Vermont HIE Program

HIE Objectives & 2018-2019 Tactical Plan

The objectives below provide the detailed what the State needs to achieve the goals of HIE, allowing planning for how to progress will be made toward each. The objectives are aspirational milestones and the Tactical Plan provides a checklist of tasks to be done in 2018-2019 in pursuit of these objectives and goals. Although each objective is listed in connection with a specific goal, most objectives will further all three HIE goals.

Goal 1: Create One Health Record for Every Person

To ensure data is available to providers when they need it, the system requires that each person have an electronic health record, often referred to as a Longitudinal Health Record. This record must include a complete, historical view of care and insurance carriers and which is secure and confidential yet accessible, under reasonable permissions, to each person and their designated care team, including relatives and friends. Viewing the health record should not add additional burden to provider operations. To support this goal, the State and its’ partners strive to:

  • Define the requirements (what must be included) of a Longitudinal Health Record
  • Create an easy-to-navigate Longitudinal Health Record for all people accessing Vermont’s health system
  • Empower people to participate in their care by providing them access to their secure and complete health record
  • Provide a straight forward mechanism for managing personal data sharing preferences
  • Further real-time exchange of health records to support direct care, care coordinators, and efficient transitions of care
  • Remove policy, process, and economic barriers to ensure complete health data follows the person and are not “stuck” in information silos
  • Support adoption and use of electronic health records and other technologies across the full spectrum of care delivery

Goal: Improve Health Care Operations

Health care delivery and management in Vermont relies on and requires an array of data sets to support an ever-expanding need for analysis of health system’s performance. Today, the needed data acquisition and aggregation are supported and unevenly and inconsistently, and the burden often falls more heavily on smaller practices. To fully support health systems in using real data to bolster operations, the State and its’ partners strive to:

  • Define the priority elements (information) required to support heath system reporting and analysis
  • Integrate data sources to seamlessly represent a person’s entire health profile into one record for those measuring care systems and providing care and services
  • Provide designated health care organizations and programs with high quality, reliable data to support measurement and reporting needs of various groups and users

Goal: Use Data to Enable Investment and Policy Decisions

The information required for data-informed delivery and management is produced in a learning cycle where care delivery provides data that is in turn used for population-wide analysis. Data becomes a tool to support action, whether focused on creation of public policy or investments in resources or programs. To bolster the health system’s ability to learn and improve, the State and its’ partners strive to:

  • Integrate systems and coordinate stakeholder efforts in support of continuous improvement goals
  • Provide policy makers and health system stakeholders with aggregate data to support evaluation and program decision making
  • Support health care organizations and programs with access to aggregate data to inform investment decisions that maximize use of limited resources and promote positive health outcomes