Informatics Research Seminar: Five Years of Health Information Exchange– The Vanderbilt Experience in Memphis

February 9 @ 4:00 – 5:00 pm


Speaker: Mark Frisse, MD, MS, MBA
Presented from Duke University

Broadcast Link: Seminar


Dr. Frisse will describe Vanderbilt’s experience in creating, operating, and evaluating a set of HIE services in Memphis, TN. Since May of 2006, emergency department physicians and other providers in the Memphis, Tennessee region have had access to clinical and administrative data for every consenting patient treated in any of the Region’s major hospitals and in some ambulatory care clinics. As of October 1, 2010, clinicians had access to over 7.5 million encounter records on 1.7 million patients, 4.9 million chief complaints, 45 million laboratory tests, 5 million radiology reports, and 2.1 million other reports and documents. Based on technology architectures in use at Vanderbilt University and a design for health information exchange developed by Dr. William Stead, Ed Hammond, and others, HIE services were provided relatively quickly and at very low cost.

During the presentation, Dr. Frisse will describe social, technical, policy, and organizational aspects critical to the project’s success. He will also present some early findings on the clinical and financial implications of this work. He will also discuss the transfer of the effort entirely to a Memphis-based non-profit governing organization and a commercial vendor (Informatics Corporation of America).


Mark Frisse is the Accenture Professor of Biomedical Informatics at the Vanderbilt University School of Medicine and Professor of Management at the Vanderbilt Owen Graduate School of Management. His work focuses on the intersection between health care informatics, economics, policy, and health care transformation. His primary research is directed toward an understanding of economic sustainability and toward the development of technical and administrative measures to ensure the integrity of security and privacy efforts. His work is funded through the SHARP research program of the Office of the National Coordinator for Health Information Technology. He also directs the executive-level Masters of Management in Health Care program at the Vanderbilt Owen Graduate School of Management.

In Tennessee, Dr. Frisse led the development and oversight of a six-year federal- and state-sponsored effort to create and operate a health information exchange for the greater Memphis area. This exchange currently has over 7 million records covering the care of over 1,200,000 individuals and is now managed completely by a Memphis-based board and a commercial vendor. He has also worked with other states and communities to develop their HIT programs.

Dr. Frisse has also held leadership positions at Washington University in St. Louis, Express Scripts, and the First Consulting Group. At Washington University, Dr. Frisse held several teaching and administrative roles and directed the Health Care Executive MBA program at the John M. Olin School of Business. At Express Scripts, he was responsible for the Practice Patterns Science division and the consumer Web site. At First Consulting, he led engagements in vendor selection, quality governance, physician IT leadership development, and clinician governance.

Dr. Frisse is active in a number of Markle Foundation initiatives and is a member of the AMA’s Health Information Policy Committee. He has served as a board member of the American Medical Informatics Association, the eHealth Initiative, the State of Tennessee Governor’s eHealth Task Force, and SureScripts, LLC. He was a member of the Strategic Plan working group for the Office of the National Coordinator for Health Information Technology. Dr. Frisse is a board certified internist trained in hematology-oncology. He holds many professional fellowships and degrees from the University of Notre Dame, Washington University, and Stanford University.