Health Information Exchange
The Health Information Exchange (HIE) Program Management Office (PMO) at DHCF is aligned with the agency’s Health Care Reform & Innovation Administration (HCRIA) and is a resource to improve health outcomes of District residents through the creation of technology and business infrastructures necessary for health care stakeholders to securely exchange patient health information. HIE is aligned with DHCF’s overall mission and specifically supports HCRIAs goal to develop, test and implement new models in whole-person integrated clinical and community care and innovative payment and health services delivery practices.
The District of Columbia Health Information Exchange (DC HIE) is an HIE program established through a $5.1 million Cooperative Agreement with the Office of the National Coordinator for Health Information Technology (ONC) to improve care coordination and lower costs through the use of health information technology. DC HIE is one of fifty-six (56) state designated HIEs in the United States and its territories tasked with improving care coordination and lowering costs through the use of health information technology.
HIE infrastructure provides the technology, processes, and operations needed to facilitate exchange of health information between provider organizations, District agencies responsible for public and population health, and other stakeholders on behalf of patients. Many organizations within the District have invested in health information technology solutions to support the electronic documentation and management of patient health information. This data is increasingly captured in a structured format utilizing national standards. As patients seek and receive care at multiple organizations, HIE can support the ability to have a more comprehensive understanding of patient health to more effectively provide care.
DC HIE Services
- Direct is an easy-to-use, fast and secure electronic communication service for clinical providers and others who regularly transmit and/or receive protected health information (PHI). Direct looks and operates like email, but with security features such as point-to-point encryption required for PHI. Direct is not a brand name or a company, Direct is a transmission standard developed by the Office of the National Coordinator for Health Information Technology (ONC). DC HIE contracts with Orion Health for its Direct. Orion Health is one of the world’s most widely deployed HIE companies. Direct is the primary way providers will be notified of a patient encounter.
Advanced HIE Services
- Encounter Notification Service (ENS) – Providers can receive alerts on a selected panel of patients who are admitted, discharged or transferred to/from acute care hospitals located in the District of Columbia and Maryland.
- Provider Query Portal – Access to real time clinical information including lab results, radiology reports and discharge summaries.
- Encounter Reporting Service (ERS) – Reports to hospitals on utilization trends across multiple independent facilities.
DC HIE Policy Board
DC HIE is governed by a twenty-one (21) member volunteer Policy Board appointed by the Mayor of the District of Columbia. The Board includes representatives from District-based hospitals and health systems, health centers and District of Columbia Government agencies. The Board meets the third Wednesday of every month from 2 – 4 pm at District Government offices located at One Judiciary Square, 441 4th Street, 11th Floor, Washington, DC 20001. All meetings are open to the public and agendas are published one week in advance in the District of Columbia Register.
Partnership with Department of Health
As part of DHCF’s cooperative agreement grant from ONC, DHCF and the Department of Health (DOH) will collaborate on a series of upgrades to DOH’s public health reporting infrastructure. The purpose of these upgrades will be to offer providers and hospitals the means to electronically report public health data to the city in accordance with Stage 2 Meaningful Use incentives. The types of reporting that will be enabled include immunization data, cancer registry, syndromic surveillance (sometimes referred to as bio-surveillance) and electronic laboratory data reporting.