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NC Health Information Exchange

Bradford Chang ­ O i H lth B df d Ch Orion Health Keith Scott ­ NCHIE

Technical Overview ·NCHIE

·EMPI

·Provider Directory

· NCHIE members can connect to HCHIE through an interface to an HIE Qualified Organization (QO) · Or they can connect using the NCHIE Or, messaging hub Virtual QO (VQO)

­ Unique interface required for each physician practice ­ Capabilities of practice EMR will dictate integration approach and capabilities available to the physician

·NCHIE Applications

· Physician practices without EMR's can access information via Clinical Portal

·NCHIE Hub

­ Sets the stage for deployment of Web-based EMR in 2012

·HIE ·Hospital ·Hospital ·Hospital ·Hospital

·Physicia n Practice ·Physicia ·Physicia n Practice n Practice

Characteristics of Qualified Organizations

·Community

·A QO needs a locus that A QO needs a locus that the Participants recognize and value. This locus can be represented by geography, business structure, medical structure, medical specialty, professional association, or many other characteristics

·Business Model

·A QO must be a A QO must be a business or government entity as it will enter into contracts with its Participants and with NCHIE. This business entity must be stable and sustainable

·Governance

·As with any community As with any community, the QO must have an established Governance policy by which decisions are made and behaviors enforced to the benefit of enforced to the benefit of the community. This includes the definition of the roles and expectations of the Participants p

·Technology

·Technically, the QO has ec ca y, t e QO as the responsibility connect its Participants into a network that can be integrated with the NCHIE. It may chose to y offer information services that are unique to its specific community

NC HIE Phase 1 Overview

· Initial Implementation of HIE Platform

­ Web-based access to the longitudinal patient record (Clinical Portal). ­ Connectivity with participating systems: CCD CCD, HL7, SSO, Web Services (RhapsodyTM). ­ Storage of clinical information (CDR). ­ EMPI. ­ Data normalization. normalization ­ Public health reporting. ­ User subscribed notifications. ­ Direct secure messaging. ­Pi Privacy and consent d t

· QO Integration

­ Define/build interfaces to existing networks to promote exchange of clinical messages (CCD or HL7)

· Implementation of common NHIN gateway for VA connectivity

­ Define/implement a gateway that will expose VA data to all QO's d ll QO'

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Orion Health HIE Solution Summary Standard HIE

· · · · · · · · · · Web-based access to the longitudinal patient record (Clinical Portal) Clinical Messaging (RhapsodyTM) Storage of clinical information (CDR) User Subscribed Notifications Secure Messaging World Class Privacy & Consent Administrative Functions: create and manage users; auditing Connectivity with participating systems: SSO, HL7, Web Services Semantic Interoperability Enterprise Master Person Index (EMPI)

Add-on Modules

· · · · · · · · · · Case Management Diagnostic Orders EMR Lite Patient Portal HIE Problem List Clinical Documentation NwHIN Connect Gateway DIRECT Messaging Web-based Imaging W bb dI i Public Health Reporting

Orion Health and EMR Lite Standard HIE

· Web-based access to the longitudinal patient record (Clinical Portal) Connectivity with p y participating p g systems: HL7, CCD, SSO (RhapsodyTM) User Subscribed Notifications Secure Messaging Patient Privacy & Consent Semantic Interoperability

EMR Lite Add-on Module

·

· · · ·

Stage 1 Meaningful Use

Real-time Notifications

Example notification events: · Inpatient Admission · Inpatient Discharge · New Laboratory Result ( Final) is available · New Radiology Result (Final) is available · A new document (imaging report) is available · A new d document iis available t il bl · Clinic Appointment complete · Interim Microbiology Result available · Patient is admitted to the ER · Patient is discharge from ER

·Key Benefits: · Improve efficiencies · Better outcomes · R d Reduce costs t · Ensuring provider has information needed for treating patient

·Channels: · Fax · Email a · EMR · Mobile Phone

Integration with EMRs

· Data Integration (HL7 and CCD)

­ Integration effort can be completed by either Orion Health or the customer ­ Systems: Cerner, Epic, McKesson, Meditech, Allscripts, Eclipsys, Siemens, Healthland, Quest Lab, Lab Corps, Cerner Lab, Sunquest, Misys Lab, C P th Di t h L b S t Mi L b CoPath, Dictaphone, N Nuance, GE/Agfa, IDX, Phillips, FujiFilm, Deio, Omnicare, Merge, eClinicalWorks, NextGen, Allscripts, Misys, Cerner EMR, Meditech, LSS, Sage, Greenway and many more.

· Visual Integration (SSO)

­ Si l click access t HIE' patient record from within EHR. Single li k to HIE's ti t df ithi EHR ­ Systems: GE Centricity Enterprise and Physician Office, Cerner, Epic, McKesson, Allscripts, Eclipsys, eClinicalWorks, p p p y NextGen, T-Systems, Greenway. Others achievable.

Demo

Contact Info

Keith Scott Chief Technology Officer North Carolina Health Information Exchange (NCHIE) 2300 Rexwoods D i 2300 R d Drive Suite 390 Raleigh, NC Raleigh, NC 27607 [email protected] 9199261044 (O) 9197407450 (C)

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