Wednesday, December 28, 2011

Chattanooga HIE - by Middle Tennessee eHealth Connect

Here is profile of the MTeHC - the HIE that is going to help Chattanooga exchange health information.  
The Middle Tennessee eHealth Connect (www.midtnehealth.com) is a not-for profit regional health information exchange organization whose mission is to improve the effectiveness and efficiency of health care delivered to every member of the community without regard to payer by connecting health care providers throughout Middle Tennessee.
MTeHC uses Informatics Corporation of America (ICA) which was technology developed by Vanderbilt Medical Center for the broader health care market, and now delivers a comprehensive HIE solution to hospitals, IDNs, communities and states. 
Participating entities in the Nashville area:
  • Saint Thomas Health Services
  • Vanderbilt University Medical Center
  • Metropolitan Hospital Authority (Nashville General Hospital)
  • HCA TriStar Division
  • Tennessee Hospital Association
  • Meharry-Vanderbilt Alliance
  • Metropolitan Government of Nashville and Davidson County
  • State of Tennessee
  • Nashville Academy of Medicine
  • Tennessee Health Care Campaign
  • Safety Net Consortium of Middle Tennessee

Participating entities in the Chattanooga area:
  • Erlanger Hospital
  • Memorial Hospital
  • Parkridge Hospital - a part of the HCA TriStar Division

Health Information Exchange in Chattanooga … the latest developments

In my February post I described Chattanooga health community's attempt to get a Health Information Exchange started.    When we got together the main charge (established by the leadership group) was to determine if Chattanooga should form its own exchange or become a "community" within an already established HIE.   

The three workgroups (technical, clinical and security & privacy) debated over  several months,  looked at the issues from their respective points of view, and came up with the verdict:  join the MTeHC (Middle Tennessee eHealth Connect) out of Nashville.  

The decision was not easy but it had to do with the speed of implementation and the cost of running our own HIE.  

At end of November the workgroups were "reactivated"  and we started planning for the nitty gritty of hospital data exchange.   The initial aim of the health exchange is reduce the rate of readmissions for Erlanger, Memorial and Parkridge Hospitals.   Data sharing tests are projected to start somewhere in the April-June 2012 timeframe.  

While we are waiting for the data sharing agreements and the technical architecture for sharing of data to be built, the clinical workgroup would like to have "security messaging" functional as soon as possible.  This will allow clinicians to share data among each other using something like a secure webmail system. 

In my next post I will post MTeHC's profile.  

Wednesday, February 23, 2011

Southeast Regional Exchange!


Yay!  On February 4-th we had our first meeting to discuss the HIE for our region.  
These were the institutions attending the first meeting:

Erlanger
IVHIN - Knoxville
Memorial
MidSouth eHealth Alliance - Memphis
Office of e-Health - State of TN
Parkridge
Southern Adventist University
Tennessee Hospital Association
TriStar

The name adopted (for now) was Southeast Regional Exchange.  
We split in several workgroups (clinical, leadership, privacy & security and technical) and each adopted their own charter.  The charge for everyone is to determine whether we should form our own HIE or join an existing one.  This decision will be taken by the middle of April.

The technical workgroup, of which I am a part of, has the mission of coming up with the technical requirements for an HIE in our region and judge whether two of the existing Tennessee HIE can serve our needs.  The work has already started.  

This is definitely an exciting beginning for a faster coordination of care in the Chattanooga region.

The architecture of Tennessee's state HIE

Things are starting to move along with the building of the Tennessee HIE.  As part of my engagement with HIP-TN (Tennessee HIE) I continue to participate in the  meetings of the Technical Workgroup.  I have displayed a few diagrams showing the general architecture of the processes of querying for patients, documents and retrieval of documents.

Tennessee HIE architecture


Patient Discovery

Query for Documents

Document Retrieval