Author: idahohde

Idaho Health Data Exchange Partners with 4medica to Eliminate Duplicate Patient Records

    MARINA DEL REY, California – May 19, 2020 –Idaho Health Data Exchange (IHDE) is on the fast track to improve its ability to match patients records that come from different healthcare delivery settings. Identity management is at the heart of sharing health information and is essential to building the most comprehensive and accurate health record. Today, the IHDE announced its partnership with 4medica® to implement and operate a powerful end-to-end cloud-based enterprise master patient index (eMPI) solution and sophisticated master data clean-up service to improve the health and lives of its patients statewide.  IHDE is augmenting its current eMPI software to increase the accuracy of patient matches with the proven combination of 4medica Big Data MPI™ and 4medica 1% as-a-Service™, a real-time, transaction cloud-based service that leverages innovative technologies, people, and proven processes.

The hybrid approach affordably, precisely and quickly assesses, normalizes and cleanses patient identity data to guarantee a 99 percent clean database, which is considered foundational for patient safety, data integrity and interoperability.  “As we onboard new technologies and processes to support new growth strategies, we’re bringing 4medica aboard to provide the most accurate patient matching and identity information in the fastest and easiest way possible to our participants,” said Hans Kastensmith, Executive Director of IHDE. “We want our data quality to be transparent, sustainable, reliable and solid to help our provider community deliver the best quality care coordination and population health management in real time.” “HIEs working at their fullest potential are powerful forces enhancing state efforts to improve care, especially now during the COVID-19 pandemic crisis,” said Gregg Church, President of 4medica. “No single MP technology or referential matching service can solve every patient matching problem. With 4medica, medical professionals in Idaho can be confident of having the most up-to-date exact records at the right time to treat the right patients.” Kastensmith noted that IHDE is contributing to holistic care by establishing new health data sources, such as those from various state departments, as well as incorporating behavioral health data. 

The ultimate goal is to give Idaho providers a well-rounded longitudinal medical record. “Idaho is considered a rural state and hence we provide data exchange services to many critical access hospitals and rural community clinics,” Kastensmith said. “We are excited to partner with 4medica to lower our duplication issues immediately and deliver a complete picture of a patient’s medical history for better care and pandemic response purposes ─ regardless of the provider’s location.” “Whether the patient has a ski accident and is taken to a hospital ER oris diagnosed with the corona virus, we want every clinician who treats that individual to have the most relevant encounter data to make the most informed treatment decision,” he added.  

 About Idaho Health Data Exchange 

 The Idaho Health Data Exchange (IHDE) is a non-profit 501(c)(3) company. IHDE was created in 2008 as a result of the efforts of the Health Quality Planning Commission. The Commission was charged with promoting improved quality of care and health outcomes through investment in health information technology. IHDE is a Health Information Exchange (HIE) that enables doctors, nurses, labs, and other medical providers to securely access their patient’s electronic health information quickly, 24/7/365, to improve the speed, quality, safety, and cost of patient care. For more information, visit:


  Guaranteeing an unprecedented 1% patient record duplication rate, 4medica® solves data integrity and financial challenges to minimize patient safety and other clinical risks and achieve true clinical interoperability and transparency for patients. Our Big Data Management and Clinical Data Exchange cloud solutions help healthcare organizations facilitate patient identity management and data exchange to ensure the right data is captured at the right time, the first time. 4medica’s Perfect Order for Perfect Payment™ ensures labs and imaging centers get paid by integrating high-volume revenue cycle management services throughout the entire order management process. 4medica has processed up to 6 billion clinical results representing more than 70 million patient identities. The company connects 40,000-plus physicians to hundreds of ACOs, HIEs, HINs, hospitals,health systems, laboratories, radiology imaging centers and payers nationwide.Learn more at

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IHDE Contact:
Hans Kastensmith
Executive Director
Idaho Health Data Exchange
(208) 803-0030 

4medica Contact:

Greg Church
(562) 310-1301


Idaho Health Data Exchange to Provide Healthcare Providers with Temporary Free Access to Clinical Portal

March 17, 2020 (Boise, ID) – The Idaho Health Data Exchange (IHDE) announced today its strategic action plan to address concerns surrounding the current novel COVID-19 health pandemic. A major element to this plan is to provide temporary emergency access that will be free of charge to all healthcare providers who do not currently have access to the portal, and are caring for the citizens of Idaho both within the state, as well as in communities in neighboring states.

“We feel this is important due to the susceptibility of individuals with comorbid conditions, as well as having IRIS information (e.g. influenza, pneumonia) available as part of a complete medical record to help support care for citizens who are at risk from coronavirus,” said Dr. Craig Jones, Chief Medical Officer, IHDE. “We are currently assessing our connections to labs around the State which also may add some valuable information on completed tests.”

IHDE has promoted the exchange of health information across regional practices and facilities for the past 10 years. Its intent is to improve the workflow and efficiencies of health care providers and subsequently enhance the care and overall health of the public. Recently, IHDE committed to expanding its impact by engaging in broader opportunities with health-focused entities that have vested interest in improving the health and safety of Idahoans. Its stated goal is to better address the social, behavioral, and medical needs of the population.

If healthcare providers and organizations would like to have access to the IHDE Clinical Portal, they can add up to four staff initially. To make the process as simple as possible, please email and include a prioritized list of providers and support staff names and contact information.

About Idaho Health Data Exchange:

The Idaho Health Data Exchange (IHDE) is a non-profit 501(c)(3) company.
IHDE was created in 2008 as a result of the efforts of the Health Quality Planning Commission. The Commission was charged with promoting improved quality of care and health outcomes through investment in health information technology.

IHDE is a Health Information Exchange (HIE) that enables doctors, nurses, labs, and other medical providers to securely access their patient’s electronic health information quickly, 24/7/365, to improve the speed, quality, safety, and cost of patient care. For more information, visit:

Prudence Vincent

IHDE Office of the Executive Director

The Board of Directors of the Idaho Health Data Exchange (IHDE), a Boise based health information solutions organization is pleased to announce the creation and staffing of the Office of the Executive Director. The Board has engaged Capitol Health Associates LLC (CHA), a consulting firm specializing in the areas of value-based care, health information technology, and corporate management services to lead operations at IHDE.   As the Idaho healthcare landscape continues to evolve, driving care delivery transformation and advancing to increased value-based models, continuous improvement of healthcare technology and population health tools is of growing importance.

Our selection of CHA is based on their national reputation in developing cutting edge, first of their kind health information technology systems for chronic care and population health management that are currently in use today by enterprise-scale health institutions.   Previous experience includes projects working with Vermont Healthcare Reform and helping to develop and execute several successful initiatives in the state.  In addition, CHA has completed projects or is actively providing services for the Office of the National Coordinator for Health Information Technology, the Centers for Medicaid and Medicare Services, Veterans Administration, Department of Defense Health Affairs, Tri-Care Management Activity, Accenture and Deloitte Consulting, Los Angeles County Department of Health Services, health information exchange networks in a number of states, and several large private healthcare entities.

Principals of the company working directly with IHDE will be Hans Kastensmith serving as Executive Director and Dr. Craig Jones who will assist in executing several new lines of business aimed at supporting emerging value-based care initiatives in Idaho.  We view these efforts as strongly aligning with the IHDE vision to solidify a state-of-the art infrastructure and to meet the needs of key IHDE stakeholders and citizens of Idaho.

Mr. Kastensmith, a 5-time CEO, is a seasoned healthcare executive with 29 years of experience in healthcare. Mr. Kastensmith has founded, managed, established financing for and advised a number of healthcare technology, diagnostic and population health management companies. In addition, Mr. Kastensmith has successfully helped to shape healthcare policy with the United States Congress as a subject matter expert representing clients on several critical healthcare issues.

Dr. Jones has focused his career on efforts that take a comprehensive approach to improving healthcare, and the health and wellbeing of citizens.  Dr. Jones assists states and federal partners on the design, development, and implementation of value-based health models, such as use of data and health information to support the goals of the Comprehensive Primary Care Plus (CPC+) initiative. 

As a 501(c)(3) nonprofit corporation, Idaho Health Data Exchange (IHDE) was established in 2008 to govern the development and implementation of a Health Information Exchange in Idaho. IHDE is governed by a Board of Directors that includes representation from the public as well as private healthcare payers.  

IHDE Stakeholder Survey June 2019

Thank you to all who participated in the recent Idaho Health Data Exchange (IHDE) Stakeholder Survey. IHDE is grateful for the time you took to provide feedback and appreciates your continued commitment to improve patient care.

For the full report, please click on the presentation below.

Everyone who completed the survey was eligible to receive one (1) of three (3) Amazon gift cards. Winners were selected through a random name selector. IHDE has contacted the winners to disperse our prizes.

Thank you again you again for your participation!


The Board of Directors of the Idaho Health Data Exchange (IHDE), a Boise based health information exchange (HIE) organization have announced today the successful completion of connecting health care providers to coordinate patient care in support of the Statewide Healthcare Innovation Program (SHIP.) Using IHDE’s information technology, IHDE has completed a total of 166 electronic medical records connections to clinics, hospitals, and other healthcare providers to support SHIP. These connections support an information exchange repository that promotes the confidential exchange of vital health information for 237 health care organizations.

The Board of Directors would also like to announce the appointment of an interim Executive Director, Paul Brannan. Paul is a highly experienced executive leader, having recently served as a Project Manager for Brilgent, a Solutions Manager for Molina, and the Health Information Technology Manager for the Alabama Medicaid Agency.

As a 501(c) (6) nonprofit corporation, Idaho Health Data Exchange (IHDE) was established in 2008 to govern the development and implementation of a Health Information Exchange in Idaho. IHDE is governed by a Board of Directors that includes representation from the public and private healthcare payers.

IHDE will continue to advance our vision to be the trusted partner for health information exchange across our region in the coming years, focusing initially on continuing to connect healthcare providers throughout the state.

I have an EMR, why would I need to participate in an HIE?

January, 21, 2019

Electronic Medical Record (EMR) systems such as EPIC, Cerner, and Centricity are a much more efficient way to keep patient charts than using paper. They are more secure, and ensure that if the patient is seen by any other caregiver within your healthcare facility, they are prepared to treat that patient.

However, what happens if that patient is referred to you from a different healthcare system? What if your patient ends up in the Emergency Department somewhere? How can you be sure that you or any other treating provider has all the data needed to treat your patient appropriately- How can you avoid duplicating tests or giving the patient medication that conflicts with a previous diagnosis? The world is bigger than a single EMR, so how do you grow from that?

This is why you need to participate in a Health Information Exchange (HIE).

HIEs like Idaho Health Data Exchange (IHDE) connect to as many EMRs as possible in order to create one cohesive view of the patient’s history. In Idaho, this means that a provider at St. Luke’s can view records from Saint Alphonsus in order to perform life-saving care in spite of the fact that both health systems utilize different EMRs.

More than that, due to a Patient-Centered Data Home (PCDH) initiative, other HIEs (including IHDE) are participating in a nation-wide partnership to ensure the health and safety of patients all across the U.S.

To put it in perspective, IHDE holds over 75% of the region’s data within our systems and we connect with over 21 different EMRs in the state of Idaho. The PCDH Initiative has us exchanging information with 26 other state HIEs and counting.

Why limit yourself to information in one EMR? HIE is the next logical step. Join today!

How does a Health Information Exchange help me, as a patient?


What do HIEs DO for patients?

December 10, 2018

What is a Health Information Exchange (HIE), where are they getting my information and why are they exchanging it? These are the most common questions received by HIEs from patients in their regions. Working with Protected Health Information (PHI) is a high-stakes job, so there is plenty to be concerned about as far as HIPAA compliance and security of the exchange. Let’s go through these questions one by one:

What is an HIE? An HIE is a secure, limited sharing of electronic health information among medical providers to improve patient care. The key words are, IMPROVE PATIENT CARE, which answers the question, Why are they exchanging my information? In the field of Public Health, specialists work to promote healthy lifestyles and health education in order to serve one goal: to improve public health. In a 2018 study of the impact of HIEs, it was discovered that the benefits of HIEs for patients include “fewer duplicated procedures, reduced imaging, lower costs, and improved patient safety,” (Menachemi, Rahukar, Harle & Vest). That is why HIEs exist.

Where are they (HIEs) getting my information? Your medical records are made by your doctors, nurses, and lab results. Hospitals and clinics these days have moved from the unreliability of paper charts and turned to the security of Electronic Medical Records (EMR). Each Hospital and Clinic may have their own EMR, and that helps them in the continued treatment of their own patients, but what if a patient moves? What if you arrive at an Emergency Department, unable to speak for yourself, and in urgent need of quick treatment? How does your doctor know that treating you with this medicine rather than that medicine won’t cause a fatal reaction?

HIEs make connections with the EMRs of Hospitals and Clinics all over the region. This means that an HIE can create one patient chart for you, combining information collected from all of the hospitals and clinics you have visited, for the most complete view of your medical history. Who has access to my information? Only the people directly involved in your treatment and care can access it. Those people are trained medical professionals who must go through rigorous approval processes to ensure they understand the privacy and security required for the information they are accessing, and exchanges are regularly audited and assessed for improper access. Your information cannot be accessed out of curiosity, your employer cannot access your records.

HIEs were made in collaboration with public health agencies, keeping your health in mind. Patient health is the very reason why HIEs exist. Idaho Health Data Exchange (the HIE for Idaho, also known as IHDE) has heard many stories first-hand about how the exchange has been helpful to patients. In one such instance, a gentleman went to a health clinic that participates with IHDE on a Friday morning. His primary care physician (PCP) determined that he needed a lab result from a specialty clinic before treatment could move forward. The PCP needed it immediately before his condition worsened. With the weekend close upon them, however, it looked probable that the gentleman may have to wait too long for the results using normal channels. He may end up in the emergency department before a treatment plan could be drawn up. Luckily, the specialty clinic was also a member of IHDE and the patient was able to be seen that day, and his test results were immediately sent securely and electronically back to his PCP the that same afternoon via IHDE. He was able to return to his PCP and receive his treatment plan before the weekend, thus reducing the risk to his health and preventing the cost of a visit to the emergency department.

This is just one important success story showing how an HIE is meant to protect you. For more information regarding the HIE for the state of Idaho, please visit our website at: or to hear more about HIEs, please view the video available here: or visit this website:

To read more about the Idaho Health Data Exchange’s Privacy and Security policies, please visit our website at:

With the understanding that HIEs are made for patient health – your health – if you are a resident of Idaho and decide you do not want to take part in the Idaho Health Data Exchange, please view the steps to Opt-Out here:

Nir Menachemi, Saurabh Rahurkar, Christopher A Harle, Joshua R Vest; The benefits of health information exchange: an updated systematic review, Journal of the American Medical Informatics Association, Volume 25, Issue 9, 1 September 2018, Pages 1259–1265,

Do Health Information Exchanges Actually Help?

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The short answer is yes, and here are a few reasons why 

September 24, 2018

Health Information Exchange (HIE) was developed with leading Health Information Technologies (HIT) to serve many functions, but to accomplish one master goal: improved patient health. How does it accomplish this? Well, it’s no secret that providers are utilizing secure, electronic medical records (EMR) or electronic health records (EHR) to document patient visits, effectively cutting down on stacks of paper charts ensuring that information isn’t lost, and improving the efficiency of healthcare staff. HIE takes this a step further.

HIE’s connect the many EMR/EHR’s present in the area to one spot- so if a patient is referred to a specialty clinic, or has a major accident and ends up in the Emergency Department rather than the Primary Care Physician’s (PCP) office, the PCP is made aware and can better treat the patient in future. This eliminates faxing and snail-mail by providing a secure data-base for a complete view of patient history, creating automated notifications to the PCP when a visit or result has occurred elsewhere, and can only be accessed by a treating provider, ensuring patient health is kept private.

In a 2010, shortly after IHDE was created, a study was conducted by the United States Government Accountability Office wherein it was reported by both exchanges and providers that HIEs had a positive effect on the quality of care that providers deliver to patients, with the following real-life examples of how:

Officials from two exchanges stated that they provide a direct connection from participating hospitals to their state’s Department of Public Health for real-time reporting of conditions and for supporting the early detection of disease outbreaks. According to one of these officials, this service facilitated the state’s ability to obtain information about cases of H1N1 more quickly than other states.

A large hospital that participated in one of the exchanges reported that a cardiologist was able to obtain an abnormal laboratory result electronically from the exchange one day earlier than they would have otherwise. This timely access to the patients’ electronic health information allowed the provider to perform earlier intervention for a potentially life-threatening condition.

Another hospital reported that information obtained through its health information exchange helped its emergency department physician ascertain that a patient who was requesting medication for pain had been in five area hospitals in seven nights seeking pain medication. As a result, the physician did not prescribe any additional pain medication” (United States, 2010).

In a later 2017 study conducted examining data from 2009 to 2012 by Daniel M Walker of the Ohio State University, College of Medicine in Columbus, a two-stage analytic design was utilized to determine the efficiency of HIEs which suggested that “any participation in HIE can improve both technical efficiency change and total factor productivity” and “shows a benefit of one and three years of participation on total factor productivity.” The results of this study showed that “51.2% [of the hospitals that participated] increased their technical efficiency, 58.1% increased their technological efficiency; and 62.2% increased their total factor productivity,” (Walker, 2017).  In other words, a hospital that utilizes HIE improves overall operational performance.

The future of HIE is bright, with such a strong start. As more and more EMR/EHRs are connected to an HIE, there is more opportunity to analyze health trends, and stop outbreaks before they begin, making for healthier communities. Patients can feel safe knowing that their information is secure and protected, and that they can get the life-saving treatment they need in any situation, provided they receive care from a facility that is connected to an HIE.

IHDE itself is an HIE that has helped to considerably improve the workflow and patient care of hospitals, clinics, home health care and hospices, specialty clinics, and more, reducing deduplication of tests and healthcare costs and improving the care coordination of our patients. “If you’re in HealthCare in Idaho, you use IHDE!” -Steve Judy, Primary Health Medical Group.

United States. (2010). Electronic personal health information exchange: Health care entities’ reported disclosure practices and effects on quality of care : report to congressional committees. Washington, D.C.: U.S. Govt. Accountability Office.