How Including HIPAA Transaction Sets in RHIO Architecture can Help Fund Clinical Information Exchange
Columbus, OH (PRWEB) March 30, 2006
Fred Richards, co-founder and chief technology officer for HTP, Inc., will speak on how organizations can effectively fund RHIOs by leveraging their HIPAA investments at the 12th National HIPAA Summit, to be held April 7-11 at the Hyatt Regency on Capitol Hill, Washington, DC.
As a featured faculty member for the Summit, Richards will present a case study, "How Including HIPAA Transaction Sets in RHIO Architecture can Help Fund Clinical Information Exchange," at 11 a.m. on April 10. The presentation draws from his experience as the chief information architect for the Utah Health Information Network (UHIN), which has been recognized as the nation's first successful statewide Regional Health Information Organization (RHIO) by the U.S. Department of Health and Human Services.
UHIN contracted with HTP in 2001 to create an information platform that would allow healthcare providers and health plans throughout the state to exchange secure electronic patient information. By 2005, the RHIO connected 100 percent of the hospitals, health plans, laboratories, local health departments and mental health centers in the state of Utah, as well as 95 percent of the doctors and 90 percent of the chiropractors.
State health officials credit UHIN in large part with holding the per-capita cost of healthcare in the state to 25 percent less than the national average. The efficiency of the electronic system cuts out much of the wasted time and effort needed to verify insurance eligibility and process claims using traditional, paper-based processes. For example, the average health claim in Utah is paid in seven days, compared to a national average of 45 days.
"Utah’s experience shows that an electronic healthcare information network that first tackles administrative transactions and is paid for by health plans and providers via modest subscription and transaction fees is a very effective way to successfully fund a sustainable regional health information network," Richards said. "Utah’s health information network is self funding and was built without significant government grants."
After building a reliable system to move administrative healthcare transactions such as claims, benefit eligibility, and electronic payments, UHIN has now expanded to handle clinical transactions, including electronic pharmacy prescriptions, medication history records, lab results and discharge notes.
About Fred Richards
A co-founder and chief technology officer of HTP, Richards has more than 22 years of experience in information systems focused on healthcare industry systems, health insurance systems and health maintenance organizations software and operations. Richards was an early adopter of ANSI X12 EDI healthcare transaction processing. He was CIO of an HMO that was the first commercial health plan to implement the claim transaction based on the X12.837 format to exchange claims with the major national clearinghouses of NEIC, now part of WebMD.
In addition, Richards was an active participant in the development of the electronic healthcare transactions that became the required transaction set under HIPAA. Richards has delivered EDI informational presentations at WEDI and national Medicaid IT conferences. As a member of the Data Interchange Standards Association, he participates in meetings to define the future transactions for electronic administrative activities in healthcare.
Richards also is a founding member of the Committee on Operating Rules for Information Exchange (CORE), a national collaboration focused on refining and improving the exchange of the health plan eligibility transactions among providers and payers. He is the author of books, white papers and industry articles on healthcare EDI. A certified industrial engineer, Richards holds a Bachelor of Science degree in engineering and an MBA.
About HTP, Inc.
HTP develops software technology for the healthcare industry that improves efficiency, profitability and service quality for hospitals, insurance companies, physician groups, managed care organizations, third-party administrators and public sector health plans. The company's software technology also enables secure information exchange through Regional Health Information Organizations (RHIOs).
Based in Columbus, Ohio, HTP supports 170 customers, including 90 hospitals and 60 health plans, by translating and moving more than 15 million transactions per month. HTP technology powers the Utah Health Information Network (UHIN), recognized as the nation's first successful RHIO. A 2004 and 2005 Inc. 500 company, HTP and its executives have been recognized for leadership by the Ohio Third Frontier Project, The Deloitte Technology Fast 500, the Ernst & Young Entrepreneur of the Year program and the Columbus Technology Council. Notable HTP customers include Ohio Medicaid and Utah Health Information Network.
For more information on HTP or to learn how its software is transforming healthcare information exchange for providers, payers and RHIOs, call 614.396.4549 or go to http://www.htp-inc.com.
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