2014 Annual Report
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2014 Annual Report
p. 4 Letters from the Board Chair and the CEO 6 2014 Board of Directors 8
Our Enduring Goal Improving Population Health, One Person at a Time
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Hixny Plays Key Role in Growth of Statewide Health Information Network
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Technology Advances Lead to an Expansion of Hixny Services
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Portal Opens Up a Win-Win for Patients and Providers
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A Million Ways For Hixny to Provide Value
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Hixny on the Rise
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Hixny’s Reach Continues to Expand
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Hixny Participants
Hixny is the hub of a truly unique collaboration that transforms information into improved healthcare and community wellness. 2
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2014 Annual Report
Letter from the Board Chair John D. Bennett, MD, President & CEO, CDPHP
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ver the past year, the momentum around Hixny has accelerated at a pace even greater than anticipated. Across New York State, among government officials and healthcare executives, and by the physicians and providers who use our services, Hixny is viewed as a leader and innovator in health information technology. We have the highest adoption rate of any Qualified Entity (QE) with 66 percent of healthcare providers in our region connected to Hixny, and the greatest use of our health information exchange compared to any other Qualified Entity. Awareness of Hixny is at an all-time high among providers who turn to us as an essential source of comprehensive patient records at the point of care. What’s more, Hixny is the one organization that convenes all healthcare stakeholders in our community— payers, providers, government agencies, businesses and other organizations. As a collaborative, we have been focused on health information exchange and demonstrating success in connecting providers and delivering value. Now our conversation is expanding and our goals becoming even more ambitious. We are united around our shared objectives of achieving the Triple Aim as articulated by the Institute for Healthcare Improvement—improved care, a better patient experience and lower healthcare costs. Now we talk about advocating for health policy that will serve Triple Aim. Now we discuss strategies for supporting the increasing number of population health management programs in our community. No reflection on the past year would be complete without noting Hixny’s contribution to the Statewide Health Information Network of New York (SHIN-NY). Hixny partnered with other Qualified Entities and the New York eHealth Collaborative (NYeC) to develop a plan and receive public funding to help build out the SHIN-NY’s foundational functionality—the
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ability for a provider to look up individual patients and access their comprehensive health records from across the state. Not only has this milestone broken down barriers to broader and deeper health information exchange and helped make the SHIN-NY a reality, it has also enabled Hixny to allocate other resources and funds to help recruit additional members, such as businesses, as well as to enhance our health information services, patient portal and analytics capabilities. The public funding also helps meet an essential and ongoing challenge for Hixny: sustainability.
We are united around our shared objectives of achieving the Triple Aim Serving as Hixny board chair, as well as president and CEO of CDPHP ®, has been both enlightening and rewarding, and demonstrates the mutually beneficial relationship among the organizations in our collaborative. If we can all continue to stimulate the sharing of clinical information at the point of care, the result will be better quality and lower cost over time. Anyone who knows me is familiar with my unwavering belief in health information technology as an essential tool to enhance the quality and efficiency of care. I have been committed to this cause for more than 20 years, and in the past year alone have witnessed progress I could only have dreamed about at the beginning—progress made possible because of Hixny. Imagine what the next year can bring.
Letters from the Board Chair and the CEO
Letter from the CEO Mark McKinney, CEO, Hixny
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or this year’s annual report we chose the title “Exchanges” to reflect Hixny’s responsibility as the health information exchange in our region as well as our role in fostering collaboration and the exchange of ideas that improve healthcare and community wellness. Hixny has invested considerable resources and energy this past year in achieving several “firsts.” We became one of the first Regional Health Information Organizations (RHIOs) in the country to achieve full two-year accreditation as a Health Internet Service Provider (HISP). These capabilities enable providers to securely communicate and share medical information with one another, even if they are not using an electronic health record system connected to Hixny. In 2014 we also became one of the first RHIOs in the nation to offer a health information exchange and a community-wide patient portal both certified for Stage 2 Meaningful Use. By becoming the only Qualified Entity (QE) in New York State to offer a smoother path for providers to achieve Meaningful Use, our services are now in greater demand and Hixny is more essential than ever to providers across our region. Everything we have achieved, and everything we hope to accomplish, comes back to our focus on improving healthcare and community wellness. Building upon our successes, we will seek new ways to engage patients in their own healthcare and broaden access to our patient portal by involving employer members in patient enrollment. With our anticipated connection to the Statewide Health Information Network of New York (SHIN-NY) in 2015, Hixny will provide a statewide view of a patient’s medical record, offering both providers and patients access to more comprehensive information. We will also continue our efforts to improve communications between providers during transitions of care by enhancing our capabilities to share real-time admission and discharge alerts for inpatient and
emergency department visits. As part of this effort we will significantly expand our ability to send these alerts to mobile devices and will offer new ways for providers and care managers to securely coordinate patient care. Throughout this annual report you will see how Hixny is in position to support providers and community organizations in their coordination of patient care with approximately 72 percent of primary care physicians and 62 percent of specialists in our region connected and able to exchange information through Hixny. This is enabling Hixny to become a cornerstone component in the new Delivery System Reform Incentive Payment (DSRIP) program that pays healthcare organizations incentives for measurably improving care for Medicaid patients. And our ongoing participation in the Million Hearts Initiative will continue our support of population health initiatives. We will also expand our adoption efforts beyond our current participants and into other healthcare providers such as nursing homes and pharmacies. And as Hixny does every year, we will continue to grow our membership and overall collaborative. I was recently reflecting on how much Hixny has matured. Just a few years ago Hixny was relatively unknown beyond a core group of members and providers. We had to go out and evangelize our benefits to the community. Today, people are coming to us because they understand what we can do for them. Hixny is no longer the best kept secret—Hixny is now a recognized, respected and relevant entity. However, we do not take our standing for granted. We intend to earn our position every day by serving healthcare providers and consumers in innovative and valuable ways, and finding new ways to increase the exchanges that promote improved healthcare and community wellness.
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2014 Annual Report
John D. Bennett, MD Board Chair
Kallanna Manjunath, MD Board Vice Chair
President & Chief Executive Officer CDPHP
Chief Medical Officer Whitney M. Young, Jr. Health Services
Philip Deleel Board Secretary
David Kile Board Treasurer
Director of Information Systems Adirondack Health
Director of Continuing Education & Professional Development/Instructor of Pharmacy Administration Albany College of Pharmacy and Health Sciences
2014 Hixny
Board of Directors
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2014 Board of Directors
Bonnie Chavin
John A. Collins, MD
Katherine G. Alonge Coons
Bill Duax
President & CEO The Seymour Fox Memorial Foundation
Recently Retired St. Peter’s Health Partners
Commissioner Rensselaer County Department of Mental Health
AVP of Information Sevices Albany Medical Center
Joseph Gambino
Barbara Hess
Jim Hopsicker
Paul Macielak
CEO Hometown Health Center
Chief Administrative Officer SEFCU
Vice President of Pharmacy Programs MVP Health Care
President & CEO NY Health Plan Association
Barbara Morris, MD
Kirk Panneton, MD
Wouter Rietsema, MD
Louis Snitkoff, MD
Chief Medical Director Community Care Physicians
Regional Executive and Medical Director BSNENY/HealthNow
Vice President of Quality & Information Services CVPH Medical Center
Chief Medical Director CapitalCare Medical Group
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2014 Annual Report
Our Enduring Goal
Improving Population Health, One Person at a Time
photo courtesy of Columbia Memorial Hospital 8
Our Enduring Goal
“Hixny is at the heart of a united front to achieve the Triple Aim of better health, better care, and lower costs.” – John D. Bennett, MD, President & CEO of CDPHP and Hixny Board Chair
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he Triple Aim in healthcare simultaneously pursues three dimensions of quality: improving the patient experience of care and outcomes, reducing the cost of care and improving the health of populations. Many industry experts, public officials and healthcare leaders embrace the Triple Aim as the key to optimizing healthcare and enhancing the quality of life. For Hixny, promoting the Triple Aim has always been our goal. This past year we built new infrastructure, launched services and convened the resources of our collaborative to put Hixny in position to support Triple Aim improvements throughout our community. We’ve placed particular focus on enabling and supporting innovative programs designed to improve population health. Making progress in improving population health comes through intense commitment, hard work and a unified vision throughout our collaborative. And results, while promising in the early stages, will not come quickly and all at once, but steadily on a patient-by-patient basis. That’s why we say our enduring goal is to improve population health in our community, one person at a time. Hixny is the only organization in our area that can assemble the clinical data required to gain a Enrollees comprehensive view of a patient across the entire healthcare system, VDT enabling providers to better coordinate care for their patients. A physician Education Events practice may have a view of its patients through an electronic medical records system, a hospital a view of its patients and those of its affiliated practices, a pharmacy chain of its customers and a healthcare plan of its enrollees—but only Hixny can see it all. We have 539 connected entities and locations, including 28 hospitals and 2,108 physicians, which represent 100 percent of the hospitals in our region, 72 percent of primary care physicians and 62 percent of specialists.
Hixny itself doesn’t manage population health programs—we support those who do. We don’t offer clinical services—we connect those who do. We don’t coordinate care—we inform transitions of care for those who do. We support, we connect, we inform. We do this by giving providers access to comprehensive patient records and automated delivery of results and reports to help them make more informed decisions. We make it possible for providers to quickly and securely send each other patient records to increase the efficiency of care. We notify providers when their patients enter or leave the hospital, helping to ensure proper follow-up and care coordination. And we give patients access to their community health record allowing them to participate more proactively in their own healthcare.
Hixny is the only organization in our area that can assemble the clinical data required to gain a comprehensive view of a patient across the entire healthcare system, enabling providers to better coordinate care for their patients.
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2014 Annual Report
Hixny Positively Informs the Four Components of Population Health Population health is determined by four integrated components. Hixny continues to make great strides in each of them: community commitment, health information exchange, identifying opportunities for improvement and engaging the consumer population.
Community Commitment Health Information Exchange
Identifying Opportunities for Improvement Consumer Engagement
Community Commitment
Through Hixny’s nature as a collaborative, we have convened a community of professionals and organizations committed to the task of improving population health. Our board of directors is composed of diverse, highly respected and successful healthcare, business and community leaders. Participants in our health information exchange include primary care practices, specialist practices, hospitals, labs, pharmacies, health plans and other providers— in short, the entire healthcare ecosystem required to implement successful population health initiatives.
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A significant Hixny accomplishment in 2014 has been recruiting more employers to become members of our collaborative. With three employers joining us in the past year, our employer members now include the Center for Economic Growth, Fusco Personnel, Price Chopper Supermarkets and SEFCU. These forward-thinking organizations understand the importance of improving the quality of care, controlling healthcare costs and encouraging a healthy employee population, and they see Hixny as an essential partner for achieving those goals.
Our Enduring Goal
Hixny is the only solution in our area that can assemble the clinical data required to gain a comprehensive view of a patient across
Area employers play an integral role in Hixny’s success and in achieving the Triple Aim because it is through employers that Hixny’s services and programs can make a positive impact on a demographically, ethnically and socioeconomically diverse population—all of whom must be reached and served if we are truly going to improve population health. Pharmacies also have demonstrated their community commitment in 2014 by joining Hixny. Price Chopper Supermarkets, which operates a robust pharmacy network, and Hometown Healthcare, a full service home medical equipment and pharmacy provider, are now Hixny members. Pharmacies provide another “eye on the prize” of improved population health by using Hixny to more closely integrate with health plans and healthcare providers to better serve the needs of patients in their care.
the entire healthcare system as well as provide the tools necessary to inform physicians and facilities that coordinate their care.
“The changing landscape in healthcare requires that we share best practices and explore innovative and resourceful ways to improve health outcomes and the efficiency with which they are achieved. So, we value the opportunity to join in this dialogue with Hixny and other like-minded businesses.” – Mona Golub, VP Public Relations and Consumer Services for Price Chopper Supermarkets, The Golub Corporation
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2014 Annual Report
Health Information Exchange
Innovative healthcare initiatives in our community, such as the Adirondack Region Medical Home Pilot, the Enhanced Primary Care medical home program from CDPHP and the Million Hearts® initiative all rely on health information exchange to better coordinate care and control costs. Without reliable and robust health information exchange, successfully coordinating the care of the patient who is treated by multiple healthcare providers can be difficult and risky. Ensuring smooth transitions of care when transferring patients from hospital to home or from provider to provider can take excessive time and resources, and potentially lead to errors. Hixny offers the core health information exchange platform to overcome these challenges and to power transitions of care. We have a secure master registry of every patient in our
community (more than 2.3 million) and the ability to aggregate a patient’s records from a multitude of providers and data sources—and then make that entire comprehensive record or only the requested information available to authorized providers responsible for making care decisions. Providers using Hixny access on average over 200,000 records per month. Hixny’s entire portfolio of health information exchange services enable and support population health initiatives. Providers can receive near real-time notifications when their patients visit the emergency room or are admitted to the hospital. Hixny now delivers close to 8,800 event notifications per month and over 88,000 lab, radiology and transcribed reports per month helping to better coordinate care and reduce readmissions.
“Through Hixny our staff receives thousands of alerts each month from more than a dozen hospitals throughout our region. No matter where our patients may access care, Hixny enables us with real-time information so that we can address our patients’ needs. Hixny’s unique collaboration and depth of data supports our healthcare professionals and more importantly, our patients.” – Charles Hagstrand, CIO CapitalCare Medical Group
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Our Enduring Goal
“We are partnering with Hixny to achieve our DSRIP goals. Empowered by Hixny’s strong EHR connectivity throughout the region and their depth of data we are well positioned to meet our goals. Ensuring collaboration to improve healthcare is one of the main goals of DSRIP, Hixny provides us the platform to achieve this.” – Cathy Homkey, Chief Executive Officer, Adirondack Health Institute
Identifying Opportunities for Improvement
This past year Hixny has made significant investments in our technology platform that enable analytics, dashboards and registries. These new core competencies help to identify, segment and reach specific populations that can most benefit from being enrolled in health management programs. New Hixny tools will provide real-time patient monitoring and decision-making dashboards to clinicians and administrators allowing them to efficiently execute population health programs, track patients, measure outcomes and report results. For example, to support the New York State Million Hearts initiative, Hixny partnered with the New York State Department of Health (NYS DOH), the University at Albany School of Public Health and InterSystems Corporation to analyze population data in Albany County and evaluate the ability of a robust health information exchange to support public health surveillance and population health initiatives. Specifically the study identified the
prevalence of patients suffering from hypertension and who are most at risk for heart disease or stroke. We then compared the rates to state and national averages. This information can be used to inform appropriate stakeholders that are equipped to design and implement targeted programs. In addition, a number of Hixny’s stakeholders are planning to engage in the New York State Delivery System Reform Incentive Payment Program (DSRIP), whose primary goal is to reduce avoidable hospital use. Other providers in our region are participating in accountable care organizations, patient-centered medical homes, Medicaid health homes and the NYS DOH Population Health Improvement Program. Participating organizations in all of these initiatives will rely on Hixny’s health information exchange to help providers, nurses and other members of care teams coordinate care for patients. Hixny added many of the needed capabilities in 2014.
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2014 Annual Report
Consumer Engagement
photo courtesy of Adirondack Health
Engaged consumers proactively participate in their own healthcare and Hixny is making it easier for them to do so. Consumer engagement is an integral component of population health and of Hixny’s mission. One of our milestone achievements in 2014 has been launching the Hixny Secure Patient Portal. We believe the Patient Portal will help drive better outcomes and increase patient satisfaction, contributing to the overall improvement of population health in our community. The Patient Portal allows consumers to view their health records, download them to their own computer or securely send them to other healthcare providers. Patients coming home from the hospital can have their discharge instructions at their fingertips, making it easier to follow their care plans. The Patient Portal also offers easy access to a vast e-Library of information to help consumers stay informed about their specific health conditions. A significant advantage of our Patient Portal is that patients can access their records from multiple providers and sources, including labs and pharmacies, as compared to a patient portal that is tied to a specific practice or hospital and limited to only those records. The original catalyst for the Patient Portal was to help provider organizations achieve government incentives for Meaningful Use of electronic health records (EHRs). The Hixny Secure Patient Portal is certified EHR technology for meeting Meaningful Use requirements around patient engagement. Initially rolled out through our member hospitals to their discharged patients, the Patient Portal will continue to grow as Hixny and its members promote the portal and engage a broader consumer population to participate in their own healthcare through portal usage.
“I am proud to have been an early supporter of Hixny and I am encouraged by the growth of this collaboration and what this means for improving communication among patients and care providers. With Hixny’s Secure Patient Portal, patients will have an additional option to become more and more engaged in their health and we are confident that this leads to better outcomes and reduced cost.” – Jacob Reider, MD, Deputy National Coordinator, Office of the National Coordinator for Health IT
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Our Enduring Goal
Community Commitment Health Information Exchange
Identifying Opportunities for Improvement Consumer Engagement
Hixny in Position Community commitment, health information exchange, identifying opportunities for improvement and engaging the consumer population—it’s what Hixny focuses on every day. Providing these four components will lead to better-coordinated care, improved patient outcomes and cost efficiency. With our efforts over the past year, Hixny is now positioned to be an integral and essential force in our community’s efforts to achieve Triple Aim goals.
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2014 Annual Report
Hixny Plays Key Role in Growth of Statewide Health Information Network
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r. Gene Heslin practices medicine in Ulster County, just outside Hixny’s region. But many of Dr. Heslin’s patients choose an Albany hospital for a range of medical needs. When this happens, the facilities in Albany don’t have immediate access to the patients’ records. In addition, Dr. Heslin doesn’t receive information about his patients after they have procedures performed in Albany. This situation highlights a problem for Dr. Heslin and his patients—and for many others across the state in similar situations. Virtual barriers exist limiting the flow of health information among the state’s ten Regional Health Information Organizations (now called Qualified Entities), including Hixny. Solving the problem is the Statewide Health Information Network of New York (SHIN-NY, pronounced ‘shiny’).
New York State has taken a significant step forward in creating a statewide network that will link together existing regional health information exchanges and eliminate geographic barriers. photo courtesy of Hudson Headwaters
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Hixny Plays Key Role in Growth of Statewide Health Information Network
With the state passing legislation allocating $55 million for SHIN-NY expansion in its 2014 budget, New York State has taken a significant step forward in creating a statewide network that will eliminate barriers to health information exchange among the state’s regions. The benefit to Hixny participants is clear. With the expansion of the SHIN-NY, providers will be able to access more comprehensive patient medical records from across the state. Dr. Heslin’s problem goes away, as it does for many other providers and their patients. Whatever direction patients travel in the state, their records will “follow” them, making care coordination easier, safer and more efficient. Hixny is well positioned as we enter this new stage of the SHIN-NY. One of the goals of the state legislation is to reach a critical mass of 50 percent of healthcare providers contributing data to a health information exchange within three years. Hixny is leading the way at 66 percent—already well ahead of the three-year goal.
Hixny also performed extremely well in an audit required by the New York State Department of Health as part of the SHIN-NY expansion. The audit certified Hixny as a state-designated Qualified Entity for providing health information exchange services. We successfully met all standards for services, compliance and security. As each region in the state is certified, we will all benefit because we will all be using the same set of secure standards for exchanging health information.
“To meet the health challenges of the 21st century, we must have a smooth and secure flow of information between patients, providers and organizations. By continuing to use technology in innovative ways, Hixny is helping to improve our coordination of care and making care more efficient, potentially saving lives” – Howard A. Zucker, MD, JD, Acting Commissioner of Health for New York State
Hixny is a NYS certified Qualified Entity.
Now RHIOs throughout the state are using their allocation of state funding to reach deeper into their communities and to expand and enhance the overall portfolio of health information exchange services. Hixny is also supporting statewide efforts to develop the capability for providers to look up patient records from anywhere in the state, which goes even further in breaking down barriers to statewide health information exchange. The result will be a Hixny that provides more value across not only our own community, but also our entire state, thanks to the SHIN-NY expansion.
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2014 Annual Report
photo courtesy of Adirondack Health 18
Technology Advances Lead to an Expansion of Hixny Services
Technology Advances Lead to an Expansion of Hixny Services
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number of key accomplishments on the technology side in 2014 helped increase the value of Hixny’s services to our participants. We upgraded our health information exchange platform to be certified electronic health record (EHR) technology for federal Stage 2 Meaningful Use requirements including transitions of care, consumer engagement and public health reporting. The upgrade also provides analytics capabilities to support emerging population health management initiatives. In addition, Hixny now serves as a Health Internet Service Provider (HISP), managing the security and transport for health information exchange among providers using the Direct protocol, a secure providerto-provider messaging service. Hixny was one of the first RHIOs in the country to achieve a full, two-year accreditation for HISP Direct Messaging from DirectTrust.org and the Electronic Healthcare Network Accreditation Commission (EHNAC). Direct transport through Hixny offers providers an alternative path to meet Stage 2 transitions of care requirements by sharing patient summary of care records with other providers. It also allows providers to make easy e-Referrals and to exchange patient records with other providers if their electronic medical record (EMR) system isn’t connected to Hixny. These new HISP capabilities incorporating the Direct standard help not only providers in our own area communicate with each other and meet federal requirements, but also offer value to providers outside Hixny’s area. For example, Southwestern Vermont Medical Center is using the new Hixny HISP capabilities to meet transition of care requirements. Other providers who participate in Hixny and contribute patient data to the health information exchange use our eHealth Exchange capabilities to meet Meaningful Use requirements.
Hixny also launched its Secure Patient Portal in 2014, with six hospitals in our region rolling out the portal to discharged patients. Using the Patient Portal, patients can view, download and transmit their medical records as well as access an e-Library containing educational information about health topics. The Patient Portal allows providers to meet Stage 2 Meaningful Use requirements for consumer engagement. Equally important, the portal offers consumers the opportunity to more fully and proactively participate in their own healthcare. Hixny now has the platform in place to offer advanced, value-added services to providers across our community. Population health programs will be able to take advantage of new analytics and dashboards to track patients under their care and to plan interventions. In addition, the ability to create patient registries will allow the querying and identifying of patient populations to segment those who can most benefit from population health programs and other healthcare initiatives.
“SVMC had roughly $1 million of Meaningful Use incentives at stake. In looking for a Health Internet Service Provider (HISP) to assist with transitions of care, we looked for one that provided the ability to safely and securely send Direct messages to other healthcare providers in our region. We believe that using Direct messaging to automatically update a patient’s file will improve efficiency and accuracy and lead to higher quality care. We felt that Hixny provided us with the best options to meet our needs.” – Richard Ogilvie, Chief Information Officer, Southwestern Vermont Medical Center
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2014 Annual Report
Hixny now has the platform in place to offer advanced communication and care coordination tools across our community.
Health Information Exchange Services
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EMR/HIE Standards and Interoperability Services
Results & Reports Delivery
Hixny works with vendors of electronic medical record (EMR), hospital, lab, radiology and other systems to help make their systems interoperable with Hixny. We act as the liaison for our region with state, federal, and international standards organizations. And we assist vendors with testing and development of innovative new interfaces based on these standards. The result is that providers can communicate seamlessly regardless of the systems they use.
Hixny provides real-time delivery of laboratory results, radiology reports and transcribed documents such as discharge summaries as structured data directly into a physician’s EMR system or Hixny’s Provider Portal. Providers receive this information if they have ordered it or when another provider requests delivery to them.
eHealth Exchange
Hixny creates a single, consolidated health record for an individual patient that includes all data sources contributed to the health information exchange (HIE). Providers can query and receive the comprehensive patient record directly into the workflow of their own systems. For providers using an EMR system that is not interoperable with Hixny or for providers with no EMR system, Hixny offers a Provider Portal giving access to patient information in the HIE. Direct Messaging
Hixny serves as an accredited Health Internet Service Provider (HISP), managing the security and transport for health information exchange among providers using the Direct standard. This secure providerto-provider messaging service allows providers to communicate with or forward patient information to another provider as well as meet Meaningful Use requirements. DirectTrust
Hixny is accredited by EHNAC. DTAAP HISP
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Event Notifications
Providers can subscribe to receive notifications when specified events take place, such as their patients being admitted to or discharged from either the emergency room or the hospital, helping them to better coordinate patient care and reduce readmissions. Secure Patient Portal
The Hixny Secure Patient Portal is certified electronic health record (EHR) technology for meeting Meaningful Use requirements for patient engagement. The portal enables consumers to view their personal health records, download them to their own computer or transmit them to another provider, as well as access health education information from an e-Library. Patients can also use the portal to securely communicate with their physicians, schedule an appointment and request refills. Real-Time Analytics
Hixny has added capabilities to enable real-time analytics, dashboards and patient clinical registries that are designed to be used in conjunction with Hixny’s event notification services to better support care coordination, decision-making at the point of care and identification of population segments for reporting and health management programs.
Technology Advances Lead to an Expansion of Hixny Services
Hixny // the solution
Consider:
The healthcare community has a problem: it’s not effectively communicating. When a patient enters into care, it is often not known:
? 1) Who else is treating the patient?
? or
2) If vital information about that patient exists elsewhere.
Fig 1. Clint, an Arborist from Greene County, nearly chainsaws through his shoulder while on the job in Columbia County.
Simply put: The right information isn’t getting to the right people at the right time. Everyone in the healthcare community is seeing a different—and often incomplete— view of each patient.
Fig 2. Arriving at the local hospital, Clint passes out. The attending physician wonders if his patient is taking a blood thinner.
This leads to inefficiencies, higher costs, lower quality healthcare and lower quality of life for our patients.
The good news? There is a solution that eliminates these communication barriers:
Fig 3. Without Hixny, the attending physician may not be able to answer that or a host of other important questions.
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2014 Annual Report
Portal Opens Up a Win-Win for Patients and Providers
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he Hixny Secure Patient Portal launched in 2014 and is gaining momentum. Anyone discharged from the hospital who is still unsure how to follow their care instructions will appreciate the Patient Portal, as will anyone who needs to gather their own health records and send them to a healthcare provider, or who wants to take a more proactive role in managing their healthcare. Actively engaged patients are more likely to have a better healthcare experience, and the greater number of patients who are engaged, the more our overall population health will improve. Once patients are registered and log in to the secure system, they can view their community health record in the portal, send their records to other providers treating them or download health records to their own computers. Medical history, lab test results, medication lists—it’s all there, along with context-sensitive links from the patient’s medical history to an e-Library providing easy access to medical topics and questions, current health news, and useful forms and documents.
Actively engaged patients are more likely to have a better healthcare experience.
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Portal Opens Up a Win-Win for Patients and Providers
“We look forward to making the Hixny Patient Portal available to our employees, as we believe that informed healthcare consumers are empowered to make the best choices.” – Barbara Hess, Chief Administrative Officer, SEFCU
Hospitals participating in Hixny are also realizing significant benefits from the Patient Portal. The system enables hospitals to meet federal Meaningful Use Stage 2 requirements for consumer engagement. The Patient Portal has initially been rolled out in our community through Hixny member hospitals that are registering and educating patients on the uses and benefits of the portal. Five hospitals currently offer the Hixny Patient Portal. UVM Health Network-CVPH was the first to go live, in mid-July, followed shortly by Saratoga Hospital, Nathan Littauer Hospital, Ellis Medicine, Columbia Memorial Hospital and soon Adirondack Health.
“We recognized a need to allow our patients to access their entire community record and not just their records within our own system.” – Martin Brown, VP of Information Services and CIO, Nathan Littaur Hospital
In the first three months of enrollment there have been 1084 enrollees in the Patient Portal; 788 instances of consumers viewing, downloading or transmitting (known collectively as VDTs) their health records; and 172 accesses to educational content. These numbers will continue to grow as more patients are enrolled. Initial portal usage by patients will provide valuable insights that will help Hixny develop an effective consumer engagement plan as we begin a broader rollout of the Patient Portal through additional Hixny participants, employers, retail outlets, health plans and benefit fairs.
Jul
Aug
Sept
Oct
*View, download or transmit records
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2014 Annual Report
A Million Ways for Hixny to Provide Value
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ne of Hixny’s significant accomplishments this past year was our participation in a regional project to support the Million Hearts ® initiative. This national effort was launched by the Department of Health and Human Services in September 2011 to prevent 1 million heart attacks and strokes by 2017. To achieve its mission, Million Hearts brings together communities, health systems, nonprofit organizations, federal agencies and private-sector partners from across the country. The primary aim of Million Hearts is to change the ways providers engage at-risk patients, notably in the areas known as the ABCS: aspirin use, blood pressure control, cholesterol management and smoking cessation. The initiative also supports community educational programs to reduce blood pressure, encourage smoking cessation and promote proper nutrition. To achieve its mission, Million Hearts brings together communities, health systems, nonprofit organizations, federal agencies and private-sector partners from across the country.
But who are the patients at risk? Where do they come from? How does Million Hearts reach and help to educate them? How do providers coordinate their care? Those are the challenging— and crucial—questions to answer. For Million Hearts and other population health initiatives to succeed, health information exchange capabilities are required to identify patients who need support, track their progress over time and foster team based care that includes everyone who interacts with the patients.
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The New York State project needed data to track rates of hypertension control within Albany County, data to understand prevalence rates of undiagnosed hypertension and information on rates of hypertension at the community level to help link high need populations with resources. To get assistance in meeting these objectives, the New York State Department of Health contacted Hixny, knowing that we had already convened the major healthcare stakeholders in our region and had a comprehensive set of clinical data through our HIE. We also had added new informatics functionality to Hixny’s core HIE platform to help identify, segment and reach specific populations that can most benefit from population health programs such as Million Hearts. Hixny’s participation in the project demonstrated the great potential of using HIE data to efficiently and accurately evaluate population-level public health indicators and to support public health surveillance. Population health initiatives can take advantage of new Hixny analytics and registries to track patients under their care and to plan interventions. The real-time registries coupled with Hixny event notification services support the powerful concepts of timely identification and intervention. Using Hixny dashboards, care managers can track the status of patients with chronic disease such as hypertension or diabetes or patients who are admitted to or discharged from the hospital. Another advantage of Hixny data analytics is that the HIE captures data in real-time and therefore is a timely source of information that providers can access at the point of care when treating a patient. Hixny has the potential to detect changes in health indicators much more rapidly and efficiently than typical data sources used in public health practice and population health programs.
A Million Ways for Hixny to Provide Value
“I don’t believe this project could have happened without Hixny. A fundamental part of the project was their connectivity within the region and the data that was available. It is high blood pressure now, but it could be cancer screening in the future. Whenever we can build on the existing infrastructure, rather than build something parallel, there is a real efficiency there. It takes the trust and the willingness to work together and collaborate— and that is what we are getting from Hixny.” - Ian Brissette, Director of the Bureau of Chronic Disease, New York State Department of Health
One of the key findings of our analysis for Million Hearts was the importance of having reliable, comprehensive, standards-based data in the HIE. As we have been saying all along, the more physicians and providers that participate in Hixny and contribute patient data, the more the HIE becomes an integral asset to improving the health of our community. We see many opportunities for Hixny to play an essential role in Million Hearts and other population health programs and initiatives.
Albany County Data Evaluated by Hixny for the New York State Project
415,913 53.8 Million Patients
Lab Results
11 Million 1.8 Million Encounters
Observations
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2014 Annual Report
Hixny on the Rise
>200,000
s
on Events
Patient records accessed per month to coordinate care.
including
and
>88,000
>8,700
Lab, radiology and transcribed reports every month helping to better coordinate care and reduce readmissions; a 52% increase from last year.
Event notifications per month; a 600% increase from last year.
60/
1.75
25
Number of transactions Hixny processes.
Number of inbound Hixny transactions.
Amount of data available in the Hixny HIE.
Second
Billion/year
1.8 Million Number of patient consents.
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Terabytes
Hixny on the Rise
In September 2014, Hixny conducted a survey among its primary active users to gauge overall perception of value and effectiveness. Here are the results:
On Value Percentage of respondents who feel Hixny has improved their ability to: work more efficiently and productively.
improve care coordination.
ensure high quality care for their patients.
improve patient safety.
reduce healthcare costs.
77%
76%
76%
74%
70%
85%
On Effectiveness Percentage of respondents who feel Hixny has improved their effectiveness in assisting themselves and their coworkers to:
Percentage of respondents who believe Hixny is headed in the right direction.
work more efficiently and productively.
improve care coordination.
ensure high quality care for their patients.
improve patient safety.
reduce healthcare costs.
78%
77%
76%
74%
72%
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2014 Annual Report
Hixny’s Reach Continues to Expand Proportional Density of Hixny Participants by ZIP Code
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Hixny's Reach Continues to Expand
Hixny extends beyond New York State with connections to providers in Vermont.
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2014 Annual Report
Hixny Participants Adirondack Gastrointestinal and Colorectal Surgery, PLLC Adirondack Health Adirondack Medical Center Adirondack Health Institute Adirondack Internal Medicine & Pediatrics, PC Adirondack Medical Practice, LLC Adirondack Neurology Associates, PC Adirondack Orthopedic Physicians & Surgeons, PC Adirondack Pediatrics Adirondack Primary Care Adirondack Radiology Associates, PC Adirondack Rehabilitation Medicine, PLLC Adirondack Surgical Group Albany College of Pharmacy and Health Sciences Albany County Medical Society Albany ENT & Allergy Services, PC Albany Gastroenterology Consultants, PC Albany Medical Center Albany Medical Center Hospital Albany Medical College Albany Medical Faculty Physicians Albany Obstetrics and Gynecology, PC Albany Surgery Associates, PC Alice Hyde Medical Center Amsterdam Family Practice Associates, PC Anjni Bhagat, MD Arthritis Care, PC At Home Care, Inc Bailey & Wakil Eye Physicians & Surgeons, PLLC Bassett Healthcare Network Aurelia Osborn Fox Memorial Hospital Bassett Medical Center Cobleskill Regional Hospital Little Falls Hospital O’Connor Hospital Tri-Town Regional Hospital Baywood Surgical Associates, PC Benardot Pediatrics BlueShield of Northeastern New York Brunswick Family Practice Burdett Orthopedics, PC Canton-Potsdam Hospital Capital District Pediatric Cardiology Associates, PC Capital Eye Care Capital Region Otolaryngology Head & Neck Group, LLP Capital Region Special Surgery CapitalCare Medical Group Cardiology Associates of Schenectady
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CDPHP Center for Disability Services Center for Economic Growth Certified Allergy & Asthma Consultants Charles E Moisan Jr, PC Citizen Advocates, Inc Clark, Clements, Syeda & Kasali, MD Columbia Memorial Hospital Community Care Physicians, PC Community Health Center Community Health Center of the North Country Complete Women’s Care of Clifton Park County of Albany Craig G Hurwitz, MD David Anderson, MD Deborah Hrustich, MD, LLC Debra Clark, MD DeLuca Plastic Surgery East Greenbush Neurology Edith H. Pryce, MD Edward Mazdzer, MD Ellis Medicine Ellis Hospital Bellevue Woman’s Center Ellis Health Center Visiting Nurse Service of Northeastern New York Emily T. Etzkorn, MD, PC Essex County Mental Health Services Eye Care for the Adirondacks Eye Health Center of Troy Family Medicine of Malta Family Practice of Hudson Falls, PC Four Seasons Pediatrics, LLC Four Winds Hospital Fusco Personnel Gabriels Eye MDs Gastroenterology Associates of Plattsburgh Gerald Cahill, MD Glens Falls Hospital Glens Falls OB/GYN Glens Falls Pediatric Consultants, PC Grand Medical & Pediatrics HCR Home Care Hometown Health Center Hometown Healthcare, Inc. Hoosick Street Pediatrics Hudson Headwaters Health Network Hudson Mohawk Pediatric & Family Medicine, LLC
Ibrahim Y. Rabadi, MD Infectious Diseases of Eastern Albany Inter-Lakes Health Irongate Family Practice Associates, PLLC Iroquois Healthcare Alliance Jacobs, Lee & Burack – Albany Joseph M Bied, MD Joshua Schwartzberg, DO Joshua T. Rosenfield, MD Kamini Ramani, MD, PC Kathleen M. Catalano, DO, PC Kennedy Ophthalmology Associates, PLLC Kevin McCullum, MD Koinonia Primary Care & Psychiatric Services, PC Kristin Ambler, MD Lake City Primary Care Lake Placid Sports Medicine, PLLC Landmark Medical, PC Lansingburgh Family Practice Laura Carbone, MD Livingston Hills Nursing & Rehabilitation Center, LLC Luz F. Alvarez, MD, PLLC Main Street Pediatrics Malta Family Medicine Malta Med Emergent Care Mary Kathleen W. DiTursi, MD, PC Medical Associates of Saranac Lake, PC Mohawk Valley Orthopedics, PC Mondragon McGrinder Medical Associates, PLLC Mountain View Pediatrics MVP Health Care Myrtle Street Obstetrics & Gynecology, PC Nathan Littauer Hospital Neal Baillargeon, MD New Dimensions In Living, Inc. New York Health Plan Association New York Oncology Hematology, PC Newtonville Pediatrics and Internal Medicine, PLLC North Country Health Care Medical, PLLC North Country Sports Medicine Northeast Nephrology Associates, PC Northeast Urogynecology Northern Rivers Family Services Optimum Health Group OrthoNY Otsego County Community Services Board Pamela A Reinhardt, MD Paul, Pinto & Blackstone, MDs Peru Family HealthCare Plattsburgh Medical Care Plattsburgh Pediatrics, PC Price Chopper Supermarkets Primary Care Health Partners Prime Care Physicians, PLLC Rajiv Shah, MD, PC Rensselaer County Department of Mental Health Rensselaer County Medical Society Riverview Pediatric Associates
Ronald G Malseptic, MD Rubin Dialysis Centers, Inc. Russell Rider, MD Saratoga Emergency Physicians Saratoga Family Medicine Saratoga Hospital Saugerties Wellness Center Schenectady Neurological Consultants, PC Schenectady Pulmonary and Critical Care Associates, PC Schoolhouse Road Pediatrics Schuyler Center for Analysis and Advocacy SEFCU Seth W Wharton, MD Seymour Fox Memorial Foundation Shaker Pediatrics Michael M. Sheridan, MD Shriraj Shah, MD Southwestern Vermont Medical Center St. Mary’s Healthcare - Amsterdam St. Peter’s Health Partners Albany Memorial Hospital Samaritan Hospital St. Mary’s Hospital – Troy St. Peter’s Hospital St. Peter’s Health Partners Medical Associates The Eddy Senior Living Stephen Guy Hausrath, MD The Albany and Saratoga Centers for Pain Management The Center for Rheumatology, LLP The Pines at Catskill Center for Nursing & Rehabilitation Valley Physicians Hospital Thomas W Kneifel, MD Tracey L. Brennan, MD UHS-Primary Care Oneonta University at Albany School of Public Health Upstate Infectious Disease Associates UVM Health Network – Community Providers Inc. UVM Health Network – CVPH UVM Health Network – Elizabethtown Community Hospital Valley Medical Venkateswararao Voleti, MD Visiting Nurse Assoc. of Albany & Saratoga & Rensselaer Counties Whitney M. Young, Jr. Health Services Whittier Health Services, Inc. William Pelton, MD Women’s Cancer Care Associates Women’s Care In Obstetrics & Gynecology, PC Women’s Health of Amsterdam Credits
Written by Klein Marketing, Delmar, NY Designed by id29, Troy, NY Hixny
15 Cornell Road Latham, NY 12110 © 2014 Hixny
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