¶ Indiana Health Information Exchange (IHIE) |
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| 846 N. Senate Avenue, Indianapolis, IN 46202 www.ihie.org Contact: info@ihie.org Twitter: @IndianaHIE |
Nonprofit | |
| Role(s) | • IHIE was founded as a not-for-profit organization in 2004 to support the founding member organizations of IU Health, Community Health Network, Health & Hospital Corp. of Marion County, Ascension St. Vincent, and Franciscan Alliance. Additional supported organizations include Healthcare Provider Associations (Indiana Hospital Assoc.), State and Local Public Health Agencies (Indiana Dept. of Health, FSSA/OMPP, Marion Co. Public Health Dept.); and other key stakeholders such as Central Indiana Corp. Partnership, Inc. (BioCrossroads) • IHIE enables hospitals, physicians, laboratories, payers, and other health service providers to avoid redundancy and deliver faster, more efficient, higher quality healthcare to patients in Indiana |
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| Mission | Through information exchange, we improve health and healthcare. | |
| History | 1994: Indiana Network for Patient Care (INPC), now the nation’s largest interorganizational clinical data repository, was established by the Regenstrief Institute 2004: IHIE was founded by healthcare, business, and academic stakeholders with the charge to manage the INPC 2010: ONC awards IHIE $16M Beacon grant 2015: IHIE joins Strategic Health Information Exchange Collaborative (now Civitas) as founding member 2020: IHIE and Michiana Health Information Network (MHIN) consolidate under IHIE’s name to become Indiana’s sole HIE |
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| Org | • 102 employees; 21 developers • Founded in 2004 • Organizational functions include: Business and Product Development, Service Delivery, Solution Engineering, Architecture, Implementations and Data, Analytics, Planning and Administration, Legal, Privacy and Compliance, and Finance and Accounting Leadership: • John Kansky: President and Chief Executive Officer • Keith Kelley: Chief Operating Officer • Shaun Grannis: Chief Medical Information Officer • Jeff Good: Chief Financial Officer • Drew Richardson: VP, Business and Product Development • Becky Learn: VP, Service Delivery • Brian Lawson: VP, Solution Engineering and Technology • Laura Orcutt: VP, Planning & Administration • Kelly Hahaj: VP, Implementations and Data • Alisa Kuehn: VP, General Counsel & Privacy Officer |
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| Board | IHIE’s Board of Directors includes the following organizations: | |
| • Indiana University Health • Ascension St. Vincent • Franciscan Alliance • Community Health Network • Health & Hospital Corp (Eskenazi) • Regenstrief Institute • Indiana Hospital Association • Indiana Dept. of Health • FSSA/OMPP |
• Marion County Public Health Dept. • HealthNet • Indiana Health Care Assoc./Indiana Center for Assisted Living • Hancock Hospital • CareSource • New York eHealth Collaborative • BioCrossroads • Elevance Health |
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| Finance | $16M annually | |
| Data Source | Data sources include hospitals, Accountable Care Organizations (ACOs), laboratories and imaging centers, payers, ambulatory practices (Federally Qualified Heath Centers, Community Health Centers, clinics, physicians, etc.), government agencies, and employers. A list of our participants can be found here: https://www.ihie.org/participant-list/ The following list provides a breakdown of IHIE’s INPC data. |
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| Observations & Results • Pathology Reports • Admission Notes • Discharge Summary • Visit Note • Radiology Report • Nuclear Med. Report • Operative Report • Vitals • Chemistry Studies • Hematology Studies • Urine Studies • Microbiology Studies • Serology Studies • Chromosome & Molecular Pathology • TDM & Toxicology Studies • Surgical Pathology & Cytology • Cardiology Studies • Gastroenterology Studies • Neurology Studies • Pulmonary Studies • Radiology & Nuclear Medicine • Encounter Data • Psychiatric Data • OB/GYN/Perinatal • Eye & Ear Studies • Preventive Care • Provider Notes • Questionnaires • Associated Data: Medical Orders, Binary Documents |
Encounters Pharmacy Orders
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| Data Access | • IHIE has formal systems for managing data access within rules set by data contributors, agreements, and applicable laws. To access data, the requesting entity must sign an INPC subscription agreement that describes the terms and conditions of participation and membership. IHIE’s products are organized into three suites: OneCare, which offers solutions to improve the health of the individual patient; PopCare, which provides insight into population health; and GovCare, which provides services to help providers with public health reporting and monitoring. Member organizations may access IHIE’s CareWeb application (OneCare) to view longitudinal data on one patient or request a CCD to electronically collect data on one patient. To access data on a population of patients, IHIE offers population health products and services such as its Clinical Value Report (PopCare), a customized report that assists organizations in care management for specific populations and quality metric efforts. More information on IHIE’s products and services can be found here: https://www.ihie.org/products-overview/. • Participants in the INPC can access INPC data for use cases within the following permitted purposes: Treatment, Payment, Healthcare Operations, Public Health, and Research. Most organizations access and use INPC data via various services offered by IHIE. Data requests for research are managed by the Regenstrief Institute. Data access rules are governed by the INPC Management Committee, which is comprised of representatives of INPC participating organizations, IHIE, and Regenstrief Institute. The INPC Management Committee has the authority to approve new use cases and access rules. |
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| Tech Capabilities | The following are the primary systems that we operate for managing data: • Repository Management: Clinical data management systems for normalizing, storing, and retrieving data from discrete and document repositories • Patient Matching: Systems for matching patients across all data sources to support extracting data through the governance system • Master Data Management: Systems for managing code set lists, demographics mappings, provider lists, and other data from outside the organization • Data Quality: Processes and systems for classifying incoming data quality and perform repairs where needed |
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| Projects | The following highlights recent products and projects. Products: • CareWeb: A secure and robust application that displays billions of data elements from the clinical data repository, the Indiana Network for Patient Care (INPC). It includes Single Sign On capability and a search feature to help users find specific data, including locating terms within free text and PDFs. • In 2020, we introduced a powerful search functionality, called Clinical Data Search (CDS), as a stand-alone application. This mobile-friendly, secure, and accessible application allows clinicians to perform keyword searches across a patient’s longitudinal record to give a more streamlined user experience. • We have recently enhanced our Admission, Discharge, Transfer (ADT) alerts to allow physicians and care managers to receive them in near real time by integrating the encounter notifications into our customers’ care management systems. • Other IHIE products, including Population Health products, can be found here: https://www.ihie.org/products-overview/ State Projects: • Support COVID surveillance activities by gathering and sending registration and clinical information generated by our customers and other testing sources to IDOH/FSSA and Regenstrief Institute to support data modeling and dashboarding efforts. • Support expanded COVID testing and share results with clinicians and public health. • Electronic Case Reporting with Indiana Department of Health for COVID-19 and opioids. • Maternal Opioid Misuse Indiana Initiative (MOMII). • Provide daily encounter notifications to care coordinators for My Healthy Baby program for Medicaid patients. • Store vaccine data from IDOH in the INPC and make available to participating providers and health plans statewide. • Match vaccine data with employee files from participating hospitals to facilitate HHS reporting. • Support health systems vaccination outreach to their workforce and patients. Federal Projects: • Partnering with 5 other HIEs through the Consortium for State and Regional Interoperability (CSRI, http://thecsri.org/) on a multi-state COVID-19 dashboard for ONC/CDC. |
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| Future Focus |
IHIE is well educated in new and upcoming national interoperability approaches that will impact the health IT industry and IHIE customers. Examples include, but are not limited to: We have recently refreshed our 5-year strategic plan to increase collaboration with State government on public health and Medicaid. Additionally, we will continue to focus on emphasizing innovation focus on integration and pop health/public health products, and to acquire data of strategic value. |
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| Talent Development | No direct training/education programs IHIE does host several fellows, interns, and/or externs each year |
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| Data Sharing Agreements | IHIE maintains data sharing agreements with all INPC members and business associates. Our data sharing agreements are governed by the INPC Management Committee. | |
| Programs/ Publications | HIEs Are Vital to Public Health, But Need Reshaping by David Horrocks, President, CRISP and John Kansky, President, Indiana Health Information Exchange (https://www.himss.org/resources/hies-are-vital-public-health-need-reshaping) |
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