# Presentation: 342217

## Using Clinical Health Information Exchange to Improve Population HealthSeptember 27, 2007

**New Mexico Experience 2004-2007**
**Robert E. White, MD. MPH.**
**Lovelace Clinic Foundation**
**New Mexico Health Information Collaborative**

## New Mexico Cast of Characters

- Lovelace Clinic Foundation
- New Mexico Health Information Collaborative
- New Mexico Department of Health

## New Mexico Cast of Characters

- Lovelace Clinic Foundation
- Non-profit health services research entity
- Patient care database research experience
- HIT project experience
- History of community collaborative projects

## New Mexico Cast of Characters

- New Mexico Health Information Collaborative
- Based at Lovelace Clinic Foundation
- 2004 AHRQ initiated HIE
- Extensive community involvement: 33 different organizations regularly involved

## New Mexico Cast of Characters

- New Mexico Department of Health
- One, state-wide public health authority
- Employs 3900 state workers
- Provides medical care services as well as surveillance, policy, monitoring and other traditional public health duties

## First Full-Length Production:Grant Submission Performance 2003Lead Roles By:

- Lovelace Clinic Foundation
- New Mexico Department of Health (NMDOH)
- To create NMHIC proposal

## Cast Collaboration:Grant Performance 2004-05NMDOH is an Extra:

- 2004: Building technology, educating community participants, and organizing steering body & work groups
- 2005: Building a Master Patient Index with NMHIC participant data

## Cast Collaboration:Grant Performance 2005NMDOH Search for Supporting Role

- Send fact-of-death reports from NMDOH to the MPI and improve MPI accuracy and help clinicians?
- Assist in e-vital record entry?
- Integrate into immunization registry?
- Submit a new grant?

## Cast Collaboration:Grant Performance 2005NMDOH Search for Supporting Role

- Fact-of-death idea died.
- e-vital project too advanced for NMDOH to alter plan
- Immunization process on its own project plan
- Grant submitted, but our movie script was rejected by the major studios.

## Cast Collaboration:Grant Performance 2005NMDOH Lead Role Found

- July-December NMHIC emphasis: add secure, clinical messaging to MPI
- December 2005: E-report newborn hearing screening test results
- Replace Fax
- Track actions
- Automate report receipt by multiple NMDOH staff
- No one owned the movie rights already!

## Cast Collaboration:Grant Performance Jan-May 2006NMDOH Supporting Role

- Six month progress:
- Add secure messaging technology to MPI/RLS system
- Find a pilot test site
- May 2006: Taos Holy Cross Hospital willing to Star: pilot electronic newborn hearing test reporting and other messaging services

## Cast Collaboration:Grant Performance 2006NMDOH Lead Role Again

- Last 6 months of 2006:
- Build newborn hearing screening test functionality
- Interact with NMDOH and Taos community

## Cast Collaboration:Grant Performance 2007NMDOH Supporting Role

- Next 5 months:
- Slow progress
- State Legislature trumped the stage
- Taos computer support cast slow

## Movie Premieres June 2007NMDOH and Taos Hospital Star!

- Infant hearing reports sent electronically:
- Hospital report entry worked
- NMDOH received and can track

## Producer Lessons:2003-2007Public Health Use

- NMDOH involved throughout
- Search for the nexus
- Meet, meet and greet, greet
- Leverage the advantage: community has public health “must do’s”
- Star born every minute

## Considering The Sequel2007 CDC Contract for HIE and Situational Awareness

- Coincidental search for vendor collaborator had started February 2007
- We already made one movie together!
- Newborn reporting legitimized our HIE to a major studio (CDC)
- Strong support by NMDOH CIO (multiple, overlapping interactions)

## The Sequel is a Blockbuster?2007 CDC Contract for HIE and Situational Awareness

- Our Strengths:
- One state wide, public health entity
- Community supporting cast already developed
- Sought new cast members: Indian Health Service and rural hospitals
- Data exchange actually happening

## New Mexico Is A Good Place to Make Movies AND Electronically Exchange Health Information 

- Thanks to AHRQ staff for our HIE seed money and today’s discussion
- Thanks to MANY NMDOH staff for their support, persistence and patience.
- bob.white@lcfresearch.org