My Health Access Network A Beacon Community in

My. Health Access Network: A Beacon Community in Oklahoma David Kendrick, MD, MPH

Beacon Community Opportunity $265 M invested by ONC 142 communities applied 17 communities selected Significant ONC involvement: “Cooperative Agreement Program” • To demonstrate what HIT can do for a community when fully and appropriately deployed. • • – Cost efficiency – Improved quality – Better population health • Announced 5/4/2010

The Beacon Communities

What is My. Health Access Network? • A non-profit organization • Created by a grass roots, community-driven effort of more than 50 organizations • Focused on a common objective – To improve the health of our community by improving the Tulsa area healthcare system – For the benefit of all patients, employers, and providers

Real Health Disparities NORTH TULSA Shorter Life Expectancy 14 Year difference in Life Expectancy Across Tulsa County SOUTH TULSA Longer Life Expectancy

What to do about it? • June 8, 2009: Mayor Taylor hosted a community health strategy summit – 70 leaders in the Tulsa region healthcare community attended – My. Health created, charter signed by 30 organizations – Planning Phase launched

Task Force Hierarchy Governance/ Oversight Clinical use cases Data needs Quality Metrics Data needs ROI/ Business Model ROI by stakeholder Financial Model Privacy/ Security Privacy Requirements Security Model Technology Features, Functions RFP

Focus Objectives • Cancer prevention: – Increase cancer screenings • Population Health: – Increase immunizations in children and elderly • Care coordination: – Improve access to care for vulnerable populations – Decrease time required for patients to receive initial “touch” from specialists. – Reduce unnecessary care transitions and associated costs.

Basic Framework for Health Improvement using My. Health Interventions Communitywide Health Data Tools to Address Care Opportunities • Health Information Exchange • Single-sign on • Context Management • Patient portal Analysis and Synthesis of Care Opportunities

Definitions: EMR vs. HIE vs. HIO vs. CCC HIE

Basic Framework for Health Improvement using My. Health Interventions Communitywide Health Data Tools to Address Care Opportunities • Health Information Exchange • Single-sign on • Context Management • Patient portal Analysis and Synthesis of Care Opportunities • Community Analytics Platform using Pentaho • Doc. Site Analytics

Basic Framework for Health Improvement using My. Health Interventions • Clerk 2 Clerk Care Transition Management • Doc 2 Doc Care Coordination • e. Rx • Performance Reporting • Doc. Site Care Management Communitywide Health Data Tools to Address Care Opportunities • Health Information Exchange • Single-sign on • Context Management • Patient portal Analysis and Synthesis of Care Opportunities • Community Analytics Platform using Pentaho • Doc. Site Analytics

Definitions: EMR vs. HIE vs. HIO vs. CCC HIE

Pre-Doc 2 Doc care coordination process ? Schedule Patient Interview, Examine Specialist Clerk PCP Clerk Referral initiated Primary Care Provider • • • Understaffed No written procedures in place No quality monitoring or backup procedures Initial contact: 4 -60 days 50 to 3, 000 referrals behind Many simply dropped Consultant

Doc 2 Doc care coordination process Schedule Patient Specialist Clerk Interview, Examine PCP Clerk Need to see Referral initiated Add clinical story Primary Care Provider Doc 2 Doc Interaction Consultant

Questions? David-Kendrick@ouhsc. edu • Clerk 2 Clerk Care Transition Management • Doc 2 Doc Care Coordination • e. Rx • Performance Reporting • Doc. Site Care Management Communitywide Health Data Tools to Address Care Opportunities • Health Information Exchange • Single-sign on • Context Management • Patient portal Analysis and Synthesis of Care Opportunities • Community Analytics Platform using Pentaho • Doc. Site Analytics