What is LANES?

LANES is an independent, non-profit organization charged with developing a health information exchange (HIE) for all healthcare providers that provide care to Los Angeles County residents. LANES is a public-private collaboration of healthcare organizations in Los Angeles with the mandate to aggregate patient clinical information from all care delivery organizations and provide authorized clinicians with quick, reliable, and secure access to patient longitudinal health records from different EHR systems.

What is Health Information Exchange?

Health Information Exchange (HIE) is an electronic, patient-centered approach that assists with the transfer and sharing of health-related information between physicians, hospitals, and other health care providers at the time it is needed to help them make clinical decisions.

Why Should I Exchange Health Information With LANES?

LANES provides community level patient information linking data from healthcare providers including physical and behavioral health records as well as medication, lab and post-acute care. Access to LANES’s rich set of patient information enables your providers to make better clinical decision and diagnosis. When the most up-to-date health information is available at your fingertips, you will be more likely to provide accurate and timely care. Benefits of sharing health information with LANES include:

  • Immediate access to important health information from other LANES participating organizations you would otherwise need to obtain by fax or mail
  • Improved communication with your patients, resulting in enhanced coordination of care
  • Reduced need for duplication of tests and treatments
  • Reduced likelihood of dangerous medication interactions


Who Has Access to Patient Information Shared by LANES Participating Organizations?

LANES only exchanges health information with healthcare organizations who have been vetted and are authorized by HIPAA laws. In addition, only providers who have signed LANES Data Exchange Participation Agreement (DEPA) or are signatory to DURSA multi-party trust agreement will have access to health information data on LANES. LANES does not sell or provide health information to third parties or commercial organizations.

Does LANES Exchange Data with Other Health Information Exchanges?

LANES is currently in discussion with other HIEs and developing a strategy to connect to the HIEs that bring most value for patients and participants. Interoperability with regional and national health information exchanges is on LANES’ road map.


Will Patient’s Sensitive Information be Available to Other Healthcare Organizations?

LANES collects and store behavioral and sensitive data in its clinical data repository and uses data segmentation approach and firewalls to protect patient sensitive data. Since behavioral health information is necessary to provide the best possible care to patients it will only be available for health care providers to use when a) patient consent is obtained b) providers “break the glass” to gain access to the data that is sensitive in nature. Patient sensitive data is only available to LANES participating providers and not shared with other HIEs.

What Types of Health Information are Shared Among LANES Participating Organizations?

The most common types of health information shared are:

  • Demographics
  • Problem List/Conditions
  • Medications Order and Prescription Filled
  • Allergies
  • Lab Orders/Results
  • Immunizations
  • Procedures
  • Vital Signs
  • Radiology/Imaging Reports
  • History & Physical
  • Provider Reports and Care Plans
  • Visit Encounters
  • Continuity of Care Documents
  • Discharge Summaries
  • Transitions of Care Documents
  • Hospital Admissions, Discharge and Transfer (ADT) Reports

 Participants may also choose to provide additional information they consider important for other health care providers to know when treating their patients.


How Secure is Patient Health Information Shared by LANES?

LANES as well as its participating organizations and partners must abide by State and Federal privacy laws, the Health Insurance Portability and Accountability Act (HIPAA) of 1996, the Privacy Act of 1974, and the security provisions for health information in the American Recovery and Reinvestment Act (ARRA). Only participating health care providers who are authorized by HIPPA laws to view patient health records will have privileges to access LANES HIE. Routine audits are also performed to ensure compliance to applicable laws and user agreements.

LANES Chief Information Security Officer (CISO) is designated to oversee comprehensive information security and privacy program, including a robust risk management program. LANES uses state-of-the-art information technology to keep health information safe and secure. LANES system is hosted in a Certified SOC II Type II, HITRUST CSF, data centers with redundant locations in Southern California and Colorado. LANES uses secure networks and environments with strong SHA 256 encryption for data in transit and rest; and administers security controls administered on network and environments that are tested and validated, such as Data Loss Prevention, Multi-factor Authentication protocols, Annual penetration testing.


Can LANES Exchange Behavioral Health Data and Data Regulated by 42 CFR Part 2?

Yes. LANES complies with all federal and state regulations regarding the exchange of protected health information (PHI), behavioral health data and substance abuse data (also known as “42 CFR Part 2 data.) These regulations place security and privacy requirements on LANES that govern and safeguard how and why LANES may receive and exchange these sorts of data. LANES only receives these types of data with patient consent in place with the provider organization. All LANES participants must be Qualified Service Organizations to exchange behavioral health and substance abuse data. Participants must have an established relationship with patients to query these records with this data type, and utilize this information for continuity of care.


How is LANES Different from Regional and State Health Information Exchanges?

An important differentiation is LANES Governance and the Board of Directors which is made up of the Los Angeles community healthcare organizations. The Board defines and establishes LANES’ strategic plans, road map and data usage policies based on the need of the providers and patients in Los Angeles. In addition, LANES has five Advisory Committees which their members are made up of the participating organizations who oversee policies and procedures related to LANES Privacy and Security, Clinical use cases, Outcome analysis, interoperability and Technology. In summary, Los Angeles healthcare stakeholders are involved in the operation and direction of LANES.

As a local HIE LANES is focused on connecting and sharing data with all types of care delivery providers in Los Angeles County including primary care providers, specialists, hospitals, health plans, SNFs, long term care and labs. LANES is the only HIE maintaining rich set of clinical data from a broad range of care providers in Los Angeles.

LANES has exclusive access to County Department of Health Services (DHS) and Department of Mental Health (DMH). LANES provides behavioral health information to compliment a patient’s physical medical record. Also, LANES has a team dedicated to helping healthcare organizations improving clinical quality using the data compiled from the information exchange.


How is LANES Different From EHealth Exchange, CareQuality, and CommonWell?

LANES central data repository platform contains reach set of patient clinical information that no other HIE can offer. National HIEs are federated model with slow response time and lower patient matching rate than LANES. In addition, LANES clinical data is of higher quality providing accurate patient information and reports. Plus, LANES has a team dedicated to assist healthcare organizations improving clinical quality using the data compiled from the information exchange.


Hospitals are Using the EPIC or Cerner EHR Systems, Can’t Care Everywhere or CareAware Provide Similar Functionality or Value?

EPIC and Cerner’s EHR – HIE solutions bring great value to healthcare interoperability. However, integration with LANES HIE delivers the following advantages over a record locator service like Care Everywhere or CareAware including:

  • Advanced patient matching algorithms that can only be run locally, reaching 95%+ matching success rate, significantly higher than through national systems.
  • Medical records which have been locally run through a data cleansing program which performs normalizing, classifying, and deduplicating will significantly enhance the clinical data to support better clinical care and population health analytics. This is not done through Care Everywhere or CareAware.
  • Multiple EHR hits via Care Everywhere or CareAware creates multiple CCDs. Data returned through this type of connection is difficult for the care providers to use in real-time and minimally actionable.
  • Behavioral health records cannot be shared through the Care Everywhere or the CareAware network. These records are critical to treating a patient holistically.
  • LANES is the community HIE and many of the LA County hospitals and clinics cannot share through Care Everywhere or CareAware.


What Specific Value-Added Benefits Could We Achieve in Using LANES?

LANES delivers a wide array of services that will result in a ROI for every participant. LANES supports this statement by providing 2 business use cases where we track and measure results and prove ROI during the initial 2-year agreement term.

Additionally, the following are some value-added benefits each participant can expect to receive:

  • Access to Los Angeles County Department of Health Services medical records. LANES is the exclusive electronic source of these records. LANES will give your clinicians access without having to manually request and wait for medical records.
  • LANES is building a gateway for integration with the CURES database, State Disease and Public Health Registries, VA and Social Security Administration which will provide data more accurately and easily.
  • LANES will have an active role in facilitation of the Social Determinants of Health and Whole Person Care programs saving participants integration costs with these program systems.
  • LANES will be facilitating sharing of Advance Directives, POLST, and EMS/Out-of-Hospital DNR forms across the care spectrum in real-time at the point-of-care.


How Does LANES Handle Patient Consent for Sharing Their Information?

LANES is an opt-out HIE, meaning by default patients agree sharing their data. Patient data is available for access by authenticated LANES participants unless patient elects to opt-out of sharing.

Once patients are notified by your office that you are participating in LANES health information exchange, nothing is required by patients who wishes to participate because they are by default opted-in. If they do NOT wish to participate, you will need to have them complete an opt-out form (paper or electronic). Patient consent is sent electronically to LANES along with other data when your EHR system is connected to LANES.

Patients should understand that if they opt-out of the health information exchange they will limit your ability to provide the best possible care. By opting out of the health information exchange they accept the risks associated with that decision. Their health information will continue to be shared (without their specific authorization) among your providers and health plans through other means, such as mail, fax, or secure e-mail. In other words, opting out of the health information exchange will not prevent you from seeing their complete medical record.


Is LANES an Opt-In or Opt-Out Organization?

All patients must sign consent documentation with their provider organizations giving permission for their provider to share data with LANES. LANES is an opt-out organization. A patient may choose not to share data with LANES; the patient must explicitly sign an opt-out form to restrict the exchange of their personal health record with LANES. LANES may exchange protected health information (PHI) in compliance with HIPAA regulations for payment, treatment and operations permissible uses. All participant organization sign a Business Associate Agreement with LANES, which mandates compliance with HIPAA. LANES may exchange behavioral health and substance abuse data with any participant organizations in the network that have executed a Qualified Service Organization Agreement, which permits the exchange of behavioral health and substance abuse data for continuity of care.


How Will LANES Help My Organization Meet Meaningful Use Requirements?

LANES may facilitate the attainment of Meaningful Use Stage 2 or Stage 3 through the sharing of health information with other health care providers or state agencies. One example of where our solutions can help is the Transfer of Care Summary MUS2 or MUS3 objective.

Why is There a LANES Now?

As an unbiased data trustee of the Los Angeles community, LANES facilitates sharing of fragmented patient information across continuum of care to alleviate health disparities for better care coordination and improving population health in Los Angeles County.

LANES was initiated by L.A. County Supervisor Mark Ridley Thomas, the LA County supervisor. County of Los Angeles County is one of the stakeholders and has been providing seed funding to LANES.


Who are the Current Participants of LANES?

For the most up-to-date list of all LANES participants please click here.


What is the Cost of Participating in LANES?

Cost is usually comprised annual subscription fee. There are several factors, such as your existing technology, the size of your organization and the solutions you need, that determine exactly how much those are. Please contact us at [email protected].org to get a quote.

Grant funding are available to cover the cost of subscriptions for hospitals, clinics and private practices.” In some cases, LANES is able to cover the cost of EHR vendor to build the interface to LANES. Funding is limited and it is on first-come first-served basis. For more information, please contact [email protected].


Who Can I Contact to Receive More Information About Joining LANES?

For more information, please contact [email protected]

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