SacValley Medshare, a health information exchange serving the North Central Valley of California, is bulking up its data repository so it can provide physicians with a richer set of patient information at the point of care.

The HIE is working with vendor Collective Medical, which collects health insurance and other data from emergency rooms, including patient-specific care guidelines and plans, utilization patterns and pain management histories. Collective Medical also pulls in and stores details that hospitals generally don’t have, such as a specific patient being anxious or combative, or having a history of opioid use.

Under their pact, Collective Medical will provide its data to SacValley Medshare in real-time, which the HIE could then immediately feed to the hospitals in its network.

Elizabeth Steffen
Elizabeth Steffen

The HIE is paying an undisclosed amount for its member hospitals to use Collective Medical's platform. However, providers will receive the new HIE services at no cost, says Elizabeth Steffen, project manager at SacValley MedShare. “This complementary partnership furthers our mission and allows our HIE participants to leverage their investment and help their most vulnerable and complex patients whose needs are not met at any single point of care.”

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SacValley serves more than 800,000 people in a 29,000-square-mile rural and mountainous region, making care coordination between primary and specialist physicians, hospitals and skilled nursing facilities critical, according to Steffen. The HIE, which has been operational for 5-1/2 years, holds nearly 430,000 administrative messages and has about 350,000 unique patients in its registry.

Having once viewed Collective Medical as a competitor, since both companies are in the business of amassing patient data, Steffen came to the conclusion that it was in the best interested of people in the area to partner.

Clinicians getting patient reports from Collective Medical via the MedShare HIE can use plug-in software from Collective Medical to read the report and enter notes for the next provider who sees the patient, while staying within the provider’s electronic health record system, negating the need for multiple workflows.

Fourteen hospitals currently use the HIE, Steffen notes, with nine other hospitals having signed agreements and four others now being implemented. “We believe our partnership will be a model for other HIEs to build upon to serve diverse communities across our state and beyond,” she adds.

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