Extending HIS to Support Meaningful Use. October 21, 2010

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1 Extending to Support Meaningful Use October 21, 2010

2 Stage 1 Meaningful Use Requirements 15 Core Stage 1 Requirements 10 Requirements (5 can be deferred until Stage 2) Stage 1 Meaningful Use Criteria for Eligible Professionals Record Demographics Record Smoking Status Protect Health Information Record and Chart Changes in Vital Signs Maintain Up-to-date Problem List of Current/Active Diagnosis Provide Patients with an Electronic Copy of Health Information Drug-drug, drug-allergy interaction checks Computerized Physician Order Entry Electronic Prescribing Maintain Active Medication List Maintain Active Medication Allergy List Implement One Clinical Decision Rule Calculate and Submit Clinical Quality Measures to CMS Provide Clinical Summaries for Patients for Each Visit Exchange of Clinical Information Send Reminders to Patients per Patient Preference Provide Summary Care Record, Transition Care/Referral Generate Patient Lists by Specific Conditions Use EHR to Identify and Provide Education Resources Medication Reconciliation Incorporate Lab Test Results into EHR Drug Formulary Checks Submit Electronically to Immunization Registries Submit Electronic Syndromic Survey to PH Agencies Provide Patients with Timely Access to Electronic health information

3 Netsmart s Meaningful Use Suite Patient Demographics EMR Avatar Avatar PM (Stage 1 certified 10/11/2010) Avatar CWS (Stage 1 certified 10/11/2010) Insight Insight Practice Management Insight EMR CPOE & eprescribing Order Order Interoperability Care Care Consumer Portal Consumer Consumer

4 Order Ambulatory CPOE and eprescribing Stage 1 Meaningful Use Criteria for Eligible Professionals Core Core Core Core Core Core Computerized Physician Order Entry Electronic Prescribing Drug-drug, drug-allergy interaction checks Maintain Active Medication List Maintain Active Medication Allergy List Implement One Clinical Decision Rule Medication Reconciliation Incorporate Lab Test Results into EHR Drug Formulary Checks

5 Care Interoperability with other Electronic Systems Stage 1 Meaningful Use Criteria for Eligible Professionals Core Calculate and Submit Clinical Quality Measures to CMS Core Provide Clinical Summaries for Patients for Each Visit Core Exchange of Clinical Information Submit Electronically to Immunization Registries Submit Electronic Syndromic Survey to PH Agencies

6 Consumer Consumer Portal Stage 1 Meaningful Use Criteria for Eligible Professionals Provide Patients with Timely Access to Electronic Health Information

7 Current Implementation IR Insight

8 Meaningful Use Introduces Significantly More Interfaces IR DETECT STARLIMS User Retail Pharmacies Patients CMS Local Hospitals Regional HIE Providers

9 Interoperability Requirements for Meaningful Use Lab Orders outbound Lab results inbound Prescriptions outbound CCD outbound CCD inbound Referrals outbound Patient Summary inbound CMS Quality Reporting outbound Surveillance Reports outbound Immunizations outbound Immunizations inbound Patient Health Record IR DETECT STARLIMS Retail Pharmacies Patients CMS Local Hospitals Regional HIE Providers

10 Netsmart s Solution to Extend for Meaningful Use IR DETECT STARLIMS Insight Care Order () Consumer Retail Pharmacies Patients CMS Local Hospitals Regional HIE Providers

11 Scenario 1: SureScripts certified eprescribing IR DETECT STARLIMS Care Order Consumer Retail Pharmacies Patients Medicaid Local Hospitals Regional HIE Providers

12 Scenario 2: Lab Orders out and Results in IR DETECT One format outbound One format inbound Multiple Lab formats supported Care Order STARLIMS Consumer Retail Pharmacies Patients Medicaid Local Hospitals Regional HIE Providers

13 Scenario 3: Maternal client electronic data exchange with hospitals IR DETECT STARLIMS Care Order Consumer Retail Pharmacies Patients Medicaid Local Hospitals Regional HIE Providers

14 Benefits No need for each to support multiple variations of the same electronic document (e.g. lab order out, CCD in) Each supports a single communication link to the Care network. Care manages the rest: Maps (for translating one format to another) Trading Profiles (the specifics of each exchange agreement) Encryption (HIPAA and ARRA) Provides a single, common PH Interoperability Infrastructure for secure electronic data exchange

15 Next steps Integration with and batch systems Availability Funding

16 Netsmart s Solution to Extend for Meaningful Use IR DETECT STARLIMS Insight Care Order () Consumer Retail Pharmacies Patients CMS Local Hospitals Regional HIE Providers

17 Current Pricing Structure Software License (one-time) Order Consumer Care X Set-up services (one-time) X X X Maintenance/Subscription Fees # of EPs # of Users # of Exchange Points

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