest & blow up more GUTS!

3. The Road to Success….
is always under construction.
• CHINs Lily Tomlin
• RHIOs
• Enterprise-wide HIE
• Nationwide health information network
– Prototype architecture
– Trial implementations
– Limited production
– Direct
• ARRA / HITECH
– State HIE
– REC
– Meaningful use
– Beacon Communities
– SSA
– Training grants

4. Commonwealth of Virginia

5. Organizational Purpose
- Collaboration in Health IT
- Clinical Data Exchange
- Enhance Practice
Automation
Vision: “…the most electronically integrated
medical community in the U.S.”
5

6. History at a Glance
Successfully
HIT COUNCIL First live Expanded SSA
MEDVIRGINIA NHIN TRIAL
demonstrate
exchange on
SSA / Centra
New platform
SOLUTION exchange for 4 CMS C-HIEP
IMPLEMENTATION the NHIN with Project Direct
LAUNCHED NHIN Use VLER
CONTRACT SSA COVA HIE
Cases
2006 2007 2008 2009 2010 2011

7. Leadership in Health IT
• First HIE in production on NHIN
• Author and first signatory to DURSA
• First HIE to connect to SSA
• First SSA expansion to new communities
• First HIE to connect to VA and DoD health records systems
• First HIE to receive provider incentive funding from VA
• One of 3 HIEs to connect to CMS
• eHealth Advocate of the Year – 2010
• Chair, NwHIN Coordinating Committee

8. Solution2
Clinical Portal
PACS
Health
System
Health
System
MedVirginia
SSA
SOLUTION 2
NwHIN
CONNNECT
Free Clinics Gateway VA
(3.x)
Oracle Oracle
Physicians Health HTB (ConnectFx) DoD
Master Clinical
Person Data
Physicians Index Repository
CMS
Ancillary Results
Delivery
CENTRA
Labs Other
IDN’s Other
Independent Physician Practices

9. No patient left behind…
• Veterans
• Active military
• Uninsured
• Minority
• Rural
• Mental/behavioral
health
• Incarcerated
• Disabled

10. FREE CLINICS
Current
• CrossOver Henrico
• Fan Free
• Love of Jesus Hanover
• Richmond HBP
2Q11 Chesterfield Richmond
• Powhatan
• Pathways
• Aylett
• Tappahannock

11. Face of Disability
• Almost one-third of
Americans entering the
work force today (3 in 10)
will become disabled before
they retire
• Over 51 million Americans
(18% of the population)
classify themselves as fully
or partially disabled
• 8 million disabled wage earners
(over 5% of U.S. workers) were receiving
Social Security Disability (SSDI) benefits
at the end of June, 2010
Information Provided by SSA
11

12. Social Security Admin. Project
 Avg. disability determination:
 84 days
 With MedVirginia:
 46 days
 11% in 1-2 days
 CCD to SSA
 Algorithms by SSA
 Replication of model

13. MedVirginia Expands with Centra
Memorial
Regional Richmond
Community
Existing Data
Suppliers
St.
MedVirginia
Francis
CDR
St. Mary’s
Sheltering
MedVirginia
CONNECT Arms
CONNECT
Gateway
Gateway
Southside
Community
New Data Suppliers
Centra Virginia
CDR Baptist
Lynchburg
General
13

14. SSA / MedVirginia Use of
MEGAHIT
• Case study
commissioned by
SSA
• Conducted by Kay
Center for eHealth
Research
• Perspectives:
– Claimant
– Provider
– SSA
• ROI

15. Virtual Lifetime Electronic Record
Presidential Directive April 2009:
Provide seamless access to all
electronic records for Service
Members and Veterans as they
transition and throughout their lives.
“No one should experience delay in access
to services they earned while serving their
country because of red tape and paperwork.”

16. Need for VLER
Private
Up to 60% of Sector Care
Veterans receive
service member’s approximately
healthcare is 40% of their care
provided outside outside of VA
of the Military 60% 40%
treatment
Health System. 70 facilities.
DoD DoD-VA Continuum of Care VA

17. VLER Solution

18. HIE Trust Framework
Mutual trust is a shared belief that you can depend
• Physicians on each other to achieve a common purpose.
– Clinicians
– Information managers
• Framework of trust
– Agreed Upon Business,
Policy and Legal
Requirements
– Enforcement and
Accountability
– Transparent Oversight
– Identity Assurance
– Technical Requirements

19. HIE Governance

20. Let’s roll….

21. Questions
?
Charlie, Almost Home SPCA, Nelson County