Integration for your Health Information System

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1 Integration for your Health Information System Achieve comprehensive healthcare IT integration that leverages your existing IT investments and helps you meet the growing demands of Meaningful Use, HIE, HIPAA, and other requirements.

2 Recognizing the true value of healthcare IT. Healthcare is all about improving people s lives through treatment and prevention of illness. These efforts are not exclusive to the physician, the RN, or others providing medical services. By ensuring that caregivers have accurate, up-to-date patient clinical data when they need it, IT professionals make a much-needed contribution to the saving of lives and the improvement of patient outcomes.

3 The drive. The drive in healthcare is to ensure that every patient in a single hospital or in a community receives the correct diagnosis and treatment, and has access to accurate preventive care, all based on his or her complete medical condition. This drive has led to Meaningful Use and the building of Health Information Exchanges (HIEs), Accountable Care Organizations (ACOs), public health exchanges, and more. Our Mission To enable success by delivering the most comprehensive healthcare IT integration to healthcare providers. The reality. The reality is that patient data is often housed in silos that cannot talk to each other. These silos may be located in different systems within a single facility such as a laboratory, emergency department, or pharmacy or they can be outside the facility in a physician electronic medical record (EMR) system that cannot exchange data with the hospital EHR. In this environment, clinicians have no way to efficiently access needed patient information. The barriers are endless. Iatric Systems is all about delivering the comprehensive healthcare IT integration that helps providers deliver quality healthcare. Our focus covers every aspect of integration: Data Process Systems Data Integration bringing together information from disparate systems Systems Integration moving data from one system to another Process Integration integrating solutions into existing systems and processes to streamline the delivery of healthcare Our experience is second to none. More than 20 years ago we began building our team of experienced, professional programmers, hospital managers, IS managers, RNs, pharmacists, medical technologists, and other medical professionals who understand the needs of healthcare. Their skills and knowledge have led to the creation of integration solutions that are useful and meaningful in the real world of healthcare. Our long history of successful integration includes supporting more than 1,000 hospitals, deploying more than 21,000 interfaces, and integrating more than 800 vendor systems. When told, It can t be done, count on the team at Iatric Systems to achieve the needed integration.

4 Data Integration bringing together information from disparate systems. Integrating data requires the ability to accept and merge data coming from multiple sources. Due to limitations of standards, consolidating data from disparate systems is one of today s most common healthcare IT challenges. Iatric Systems solutions are designed to overcome this challenge and integrate data regardless of the systems involved. Here are a few of our data integration solutions: Meaningful Use Manager TM with Clinical Quality Measures captures data for eligible hospitals and eligible professionals from different EHR systems to give you an up-to-date view of your organization s compliance status for Stage 1 through Stage 3 Meaningful Use. A hospital CIO found tracking and reporting on Meaningful Use to be incredibly time consuming, involving many stakeholders. Process changes needed to be recorded and documented for the initial reporting period and for ongoing compliance. The CIO also needed to keep track of any changes in the percentage met for each objective to ensure the hospital was not at risk. This required pulling in CPOE data residing in PatientKeeper, ED data in MedHost, and data from multiple MEDITECH modules. The task was overwhelming. Then the CIO found a tool to manage it all Meaningful Use Manager that automatically pulls in the data needed to calculate each measure from all these disparate systems. The data feeds into a single dashboard for easy access to the status, tracking, and reporting on every objective. Meaningful Use Manager made it possible for the hospital to attest nine months earlier than planned. Accelero Connect integrates your medical devices with your EHR regardless of the device type, manufacturer, or EHR system your hospital uses so you can reduce errors, save nurses time, and give physicians immediate access to critical patient results. An acute care hospital needed to send cardiac monitor results from Philips IntelliVue and fetal records from its OB TraceVue system into its MEDITECH EHR. The hospital wanted a solution that would help them achieve those goals right away and scale to address future medical device integration needs (e.g., ventilators, IV pumps, etc.). Accelero Connect enabled results from both systems to flow into MEDITECH through the same connection, saving nurses time and improving patient care.

5 Security Audit Manager TM automatically monitors and audits patient data access from every system across your entire enterprise 24/7, so you can identify potential violations to patient privacy. To stay compliant with HIPAA and HITECH, a privacy manager needed to monitor access to patient data residing in various systems across the hospital. This required pulling data from EPIC, their primary EHR, as well as their Sunquest Laboratory system, GE physician practices system, and Lawson HR system. Accessing this data from multiple audit logs manually was impractical, as it required too many man-hours to correlate the data across the enterprise. They chose Security Audit Manager to automate this process. It easily captures and integrates the data from all of these systems into a centralized, secure database, so the privacy manager can quickly review it from a single dashboard and detect potential breaches. PtAccess is a patient portal that aggregates patient data from the hospital EHR system and diverse EMR systems, then makes it available to the patient online 24/7. Providing patients with a complete view of their medical data ensures accuracy and leads to a better overall patient experience. As part of its long-term strategic planning, a hospital was ready to take steps to meet the Stage 2 Meaningful Use Objective that requires giving patients online access to their health information. To effectively engage patients in their own healthcare, as well as increase loyalty and satisfaction, the hospital wanted to provide each patient with access to their full health picture, not just the data housed in their EHR system. This meant building their patient portal with data from the hospital s MEDITECH system as well as their physicians Allscripts, LSS Data Systems, Epic, and eclinicalworks EMR systems. The hospital chose PtAccess from Iatric Systems because it captures data from all those systems. Our Report Writing team members have extensive experience extracting data using proprietary reporting programs Cerner CCL, Epic Clarity, MEDITECH NPR, and others as well as industry standard reporting tools such as Crystal Reports, MS SQL Reporting Services, Cognos, etc. Our team is able to meet the critical reporting needs of your hospital, taking the burden off of your overworked staff. Needing to monitor renal inpatients, clinicians requested a report that required combining admission data and nursing assessment information with laboratory results. They needed the report to display demographics, room and bed, last hemodialysis and peritoneal dialysis dates, and the most recent GFR test date, time, and results. Iatric Systems extracted the needed data from multiple modules of the hospital s MEDITECH 6.x system, combining information from M-AT and NPR databases, generating the needed report using the NPR Report Writer.

6 Systems Integration moving data from one system to another. Hospitals have EHR systems. Physicians have EMR systems. Laboratories, pharmacies, and public health agencies all have their own information systems. Integrating these disparate technologies is at the heart of today s efforts to improve healthcare. Iatric Systems specializes in the integration of these diverse medical systems so data can be easily moved from one system to another. These are just a few of our systems integration solutions: EasyConnect Jaguar interface engine reduces the effort, time, and cost of building point-to-point interfaces by allowing IT to quickly replicate interfaces so they may be used over and over as needed. A hospital using the Cerner EHR wanted to reduce the cost of building point-to-point interfaces and focus their IT staff on more strategic tasks. After reviewing their options, the hospital implemented EasyConnect Jaguar. Now, when they want to send admission, discharge, transfer (ADT) information on a new patient to two un-affiliated physician offices that are using an Allscripts EMR system, instead of taking days or weeks to build the interface, they are able to create the interface in hours. Physician Office Integration lets your hospital share its patient data securely with your physicians regardless of the EMR software systems they use. It also allows physicians to place orders in your hospital s EHR directly from their EMR. Ready to start exchanging patient data between its hospital EHR and its physicians EMR systems, a hospital IT department began evaluating its options. After reviewing the cost and required IT time of using point-to-point interfaces, the IT team realized they needed a more affordable and less IT-intensive solution. They chose Iatric Systems Physician Office Integration and are now sending data to and from 32 different physician offices. Physician Office Integration lets the hospital connect with virtually any vendor EMR system and, because Iatric Systems does the work, it moves the vast majority of the workload from the hospital IT staff to Iatric Systems staff. Clinical Document Exchange allows your healthcare organization to send and receive a summary of the pertinent clinical, demographic, and administrative data in real time for a single patient in industry standard documents, such as those listed in Consolidated Clinical Document Architecture (C-CDA) for Meaningful Use. This summary provides caregivers a more complete picture of patient health, leading to more informed treatment decisions and better coordination of care. When a patient came to a community hospital, it was a challenge for caregivers to be able to quickly view a complete picture of a patient s medical history, including allergies, problems, results, and medications especially for those patients who received treatment from a variety of facilities and providers. To meet three Stage 1 Meaningful Use Objectives, the hospital chose Iatric Systems Clinical Document Exchange to aggregate clinical data from its EHR system and deliver a humanreadable summary document on demand to patients and caregivers. The hospital is also using Clinical Document Exchange to share patient data with its community HIE, which makes patient information available to participating healthcare providers where and when they need it.

7 Process Integration integrating our solutions, and those of other vendors, into existing systems and processes to streamline the delivery of healthcare. Part of today s efforts to improve care while controlling its cost is making processes involved in the delivery of daily care more efficient. To be effective, new solutions must leverage current technology and augment existing processes. That means integrating with the hospital s existing EHR and other systems. Iatric Systems process integration solutions easily integrate with all your hospital s current vendor technologies and processes. Here are just a few of them: MobiLab integrates directly with the existing hospital LIS to bring positive patient identification, positive specimen identification, and specimen label printing right to the bedside. As part of a hospital s patient safety plan, laboratory management set high standards for eliminating mislabeled specimens. The hospital s nurses were determined to achieve those high standards and keep staff workflow streamlined. Iatric Systems integrated MobiLab with the hospital s Siemens Laboratory Information System, which provided positive patient and specimen identification with barcode scanning and bedside label printing, and allowed nurses to use the same bedside computers they were already using for documentation. In addition, the solution provides simple on-screen collection instructions that keep track of hard-toremember details, allowing nursing staff to properly collect all specimens as part of their normal workflow. IatriCare is a suite of applications that integrates directly with your hospital s EHR, making your physicians, RNs, and other caregivers more efficient and able to serve more patients while helping eliminate costly errors in patient care. A MEDITECH hospital was looking for ways to reduce the time it took to diagnose and treat its patients. With each patient, the physicians and nurses would have to take time accessing the hospital s EMR system for patient information, then the hospital s pharmacy system for medication information, then the hospital s order entry system for any current orders. Now, with the addition of IatriCare, caregivers can pull in patient information from all the hospital s systems with a few keystrokes and see it all on a single screen. The hospital is now able to provide quality care to its patients in much less time. CareContinuity ensures a continuum of care by drawing data from your current EHR system so clinicians can still access critical patient data during system downtimes. When a hospital s EHR system went down, it made a huge impact on the hospital s ability to treat patients. Without access to patient records and history, the nurses dispensing medications had no record of which patient required which medication. The hospital s CIO solved the problem with the implementation of CareContinuity. Now, when the hospital s EHR system goes down, a nurse can seamlessly log into CareContinuity, see a downtime electronic medication administration record (emar), then proceed with administering the right dosage of medication having all the appropriate information. Because she is also able to view lab results and pending orders, she checks to see if any orders have not been fulfilled so she can call down to the lab to complete the order.

8 27 Great Pond Drive, Boxford, MA iatric.com Physician Office Integration, version 2.0, has been certified on December 6, 2013 as an EHR Module, for Eligible Hospital, certification number is CC This EHR module is ONC 2014 Edition compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ACB, in accordance with the applicable Eligible Hospital certification criteria adopted by the Secretary of Health and Human Services. Physician Office Integration, version 2.0, meets the following certification criteria: (b)(6) Transmission of Electronic Laboratory Tests and Values/Results; (g)(1) Automated Numerator Recording; and (g)(4) Quality Management System. The additional types of costs that an Eligible Hospital would pay to implement the Physician Office Integration version 2.0 in order to attempt to meet meaningful use objectives and measures include: MS SQL Licensing if required, and data storage and initial hardware investment. Meaningful Use Manager, version 3.0, has been certified as an EHR Module for Eligible Hospitals, certification number CC and Meaningful Use Manager with Clinical Quality Measures, version 3.0, certification number CC and certification number CC Meaningful Use Manager version 3.0, is compliant with the ONC 2014 Edition criteria on August 28, 2013, November 12, 2013, and December 6, 2013 by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ACB, in accordance with the applicable Hospital certification criteria adopted by the Secretary of Health and Human Services. Meaningful Use Manager, version 3.0, meets the following certification criteria: (g)(2) Automated measure calculation and (g)(4) Quality management system. Meaningful Use Manager with Clinical Quality Measures meets the following certification criteria: (2) Clinical Quality Measures Incorporate and Calculate and (3) Clinical Quality Measures Electronic Submission. The additional types of costs that an ELIGIBLE HOSPITAL, OR CRITICAL ACCESS HOSPITAL would pay to implement the Meaningful Use Manager with Clinical Quality Measures, Version 3.0 in order to attempt to meet meaningful use objectives and measures include the following, if required: MS-SQL licensing, data storage, and initial hardware investment. Meaningful Use Manager, version 3.0, has been certified as an EHR Module for Eligible Providers, certification number CC Meaningful Use Manager version 3.0, is compliant with the ONC 2014 Edition criteria on December 22, 2013 by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ACB, in accordance with the applicable Hospital certification criteria adopted by the Secretary of Health and Human Services. Meaningful Use Manager with Clinical Quality Measures, version 3.0, meets the following certification criteria: (g)(2) Automated measure calculation, (g)(4) Quality management system, (c)(2) Clinical Quality Measures Incorporate and Calculate, and (c)(3) Clinical Quality Measures Electronic Submission. The additional types of costs that an ELIGIBLE HOSPITAL would pay to implement the Meaningful Use Manager with Clinical Quality Measures, Version 3.0 in order to attempt to meet meaningful use objectives and measures include the following, if required: MS-SQL licensing, data storage, and initial hardware investment. PtAccess, version 1.011, has been certified as an EHR Module, certification number for Hospitals is CC and certification number for Eligible Providers is CC PtAccess version 1.011, is compliant with the ONC 2014 Edition criteria on October 17, 2013 by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ACB, in accordance with the applicable Hospital certification criteria adopted by the Secretary of Health and Human Services. PtAccess, version 1.011, meets the following certification criteria for Hospitals and Eligible Providers: (e)(1) View, Download, and Transmit to a 3rd party and (g)(1) Automated Numerator Recording. The additional types of costs that an ELIGIBLE HOSPITAL, CRITICAL ACCESS HOSPITAL or ELIGIBLE PROVIDER would pay to implement PtAccess, version in order to attempt to meet meaningful use objectives and measures include the following, if required: MS-SQL licensing, data storage, and initial hardware investment. Clinical Document Exchange, version 1.5, has been certified on September 26, 2013 as an EHR Module, for Eligible Hospital, certification number is CC This EHR module is ONC 2014 Edition compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ACB, in accordance with the applicable Eligible Hospital certification criteria adopted by the Secretary of Health and Human Services. Clinical Document Exchange, version 1.5, meets the following certification criteria: (b)(1) Transitions of Care Receive, Display, and Incorporate Transition; (b)(2) Transitions of Care Create and Transmit Summary Care; (g)(1) Automated Numerator Recording; (g)(4) Quality Management System. The additional types of costs that an Eligible Hospital would pay to implement the Clinical Document Exchange version 1.5 in order to attempt to meet meaningful use objectives and measures include: relevant hardware if not already available. Security Audit Manager, version 5.1, has been certified on April 3, 2013 as an EHR Module, for both an Hospital, certification number CC , and Eligible Provider, certification number CC This EHR module is ONC 2014 Edition compliant and has been certified by the Certification Commission for Health Information Technology (CCHIT ), an ONC-ACB, in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services. Security Audit Manager, version 5.1, meets the following certification criteria: (d)(1) Authentication, access control, and authorization; (d)(3) Audit report(s); (g)(4) Quality management system; and (d)(5) Automatic log off. The additional types of costs that an Eligible Provider or Hospital would pay to implement Security Audit Manager 5.1 in order to attempt to meet meaningful use objectives and measures include: MS-SQL licensing if required, data storage, initial hardware investment Iatric Systems, Inc. All rights reserved. 01/14

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