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Connecting Your Community: Interoperable Solutions to Mobilize Your Data. John Valutkevich Senior Marketing Supervisor – EHR Initiatives MEDITECH. Surveying the Health Information Exchange Landscape Meeting Industry Demands with Interoperable Solutions MEDITECH Solutions

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Presentation Transcript

Connecting Your Community:

Interoperable Solutions to Mobilize Your Data

John Valutkevich

Senior Marketing Supervisor – EHR Initiatives

MEDITECH




History Repeats

HIE’s are maturing

  • CHIN - 1990’s Community Health Information Network

  • RHIO – Regional Health Information Organization

  • LHIN – Local Health Information Network(s)

    • Canada

Most states have a named Health Information Exchange entity

Industry mandates are demanding connectivity



Latest HIE Statistics

The Market Growth is in Private HIE’s

  • Triple the number in 2011

  • Less red tape among trusted entities

    • Readiness

    • Security

  • Local vs. GRAND scale

    • Better support clinician use cases

Public HIE’s growth down 50%

  • Questions about future of funding

    • Funding by Grants – not sustainable entities

    • Changes in Leadership in 2013 ?

Clinician Adoption is an issue

  • Less than half deliver data directly to an EMR

  • Data will not be used if workflow is interrupted

    • Especially important in fast paced Inpatient Environment



Higher Demands on EHR’s

  • Meaningful Use requires Exchange

    • Capability to exchange key clinical information (CCD)

    • Lab Results

  • Physician Practices want better connectivity from their EHR

    • Seamless Order Referral Management

    • Discharge/Referral Reports

    • Multiple Location Data requirements

  • Regional/State mandated participation

    • State HIE

    • Registry Reporting Requirements

  • Payer Systems expecting data



Proven Solutions – HIE components

  • Patient Identity Management

  • Admission DT

  • Lab Results Outbound

  • Reports Outbound

  • CCD Interface Suite

  • Meaningful Use Public Health Interfaces

    • Reportable Labs

    • Immunizations

    • Syndromic Surveillance

  • e-Prescribing

  • Ambulatory Orders and Results

  • Eligibility/Payer/Financial Interfaces


Managing Patient Identity

  • MEDITECH as Enterprise Master Patient Index

    • Query

    • Bi-Directional EMPI

    • Smart Search

  • Other Vendor as Enterprise Master Patient Index

    • Demographic Update

    • Quick Registration


Ambulatory Order Management

Stage 2 Requirement – 40% Ambulatory Lab Orders



e-Prescribing

  • Stage 2 Requirement for Hospitals

  • Integrated into MEDITECH’s EDM, PCS/Nursing,

    and PCM

  • Access medication histories

  • Update patients' records

  • Check benefits while ordering

  • Communicate orders to retail and mail order

    pharmacies

  • Standards-based NCPDP Script interfaces

  • DrFirst as transaction clearinghouse


Other Interoperability Solutions

  • General Financial

    • Claims

      • ANSI 278 - ARM - Authorization and Referrals

      • ANSI 270/271 - Insurance - Checks for insurance eligibility

      • ANSI 837 - Electronic Claims Submission

      • ANSI 835 - Electronic Payment Remittance

      • ANSI 276/277 - Claim Status Inquiry/Response - Checks Status of Claims

    • Materials Management

      • ANSI 810 Invoices

      • ANSI 832 Catalogue Updates

      • ANSI 850 Transmit Purchase Orders

      • ANSI 856 Pre-shipment Notifications

    • Payroll

      • Time and Attendance vendors


HIE Use Cases

Choosing the Best Model


Centralized

- Early Iterations

Patient EHR

HL7

  • Repository

  • HL7 Provided In-bound

  • Viewer Access

  • Workflow Consideration


De-Centralized (Federated)

  • Bi-Directional Interface Support

  • Standards are Imperative

  • Multiple EHR Coordination

  • Workflow Benefits


Hybrid – Best of Both

  • Federated for those that are closely coupled together

  • Repository for community


HIE Use Cases

Building Your Model


Building Your Model

Inventory systems


Building Your Model

Other Infrastructure Requirements

  • Technical Support

  • Governance

    • Rules

    • Who can play

  • Finance


Continuing collaboration to develop cost effective solutions to support customer interoperability initiatives:


  • Comprehensive HIE Solution set to support customer interoperability initiatives:

    • Record Locator Service (RLS)

    • Master Patient Index (MPI)

    • Healthcare Provider Directory (HPD)

  • Flexible configuration to adapt to various use cases and scenarios

    • Policy and Consent Management

    • Provider Portal

    • Supports IHE and HL7 source and consumer transactions

    • DICOM Image Exchange

    • Physician Referral Exchange

    • CCD Aggregation

  • Secure communications/transactions

    • ATNA Support


Planning Your Connected Community to support customer interoperability initiatives:

Getting Started

  • Inventory Players

  • Funding

Short Range (may all need to be met at once)

  • Meet MU

  • Connect Physicians

  • Local/State Network

Long Range

  • Connect to Other HIE’s

  • Federal Level


Interoperability Futures to support customer interoperability initiatives:


Projects under Review – Stage 2 to support customer interoperability initiatives:

  • Discharge Summaries

  • CCD’s

  • Referral

  • Consolidated CDA

  • SOAP transport option to Direct


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