June 5 2008
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June 5, 2008. 750,000 patients in multi-state region. 2/3 of patients live in Tennessee 1 /3 live in Virginia 5% in other states. CareSpark’s Mission. Regional Population Has High Disparities of:. CareSpark’s mission is to improve the health

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June 5, 2008

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June 5 2008

June 5, 2008


June 5 2008

750,000 patients in multi-state region

2/3 of patients live in Tennessee

1/3 live in Virginia

5% in other states


Carespark s mission

CareSpark’s Mission

Regional Population Has High Disparities of:

  • CareSpark’s mission is to improve the health

  • of people in NE Tennessee and SW Virginia through the collaborative use

  • of health information

  • Diabetes

  • Cardiovascular Disease

  • Hypertension

  • Lung Disease

  • Cancer

  • Premature Mortality

CareSpark region has $2,400 higher per capita patient care coststhan other regions of the country


What will carespark do

What Will CareSpark Do?

  • Outcomes Improvement

  • Individual health outcomes Population health status

  • Decision Support

  • (real-time, at point of care, across all systems)

  • Patient-specific info (Rx, Dx, Hx)

  • Clinical Best Practices

  • PHR / EMR / CCR

  • Cost-Efficient Use of Resources

  • Reduced duplication, errors, administrative costs


June 5 2008

Value is Derived from Better Medical Decisions

Treatment

Diagnostic

Redundancy

Patient Data

Errors

Electronic Medical Record

Clinical Data Sharing

Decision Support

Source: SBCCDE, CITL, Gordian Project analysis


Carespark s strategic outcomes

CareSpark’s Strategic Outcomes

  • Population HealthClinical

    Premature MortalityAdult Diabetics, Rx filled, vision / foot, HBA1C<7

    New Diabetes Cases

    Lipid PanelLDL < 100

    Flu Vaccines for 65+Pneumo Vax for ages 65+, <2

    ER Visits for Health AttackStroke Therapy

    Post- MI followupCancer Screenings (PAP, Mammogram, colorectal)

    Financial Savings -- ROI

    • Patient

    • Clinician

    • Facilities

    • Purchaser (health plan, employer, taxpayer, individual)


Carespark rhio consortium partners

CareSpark RHIO Consortium Partners

  • National / International: Local / Regional:

  • ActiveHealththe Creative TrustAllScriptsDeliberare

  • AnakamHolston Technology

  • CiscoIntellithought

  • CGILucentGlow

  • DellOnePartner

  • GE Healthcare

  • Healthvision / QuovadxState:

  • Initiate SystemsTennessee

  • IntelVirginia

  • Misys

  • OracleFederal:

  • SiemensDHHS / ONCWellogic

Market / thought leaders committed to interoperability, collaboration and results


Carespark ihe architecture

XDS

DocumentRepository

CareSpark IHE Architecture

CareSpark Data Store

Physician Practice 1

Document Repository

XDS PatientIdentitySource

(MPI)

Portal

XDS PIXService

IHE DocSource/ DocConsumer

XDS PDQService

Hospital 1

XDS

DocumentRegistry

CareSpark XDS Data Store - For Patient Care

Data Participants

Document Repository

CT TimeService

IHE DocSource/ DocConsumer

ATNA Audit

Repository

XDS

Key Store

Hospital 1 Phys Portal

Data

Transformation

IHE DocConsumer

FILTER

Public Health Department 1

Clinical Data Repository - For Public Health Improvement

Clinical DataRepository

IHE DocSource/ DocConsumer

Additional Providers and other data participants

Public HealthData Mart

De-IdentifiedData Mart

Document Repository

IHE DocSource/ DocConsumer


Carespark nhin architecture

CareSpark NHIN Architecture

CareSpark

(Hosted at CGI)

Anakam

Web Server

ESB

Web Server

Anakam

Two FactorAnakam

PortalWellogic

Two FactorAnakam

PHRActiveHealth

DB Server

MPOP

Cloverleaf

Data

Transformation

Oracle

MPOPConsent

CustomInterfaces

SOAP/HTTP

NHIN request/response

Protocol

Transformation

XDS

DocumentRepository

XDS RepService

Socket TCP

ATNA AuditRepository

Message

Enhancement

Providers

ATNAWinSysLog

XDS PDQService

XDS PatientIdentitySource

(MPI)

EMPIInitiate

Security

Validation

Flat File

Any other inbound/outbound end point

XDS PIXService

ADTService

PostGreSql

Routing

XDSRegistryNIST

XDS

DocumentRegistry

XDS RegService

Web Server

Orchestration

e-PrescriptionAllScripts

VersionControlSubversion

XDS

Key Store

CT TimeClient


Convergence of data

Convergence of Data

Clinical

Patient-Centered Care

Administrative

Billing & Claims

Personal Health Record

Research

Best Practices


June 5 2008

Participation in Nationwide Health Information Network

NHIN Prototype Demonstration 2006-07

partner with Accenture consortium

CareSpark, West Virginia, Kentucky

NHIN Trial Implementation 2008

Secure exchange

Standardized interfaces

Consumer access

* Emergency use case:

summary medical record

* Medication Management

eRx, med history, decision

support

* Consumer Empowerment

personal health record, registration

and medication history


Better health for central appalachia

Better Health for Central Appalachia

  • www.carespark.com

  • Liesa Jenkins, Executive Director

  • 423-963-4970

  • [email protected]


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