LCF Research Overview

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LCF Research

Overview

Presentation to National Governors' Association

May 21, 2010

Maggie Gunter, PhD

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Created in 1990 as Lovelace Clinic

Foundation

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Early years: national pioneers with Lovelace

in provider-based disease management

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Now known as LCF, and is led by large

community Board (35-40) representing all

major stakeholders

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A critical factor--Governor’s designation of

LCF/NMHIC as state’s official health

information exchange network for ARRA

purposes

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Positioned NMHIC and LCF to apply

successfully for federal State HIE funding,

SSA funding, and HIT Regional Extension

Center funding

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Help from the State, the Congressional

Delegation, and our community partners

(NMMRA, NMPCA) and stakeholders was

essential.

Bob Mayer

New Mexico HIT Coordinator

May 21, 2010

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Statewide public health clinic system

◦ _{Serves everyone}

x Family planning services x Immunizations

x STD screening and treatment

x Women, Infants and Children program x Breast cancer screening

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All clinics use EMR and Practice Management

system

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All clinics generate invoices for services

electronically

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All clinics participate in electronic billing

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All clinics will join HIE

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State Scientific Lab will join HIE

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Public Health supports the use of HIE for

surveillance and reportable conditions

◦ _{Expansion of HIE to include filtering for certain}

conditions

x Operations begin June, 2010

◦ _{Expansion of HIE to include reporting of all ED visits} ◦ _{Possible expansion to include all hospital discharge}

New Mexico

Health Information Technology

Regional Extension Center

(NM HITREC)

A Consortium of LCF Research,

New Mexico Medical Review Association, and New Mexico Primary Care Association

(505) 938-9900 [email protected]

www.NMHITREC.org

PCPs in service  area: _2,906 Priority PCPs in  service area: _1,593 Priority PCPs to be  served: _1,035 Total Population (2008 Census): _1,984,356 9

NM HITREC - Timeframe & Tasks

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2010 – EHR Planning, Deployment & Adoption

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Management

2011 – Meaningful Use Preparation & Deployment

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Management

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Meeting

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NM HITREC - Project Status

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Tools

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EHR adoption

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Hospitals (50 beds or less)

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Increased EHR Adoption & Improved Health

Outcomes

New Mexico

Health Information Collaborative

(NMHIC)

May 21, 2010

Bob White, NMHIC Medical Director David Perry, Chief Information Officer

Nationwide Health Information Network (NHIN) Clinician HIE Network Hospital Clinician Office Lab Emergency Room Locates the Patient’s Records Gathers and Assembles the Patient’s Records State Public Health Depts. PRIVACY PROTECTED Patient © LCF Research 2010

Nationwide Health Information Network (NHIN) Clinician HIE Network Hospital Clinician Office Lab Emergency Room State Public Health Depts. Match Patients and Locate Their Records Across Different Sites Patient © LCF Research 2010

` NMHIC created in 2004 - $9 million invested to date

` One of nine HIEs awarded the Nationwide Health

Information Network (NHIN) Trial Implementation Contract, Sept. 2007

` Designated by the State of New Mexico to lead the

Health Information Security and Privacy Collaborative (HISPC), 2006-2009

◦ _{Initiated legislation to clarify state privacy laws and}

enact electronic medical record act 2009

` Designated by the Governor as New Mexico’s

state-wide HIE network for ARRA, May 2009

` Designated by the NM DOH as agent for e-Reporting

` Currently Connected – (in order of connection)

◦ _{Holy Cross Hospital, Presbyterian Healthcare Services} ◦ _{TriCore Laboratories, Albuquerque Ambulance}

◦ _{ABQ Health Partners (20 clinic sites)}

` Our Community Master Person Index (MPI) contains

1,170,000 unique patients

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Lovelace Health System and SED Labs – May

Christus St. Vincent - June

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Electronic reporting to NMDOH - June

University of NM Hospital– August

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Clinician production use starts 2

half of 2010

NHIN Production – Nov (SSA, IHS, and VA)

` RWJF Project to measure NMHIC (2010-2013) $150 k

` LCF, NMPCA, and NMMRA will create the NM Regional

Extension Center (2010 – 2013) $6.175 M

` State HIE Project (2010 – 2013) $7.07 M

` Social Security Admin. Project (2010) $1.08 M

` Coalition of New Mexico DOH, LCF, UNM, NMMRA,

and NMPCA submitted a proposal for the Beacon opportunity (2010 – 2012) $15 M

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Value (savings/cost reduction) to New Mexico

payers

◦ _{$11.9 million per year – extrapolated conservatively}

from national study

◦ _{$6 million per year based on very conservative estimates}

from local data

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Between late 2010 and 2014, federal support

must be matched with increasing financial

support from local healthcare organizations and

the community