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Connecting Your Community: Interoperable Solutions to Mobilize Your Data

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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
slide1

Connecting Your Community:

Interoperable Solutions to Mobilize Your Data

John Valutkevich

Senior Marketing Supervisor – EHR Initiatives

MEDITECH

slide2

Surveying the Health Information Exchange Landscape

  • Meeting Industry Demands with Interoperable Solutions
  • MEDITECH Solutions
  • MEDITECH/Forward Advantage Solutions
  • Choosing the Right Toolsets
slide4

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

slide6

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
slide9

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
slide11

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
slide12

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
slide13

Ambulatory Order Management

Stage 2 Requirement – 40% Ambulatory Lab Orders

slide15

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
slide16

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
slide17

HIE Use Cases

Choosing the Best Model

slide18

Centralized

- Early Iterations

Patient EHR

HL7

  • Repository
  • HL7 Provided In-bound
  • Viewer Access
  • Workflow Consideration
slide19

De-Centralized (Federated)

  • Bi-Directional Interface Support
  • Standards are Imperative
  • Multiple EHR Coordination
  • Workflow Benefits
slide20

Hybrid – Best of Both

  • Federated for those that are closely coupled together
  • Repository for community
slide21

HIE Use Cases

Building Your Model

slide22

Building Your Model

Inventory systems

slide23

Building Your Model

Other Infrastructure Requirements

  • Technical Support
  • Governance
    • Rules
    • Who can play
  • Finance
slide24

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

slide25

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
slide26

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
slide28

Projects under Review – Stage 2

  • Discharge Summaries
  • CCD’s
  • Referral
  • Consolidated CDA
  • SOAP transport option to Direct
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