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Health Information Exchange in Washington State


Latest Update: November 11, 2011

Yakima Area Trading Partners Join the OneHealthPort HIE

Memorial Physicians, PLLC and Yakima Valley Farm Workers Clinic are the newest participants to join the OneHealthPort HIE and represent the first trading partners from the Yakima health care community.

Memorial Physicians, PLLC, operates as the outpatient arm of Yakima Valley Memorial Hospital. This integrated physician/hospital partnership provides patients the highest quality care through a sustainable healthcare delivery system made up of over 17 partnering clinics. This relationship effectively and efficiently meets the healthcare needs of the Greater Yakima Valley region and its people.

Yakima Valley Farm Workers Clinic was originally established as a non-profit organization incorporated in 1978 to provide care for migrant and seasonal farm workers. Today the Yakima Valley Farm Workers Clinic has locations throughout Washington and Oregon, impacting the lives of thousands of adults and children each year. Services provided by a majority of clinical and professional staff who are bilingual/bicultural include medical and dental care, behavioral health care and counseling, pharmacy services, treatment for substance abuse, community health services and nutritional services. There are also educational and employment training programs.

The OneHealthPort team is working with Memorial Physicians and Yakima Valley Farm Workers Clinic to prepare and test initial transactions and engage other trading partners to begin exchanging health information through the HIE later this year.

 

OneHealthPort HIE Trading Partners

A list of organizations that have contracted with the HIE and are making preparations to exchange transactions will be included in each update and posted on the OneHealthPort website. As organizations join the HIE they will be added so trading partners (and those interested in joining the HIE) know who is participating and what transactions they are prepared to exchange.

 

    

 

How do I find a trading partner on the HIE?

The OneHealthPort HIE recently launched a new web page that contains an Entity Level Provider Directory (ELPD) for use in locating the identifiers, the OneHealthPort Organization Identifier (OrgID) and the Object Identifier (OID) enumeration, assigned to trading partners for transaction and document routing via the HIE. As the trading partner community grows, the HIE will also host a Practitioner Level Provider Directory (PLPD) in 2012. Additional information about this directory will be presented in the HIE updates in the months ahead.

During 2012 the OHP HIE will also host a Washington State HIE Entity Level Provider Directory (WAHIE ELPD). This entity level directory will list any organization wishing to post the HIE or HIO they participate through and what transactions they are ready to send and receive. This directory will include routing addresses and technical contact information for each entity.

For questions about the HIE Provider Directory and identifiers assigned to trading partners please visit the new web page. Information about the OID enumeration for the OneHealthPort HIE read the OID reference document.

More HIE trading partners on the way

The OneHealthPort HIE team continues to work closely with several organizations across the state as they prepare to join the HIE. Overlake Hospital Medical Center, MultiCare Health System, Seattle Children's, Evergreen Hospital Medical Center, Department of Health, Premera Blue Cross, Wenatchee Valley Medical Center, Kadlec Health System, Kennewick General Hospital, Our Lady of Lourdes Hospital, Yakima Memorial Hospital, and Inland Imaging are several of the organizations exploring the best ways to leverage their technology investments through the HIE. In addition to making connections to local trading partners, many of these organizations are also facilitating conversations in their immediate trading communities to use the HIE to extend connectivity and information exchange beyond their traditional care service areas. On the national front, OneHealthPort is actively working with LabCorp to coordinate HIE connectivity.

Meaningful use testing with the health information exchange

OneHealthPort, Washington State Health Care Authority's (Medicaid) Electronic Health Record (EHR) Incentive Program, and the Washington & Idaho Regional Extension Center (WIREC) are working on an initiative for eligible professionals and hospitals to test and validate readiness for meaningful use through the OneHealthPort HIE. The EHR Incentive Program team is currently reviewing testing objectives and proposed processes. The group is planning to meet again in December to determine next steps. Target roll-out of this program is planned for first quarter 2012.

Expanding health information exchange

Earlier this fall, OneHealthPort met with the states of Alaska and Idaho, and the Beacon Community of the Inland Northwest to examine the policy, technical, and business aspects of expanding health information exchange to state trading partners and the Beacon community. The goal with the initial meeting was to identify what would be required to launch this effort and how best to organize expanded information exchange activities.

Last week, technical teams from the states and the Beacon met to share information about their technical architectures. They also discussed options for technical connectivity that would support information exchange between the states and the Beacon community using national standards and standards compliant with NwHIN Exchange. This group will reconvene in early December to review the options for the technical connectivity as well as the policy and business draft agreement documents.

OneHealthPort is also participating with a larger group of Western States working with the Office of the National Coordinator for Health Information Technology (ONC) to address HIE-to-HIE connections where the NwHIN Direct tools are being used.

NwHIN CONNECT conformance testing

Conformance testing for data submission via the CONNECT gateway of the Nationwide Health Information Network is fully underway. OneHealthPort is pursuing this certification process to connect to the Nationwide Health Information Network (NwHIN) supporting the National Renal Administrators Association (NRAA) dialysis quality reporting pilot project with the Centers for Medicare and Medicaid (CMS).

Health IT events sponsored by the Washington State Health Care Authority

On November 29, 2011 the Washington State Health Care Authority is sponsoring two health information technology events:

Washington State Health Information Exchange 101 - This seminar, presented by OneHealthPort, provides an overview of health information exchange - what it is, how it can assist health care organizations, how to join and a progress update on the activities underway at the statewide HIE. Intended audience: beginner level introduction to HIE.

Washington State Health Information Technology (HIT) Forum - The Health Care Authority's eHealth Collaborative Enterprise group hosts this bi-annual forum. The purpose of this forum is to communicate with and engage stakeholders in the planning and implementation activities of statewide HIT programs. The Washington State Health Care Authority (HCA) coordinates statewide HIT programs and activities funded by the Health Information Technology for Economic and Clinical Health (HITECH) Act provisions of the American Recovery and Reinvestment Act (ARRA).

For more information or to register for these events, please go to the www.healthit.wa.gov website and click on the first link under Announcements.

Interested in Learning More about the OneHealthPort HIE?

The OneHealthPort HIE team is hosting webcasts during November and December to provide information about the business value of joining and using the HIE to exchange electronic health information. The target audience for the business value webcast is leadership and administrative staff. Technical webcasts will also be held each month. These webcasts provide an implementation overview of the HIE – how it works and how to connect - and is targeted at information technology staff, consultants and the vendor community. The dates for the webcasts are listed below. To register for the webcasts, please use the following Link.

Business Value of the HIE webcasts offered on:
November 17, 2:00-3:00 p.m., PST
December 12, 10;00-11:00 a.m., PST

Technical Implementation Overview of the HIE webcasts offered on:
November 14, 10:00-11:00 a.m., PST
December 6, 2:00-3:30 p.m., PST

 

For More Information

Visit the OneHealthPort website.

Registration
Register for the OneHealthPort HIE webcasts.

Contacts:

HIE Program and Technical Information, Kelly Llewellyn, HIE Project Manager, kellyl@onehealthport.com, (206) 624-3128 x157

HIE Contracting, Teresa Davis, Director, Market Development, tdavis@onehealthport.com, (206) 624-3128 x152

 

Rick Rubin, CEO

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Attend a webcast


- to learn more about the HIE - both business and technical webcasts are offered monthly.

OHP HIE Entity Provider Directory  NEW!


Getting Started

  • Review contracts and policy
  • Review pricing
  • Review Use Case examples - WHAT do you plan to trade?
  • Develop a list of trading partners - WHO do you want to exchange with?

Take Action

  • Register with the OneHealthPort HIE Provider Directory
  • Execute the HIE contract electronically
  • Attend a technical webcast to help select your connectivity option
  • Start testing sample transactions with the HIE HUB

Register for Notices on HIE Updates


Statewide HIE Community Oversight  

Historical Project Updates and Document Library

 

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Project Background

Moving Ahead with Health Information Exchange

The health industry in the Evergreen State has been working for years to improve patient outcomes and reduce costs. One of the main barriers to progress has been the inability to easily share health information between and among health organizations. Because patient information is fragmented across hundreds of enterprises, it is difficult for any one enterprise to significantly improve their performance without engaging their trading partners.

Technology and business solutions need to be created that allow organizations to appropriately share data externally, while also enhancing use of information internally. Clearly, there is a need for comprehensive Health Information Exchange (HIE).

Aligning Players in Washington State

While some communities and organizations in Washington state have organized effective HIE solutions on a local or organization-wide basis, a statewide cross-enterprise solution that makes long-term business sense has not been achieved.

Now, with engagement and support from the public sector, a concerted private sector-led effort is taking shape to advance Health Information Exchange in Washington state.

Federal & State Support - Private Sector Engagement

During 2009, the U.S. Congress and the Washington State Legislature enacted laws in support of robust Health Information Exchange.

In Olympia, a new law was enacted to accelerate the secure exchange of "high value" health data - including lab results, medications, immunizations, diagnostic images, and others. The law directs the Washington State Health Care Authority (HCA) to designate a private sector organization to lead implementation of HIE.

The Federal program - named the Health Information Technology for Economic and Clinical Health (HITECH) Act - is briefly described in the sidebar.

The Role of OneHealthPort

In response to both the Federal grant opportunity and State law, HCA designated OneHealthPort to serve as the lead HIE organization for Washington. In this role, OneHealthPort is responsible for:

  • Leading initial development of HIE in a manner that will comply with the new State law (SB 5501 is now part of the Revised Code of Washington, Chapter 41.05);
  • Satisfying the grant objectives of the Federal Health HITECH Act; and
  • Attracting private and public sector stakeholders to invest and participate in HIE.

 


Links to References, Updates and Meeting Materials