The Paper World What s your current experience at a doctor s office?

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Charla Harrington
8 years ago
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1 CliniSync 101

2 The Paper World What s your current experience at a doctor s office? Having patients fill out paper forms Relying on patients for information Ordering tests and x-rays already taken Calling or writing letters to other doctors Waiting days/weeks for results Searching for charts Playing phone tag Missing/losing information Mixing up charts Faxing doesn t go through Relying on couriers Elderly forgetting medication lists

already taken Calling or writing letters to other doctors Waiting days/weeks for results Searching for

3 The Electronic World What should your experience be? Electronic communication with other providers Only fill out information ONCE Electronic charts No more lost charts Fewer faxing and phone calls Charting patient trends Real-time referrals Test results at your fingertips Care summaries at end of visit Accurate electronic prescribing Medication reconciliation Reduction in duplicative tests Coordination of patient care ER access to patient records Notification of hospitalization or transfer

faxing and phone calls Charting patient trends Real-time referrals Test results at your fingertips Care summaries at end of

4 Electronic World Vision What would it look like if we were electronically connected through an HIE? Diabetes, Hypertension, Hyperlipidemia Plus Chronic Systolic Heart Failure Primary care doctor needs: Diabetes tests; A1c, lipid, urine microalbumin Cardiologist s Cardiac Echo results Comprehensive Metabolic Panel (CMP) from cardiologist Nutrition report from hospital Ophthalmologist's eye exam results Podiatrist s monofilament foot exam results Tom Trifecta Robust health information exchange among these provides could give a complete picture for all providers without repetitive testing! Saves hours of time. Days of waiting.

Cardiologist s Cardiac Echo results Comprehensive Metabolic Panel (CMP) from cardiologist Nutrition report from hospital Ophthalmologist's eye exam results

5 Electronic World Vision What would it look like if we were electronically connected through an HIE? Diabetes, Hypertension, Hyperlipidemia Plus Chronic Systolic Heart Failure Primary care doctor needs: Diabetes tests; A1c, lipid, urine microalbumin Cardiologist s Cardiac Echo results Comprehensive Metabolic Panel (CMP) from cardiologist Nutrition report from hospital Ophthalmologist's eye exam results Podiatrist s monofilament foot exam results Tom Trifecta Robust health information exchange among these provides could give a complete picture for all providers without repetitive testing! Saves hours of time. Days of waiting.

6 Session Objectives To explain how The Ohio Health Information Partnership manages CliniSync its statewide health information exchange (HIE) To show how CliniSync will connect hospitals and providers throughout the state To develop a broad perspective of HIE activity in the state To understand the role HIE will play in your practice To learn what HIE services are available and how to connect with CliniSync 6

throughout the state To develop a broad perspective of HIE activity in the state To understand the

7 Topics for Discussion 1. State HIE Activity 2. Overview of Physician Services 3. How do you get started? Who is participating in the HIE today? What services are available now and in the future? I m ready! How do I get started? 7

8 Ohio Health Information Partnership 8

9 Our Mission and Vision State-designated entity for HIE Educating and guiding through EHR adoption and meaningful use The future of health care is connected communities across the nation that can communicate with one another and coordinate care, no matter where the patient goes. Creating a robust network to connect physicians, hospitals and others involved in a patient s care with one another Managing that network, so physicians and hospitals, clinicians and labs can all talk to one another.

10 A Health Information Exchange 10 An HIE moves patient information electronically among physician offices, hospitals and other health professionals directly involved in a patient s care, such as pharmacies and labs. With an HIE, everyone involved in a patient s care can talk electronically.

professionals directly involved in a patient s care, such as pharmacies

11 11

12 Connecting Hospitals Public Health Physicians Commercial Labs Behavioral Health Health Plans Long Term Care

13 70 Hospital Partners 13

14 Topics for Discussion 1. State HIE Activity 2. Overview of Physician Services 3. How do you get started? Who is participating today? How will services for physicians be rolled out? How do I get started? 14

15 CliniSync Phase 1 Phase 1- Sending information out Send clinical Information Community providers and hospitals adopt CliniSync and begin exchanging information and receiving results from participating hospitals 15 15

hospitals adopt CliniSync and begin exchanging

16 Services

Encrypted Email CliniSync software allows you to exchange information electronically with another care team provider through a secure email system

17 Encrypted CliniSync software allows you to exchange information electronically with another care team provider through a secure system including attachments. The software complies with national Direct messaging protocols created by the Office of the National Coordinator for HIT.

18 Referral Management Referrals move swiftly from one doc to another. Before, I d have to go and gather all the information the visit sheet, the referral paper fill it all out by hand, gather everything that they wanted to go with that, go to the fax machine and fax it all. -- Christine Thomas, General Nurse, Community Action Health Clinic

paper fill it all out by hand, gather everything that they wanted to go with that,

19 Results Delivery Delivery of Results and Reports are: HIPAA Compliant A way to quickly receive test results and clinical reports for hospitals and commercial labs live on CliniSync Real-time results - as soon as the hospital releases them.

clinical reports for hospitals and commercial labs live on

20 Results Delivery to Healthcare Providers What are my options? EHR PDF File Delivery Receive results and reports from participating hospitals consolidated into folders that you identify located within your practice in PDF format *Can be used if you are paper-based or have an EHR inbox A clinical document tool for the management of results and reports from participating hospitals consolidated into one location and format (PDF) Sort, print, view, move, filter, and search the documents *Can be used if you are paper-based or have an EHR EHR Integration Receive results and reports from participating hospitals directly to the EHR at your practice SINGLE Interface at the practice Allows for discrete lab result 20

if you are paper-based or have an EHR inbox A clinical document tool for the management of results and reports from participating hospitals consolidated into one location and

Send Results to Physicians Hospital System CliniSync Physician Office Radiology Reports Registration Admission Notice Discharge Notice Transfer Notice PDF

21 Send Results to Physicians Hospital System CliniSync Physician Office Radiology Reports Registration Admission Notice Discharge Notice Transfer Notice PDF File Delivery Transcription Clinical/Textual Discharge Summaries Cardiology Reports Lab General Chemistry Microbology Pathology Blood Bank inbox Office EHR

22 EHR Integration EHR Vendors with integrated results delivery LIVE! 22

23 EHR Integration EHR vendors with integrated results delivery CLOSE to live! 23

24 Menu Measures Clinical lab test results Transitions of care summary Immunization registries data submissions Syndromic surveillance data submission Report lab results to public health Core Measures Exchange key clinical information Clinical summaries

David Groves, HealthBridge s Director of Tri-State Regional

25 Ohio Lauded For Meaningful Use David Muntz, Principal Deputy National Coordinator; Dan Paoletti, CEO, The Partnership; David Groves, HealthBridge s Director of Tri-State Regional Extension Center; Dr. Farzad Mostashari, National Coordinator of HIT

26 Future Phase 2 Phase 2 - Search Search for clinical information Transition to query and retrieval of clinical information when it is needed for treatment 26 26

27 Topics for Discussion 1. State HIE Activity 2. Overview of Physician Services 3. How do you get started? Who is participating today? How will services for physicians be rolled out? How do I get started? 27

28 Register CliniSync Registration Provider Verification How do you get started? Work with a Physician Liaison and sign a contract OR Enter practice information at CliniSync Installation and Training

29 Provider Verification CliniSync Registration After registration CliniSync staff will verify applicant Medical License #, NPI and perform Identity Proofing for Direct Messaging service. Practice either downloads package, or waits to download during scheduled installation Provider Verification CliniSync Installation and Training 29

30 Installation & Training CliniSync Registration Provider Verification CliniSync Call Center contacts practice to schedule enablement (and install if this had not taken place) Training occurs after install Training takes approx. 30 minutes If hospital is live in practice s area Liaison works with practice to set up results delivery via 1) inbox, 2) PDF delivery/auto fax or 3) EHR Integration CliniSync Installation and Training

31 CliniSync Physician Liaisons Karen Bishop Southern and Central Ohio Office: Rich Branch Western Ohio Office: Bill Mitchin Northwest Ohio Mobile: Jim Carroll Northeast Ohio Office:

32 We re ready to assist!

The Paper World. What s your current experience at a doctor s office?

The Paper World. What s your current experience at a doctor s office? CliniSync 101 The Paper World What s your current experience at a doctor s office? Filling out paper forms Getting X-Rays and labs over and over Searching for charts Playing phone tag Missing/losing information