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|Friday, July 05, 2013|
BY ANGELA DECKER | ASHLAND CORRESPONDENT
In America’s competition-based health care market, it can be tough to get rival care providers to work together and share information. Organizers of the Jefferson Health Information Exchange (JHIE), are proud of the way southern Oregon health care providers are cooperating to streamline the flow of patient information in order to improve care and reduce costs.
Guided by the Jefferson Regional Health Alliance (JHRA) and consulting firm Advances in Management (AIM), southern Oregon hospitals such as Providence and Asante, public health agencies, clinics, and independent physicians have all collaborated over the past two years to form JHIE, a new non-profit corporation that facilitates electronic communication among providers.
The Affordable Care Act has been a catalyst for such cooperation because it requires and rewards meaningful electronic information exchange among providers. “The ACA has really motivated a lot of folks to do things in different ways,” says Anne Alftine, MD, Project Coordinator for JHRA. “Overall, the ACA is about health care transformation, improving care and reducing costs. Those are also the goals of health information exchange."
Due to decentralization of the health care system, technology challenges and the difficulty of getting a diverse group of competing interests to agree on anything, establishing a regional Health Information Exchange (HIE) program is not easy. But Gina Bianco, president of AIM and acting director to JHIE, says implementing HIE has been notably smooth compared to other regions she’s worked with.
“There are communities that attempt, but don’t always succeed," she says. "What makes HIE succeed in this community is the willingness of people to really cooperate and put competition aside and focus on the best interest of the patients."
JHIE services are being rolled out in three phases. The initial phase, launched in January, allows providers to electronically send and receive information such as patient referrals and lab results in real time. “The current phase is really a point-to-point exchange from one health care provider to another. Doctors do that today via fax and phone. HIE allows them to do it electronically,” says Paula Wheldon, a project manager for JHIE.
JHIE is now working on phase two, which will give authorized care providers the ability to search a patient’s clinical records from other providers and contribute information for other providers to see. The final phase, set to roll out in 2015, is more broadly focused on public health reporting and statistical data analysis.
Although JHIE’s benefits to patients are obvious, such broad medical-record search capability could make some patients nervous about privacy issues. Wheldon, Alftine and Bianco emphasize the safety of patient records, noting that the system will meet HIPAA information security standards and include access controls to prevent unauthorized use, such as a requirement that there has to be a clinical relationship between the provider and patient for any medical queries to take place.
JHIE’s primary focus is improved efficiency and care; however, it is also expected to lead to greater cost savings for the health care providers and the patients. JHIE is too new to quantify the savings yet, but Bianco says that other communities have seen significant savings. “With HIE, we avoid duplicating documents or procedures, and we save money related to technology and not having to build multiple interfaces. Also, from the patient’s perspective, not having to have duplicate tests and avoiding additional copays can be a tremendous savings,” said Bianco.
Alftine and her colleagues are proud of their efforts. “It has taken a lot of teamwork, drive and energy to get JHIE off the ground,” she says. Bianco praises the grass-roots effort that led to the formation of JHIE, “This isn’t just some organization imposing its will; it’s truly a community driven project with the patient at the center.”
Angela Decker is a freelance writer based in Ashland.
Friday, October 30, 2015
BY LINDA BAKER
This is a story about a small plastics company in wine country now exporting more than one million feet — 260 miles worth — of tubing to China every month.
Monday, October 05, 2015
VIDEO BY JESSE LARSON
Profiling some of the organizations featured in the 2015 list.
Monday, November 02, 2015
BY LINDA BAKER
The hollowing out of the American city is now a bona fide cultural meme. Newspapers, magazines and digital media sites are publishing story after story about the morphing of urban grit and diversity into bastions of wealth and commodity culture.
Wednesday, October 28, 2015
BY AMY MILSHTEIN
As CEO and owner of five different cannabis-related businesses generating a total net revenue of $2 million, Alex Rogers could sit back and ride the lucrative wave of Oregon’s burgeoning pot industry.
Friday, October 02, 2015
BY KIM MOORE
Our intrepid (and expecting) research editor finds the child care search involves long waiting lists, costly fees and no certainty of securing a place before she goes back to work.
Wednesday, October 28, 2015
BY DAN COOK
The artisan generation redefines manufacturing.
Tuesday, October 27, 2015
BY JACOB PALMER | DIGITAL NEWS EDITOR
Several Portland entrepreneurs make appearance in patently silly "The Dream of the Startup is Alive in Oregon" promo.
|The Love Boat|
|The Food Pod Grows Up|
|The High Road|
|Tinker, Tailor, Portland Maker|
|The Shift to Community Health Care|
|The Harder They Fall|
Economic diversity has proven a smart strategy for the Port of Hood River. How can other Oregon communities replicate the model?
Phone, Internet needs of small community school districts earn attention of top-five telecom provider.
Farmland LP grows its vision for organic farming in Oregon.
The Salem Convention Center has capped its tenth anniversary year by earning the prestigious “Best of the Best 2015” award from NW Meetings & Events magazine. Selected as the Best Convention/Conference Venue in Oregon by meeting and event planners from Alaska, British Columbia, Idaho, Oregon and Washington, the Salem Convention Center ranked above the Oregon Convention Center and the Portland Art Museum.
The Oregon Cooperative Hall of Fame honors individuals for their outstanding contributions to the successful building and operation of Oregon agricultural cooperatives.
Health insurer reports $10.2 million in net income after taxes through the first nine months of 2015.