This presentation covers state HIE challenges, how Meaningful Use and HIEs work hand-in-hand, how HIEs are becoming more sustainable, and more about HIE initiatives.

1. Health Information Exchange
in the U.S. Today
Where Emerging Technology and
Functionality Meet

2. Meaningful Use Stage 2 & HIE
• 255 known HIE initiatives
• 127 initiatives have identified HIE
vendors
o 38% considered only 1-3 HIE vendors
o 33% considered 4-6 HIE vendors
o 29% considered 7-10 HIE vendors

3. Meaningful Use Stage 2 & HIE
• Top HIE vendors:
o 22 OptumInsight, previously called Axolotl
o 14 Medicity
o 9 Cerner
o 9 Mirth
o 8 GE Healthcare
o 8 IBM
o 7 ICA
• 8 Reporting “Homegrown” Systems

4. HIE and Meaningful Use Stage 2
• Move Data (Core Measures)
o 65% ePrescribing + Formulary
Checking
o Electronic availability of Patient Clinical
Summary
o 55% Lab Data into EHR

5. HIE and Meaningful Use Stage 2
• Move Data (Core Measures)
o Patient online access to view, download
and transfer health data
o Electronic Summary of Care Record for
TOC/Referrals
o Secured messaging to patients
o Exception: Imaging results into EHR
(MENU)

6. HIE and Meaningful Use Stage 2
• Report Data
o Ongoing Immunization Data Submission
(Core)
o Ongoing Electronic Syndromic
Surveillance Data to Public Health
(Menu)

7. HIE and Meaningful Use Stage 2
• Report Data
o Ongoing Data submission to State
Cancer Registries
o Ongoing Data submission to Specialized
Registries

8. HIE and Meaningful Use Stage 2
• Clinical Quality Measures
o 12 Data Points
o Electronically reported using PQRS
technical specifications
o No longer a MU Measure
o Now part of definition of “Meaningful
EHR User”

9. Key Attributes in HIE Vendor
Selection
• Platform Flexibility
• Experience
• Cost
• Customer Service
• Ease of Configuration
• Speed to Deployment
• Reputation

10. 25% Re-evaluating Vendor in Next
12 months
• Poor Customer Service
• Complexity in Configuration
• Cost and Implementation Issues

11. HIE Initiatives and Spending
• Amount spent on HIE vendor:
Last Fiscal Year Total
$0 – 100,000 46
$100,001 – 300,000 18
$300,001 – 500,000 11
$500,001 – 700,000 7
$700,001 – 900,000 1
$900,001 – 1 Million 9
Over $1 Million 14

12. HIE Initiatives and Spending
• 85 – Advanced / Full Operational HIEs
• 54 – Independent of Federal Funding
• 24 – Sustainable (an increase of 18
since 2010)

13. Sustainable HIE Initiatives
• Revenue Sources:
o 4 out of 24 HIEs – All Revenue from a
single source
o 4 out of 24 HIEs – Receiving State /
Medicaid funding
o 20 out of 24 HIEs – Funding from a
variety of sources, typically hospitals,
provider practices and payers

14. Sustainability Models Include
• 10 – Membership Fees
• 9 – HIE Services Fees (E.g., PHR
Portal, Quality Reporting, etc.)
• 4 – Federal Funds
• 3 – Assessment Fees
• 2 – State Appropriations / Grants
• 2 – Usage / Transaction Fees
• 1 – Taxation

15. State HIE Challenges
• Adequate Funding? Resources?
Knowledge?
• Broad range of approaches to all domains
• Broad range of current readiness within the
states
• With so much activity, and such a fast pace,
hard to get a handle on the “national
landscape”

16. Learn more about current health care
industry issues, future legislation and
how they affect providers and patients
on our blog:
www.successehs.com/successtalk