HIE Activity in California
HIE Acceleration Awards
Rural HIE Incentive Program
Innovations in HIE Web Series
CHeQ Lab Mapping Assistance Program
CHeQPoint Interactive Map
HIE Ready Buyers' Guide
California Health eQuality Scorecard
The California Health eQuality (CHeQ) Rural HIE Incentive Program
Direct Accounts for Rural Providers in 2014
California Health eQuality (CHeQ), a program of the UC Davis Health System Institute for Population Health Improvement, is delighted to announce the formation of California Direct, and the availability of free Direct accounts for rural providers in California. These Direct accounts will be managed through a grant issued to Axesson to operate a Health Information Service Provider (HISP) using Direct technology for an inexpensive, easy-to-use, quick-to-implement method to securely exchange health information in a manner similar to secure email.
This exchange method improves care coordination by enabling providers with or without an Electronic Health Record to securely share protected health information with care team members across organizational boundaries and:
- transmit referrals and care summaries securely, consistently, and electronically
- send alerts to all providers caring for a patient upon hospital admission, discharge, and transfer
- enable patient access to their information electronically
- connect to trusted health information exchanges
- meet Meaningful Use requirements
Through its federally-funded program with the California Health and Human Services Agency (CHHS) under the HIE Cooperative Agreement with the ONC, CHeQ has worked diligently to steadily build a stable foundation for HIE expansion. By way of grant programs targeted at improving health care quality, impacting policy and infrastructure development and lowering over all costs, HIE has expanded in California.
Recognizing the need for low cost, easily implemented, intuitive HIE options for widely distributed rural providers, California Direct will enable ambulatory providers, clinics, and hospitals to engage in HIE with inexpensive Direct accounts – offered free in 2014 to the first 1,000 participating rural providers. Interested urban providers may subscribe to the service for a small fee.
Axesson will begin accepting enrollment to California Direct in January 2014. Please visit http://www.californiadirect.org/ for more information.
2013 Rural HIE Incentive Program
In April, 2013 CHeQ launched it’s Rural HIE Incentive Program to encourage health care providers in the 80% of California’s geography considered Rural and Frontier areas to adopt a path to Health Information Exchange.
The program successfully helped promote choices and connectivity for provider HIE adoption in rural underserved counties at a subsidized rate and supported the evolution of several models of Health Information Organizations (HIOs) which can serve as examples for other rural communities around the state.
As part of the program, CHeQ chose five HIE service providers from which rural providers could procure HIE services at a discounted rate. These service providers offer full service HIE options ranging from Direct messaging (secure HIPAA-compliant e-mail) to HL7 messaging for results delivery into EHRs, to Query-Exchange functionality with the ability to view a longitudinal patient record (Click here for information on service providers).
As a result of CHeQ’s Rural HIE Incentive Program, $1,000,000 was invested in 18 rural counties resulting in the creation of HIE options and functionality for over 50 health care delivery organizations, an estimated 1,500 licensed physicians with the potential to impact many many rural patient lives.
Other major outcomes through this incentive program, include:
- Redwood Mednet- expanding HIE to 8 healthcare delivery facilities in 5 northwestern counties to link hospitals and clinics, physician offices and labs (etc.), with HL7 messaging via Directed Exchange, focusing on the primary pain points those rural end-users most need secure electronic exchange to solve;
- SacValley MedShare – a rural 7 county consortium (Butte, Colusa, Glenn, eastern Plumas, Tehama, Sutter, Yuba) adopting ICA technology and services to create a new HIO starting with Direct to launch every participating provider’s HIE experience quickly and easily, leading to full query-exchange with longitudinal patient records via the hospitals and major clinics, as well as bringing on the smaller ambulatory offices;
- San Luis Obispo County choosing to join the already established OCPRHIO’s query-exchange services, for a lower cost option that fit the county need rather than building its own separate HIO (both counties also share vacation traffic – a natural fit);
- Tulare/Kings/Fresno/Madera Counties forming the Central Valley HIE, adopting Orion technology and services via Inland Empire HIE, bringing up their own full query-exchange HIO with an eye toward future expansion in the surrounding Central Valley counties;
Additionally, among these newer HIOs, SacValley MedShare for example is starting with public health, behavioral health, and Indian Health at the table, for a robust depth of exchange from the beginning.
CHeQ is funding one final HIE expansion program as an extension of the Rural Incentive Program: creation of California Direct, a Health Information Service Provider (HISP) using Direct (secure e-mail) for an inexpensive, easily useful, intuitive method of HIE that enables a provider to send orders and referrals, and receive results and discharge summaries from unaffiliated entities, satisfying Meaningful Use Stage 2 requirements while improving care coordination. These direct accounts will be managed through a grant issued to Axesson to operate a statewide Health Information Service Provider (HISP) using Direct technology for secure HIPAA-compliant email services.
California Direct is scheduled to launch in January 2014, with CHeQ offering free accounts for Year I to the first 1,000 Rural/Frontier providers who sign up. Other providers not specifically in rural/frontier areas can also use the California Direct services for a modest fee, to be announced upon launch.
For more information please visit www.californiadirect.org for more information.
Rural HIE Incentive Program Service Providers
Listed below are the five HIE Service Providers vetted for the Rural Incentive Program, all of whom offer helpful advice as well as technology and services to start providers on the path to HIE.
Directed Exchange Services
Directed Exchange and Longitudinal Patient Record Services
Bill Beighe 831-465-7874