December 17, 2008 By News Report
Colorado has become one of the first states in the nation to demonstrate that electronic health information can be securely shared between hospitals and health care organizations at a statewide level, according to Colorado Gov. Bill Ritter. This data exchange will benefit more than 1 million Coloradans.
The effort, a key component of Ritter's Building Blocks to Healthcare Reform, aims to prevent medical errors, streamline care, improve quality, eliminate costly duplication of tests and promote health care affordability through interoperability of health information.
"Our health care system is broken and inefficient," said Ritter. "Our medical records systems have been virtually untouched by the technology wave that's transformed so many other aspects of our society. This innovative effort will have a tremendous impact on improving the quality of health care and lowering the cost of its delivery."
Currently, 500 emergency clinicians are being trained to use the system, which shares the following information across emergency departments at The Children's Hospital, Denver Health and Hospital Authority, and University of Colorado Hospital, as well as Kaiser Permanente Colorado:
As a result of the new system, emergency clinicians have immediate access to critical, accurate health information that before was often difficult to track down in a timely manner or at all.
Now, doctors and nurses will know what medications patients may be using, if they've had x-rays already performed, or if they suffer from chronic conditions like diabetes. Armed with this data at the time of care, clinicians make better treatment decisions, patients are spared the cost of additional tests, and adverse events can be avoided.
The planning and development of the CORHIO system, which began in 2004, is supported by a $5 million contract from the Agency for Healthcare Research and Quality (AHRQ). As part of the Building Blocks for Health Care Reform, the state of Colorado has added $1 million and The Colorado Health Foundation has provided $2 million to expand health information exchange across the state. In addition to substantial in-kind investments from the four partners, direct funding has also come from Kaiser Permanente, United Healthcare, Rocky Mountain Health Plans and COPIC.
"AHRQ is pleased to have helped this important health IT initiative get off the ground," said AHRQ Director Carolyn M. Clancy, MD. "We believe the lessons learned in Colorado about secure electronic exchange of health information will help the rest of the nation improve the quality, safety and effectiveness of care for all Americans."
Interoperability of electronic health information and regional health information organizations have been at the center of the Bush administration's plans to make electronic health records more readily available. President-elect Barack Obama has taken this to the next level by calling for health information technology to be a critical component of an economic stimulus package.
Investing in health information technology is also a key feature of the Obama-Biden plan to reduce health care costs and Tom Daschle, Health and Human Services secretary-designate, has indicated that investing in electronic medical record systems is a top priority for health care reform.
The CORHIO interoperability model, which pulls data directly from the electronic health record system of each participating organization instead of a central repository, is believed to be a safer and a more secure way to maintain patient privacy.
Participation in the CORHIO program is voluntary. All patients have the option to opt-out of the exchange, which means their medical history information will be blocked from the system. Individuals can do this when they arrive in the emergency department of participating hospitals. Kaiser Permanente members can opt-out by visiting http://www.kp.org.
The health information exchange, which officially went live on December 1, is coordinated by the non-profit Colorado Regional Health Information Organization (CORHIO), along with its four initial partners: The Children's Hospital, led by President and CEO Jim Shmerling, DHA, FACHE; Denver Health and Hospital Authority, led by CEO Patricia Gabow, MD; University of Colorado Hospital, led by President and CEO Bruce Schroffel; and Kaiser Permanente Colorado, led by President Donna Lynne, DrPH.
This Digital Communities white paper highlights discussions with IT officials in four counties that have adopted shared services models. Our aim was to learn about the obstacles these governments have faced when it comes to shared services and what it takes to overcome those roadblocks. We also spoke with several members of the IT industry who have thought long and hard about these issues. The paper offers some best practices for shared government-to-government services, but also points out challenges that government and industry still must overcome before this model gains widespread adoption.