Mark Frisse's Personal Site

Inactive ->
HomeBlue BulletAbout me blogs Presentations publications Projects Other links  

 

Mark Frisse

Mark Frisse

Links

 About Mark
 Policy Blog
 Other Blogs
 Presentations
 Publications
 Projects
 Links & del.icio.us
 Regional Informatics Site
 VU Center for Better Health
 Selected VCBH Workshops

Follow this link for my policy blog

Recent News: Our Health Information Exchange Enters Year 3

Secure, Personal Health Information Access for One Million Consenting Indviduals

On May 3, 2008, our Memphis-based health information exchange has been in clinical operation for two years. Funded by AHRQ, the State of Tennesse, and Vanderbilt and governed by the non-profit MidSouth eHealth Alliance, the Exchange has come a long way

The Exchange currently has 356 people using the system for clinical care.

  • Physician / Provider roles - 199
  • Nurse roles - 109
  • Registrars and unit clerk functions - 48
These numbers will change as the last major system goes "near real time" in the next few weeks and as more ambulatory care providers are introduced to the program. The number of clinicians will increase and the number of registrars and unit clerks will decrease dramatically.

Data come from approximately 30 sites. Use is in all major emergency departments, several ambulatory clinics, and among some hospitalists. Access is only through secure ID. 100% of accesses undergo some form of audit. Use is restricted to clinical settings. No aggregate data or metrics are kept. Patients may "opt out" at the institutional level.

The Exchange grants secure  access to almost 3 million patient encounters.

  • Total number of unique individuals - 1,050,000
  • Total number of unique individuals with clinical data (not just claims) - 809,000

We are still working on the latest inventory of specific data elements.

From our February estimates, the system has over 300,000 procedures codes, 2.6 million diagnostic codes. On a daily basis, the system adds approximately 33,000 encounters,  850 microbiology tests, 1,200 chest x-ray reports and some 80,000 laboratory test results. (Follow this link to a February 2008 update)

More data and implications will be soon be found on my policy blog and at our Regional Informatics Site