For Health Plans And Employers
Increase member satisfaction. Reduce healthcare costs. Improve quality of care for members and employees. Boost productivity.
In the healthcare industry, information is king. By combining 3 billion pieces of clinical information from over 70 separate hospitals and other healthcare providers, claims information from multiple health plans, along with pharmacy data, the Quality Health First Program begins to change the way healthcare is delivered and reimbursed unlike any other similar program.
With the help of the Employers' Forum of Indiana and the Regenstrief Institute, IHIE's Quality Health First Program, the program begins to shift "pay-for-performance" into "pay-for-value" by changing the way physicians are rewarded for their work. Providing early interventions and consistent follow-up care to those patients with chronic diseases is a critical step to capping healthcare costs. The program provides a structure for health plans to reimburse physicians based on improvements in patient outcomes.
Utilizing the IHIE network, the program provides near real-time insight into the care patients are actually receiving and how they are actually doing. Because information is combined from a multitude of sources and supports updates from physician offices to ensure accuracy, the program provides reliable information for providers. It includes summaries based on the physicians' patient population and comparisons to the physician community as a whole, giving physicians and payers a way to compare quality of care.
Health plan participants include:
- Medicare
- Medicaid
- Anthem Blue Cross Blue Shield
- UnitedHealthcare
- Unified Group Services
As a U.S. Health & Human Services Value-Driven Health Care Community Leader, the Indiana Health Information Exchange is working with partners in the entire healthcare community to accelerate and demonstrate the value of health information exchange in reducing costs through the QHF Program and other federal demonstration programs.
Solutions
“When we implemented IHIE's service, we saw a reduction of 90-95% in paper volume for outpatient lab results. This has saved us money, printer expenses and manpower.”
Laboratory Information System Coordinator
Large metro hospital
“(IHIE) provides a safe method of giving the right people the right information in the right place to provide the appropriate level of care, which will have a resounding impact on how care is delivered in the future.”
Charles E. Christian, Chief Information Officer
Good Samaritan Hospital
“The quicker I can get the needed information, the faster my office can make clinical decisions and provide good quality care for our patients.”
Susan Hartman, MD, Director of Quality
St. Francis Medical Group
“IHIE is a collaboration for the common good.”
Vincent C. Caponi, CEO
St. Vincent Health
“IHIE has been a huge relief of getting information to physicians. It has reduced costs and time spent of the telephone with physicians offices.”
Rebecca Foxx, Physician Liaison
St. Vincent Health
“The ability to see hospital results from other networks and providers (in IHIE) ensures good continuity of patient care.”
John Clark, MD, Medical Director
Clarian Health Partners
“Before IHIE, staff time was spent calling around for records that didn't get there in time or sometimes didn't get there at all. The ability to pull reports in a timely manner promotes best care for patients.”
John Clark, MD, Medical Director
Clarian Health Partners
“(IHIE's) Quality Health First Program helps us remember to focus on preventative care needs at the same time we are treating patients for urgent needs.”
Vicki Burk, RN, Clinical Nurse Advocate
St. Francis Family Medicine Residency Program
“We live in a very mobile society. Our patients may have received care in another area of the state or country while traveling. The quality and safety of patient care is enhanced (through IHIE) by having as much information available as possible when care decisions are made.”
Diana Boyer, Vice President and Chief Information Officer
Columbus Regional Hospital
“With IHIE, most results are same day or next day reported, are readily available, easily printed and then routed to the correct patient chart by one clinical staff member daily.”
Susan Hartman, MD, Director of Quality
St. Francis Medical Group
“More and more areas are utilizing (IHIE) which provides more up to date information that can be used in caring for all patients.”
Kimberly Huffer, Lead Transcriptionist
St. Elizabeth Regional Health
“Having a more complete view of a patient's most recent care activities gives our physicians an opportunity to provide an even higher level of informed care.”
Charles E. Christian, Chief Information Officer
Good Samaritan Hospital
“The value (of IHIE) comes from information that is provided through the exchange in a very timely manner. The ability of having relevant information related to a patient's allergies and current medications to prevent errors is very important to all patients in our community.”
Charles E. Christian, Chief Information Officer
Good Samaritan Hospital
“A widely integrated and inclusive population health care data base, like Indiana's health IT network, provides powerful tools for health surveillance and rapid identification of adverse trends.”
Gregory N. Larkin, MD, Indiana State Health Commissioner
Indiana State Health Department
“The benefits of participation in an information exchange are significant for patients, providers and the community health.”
Gregory N. Larkin, Indiana State Health Commissioner
Indiana State Health Department
“The Indiana Health Information Exchange is a very important technological advance in patient care. It provides me with rapid report turn-around, allowing me to keep up and have day-to-day call backs to my patients. This eliminates patient call backs for their test results and eliminates duplicate testing.”
Dr. Daniel Overcash, Physician
St. Vincent Physician Network - Indianapolis Medical Group
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