Practice Pricing (rev. 8/18)

As the State’s official health information exchange, Delaware Health Information Network (DHIN) delivers and stores more than 14 million clinical results for thousands of Delaware healthcare providers every year.

Over the past decade, DHIN’s Community Health Record has become an integral tool in providing care to patients in Delaware and throughout the region. Correspondingly, the costs for maintaining and securing more than 100 million clinical data files for nearly three million patients have significantly increased during this time.

To help offset these costs, DHIN’s Board of Directors recently approved a new business model that includes an access fee for the Community Health Record (CHR).

Q. Why is DHIN charging practices for using the Community Health Record?
A. Since DHIN’s inception more than a decade ago, practices have not been charged for accessing the Community Health Record nor for leveraging other services like event notification.

DHIN has been able to maintain this approach, despite not receiving any State-related support since 2012, while also incurring significant increases in costs for items that include:

  • Increased storage costs as DHIN maintains on-demand, secure access for over 11 years’ worth of clinical data for more than 2.5 million unique patients
  • Additional IT hardware to ensure our network infrastructure is properly maintained
  • Cyber-security related enhancements and insurance to counter growing threats to the network
  • Professional services such as legal and healthcare law and privacy compliance certification that must be maintained

These factors have increased the costs to DHIN of storing and delivering data for practices.

To that end, DHIN has introduced a new business model that provides a bundle of low-cost and enhanced services for practices, as well as discounts for those that submit data or care summaries to the network.

Q. How will I know if my practice will be charged?
In the coming weeks, your practice will receive an invoice from DHIN for the services currently received. Practices that submit care summaries to the network will receive a $200 discount on their annual DHIN fees, as making information available to other care providers provides value to the network and supports better care.

Please note: Practices that are affiliated with a hospital system, as well as the Department of Public Health and other large organizations that currently contribute financial and data resources to DHIN are not subject to this new business model.

Q:  Will my practice be billed for results delivery?
A: No. Practices that sign off with DHIN as the exclusive provider of clinical results will not be charged for receiving results from DHIN. Practices that do not sign off with DHIN are charged an annual fee of $350 for leveraging DHIN results delivery channels. Effective upon the next renewal date, these practices will be billed an adjusted fee of $400, which is incremental to the $400 CHR base charge.

Q: How much will my practice be charged?
A: Please see the below chart for a summary of the annual charges that will be applied to DHIN-enrolled practices during this fiscal year (July 1, 2018 – June 30, 2019).

 

Option 1

Option 2

Option 3

Option 4

Option 5

Option 6

Option 7

Option 8

CHR Access

X

X

X

X

X

X

X

X

ENS

 

 

X

 

X

 

X

X

CCD Exchange

 

X

 

 

X

X

X

X

PHR Portal

 

 

 

X

 

X

X

X

Not Signed Off

 

 

 

 

 

 

 

X

Price – per practice

$400

$200

$500

$500

$300

$300

$400

$800

Current fee-based services, like the medication history subscription service, are not impacted by nor included in this new model.

Q: What happens if my practice doesn’t pay the fee?
A: If your practice does not subscribe to the Community Health Record, access to the CHR will be terminated. This will not impact your practice’s receiving of results through integration with an EMR, clinical inbox or auto-print. As outlined above, you will continue to receive your results through DHIN at no charge, provided your practice has signed off with DHIN.

Thank you for your continued participation. If you have any additional questions or to subscribe to a DHIN service, including submitting care summaries from your practice, please reach out to your DHIN Business Relationship Manager.

Testimonials

“I think it has saved a lot of money particularly for my practice. I’m not getting duplicate faxes sent to me and from other facilities and that’s been a huge resource in terms of time. My staff is not spending time on the phone trying to get results sent. Instead we can just log onto DHIN, verify the patient, and have access to all of that in less than 30 seconds.”

– Sherin Ibrahim-Howett, DO, Sleep and Internal Medicine – The Pearl Clinic

Delaware Health Information Network - Better Communication for Better Healthcare

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