KEYSTONE HEALTH INFORMATION EXCHANGE INC

KEYSTONE HEALTH INFORMATION EXCHANGE, INC. ("KEYHIE"), A 501(C)(3) TAX- EXEMPT ORGANIZATION, WAS INCORPORATED IN DECEMBER 2013 IN SUPPORT OF GEISINGER HEALTH ("GH"), A 501(C)(3) TAX EXEMPT ORGANIZATION, AND THE PARENT OF GEISINGER. KEYHIE WAS FORMED TO DEVELOP AND OPERATE A REGIONAL HEALTH INFORMATION SHARING NETWORK FOR USE BY LICENSED HEALTHCARE PROVIDERS WHEN TREATING PATIENTS THAT HAVE MEDICAL RECORDS HELD WITHIN THE PARTICIPATING HEALTHCARE ORGANIZATIONS. KEYHIE IS A HEALTH INFORMATION ORGANIZATION ("HIO"), WHICH IS A MULTI-STAKEHOLDER ORGANIZATION CREATED TO FACILITATE A HEALTH INFORMATION EXCHANGE ("HIE"): THE TRANSFER OF HEALTHCARE INFORMATION ELECTRONICALLY ACROSS ORGANIZATIONS AMONG STAKEHOLDERS OF THAT REGION'S HEALTHCARE SYSTEM. THE ULTIMATE OBJECTIVE IS TO IMPROVE THE SAFETY, QUALITY, AND EFFICIENCY OF HEALTHCARE AS WELL AS ACCESS TO HEALTHCARE THROUGH THE EFFICIENT APPLICATION OF HEALTH INFORMATION TECHNOLOGY. HIOS ARE ALSO INTENDED TO SUPPORT SECONDARY USE OF CLINICAL DATA FOR RESEARCH AS WELL AS INSTITUTION/PROVIDER QUALITY ASSESSMENT AND IMPROVEMENT. KEYHIE SUPPORTS EXCHANGE OF ELECTRONIC HEALTH INFORMATION FOR ALL PERMITTED PURPOSES UNDER HIPAA INCLUDING TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS. KEYHIE'S GOAL IS TO ENABLE THE SECURE EXCHANGE OF HEALTH INFORMATION AMONG THE CORPORATION'S MEMBERS AND OTHER PARTICIPANTS SO THAT THE CORPORATION'S MEMBERS AND PARTICIPANTS WILL BE ABLE TO DELIVER AFFORDABLE, HIGH QUALITY, CONVENIENT AND EFFICIENT HEALTHCARE THROUGHOUT PENNSYLVANIA AND THEREBY LESSEN THE BURDENS OF GOVERNMENT. AS OF DECEMBER 2023 KEYHIE'S MEMBERSHIP INCLUDED 254 HEALTHCARE ORGANIZATIONS REPRESENTING 37 HOSPITALS, 390 PHYSICIAN PRACTICES, 78 LONG TERM CARE CENTERS, 24 HOME HEALTH AGENCY LOCATIONS, 13 PHARMACIES, 2 EMS LOCATIONS, 39 URGENT CARE FACILITIES, AND 7 INSURANCE PAYORS. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1. NUMEROUS HEALTH SERVICE FACILITIES, INCLUDING EIGHT ACUTE CARE HOSPITALS WITH MULTIPLE CAMPUSES AND JOINT VENTURE FACILITIES; 2. A MULTISPECIALTY PHYSICIAN GROUP PRACTICE WITH APPROXIMATELY 1,700 PHYSICIANS AND 1,200 ADVANCED PRACTITIONERS PRACTICING AT PRIMARY AND SPECIALTY CLINICS, HOSPITALS AND OTHER CLINICAL FACILITIES; 3. GEISINGER HEALTH PLANS ("GHPS"), INCLUDING GEISINGER HEALTH PLAN, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. WITH COMMERCIAL, MEDICARE ADVANTAGE, MEDICAID AND SELF-INSURED INSURANCE PRODUCTS; AND 4. GEISINGER COMMONWEALTH SCHOOL OF MEDICINE THAT EDUCATES APPROXIMATELY 464 MEDICAL STUDENTS, GEISINGER SCHOOL OF GRADUATE STUDIES THAT EDUCATES 122 GRADUATE STUDENTS, AND 70 NURSING STUDENTS IN THE GEISINGER SCHOOL OF NURSING. GEISINGER OPERATES ACROSS PENNSYLVANIA COUNTIES, WITH THE MOST CONCENTRATED CLINICAL PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. FOR THE TRAILING TWELVE MONTHS ENDED DECEMBER 31, 2023, GEISINGER CARED FOR A POPULATION OF APPROXIMATELY 1,167,000 PEOPLE, A DECREASE OF 0.2% VERSUS THE YEAR-EARLIER PERIOD. THIS POPULATION INCLUDED 859,000 PATIENTS RECEIVING CARE IN THE TRAILING TWELVE MONTHS AND MORE THAN 578,000 GHPS MEMBERS, A 5.5% DECREASE VERSUS THE YEAR EARLIER PERIOD, INCLUDING THE MEMBERSHIP IMPACT FROM MEDICAID REDETERMINATION. THE POPULATION CONTAINED APPROXIMATELY 270,000 PEOPLE INCLUDED AS BOTH GEISINGER PATIENTS AND MEMBERS. GEISINGER'S MISSION OF ENHANCING THE QUALITY OF LIFE THROUGH THE INTEGRATED HEALTH SERVICE ORGANIZATION IS BASED UPON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. KEYHIE SUPPORTS THIS MISSION THROUGH COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS BY IMPROVING THE ACCESS TO HEALTH INFORMATION TECHNOLOGY TOOLS FOR ALL PROVIDERS IN THE GEISINGER SERVICE AREA, AND IMPROVING THE EXCHANGE OF HEALTHCARE INFORMATION WHEN PATIENTS TRANSITION FROM ONE SETTING TO ANOTHER. AT ITS CORE, KEYHIE LINKS TOGETHER PATIENT RECORDS FROM MULTIPLE, DISPARATEHEALTHCARE ORGANIZATIONS SO INFORMATION FROM THESE ORGANIZATIONS ABOUT EACH PATIENT CAN BE PULLED TOGETHER INTO A SINGLE PATIENT-CENTERED VIEW. NOT ONLY IS THIS CRITICAL FOR GOOD PATIENT CARE, BUT IT CAN ALSO ASSIST (AFTER APPROPRIATE PATIENT CONSENTS AND LEGAL CONTRACTS) WITH IRB- APPROVED ("INSTITUTIONAL REVIEW BOARD") RESEARCH AND CONTRACTED ANALYTIC REPORTING FOR ACCOUNTABLE CARE ORGANIZATIONS AND OTHER POPULATION HEALTH REPORTING.