The Indiana Health Information Exchange launched a new program, Quality Health First of Indiana, that combines medical- and drug-claims data from participating health plans with patient prescription-drug data, and lab and test results already stored in a hospital-driven database overseen by the Indiana Network for Patient Care.
Participating physicians will be able to get reports assembling the information from these different sources that they can use to better-monitor their patients' health, according to a news release. The goal of the program is to help lower healthcare costs by reducing hospitalizations and complications, and allowing for a better adherence to evidence-based medical practices.
The program was funded by a $2 million gift from the Richard Fairbanks Foundation, a charity promoting healthcare, self-sufficiency and "the vitality of Indianapolis." Additional funding was provided by Anthem Blue Cross and Blue Shield, but a spokesman said the company was not disclosing the contribution amount.
The program's architecture and the specific quality measures that it will use were developed by the Employers Forum of Indiana, a coalition of employers, health plans, physicians, hospitals, public officials and other stakeholders. According to the Indiana Health Information Exchange news release, after the accuracy of information is verified, participating health plans will reward physicians on specific patient-improvement measurements rather than solely on the quantity of services they provide. The Indiana Network for Patient Care gathers the database information from 15 hospitals in five hospital systems, the RxHub e-prescribing service, and federal, state and county health agencies.
Physicians will not be held to a single performance standard because that can skew the advantage toward physicians with healthier patient populations, the news release said. Measurements used in the program will represent a consensus among physicians, health plans, employers and other stakeholders, all of which are represented by the program's governance structure.