At Reliance, 2017 was a year of repositioning, enrichment of services and growth. The year began with the announcement of a new name, website, and executive director. During the course of the year, Reliance continued its work to provide a more integrated experience for users while continuing work to expand its suite of HIE services.

2017 Accomplishments include:

Veteran’s Administration Connectivity. Reliance worked with the US Veteran’s Administration (VA) to build connectivity through the eHealth Exchange so that users can query the VA for a care summary on their patients who also receive care from VA health care facilities. This allows access to your patients’ VA health information using Reliance in near real time — instead of days or weeks — enabling you to quickly make informed decisions that result in better care for veterans.

eReferrals. Reliance is launching a new experience for our eReferrals users and successfully completed a pilot of the service in late 2017. Read more about the pilot deployment underway in Central Oregon.  An automated referrals application will be integrated with the Community Health Record, which means that the patient’s demographic information will automatically populate the eReferral.

Behavioral Health Forum. “Transforming Behavioral Health Care in Oregon through Information Technology” was an interactive forum hosted by Reliance in July 2017. The focus of the Forum was to have dynamic, statewide discussions about the barriers and opportunities for exchanging behavioral health information among a patient’s care team. More than 90 organizations and 132 participants learned how Reliance eHealth Collaborative and the Oregon Health Authority used Federal funding to establish Oregon as national leader in advancing Behavioral Health Information Exchange. The work provides a model for others working to integrate behavioral health information as well as lessons learned and best practices for future efforts.

Reliance Insight. Reliance Insight will offer participants the capability to enhance the information and capacity of their EHR to support population health management and clinical quality metrics (CQM) management and reporting.

Results Delivery. Reliance streamlines how information gets to an ordering provider (and other providers who are copied on the test result). Through a single, user-configurable interface, Reliance will fully automates the delivery of clinical information to providers’ electronic health records (EHRs) from all data sources that contribute to Reliance; saving time and money, and improving the speed in which results are received. A Reliance user without an EHR can utilize web-based tools to access their patient results/reports in real-time via the clinical inbox.

Data Routing Services. Reliance supports providers who are contracted to report to third parties, such as CCOs, health plans and population health organizations. Member files are reported to Reliance, at mutually agreed upon intervals (e.g., daily, weekly, monthly), which establishes the relationship between the third party and the member/patient. For the period of eligibility/enrollment, the member’s clinical data is routed to the third party. Reliance takes into consideration information not legally permissible for routing, such as self-pay, opt-out or protected information that requires patient consent (e.g., substance use treatment information (SUTI)).

Many of the fruits of last year will be realized in 2018, as Reliance users will experience enhanced services and programs. A few examples include:

Integrated Community Health Record. Reliance’s Community Health Record will soon launch an enhanced Community Health Record that integrates with other Reliance products, such as eReferrals and Alerts/Notifications. The new query-based exchange environment will also include a consent model that supports sharing of behavioral health information, including protected substance use (alcohol and drug) treatment information based on the patient’s signed consent or release of information. The consent model is fully compliant with State and Federal law and supports all necessary auditing and reporting to maintain patient confidentiality.

Alerts and Notifications. Unlike other notification or alerting applications, Reliance combines a broad and deep set of data to provide valuable, real-time insight for managing high-risk or near-high-risk patients. Reliance Notifications will be generated from any combination of the following types of information, including Events, Clinical, Behavioral, Social, and Gaps in Care.

PDMP Connectivity. Reliance connected with the Oregon Prescription Drug Monitoring Program (PDMP) this year, enabling Reliance users who also have active PDMP user credentials to query their patient’s PDMP report right from the patient’s Community Health Record in Reliance. The new functionality eliminates the need to log into multiple portals and manage multiple logon credentials. Having access to more complete information can lead to the early identification and intervention of opioid misuse, better care planning to manage pain, and the prevention of overdoses that can lead to death.

Are you interested in taking advantage of the enhanced services that will be available later this year? Learn more by contacting Reliance at Support@RelianceHIE.org.