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Interoperability

Interoperability. 1-21-2013. Kevin Schmidt. Director, Clinical Network. Gaps Across Care Venues. Goal is to close the Gaps. Physician Office.

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Interoperability

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  1. Interoperability 1-21-2013 Kevin Schmidt Director, Clinical Network

  2. Gaps Across Care Venues

  3. Goal is to close the Gaps Physician Office

  4. HIE (Health Information Exchange) is a verb that describes what type of data is exchanged between different parties, known as interoperability.  Cerner’s What is HIE? approach to interoperability divides HIE into 3 categories, this presentation will describe each category and how Cerner responds to these categorical needs in Healthcare.

  5. Trust • Usually the hardest thing to get past • HIE requires collaboration and trust between 2 or more entities and includes • Users • Technologies • Vendors • Forms of Trust • DURSA – Data Use and Reciprocal Support Agreement • MPA – Membership Participation Agreement • Electronic Certificates • NDA – Non-Disclosure Agreement

  6. HIE Categorically Send Fire and Forget Systematic Push to Notify Regarding Important Information Collaborate Back and forth exchange Ad Hoc Communication Discover Query. Information Pulled from the Community at The Point of Care

  7. Send • Systematically Push in Real Time • Responds from an Electronic Order to Deliver Results from one EHR System to another • CCD • Radiology Results • Lab Results • Documents • Etc. • Deliver Immunizations from EHR System to State Immunization Registry • Deliver Notifications of a patient registering in a hospital to PCP • ePrescribing

  8. Cerner’s Response • Send • Cerner Clinical HUB Connects any Certified EHR System to any other Certified EHR System • Note: Each system will still need an outbound and inbound interface • Cerner Immunization HUB can connect any Certified EHR System to a Certified Immunization Registry • Note: For Cerner EHR Systems, the user can query the connected Immunization Registry • Cerner’s RxHub Connects EHR System to SureScripts

  9. Discover • On Demand Query • Query for CDA from EHR System to Community or State • Query for CDA from EHR System to EHR System • Query for CDA from Community or State to Community or State • Integrated in the clinician’s workflow • Content of the CDA will continue to grow as EHR Systems adopt interoperability functionality • Leverage Standards • NwHIN – eHealth Exchange • XCA – Cross Community Access • XDS.b – Cross Document Sharing • HL7 – Health Level 7

  10. Cerner’s Response • Discover • Cerner offers an open network to any community or EHR System that can leverage XCA (Cross Community Access) called Resonance • Incorporates query into the clinician’s workflows • For Cerner EHR Solutions, can import Problems, Allergies, Medications, and Immunization • Cerner offers an XDS.b Repository with MPI called Clinical Exchange Platform • Also includes XCA, eHealthExchange, and a HL7v2 to HL7v3 adapter • Incorporates query into the clinician’s workflow • For Cerner EHR Solutions, can import Problems, Allergies, Medications, and Immunization

  11. Collaborate • Ad Hoc communication • Use DIRECT Standards • Building a Nationwide Ad Hoc Network connecting trusted HISPs – Health Information Service Provider • Able to attach clinical information to the message • Requires a relationship between to end points • Integrated in the clinician’s workflow • Satisfies Meaningful Use Stage 2

  12. Cerner’s Response • Collaborate • Cerner is a HISP (Health Information Service Provider) for all of Cerner’s clients • Cerner Actively participates and sits on the board of DirectTrust.org • Enabled Message Center in Cerner’s EHR System to use Cerner’s HISP • Cerner Direct Inbox is a stand alone portal offering that leverages Cerner HISP

  13. Summary • HIE is placed in 3 different categories • Send • Discover • Collaborate • Not one is a replacement for the other • It is very important to integrate HIE into the user’s everyday workflow • Technology is not the hardest part • The exchange of Health Information can only take place at the “speed of trust”

  14. Questions?

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