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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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Connecting your community interoperable solutions to mobilize your data

Connecting Your Community:

Interoperable Solutions to Mobilize Your Data

John Valutkevich

Senior Marketing Supervisor – EHR Initiatives

MEDITECH


Connecting your community interoperable solutions to mobilize your data

  • Surveying the Health Information Exchange Landscape

  • Meeting Industry Demands with Interoperable Solutions

  • MEDITECH Solutions

  • MEDITECH/Forward Advantage Solutions

  • Choosing the Right Toolsets


Connecting your community interoperable solutions to mobilize your data

The Health Information Exchange

Landscape


Connecting your community interoperable solutions to mobilize your data

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


Connecting your community interoperable solutions to mobilize your data

Why so few successful HIE’s?


Connecting your community interoperable solutions to mobilize your data

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


Connecting your community interoperable solutions to mobilize your data

Meeting Industry Demands, a Health

Information Exchange


Connecting your community interoperable solutions to mobilize your data

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


Connecting your community interoperable solutions to mobilize your data

Meeting Demands with MEDITECH


Connecting your community interoperable solutions to mobilize your 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


Connecting your community interoperable solutions to mobilize your data

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


Connecting your community interoperable solutions to mobilize your data

Ambulatory Order Management

Stage 2 Requirement – 40% Ambulatory Lab Orders


Connecting your community interoperable solutions to mobilize your data

CCD Interface Suite


Connecting your community interoperable solutions to mobilize your data

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


Connecting your community interoperable solutions to mobilize your data

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


Connecting your community interoperable solutions to mobilize your data

HIE Use Cases

Choosing the Best Model


Connecting your community interoperable solutions to mobilize your data

Centralized

- Early Iterations

Patient EHR

HL7

  • Repository

  • HL7 Provided In-bound

  • Viewer Access

  • Workflow Consideration


Connecting your community interoperable solutions to mobilize your data

De-Centralized (Federated)

  • Bi-Directional Interface Support

  • Standards are Imperative

  • Multiple EHR Coordination

  • Workflow Benefits


Connecting your community interoperable solutions to mobilize your data

Hybrid – Best of Both

  • Federated for those that are closely coupled together

  • Repository for community


Connecting your community interoperable solutions to mobilize your data

HIE Use Cases

Building Your Model


Connecting your community interoperable solutions to mobilize your data

Building Your Model

Inventory systems


Connecting your community interoperable solutions to mobilize your data

Building Your Model

Other Infrastructure Requirements

  • Technical Support

  • Governance

    • Rules

    • Who can play

  • Finance


Connecting your community interoperable solutions to mobilize your data

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


Connecting your community interoperable solutions to mobilize your data

  • Comprehensive HIE Solution set

    • 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


Connecting your community interoperable solutions to mobilize your data

Planning Your Connected Community

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


Connecting your community interoperable solutions to mobilize your data

Interoperability Futures


Connecting your community interoperable solutions to mobilize your data

Projects under Review – Stage 2

  • Discharge Summaries

  • CCD’s

  • Referral

  • Consolidated CDA

  • SOAP transport option to Direct


  • Login