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Gerard P. Filicko, CMPE Sr. Vice-President Physician Services. Organizational Purpose. Collaboration in HIT Clinical data exchange Practice automation. Vision: “…the most electronically integrated medical community in the U.S.”. Physicians 300 Owners 900 Par.

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gerard p filicko cmpe sr vice president physician services
Gerard P. Filicko, CMPE

Sr. Vice-President

Physician Services

organizational purpose
Organizational Purpose
  • Collaboration in HIT
  • Clinical data exchange
  • Practice automation

Vision: “…the most electronically integrated

medical community in the U.S.”

slide3

Physicians

300 Owners

900 Par

Shared Services

501(c)3

50%

50%

Nurse Call Center, Health Coaching, Disease Management, CMS Demonstration, Risk Management, Managed Care Contracting

MedAtlantic

20%

80%

Health Information Exchange

medvirginia advisory council
MedVirginia Advisory Council
  • Bon Secours Richmond Health System
  • VaLiance
  • Va Department of Health
  • Virginia Association of Free Clinics
  • VMGMA
  • Virginia Academy of Family Physicians
  • Anthem WellPoint
  • Ukrops
  • Virginia Hospital and Healthcare Assoc.
medvirginia health information exchange
MedVirginia - Health Information Exchange

Physician View

  • e-Chart
  • Meds/Allergies List
  • Ancillaries
  • IP / OP
  • Secure Messaging

Data Flowing to Solution

Clinical Results from Hospitals and Providers

Discharge

Summaries

Reference Lab Results

Physician

Suite of Services

Physician

e-Prescribing

  • PM Integration
  • Practice Notes
  • e- RX
  • Electronic Health Record
    • Interface with EMRs

Medications

Allergies

slide6

Northern

Neck

H

H

H

H

H

H

H

Henrico

175 pharmacies

Thru SureScripts

Hanover

Richmond

Chesterfield

slide7

Development Timeline

Major Milestones *

Value-added

Services

Prototype

Rural e-Health Collaborative

Launch of Solution

NHIN II

2001 - 2004

2004

2005

1Q06

1Q07

4Q07

1Q08

Mar 05

Product development begins

Ongoing System Enhancements

VA HIT Council & Free Clinic integration

* 530,000 charts / 110 practices / 330 physicians / 1100 users

a few stats
A Few Stats
  • 530,000+ unique patients
  • 3,000+ unique physicians
  • 1M+ messages/month
  • Users:
    • 110 practices
    • 330 physicians
    • 1100 distinct users
  • Connectivity (via SureScripts) to 172 pharmacies
  • Safety Net Providers
safety net providers governor s hit council grant
Safety Net Providers: Governor’s HIT Council Grant
  • 4 Richmond Free Clinics needed access to an integrated data platform
    • To receive hospital & clinic results
    • Document routine care
    • Labs & medications
    • Continuity among clinics
  • Sought a common eligibility screening process, to be shared by all community providers
  • Did not have capital and needed to keep operating costs low
slide10

Reporting,

Grant Writing

Free

Clinic

Pharmacy

E-Scripts

Community

Pharmacy

Updated

Meds

MedVirginia

Health Information Exchange

Demographics

Schedule

MEDfx

Practice Management System

Results

Discharge Meds

Hospitals

& Eligibility Screening Tool

Referrals

Eligibility Data

Clinicals

Specialists

Referral Back to

Medical Home

Care Coordination

Monitoring of Sentinel Events

features and functions
Current

Clinical inbox & messaging

Community e-chart

Demographic & clinical patient summaries

Consult/referrals

Integrated practice notes

Practice Management interfaces

3Q08

e-Rx & Med Histories

PACS interface

EMR connectivity

NHIN interoperability

Features and Functions
nhin ii interoperability
NHIN II: Interoperability

Other

NHIN II

HIEs

Other Future Interoperability Partners

slide13

MedVirginia Expertise

Health

Information

Technology

Care

Coordination

Engaged Physicians

MedVirginia

“Sweet Spot”