The DC HIE aims to advance health and wellness for all persons in the District of Columbia by providing actionable information whenever and wherever it is needed. Our mission is to facilitate and sustain the engagement of all stakeholders in the secure exchange of useful and usable health-related information to promote health equity, enhance care quality and improve outcomes in the District of Columbia.
To accomplish this mission, we seek to improve the integration of traditionally siloed health-related data and source systems (e.g. care delivery and public health). We also aim to increase equitable access and use of health-related information at the point of care in support of a longitudinal picture of person-centered health . Lastly, the DC HIE will work to provide information on the health in the District to support the reduction of health disparities, enhancement of health care quality, improvement of outcomes and promotion wellness.
- Improving Patient Care through an HIE [Animation]
Benefits of HIE:
To treat patients effectively and appropriately, healthcare providers need access to accurate and current information on their patient. Using a secure, real-time, electronic HIE allows providers access to a patient’s most complete medical history by securely linking EHRs and other health-related data sources. For example, a District provider can search whether their patient was re-admitted to a hospital after being discharged post-surgery. This indicates whether the patient is receiving appropriate follow-up care. Compiling information from several locations enables healthcare providers to have access to more information than just what is captured in their own patient health record.
HIEs also add value to EHRs through the standardization of EHR data formats. Standardized clinical data from multiple providers, facilities, and vendors can be seamlessly integrated into the patient’s EHR to further improve patient care. For example, if laboratory results are received electronically and incorporated into a provider’s EHR, a list of patients with diabetes can be generated. The provider can then determine which of these patients have uncontrolled blood sugar and schedule necessary follow-up appointments.
HIEs improve patient safety by reducing redundant tests and procedures consequently reducing healthcare costs while improving health outcomes. HIEs are also valuable tools for public health professionals by improving public health monitoring and tracking.
The following is a list of HIE benefits by stakeholder group:
- Improve transitions of care
- Reduce or eliminate duplicative or unnecessary procedures or tests; and
- Improve visit experience and satisfaction
- Improve patient safety
- Reduce redundancy of tests and procedures
- Improve payment coordination
- Improve clinical outcomes
- Improve monitoring of patient movement and disease management
- Improve patient satisfaction and provider experience
- Avoid readmissions, medication errors, duplicate testing, unnecessary costs
- Analyze population and individual health trends and patterns
- Analyze financial and clinical data, improve diagnoses, and manage interdisciplinary care
- Achieve Meaningful Use objectives for Eligible Professionals
- Access valuable clinical data to provide services whenever and where care is needed
- Access public health and population health data in a more timely manner than retrospective claims analysis
- Support District agencies to develop and prioritize programs to improve the health of District residents
- Improve public health surveillance
- Reduce healthcare costs
Current HIE Services:
The following are the current HIE services offered in the District:
- Encounter Notification Service (ENS) – Providers can receive alerts on a selected panel of patients who are Admitted, Discharged or Transferred (ADT) to/from acute care hospitals located in DC or Maryland. Email [email protected] to request ENS messages and receive real-time access to clinical information including lab results, radiology reports and discharge summaries.
- Public Health Reporting – Providers may submit public health data (and meet a Meaningful Use objective) related to immunizations, cancer, syndromic surveillance, and reportable lab results to DOH’s online provider registry available at Public Health MU Electronic Transmission Registry.
- Online Portal – Authorized User access to patient-level data across settings of care.
The following are additional materials that provide insight in terms of the District’s current HIE infrastructure and future strategic goals:
- District Government Data Map – Pictorial representation of data flow among District of Columbia government agencies [PNG]
- District Clinical Data Map – Pictorial representation of how data is sent and received by providers through HIEs [PNG]
- District HIE Strategic Roadmap – Recommendations by the HIE Policy Board in the areas of governance, technology, and finance, accompanied by a list of priorities for HIE use cases by DC providers, and a survey of the existing HIE landscape in the District [PDF]
- State Medicaid Health IT Plan (SMHP) – The SMHP is an evolving strategic document describing the process and vision for the District’s Medicaid Health IT and Health Information Exchange initiatives. Please click here to obtain here to access the most recent version of the SMHP, which was last updated in March 2017.
HIE Contact Information:
|HIE||Wanda Foster||[email protected]||(202) 442-4623|
- RFA # DHCF-Telehealth-2017-A (Wards 7 and 8) - Questions and Responses - December 4, 2017 [PDF]
- ONC HIE Vision for Interoperability [PDF]
- HIE ROI Calculator [XLS]
- Interoperability Training Courses
- HIE Use Case Scenarios Guide [PDF]
- Connecting for Health Common Framework [PPT]
- eHealth Exchange Overview [PDF]