On August 18-21, 2019, the health information exchange (HIE) community will convene at the Gaylord National Resort & Conference Center in National Harbor, MD to celebrate HIE growth and success across the country.

 

The 5th annual conference is hosted by SHIEC HIE members, Chesapeake Regional Information System for our Patients (CRISP), Maryland and CRISP, DC.

The Strategic Health Information Exchange Collaborative (SHIEC) is a national collaborative representing health information exchanges (HIEs). The organization represents 70+ HIEs, and these HIEs collectively cover more than 200 million people across the U.S., well over half of the American population. The Health Collaborative is a founding member of SHIEC.

The SHIEC Events Committee received 112 speaker proposals to fill 21 breakout sessions for their 2019 annual conference- The Health Collaborative’s submission, “Healthcare Claims Data Aggregation: Creating Tools for Population Health,” was selected. 

The Health Collaborative will be presenting on the development of a healthcare claims-based quality improvement tool created for primary care providers and health insurance companies that is used for process improvement and targeted patient care management. The tool currently examines cost, quality, and utilization data from eleven health insurance companies in Ohio and Kentucky and aggregates the results into a uniform, intuitive, and actionable visual presentation.

The aggregated results show a complete picture of a primary care practice’s performance across defined metrics and allows for a multitude of claim-based benchmarks. Using the multi-payer claims data to evaluate the results from a Centers for Medicare and Medicaid Services (CMS) pilot project illustrated the effectiveness of the Comprehensive Primary Care Initiative (CPC) across different payer populations, i.e. Medicare, Medicaid, and commercial. The results showed that a much greater positive response was observed in the Medicare Advantage and commercial populations compared to traditional Medicare.

Learn more about the SHIEC annual conference by clicking here.