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NORTHERN VIRGINIA REGIONAL HEALTH INFORMATION ORGANIZATION

NORTHERN VIRGINIA REGIONAL HEALTH INFORMATION ORGANIZATION. June 15 th , 2012 J.P. Auffret and Leslie Ellwood. NoVaRHIO Organization.

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NORTHERN VIRGINIA REGIONAL HEALTH INFORMATION ORGANIZATION

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  1. NORTHERN VIRGINIAREGIONAL HEALTH INFORMATION ORGANIZATION June 15th, 2012 J.P. Auffret and Leslie Ellwood

  2. NoVaRHIO Organization Organized as a Virginia not-for-profit corporation and is recognized by the IRS as having tax exempt status under Section 501(c)(3) of the Internal Revenue Code. • Start-up funding • Through grants and contributions including Commonwealth of Virginia grant 2

  3. NoVaRHIO – Our Region Our Mission ...to improve the health status and health care of the those who live and work in Northern Virginia by facilitating the availability of accurate and timely electronic medical records when needed for health maintenance and treatment 3

  4. NOVA RHIO: MEDS-ED PILOT PROJECT AT INOVA ALEXANDRIA HOSPITAL

  5. Why MEDS-ED? • The MEDS-ED Link Pilot Project – supported by Inova, GE, Picis, Audacious Inquiry, GMU and the Commonwealth of Virginia – has the goal of providing electronic access to patient medical histories in hospital EDs and integrating with hospital ED systems. • NoVaRHIO started with MEDS-ED as the benefit of health information in emergencies is recognized by most – MEDS-ED contributes to gaining public support. • Assists physicians, hospitals and patients - in treatment, in quality of care and in medication reconciliation. • Provides foundation for a full HIE and integration with ED systems as a result of contribution of partners and development of CCD platform. • Dovetails with the NoVaRHIO “File-for-Life”, a basic paper-based personal health record summary. initiative has a potential health benefit and builds awareness of the value of health information. 5

  6. 2. Query Pharmacies& Payers 3. Query Other Data Sources File of Life Clinical Summaries (future phase) 1. Consent &Demographics 4. Medication History Response WorkflowEmbedded HIE 6

  7. How are these discrete meds integrated? 7

  8. Inova Picis RxNorm (RxCUI)-to-FDB (GCN_SeqN) Final Message Format: CCD Code: RxNorm Medication Conversion NDC-to-RxNorm (RxCUI) Response Messagefrom SureScripts Format: RDS Code: NDC NoVaRHIO Medication History Service Pharm#2 Pharm#1 Pharm#N SureScriptsRxHub PBM#1 PBM#N PBM#2 HL7 CCD Format w/ RxNorm Coded Meds 8

  9. NoVaRHIO’s Menu of Services and MEDS-ED Future Path • Extend MEDS-ED to labs, radiology, physician community desktop, immunizations, discharge summaries • Build upon “File-for-Life” effort with PHR+ tailored to specific healthcare groups and providing / enabling surround services; enhanced core of personal health information at time of emergency medical system (EMS) care • Connect to COV-HIE • Investigate possible connections with VA / DoD • Support regional provider efforts on Stage 2 Meaningful Use • Provide value as a neutral organization in rapidly changing technology and data availability environment; adaptation of leading edge and proven mobile HIE type technologies and applications from other U.S. regions. 9

  10. Disruptive Influences and Challenges for HIE Development • Concurrent hospital and health systems development and promotion of shared electronic health record with internal capability of sharing information and messaging among hospital and attending physicians. EPIC electronic health record Uncertain physician acceptance • Cloud computing reduces investment expense for an HIE, but pricing of services and products is controlled by the cloud vendor, with the HIE receiving a percentage of the gross income.

  11. Disruptive influences and Challenges for HIE Development • Sustainability of funding models for HIE in Northern Virginia Grant dependence not a sustainable model (CareSpark) Business model for mix of sponsorship fees and subscription and transaction fees for users not yet established • Rapid technology change and associated technology risk • Uncertain regulatory environment • Dynamic competitive and market environment – market participants are suppliers, partners and competitors at same time.

  12. Contacts for Northern Virginia RHIO Philip Reilly, Chair, Board of Directors pmr@novarhio.org J.P. Auffret, Vice Chair, Board of Directors jauffret@novarhio.org Leslie Ellwood, MD, Member, Board of Directors lellwood@cox.net

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