What is HealthShare?

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1

2 What is HealthShare?

3 The Problem Interoperability Informatics

4 Healthcare Transformation Journey Current EHR & HIE Focus Next Generation Healthcare Informatics

5 HealthShare Target Opportunities HealthShare Focus State / Region / National HIE Enterprise Integration Strategic Solutions Application Partners

6 Global Healthcare Breakthroughs Delivering Success: All 19 U.S. News Honor Roll Hospitals Kaiser Permanente, Military Health, VA National EMR Scotland, Patient Summary Record in Sweden Statewide clinical care solutions in Australia, Chile, Brazil Over 3 million healthcare users

7 About MemorialCare MemorialCare Health System: Not-for-profit IDN serving LA and Orange County, CA Six hospitals organized into three operating entities Each entity has its own CEO, Board, and IT group Medical foundation with 160 employed physicians Affiliates: 30 practices, 12 specialties, 236 providers Physician Society: Over 1,800 providers Numerous outpatient health centers and retail clinics

8 Quick Wins with HealthShare HealthShare Foundation Use Cases: Interface engine replacement 110 interfaces in four months Eligibility feeds from 10 distinct payers into Epic X conversion Integration with MPV payment management solution

9 Epic/NextGen Interoperability Phase 1 Functionality: Bi-directional exchange of patient summary (CCD) between inpatient system (Epic) and community providers (NextGen) Delivery of inpatient event notifications to PCPs at community practices Delivery of inpatient discharge summary reports to PCPs at community practices

10 Epic/NextGen Use Cases CCD Transmission A provider using NextGen requests a CCD from Epic 1 2 EPIC Instance MemorialCare Foundation (Epic AEMR) Bristol Park (NextGen) 4 Document Repository 3 MemorialCare Hospitals (Epic) 1. NextGen issues a request for documents to HealthShare using XDS.b RSQ 2. HealthShare requests On-Demand Documents from Epic using XCA 3. Epic processes the document request and returns a CCD document 4. HealthShare routes the CCD document to NextGen Document Request CCD Document

11 Epic/NextGen Use Cases CCD Transmission A provider using Epic requests a CCD from NextGen EPIC Instance 1 3 MemorialCare Foundation (Epic AEMR) Bristol Park (NextGen) 2 Document Repository 4 MemorialCare Hospitals (Epic) 1. NextGen sends a CCD document to HealthShare using XDS Provide and Register (PnR) 2. HealthShare stores the CCD document in its document repository 3. Epic sends a request for NextGen documents to HealthShare using XCA RSQ 4. HealthShare retrieves the CCD document from its repository and sends it to Epic Doc Register (PnR) CCD Request (RSQ) CCD Response

12 Epic/NextGen Use Cases ADT Event Notification Admissions and discharges on Epic are sent to NextGen EPIC Instance MemorialCare Foundation (Epic AEMR) Bristol Park (NextGen) 3 2 ECR & Rules 1 MemorialCare Hospitals (Epic) 1. Epic sends HL7 ADT messages to HealthShare 2. HealthShare processes messages looking for admissions and discharges 3. HealthShare sends appropriate HL7 ADT messages to NextGen HL7 ADT

13 Epic/NextGen Use Cases Discharge Summary Transmission Discharge summaries are sent from Epic to NextGen EPIC Instance MemorialCare Foundation (Epic AEMR) Bristol Park (NextGen) 3 2 Document Repository 1 MemorialCare Hospitals (Epic) 1. Epic sends HL7 Discharge Summary (MDM) messages to HealthShare 2. HealthShare processes the messages (and may optionally store the documents) 3. HealthShare sends the messages to NextGen (XDR) HL7 Discharge Summary (MDM)

14 What s Next at MemorialCare Future project milestones include: HealthShare Identity Manager HealthShare as single source of truth for clinical data Provider and Patient Portals Lab Outreach Integration ACO-like (incentive-based) pilot programs with payers

15 Evolving Needs Timeline Understand Act Share Capture Mid Term Needs Long Term, Unanticipated Needs Immediate Needs Manage High Risk Patients Aggregate & View Data Create Engaged Communities Improve Efficiencies Optimize Outcomes, Quality, Safety

16 Solving Business Problems Integrate clinical systems and data - Aggregate patient records from multiple sources in a web based portal - Capture patient data directly via remote device/sensor monitoring - Manage and resolve patient identities across facilities (MPI) Manage transitions of care - Receive and review patient summaries prior to admission - Send patient summaries to urgent/emergent care organizations Create engaged communities - Enable patient families to communicate securely with or without healthcare professionals - Allow providers to collaborate and standardize on care delivery actions, outside of - Present patient data to a personal health record framework Share patient data outside my community - Connect with local IDNs, state HIEs or public health agencies to reportable data such as summaries, immunizations, etc. Manage high risk populations - Identify high risk patient sets for tracking utilization, comparisons, communication and action

17 Technologies for Breakthroughs DeepSee Ensemble Advanced Analytics Engine iknow Universal Integration Platform Caché Multi-Dimensional Database

18 Composite Health Record Aggregator Patient Index Provider Directory Clinician Viewer Consent Management Terminology Clinical Message Delivery Active Analytics The Breakthrough Architecture Solution Template Customer Solution HealthShare Caché Ensemble DeepSee iknow

19 Breakthrough Applications Deliver mass personalization Unlock 100% of data Drive intelligent action

20 Questions?

21 Partnering with

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