A RHIO that works and pays

Collaborative partnerships, high usability and a tight rein on costs are keys to the success of the Indiana Health Information Exchange.

The big challenge facing regional health information organizations is financial sustainability, but the Indiana Health Information Exchange (IHIE) is not only surviving monetarily, it’s thriving. This RHIO is doing so well, in fact, that it recently graduated from a business incubator run by Indiana University and moved into a large commercial space that will allow it to grow from 18 to 46 employees by the end of the year.“We’re extremely pleased with how things are going,” said Dr. Marc Overhage, president and chief executive officer of IHIE. “Not only are we covering all of our expenses, but we are generating enough to invest in growth.”Launched in 2004, IHIE runs one of the industry’s most successful clinical messaging systems. It transmits, on average, 1 million messages per month to 4,000 physicians and saves an estimated $6 million per year by eliminating duplicate tests and other administrative tasks. IHIE recently launched a new quality reporting system named Quality Health First. And, Overhage said, it is planning to deploy 20 new services, including medication reconciliation, diabetes management, cholesterol management, breast cancer screening and colorectal screening.IHIE has eight customers, mostly large urban hospitals and hospital systems. Those include St. Vincent’s Health, which runs 17 hospitals, and Community Health Network, which has four hospitals and a laboratory.So what’s the secret to its success? Overhage said there’s “no list of magic bullets that you can put up on a PowerPoint slide.” But he added that by taking a deliberate, patient, businesslike approach to the effort, IHIE has been able to successfully develop solid, collaborative partnerships; offer an easy-to-use, valuable service that customers are willing to buy and use and keep a tight rein on costs.“Even though we’re a not-for-profit, tax-exempt organization, we run it like a business,” Overhage said. That means, for example, that expenses for each product line are tabulated separately. “We know exactly what it’s costing us to deliver that service and we’re able to describe to our participants exactly what goes into that figure. We don’t just mush it all up and assume it will all work out and somebody will give us more money.”Another critical factor for success happened when IHIE officials decided against “trying to boil the ocean” and instead opted to build the business incrementally. Initially, IHIE only offered a clinical messaging service. “You can build it in an infinite period of time, it doesn’t cost a jillion dollars to create and it brings value in a fairly short timeframe, so people are willing to write checks for it,” Overhage said.Starting with a simple service also allowed IHIE to keep the barriers to entry low for physician practices and hospitals, in terms of technology, process and policy. Even in a sophisticated hospital, it usually takes just one day for an information technology staffer to complete the initial setup integration of IHIE’s clinical messaging system and begin participation.By building incrementally, Overhage added, there’s also not as much pressure to close deals quickly. “If you do the big bang thing and you’ve got to generate $1 million in revenue, Day One, then you’re on that fast track and you’ve got to go out and beat on people,” he said. “We have a lot more leisure to let people grow on the idea and complete the sale over time.”Finally, trust and patient persistence are critical to selling RHIO services to busy, stressed health care providers, who, Overhage said, “need extra time to process what you’re saying and think about and work through the idea.”The California Regional Health Information Organization (CalRHIO) has selected the team of Medicity and Perot Systems to build a statewide health information exchange service. The nonprofit organization’s leaders announced that the contracting team’s first step will be to help CalRHIO find $300 million in private financing for the start of the exchange, including a backbone network, marketing and CalRHIO’s operations. The exchange will operate as a utility, offering services to health care providers, patients, government agencies and other RHIOs in California. The network can be used for local data exchanges or linking existing exchanges with one another. User fees will support the exchange, but no details about the fees have been made public. However, CalRHIO officials said the savings expected as a result of having better information to care for patients will be many times greater than the cost of the exchange’s services. Medicity, based in Salt Lake City, specializes in Web-based integration of health records. Perot Systems, based in Plano, Texas, is an IT services company that does considerable business with the government. Dr. Molly Coye, one of CalRHIO’s founders, said in a statement that the Medicity/Perot Systems team offered not only proven technology but also an innovative approach to financing the project, an approach that appears able to sustain the exchange in the long term. CalRHIO issued its request for proposals in December 2006. The following month, it announced that eight companies were in the running for the contract. In addition to Medicity, they were Accenture; Covisint; Computer Sciences Corp.; IBM, partnering with Axolotl; McKesson; Sun Microsystems; and Wellogic. The announcement of the contract award stressed the flexibility of the future exchange, including its expected ability to connect a variety of existing e-health records systems and other health IT applications. It also emphasized that the information would be transmitted securely.

Indiana Health Information Exchange





















CalRHIO selects team to build health info exchange
















X
This website uses cookies to enhance user experience and to analyze performance and traffic on our website. We also share information about your use of our site with our social media, advertising and analytics partners. Learn More / Do Not Sell My Personal Information
Accept Cookies
X
Cookie Preferences Cookie List

Do Not Sell My Personal Information

When you visit our website, we store cookies on your browser to collect information. The information collected might relate to you, your preferences or your device, and is mostly used to make the site work as you expect it to and to provide a more personalized web experience. However, you can choose not to allow certain types of cookies, which may impact your experience of the site and the services we are able to offer. Click on the different category headings to find out more and change our default settings according to your preference. You cannot opt-out of our First Party Strictly Necessary Cookies as they are deployed in order to ensure the proper functioning of our website (such as prompting the cookie banner and remembering your settings, to log into your account, to redirect you when you log out, etc.). For more information about the First and Third Party Cookies used please follow this link.

Allow All Cookies

Manage Consent Preferences

Strictly Necessary Cookies - Always Active

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data, Targeting & Social Media Cookies

Under the California Consumer Privacy Act, you have the right to opt-out of the sale of your personal information to third parties. These cookies collect information for analytics and to personalize your experience with targeted ads. You may exercise your right to opt out of the sale of personal information by using this toggle switch. If you opt out we will not be able to offer you personalised ads and will not hand over your personal information to any third parties. Additionally, you may contact our legal department for further clarification about your rights as a California consumer by using this Exercise My Rights link

If you have enabled privacy controls on your browser (such as a plugin), we have to take that as a valid request to opt-out. Therefore we would not be able to track your activity through the web. This may affect our ability to personalize ads according to your preferences.

Targeting cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. If you do not allow these cookies, you will experience less targeted advertising.

Social media cookies are set by a range of social media services that we have added to the site to enable you to share our content with your friends and networks. They are capable of tracking your browser across other sites and building up a profile of your interests. This may impact the content and messages you see on other websites you visit. If you do not allow these cookies you may not be able to use or see these sharing tools.

If you want to opt out of all of our lead reports and lists, please submit a privacy request at our Do Not Sell page.

Save Settings
Cookie Preferences Cookie List

Cookie List

A cookie is a small piece of data (text file) that a website – when visited by a user – asks your browser to store on your device in order to remember information about you, such as your language preference or login information. Those cookies are set by us and called first-party cookies. We also use third-party cookies – which are cookies from a domain different than the domain of the website you are visiting – for our advertising and marketing efforts. More specifically, we use cookies and other tracking technologies for the following purposes:

Strictly Necessary Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Functional Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Performance Cookies

We do not allow you to opt-out of our certain cookies, as they are necessary to ensure the proper functioning of our website (such as prompting our cookie banner and remembering your privacy choices) and/or to monitor site performance. These cookies are not used in a way that constitutes a “sale” of your data under the CCPA. You can set your browser to block or alert you about these cookies, but some parts of the site will not work as intended if you do so. You can usually find these settings in the Options or Preferences menu of your browser. Visit www.allaboutcookies.org to learn more.

Sale of Personal Data

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Social Media Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.

Targeting Cookies

We also use cookies to personalize your experience on our websites, including by determining the most relevant content and advertisements to show you, and to monitor site traffic and performance, so that we may improve our websites and your experience. You may opt out of our use of such cookies (and the associated “sale” of your Personal Information) by using this toggle switch. You will still see some advertising, regardless of your selection. Because we do not track you across different devices, browsers and GEMG properties, your selection will take effect only on this browser, this device and this website.