Tiger Institute has been working with health care providers throughout Missouri to extend both technology and services. In doing so, we are establishing the foundation for value-based care, which will result in improved health of populations, reduced costs of care for individuals and communities, and an enhanced experience and outcomes for Missourians.

Information Sharing with Care Partners

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Tiger Institute Health Alliance Information Exchange

We continue to expand our membership in Tiger Institute Health Alliance Health Information Exchange (TIHA HIE). With our partner network, Lewis and Clark Information Exchange (LACIE) we are supporting more than 130 organizations across multiple states. As a result, our HIE contains information on more than 4.2 million unique patients.

We also exchange information with other networks and integrated delivery networks through our eHealth Exchange and Commonwell Health Alliance participation. The national eHealth Exchange standard provides a way for HIEs to connect to health organizations and other HIEs. Our eHealth Exchange connections include:

  • Veterans Administration and Department of Defense Joint HIE

  • Advent Health

  • Arkansas Share HIN

  • CyncHealth

  • DaVita Dialysis

  • Iowa HIN

  • Kansas Health Information Network

  • SSM Health

  • St. Luke’s Health System (Kansas City)

  • Velatura/Midwest Health Connection

The Tiger Institute Health Alliance helped MU Health Care become one of the first Cerner clients to connect to the CommonWell Health Alliance. This connection lays the foundation to obtain clinical information on patients directly from their providers throughout the United States and supplements the robust data already available in our HIE.

Clinical Integration

Health Network of Missouri

The Health Network of Missouri, LLC (HNM), a collaborative comprised of more than 1,000 hospital beds, nearly 11,000 employees, and approximately 1,200 employed and affiliated physicians who care for patients in central and northeast Missouri.

Major HNM initiatives include:

  • Improve patient outcomes

  • Share data and best practices

  • Improve access to care

  • Coordinate patient care among various providers through a clinically integrated network

  • Lower health care costs

  • Create efficiencies to benefit patients and HNM communities

Members of HNM include:

  • MU Health Care

  • Bothwell Regional Health Center, Sedalia

  • Capital Region Medical Center, Jefferson City

  • Hannibal Regional Healthcare System, Hannibal

  • Lake Regional Health System, Osage Beach

HNM also brought on its first affiliate, Compass Health, a primary care and behavioral health system based in Clinton with sites across Missouri, and the organization has plans to add more.

Through HNM, each hospital or health system improves its ability to serve the health care needs of its own community and preserves its independence. The health systems work together to share best practices in business, clinical, and operations.

The Tiger Institute supports HNM members with health information exchange and Cerner's HealtheIntent™ population health management platform.

This shared IT infrastructure aggregates clinical and billing data from various E H R systems (Cerner, Meditech, eClinicalWorks and AllScripts) as well as claims data, in near real-time and normalizes the data. With this common platform, we:

  • Track performance on identified quality and cost metrics

  • Identify and manage opportunities for improvement across the network

  • Manage chronic conditions and wellness goals

  • Risk stratify and manage high-cost patients across the care continuum

To govern the partnership, we created a Value Partnership Committee (VPC) with representation from each HNM member and Cerner to evaluate value opportunities, identify strategies and resources needed to improve performance, and measure outcomes.


Tiger Institute looks forward to collaborating with other provider groups, health care organizations, and networks on their value-based care journey.