Scaling Patient Engagement

Todd Rowland MDExperienced Professional Focused on Health Care Re-Design and Informatics

toddrowland@healthlinc.org www.healthlinc.org

Patient Engagement

1% patients = 30% costs

Today’s workflows are counter-productive…

to the provider-patient relationship…

… and create unintended outcomes.

Closing Gaps in Care

HIE Value Progression – Meaningful Use, Medical Home and Payment Reform

Basic HIE

• Stage 1 MU • EHR Adoption (REC Services)• Basic Electronic Messaging (Clinical Messaging, DIRECT)• Community Portal • Web-Based Results Delivery • Value: Dramatic reduction in redundant paper, phone contacts; Greater

efficiency

Intermediate HIE

• Stage 2&3 MU & PCMH Development • Structured Data Delivery to EHRs• Results Delivery (Lab, Rad, ADT, etc.)• Intelligent DIRECT Alerts (transitions)• Curated Summary Record Exchange (CCD)• Value: Necessary to achieve electronic workflows; Dramatic increase in

efficiency

Advanced HIE

• ACO & Payment Reform Readiness•Data Warehouse & Analytics •Disease Registry•Quality Reporting Support•Full Integration Services & Bidirectional Exchange•Value: Dramatic improvements in quality and performance

Today’s Focus: Closing Gaps in Care

Basic HIE

Intermediate HIE

• DIRECT ED Alerts• HIE connected PHRs• Shared Care Plans

Advanced HIE

Story: Care managers asking for alerts

Care Coordinators Dilemma

Request for ED Alerts = Last Mile

HealthLINC HIE and Clinical

Operations

Shared Care

Planning

Informed Customers Asking Good Questions

Request for ED report

Site visit Beacon Practice

Technology Evaluation

Live Primary

Care

Live Behavioral

Health Care

Learning Network Cycle Continues

How Are We Helping Bob?

How is Bob Helping Himself?

Closing Gaps in Care

Scaling Patient Engagement

Todd Rowland MDExperienced Professional Focused on Health Care Re-Design and Informatics

toddrowland@healthlinc.org www.healthlinc.org