Healthe MidAmerica Update

1
Healthe MidAmerica Update

• Karen Braman
• Director, Quality and Innovation, KHPA
• Kansas Health Policy Authority Board Meeting
• December 12, 2006

2
Big Employers Plan Electronic Health Records BY
GARY MCWILLIAMS
Several big employers are about to deliver an
electronic jolt to the U.S. health-care
system. Next week, Intel Corp., Wal-Mart Stores
Inc., British Petroleum and others will disclose
a plan to provide digital health records to their
employees and to store them in a
multimillion-dollar-data warehouse linking
hospitals, doctors and pharmacies. Their goal
to cut costs by having consumers coordinate their
own health care among doctors and hospitals.
3
Health care sharing idea will kick off Records
effort aims for better costs, treatment Kansas
City Business Journal December 1, 2006 by Rob
Roberts
Healthe Mid-America will launch a groundbreaking
experiment this month aimed at improving health
care and saving local employers millions by
sharing medical records. The prospect of
reducing adverse drug reactions, medical errors
and duplicate tests by making electronic medical
records accessible to all of a patient's
providers has prompted dozens of communities,
government agencies and hospital systems to
launch regional health information organizations,
or RHIOs. Healthe Mid-America is the nation's
first employer-based RHIO, CEO Jim Hansen said.
4
Healthe Mid-America

• Objective Create an independent trusted agent
  to facilitate electronic exchange of health
  information in the Kansas City region
• Improve quality and cost of care through enhanced
  coordination
• Provide lightweight connectivity to Kansas City
  physicians free of charge

5
Employers Engaged by Healthe

• AMC Theatres
• American Century Investments
• Applebees
• Aquila
• Bank of America
• Black Veatch
• Blue Cross Blue Shield of Kansas City
• Burns and McDonnell
• Cerner
• Childrens Mercy Hospitals and Clinics
• Commerce Bank
• Copaken, White Blitt
• DST Systems
• Embarq
• Federal Reserve Bank of Kansas City
• Garmin
• GE Insurance Solutions
• Gould Evans Associates
• Government Employees Hospital Association

• Hallmark
• HR Block
• IBM
• J.E. Dunn
• Kansas City Life
• KC Southern
• KU Med
• Lockton Companies
• Midwest Research Institute
• Polsinelli, Shalton, Welte, Suelthaus
• Quintiles
• Sprint Nextel
• State of Kansas
• Stinson Morrison Hecker
• Truman Medical Centers
• UMB Bank
• UPS
• US Bank
• Walton Construction

6
Organizations Engaged by Healthe
Providers

• American Academy of Family Physicians
• Carondelet Health
• Children's Mercy Hospitals and Clinics
• Greater Kansas City MetroMed
• HCA Midwest
• Heartland Health
• Kansas City Independent Physicians Assoc.
• Kansas Medical Society
• Lawrence Memorial Hospital
• Liberty Hospital

• Metropolitan HC Council "Lunch Bunch"
• North Kansas City Hospital
• Olathe Medical Center
• Shawnee Mission Medical Center
• Sisters of Charity of Leavenworth
• St. Luke's Health System
• Swope Community Enterprises
• Truman Medical Centers
• University of Kansas Medical Center

Influencers

• Civic Council
• Clay County EDC
• Greater Kansas City Chamber
• Greater Kansas City Community Foundation
• Kansas City Area Development Council
• Kauffman Foundation
• KC CareLink
• KCREE
• KS Chamber
• KS Congressional Delegation
• KS State Elected Officials

• Lenexa Chamber
• Mid-America Coalition on Health Care
• Midwest Area Regional Council
• MO Chamber
• MO Congressional Delegation
• MO State Elected Officials
• Northland Regional Chamber
• Overland Park Chamber
• Swope Community Enterprises
• UMKC

7
Healthe Founding Sponsors
8
Three Types Of Electronic Health Records

• Provider Electronic Health/Medical Record (EHR or
  EMR)
• Legal medical record owned and used by providers
  to manage their own patient population
• Used across multiple venues of care within an
  enterprise for multiple conditions
• Community Health Record (CHR)
• Community owned record that serves a
  politically viable geography, region, or health
  system network
• Crosses traditional provider systems boundaries
• Derives summary information from multiple sources
• Ties into a national health infrastructure
• Enables biohealth, public health, outcomes
  management
• Supports pay-for-performance
• Personal Health Record (PHR)
• Personally-managed health data
• Populated with data from CHRs and EMRs
• Wellness programs/condition mgmt.

9
CHR Key Features / Benefits

• Provides summary of key information
• Patient-centered record of aggregated health data
• Financial administrative
• Clinical
• Web-based, easy to deploy and easy to learn
• Contains extendable services, e.g. in-box, eRx,
  referral mgmt, etc.
• Interoperates with existing applications/services
• Stepping-stone toward a full EMR

10
Projected Employer Benefit

• Over five years, employers representing 100,000
  covered lives in KC are projected to achieve
  benefits of 15.6 million
• Annual employer benefit 1,021,700 (2007) ?
  5,468,105 (2011)

• Better care and oversight
• Chronic condition management
• Reduced Waste
• Reduced inpatient admissions
• Reduced repeat outpatient visits
• Lower ED expenditures
• Decrease in diagnostic procedures
• Medications and e-Prescribing
• Reduced adverse drug events
• Formulary-driven savings
• Problem driven medication ordering
• Reduced medication waste
• Fraud and abuse
• Reduced abuse and diversion

11
Healthcare Provider Benefit

• Free for Healthcare Professionals
• Only need Internet Access
• HIPAA compliant
• Empowers Clinicians
• Allows for real-time viewing of relevant health
  Information
• Provides longitudinal record of all claims data
  both pharmacy and clinical
• Supports multiple workflows
• Immunization records
• ePrescribing Module
• performs interaction and contraindication
  checking
• duplicate prescriptions, drug-drug interactions
  and harmful allergic reactions
• routes prescriptions automatically to the
  patients pharmacy of choice, improving patient
  safety and satisfaction

12
KHPA Pilot in KC Area

• 15 counties in KC area
• Approximately 17,000 employees
• Opt-out provision for employees
• Same application as CHR pilot in Wichita

13
Questions?