NMHIC HIE Overview NMHIMA Annual Meeting April 12, Craig Hewitt, Chief Information Officer
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1 NMHIC HIE Overview NMHIMA Annual Meeting April 12, 2013 Craig Hewitt, Chief Information Officer
2 It s about the Patient! ALL Medical Records follow the patient Direct Secure Messaging (DSM) Secure access with consent Medications Personal Health Record The Circle of Care Office visits Hospital visits Diagnostics Lab work Images/X ray reports Home monitoring The Patient Insurance Home healthcare /long term care State and Federal, DOH
3 Health Information Exchange (HIE) An HIE Solution brings health information systems together across regions and states in order to provide access to a patient s information in one centralized record. Multiple healthcare providers with access to the same record of clinical information will make healthcare delivery more robust and efficient with improved continuity, better outcomes, and reduced costs. There are significant benefits to patients, healthcare providers, payers and employers.
4 Core HIE Functions Provides access to a current patient summary from a variety of sources (from where and when): Problem list/diagnosis Medications Immunizations Allergies Procedures Lab Data Radiology Data Encounter Summaries
5 Value/Benefits of HIE Access to each patient s health information from a variety of healthcare provider sources Improved situational awareness regarding patient s health and use of health systems, better coordination of care Better triage and evaluation capability: o Dx/Problem list, prior procedures, Rx/Medications, Allergies, tests; lab/x ray, progress note and summaries Improved efficiency in making diagnosis and management plans Decrease unnecessary duplication of tests Readmission avoidance Other Benefits : Data Analytics, Public Health, PCMH, ACO
6 Current NMHIC HIE Services NMHIC HIE Portal view summary patient information: Patient demographics, encounter info, physicians, diagnoses, medications, allergies, procedures, immunizations, laboratory results, radiology reports, transcribed notes (i.e. clinic notes, hospital discharge summaries) Portal Pilots at UNMH ED, ABQ HP Clinics, Lovelace Med Center ED NMHIC has been providing Public Health Reporting data to NM DOH since 2010 Notifiable Conditions Lab Results Emergency Department Surveillance Data Immunizations Data Forwarding ED Surveillance data to CDC BioSense Forwarding Healthcare Acquired Infection LabID Events to CDC NHSN NOTE: NMHIC has achieved ONC EHR Modular Certification for Public Health Reporting (participating NM Hospitals can attest to MU PHR requirements) NMHIC has been providing clinical data to SSA for disability determination across the ehealth Exchange (NwHIN) NMHIC has implemented Direct Secure Messaging to allow NM REC Providers attest to MU requirements
7 Who Currently Provides the Data We have about 1million New Mexicans in our MPI as well as collecting millions of clinical encounters Healthcare data providers: Presbyterian Hospitals (8) and Medical Groups Lovelace Hospitals (6) University of New Mexico Hospitals (2) ABQ Health Partners CHRISTUS St. Vincent Regional Medical Center Holy Cross Hospital, Taos Other health care providers will be added Independent Laboratories: TriCore Reference Labs LabCorp (for public health reporting only) NM Scientific Laboratory Division (SLD) for public health only
8 Strategy for Transition to New Platform Engagement Embed within workflow Move to the cloud Standards for sharing information Equity based model Broader service offering Implementation and administration
9 Solution: Core HIE High Level Physicians Privacy Officers HTTPS Hospital with EMR Clinic with EMR Health Information Exchange (HIE) HL7/CCD, XDS, SSO HIE Platform Web-based access to the longitudinal patient record Demographics Labs, Rads Encounters Allergies Diagnosis Transcribed documents Medications Problems Procedures Immunizations Direct Secure Messaging Patient Privacy & Consent Other HIEs Seamless integration with EHRs User Subscribed Notifications Send to My EHR Portal embedded within EHR Secure Inbox Mobile Notifications & Subscriptions
10 Cloud Based
11 Network Architecture
12 Broader Service of HIE Offerings Orion Health HIE Products HIE Base Solution Clinical Portal with results Viewer Clinical Data Repository Rhapsody Interface Engine EMPI Enterprise Master Patient Index Health Language (normalization) CCD Exchange Notifications Send to my EHR (CCD) Direct Secure Messaging Single sign on from EHRs Privacy and Consent Auditing Additional Modules Case Management Business Intelligence Meaningful Use dashboards, HIE Utilization analytics Public Health Reporting Electronic Laboratory Reporting (ELR) CSTE Case Reporting Hospital Acquired Infection Reporting Biosurveillance Reporting Immunization Registry Reporting Discharge Reporting + custom reporting Patient Portal ehealth Exchange (NwHIN) EHR Lite Diagnostic Orders eprescribing Enterprise Imaging
13 NMHIC HIE Product Phases Core HIE Clinical HIE Portal Notifications CCD Exchange Send to my EHR (CCD) Direct Secure Messaging Single Sign-On Privacy & Consent Advanced HIE Case Management Business Intelligence Meaningful Use Dashboards, HIE Utilization, Analytics Public Health Reporting ehealth Exchange (NwHIN Gateway) E-Directory (s) Community Health Record Patient Portal EHR Lite Diagnostic Orders eprescribe Embed Tele-Health Enterprise Imaging Radiology Cardiology Dermatology Ophthalmology
14 Steps on the Journey 1Q 13 2Q 13 3Q 13 4Q 13 1Q 14 2Q 14 3Q 14 4Q 14 Core HIE Build Data & Interface Migration GO LIVE User On Boarding/User Adoption New Participant On Boarding/Interface Development Advanced HIE & Community Health Record Build
15 Draft Agreement Elements Terms and Conditions Services Schedules Support Plan Participant Roles and Responsibilities Fees
16 Current Status of HIE Adoption CORHIO Map Legend HIE Connectivity Farmington Taos Raton HITREC Site AZ HIE Cuba Gallup Magdalena Los Alamos Grants Socorro Santa Fe Albuquerque Los Lunas Belen Las Vegas Clayton Aztec Tucumcari Santa Anna Clovis Portales West Texas HIE Direct Connectivity T or C Ruidoso Roswell Silver City Deming Las Cruces Alamogordo Paso del Norte HIE Carlsbad Lovington Hobbs Users of the system today: SSA disability determination NM DOH ereporting, ED Surveillance, Immunizations Pilot users UNM ED, ABQ HP, LHS
17 Example Integration (Epic) Single Click access to Clinical Portal
18 Example Integration (Cerner) Single Click access to Clinical Portal
19 Unified Longitudinal Patient Record
20 Complete Medical History at a glance
21 CCD Exchange
22 Notifications
23 ROI Audit Log
24 Automated Measures Dashboard
25 Quality Measures Dashboards Quality Reporting (currently a prototype) How well are you improving patient outcomes in: Hypertension: Blood Pressure Management Preventive Care and Screening, Tobacco Use Weight Screening and Management Immunizations for Patients over 50 years Childhood Immunizations And more
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