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How Do We Connect Silos of Data?

How Do We Connect Silos of Data?. PRIMARY CARE PHYSICIANS Practice Management EMR. PATIENT Personal Health Records. LAB Results. PAYERS Claim Data. PUBLIC HEALTH Registries. HOSPITAL 2 EMR/PM’s Lab PACS Archive. PHARMACY/PBMs RX History. HOSPITAL 1 EMR/PM’s Lab

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How Do We Connect Silos of Data?

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  1. How Do We Connect Silos of Data? • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • SPECIALTYPRACTICE • Practice Management • EMR

  2. HITSP/IHE Standards-based HIEKey Components Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records Document Registry Document Repositories • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

  3. Patient Identity FeedIHE PIX Patient ID Manager Name Site MRN % • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records John Doe PCP 111 99 John Doe Specialty 222 99 J. Dow Hospital 2 333 30 MRN 111 • LAB • Results MRN 333 • PAYERS • Claim Data MRN 222 • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

  4. Patient Identity Cross-ReferenceIHE PIX Patient ID Manager Name Site MRN % • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records John Doe PCP 111 99 John Doe Specialty 222 99 J. Dow Hospital 2 333 30 • LAB • Results PIX RESPONSE: MRN 222 PIX QUERY: MRN 111 • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

  5. Publish DocumentsIHE XDS Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PRIMARY CARE PHYSICIANS • Practice Management • EMR Document Registry REGISTER DOCUMENT PUBLISH • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • CCD • Allergies • Problems • Meds • Etc, Etc.

  6. Query for DocumentsIHE XDS Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records Document Registry RETRIEVE REQUEST • LAB • Results RETRIEVE DOCUMENT 1 • PAYERS • Claim Data REQUEST DOCUMENT 1 • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • CCD • Allergies • Problems • Meds • Etc, Etc.

  7. Engage Patients Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry PHR REQUEST / SUBSCRIBE PCP PUBLISH PHR RETRIEVED DATA PATIENT VISITS PCP • LAB • Results PATIENT RETURNS HOME • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

  8. Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry Patient Prescribed Meds Rx PATIENT VISITS PCP • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

  9. PATIENT VISITS HOSPITAL Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry Patient Prescribed Meds Patient Prescribed Meds Rx Rx PCP PUBLISH • LAB • Results RETRIEVE DATA Request Data • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

  10. Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry DATA RETRIEVED Rx Rx Rx Rx Rx PCP REQUEST DATA • LAB • Results Patient Returns to PCP PUBLISH • PAYERS • Claim Data • PUBLIC HEALTH • Registries Patient Prescribed Meds • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive Patient Prescribed Additional Meds Patient Prescribed Additional Meds

  11. Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records EKG DELIVERED Document Registry PCP REQUESTS EKG PCP PUBLISHES DATA PATIENT VISITS PCP • LAB • Results SPECIALISTS NOTE REFERRAL TO SPECIALIST EKG DOCUMENT • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • SPECIALTYPRACTICE • Practice Management • EMR

  12. Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records LAB RESULTS Document Registry PCP ORDERS LAB PATIENT VISITS PCP • LAB • Results • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

  13. Public Health Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry IMMUNIZATION RECORD PATIENT VISITS PCP • LAB • Results IMMUNIZATION RECORD IMMUNIZATION REQUESTED • PAYERS • Claim Data • PUBLIC HEALTH • Registries • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

  14. Improve Quality Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry QUALITY DATA QUALITY DATA PATIENT VISITS PCP • LAB • Results • PAYERS • Claim Data • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive

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