1 get ready to rhio health information exchanges and emergency preparedness jeff odell, senior vice...
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Get Ready to RHIO
Health Information Exchanges and Emergency Preparedness
Jeff Odell, Senior Vice PresidentMedVirginia804.359.4500 x227jodell@medvirginia.netwww.medvirginia.net
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Topics
Regional Health Information Organizations – MedVirginia Example
Health Information Exchange principles The Nationwide Health Information
Network – Why It Matters Specific Use Cases for Emergency
Responders
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2014
Interoperable Electronic
Health Information
EHRs PHRs Public Health Home Telehealth
Standards … Interoperability
Nationwide Health Information Network
Widespread Adoption of Interoperable Electronic Health Records by 2014
2004
Health IT AGENDA
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Definition: RHIO
A governance entity composed of organizations and individuals with a stake in facilitating the electronic exchange of health information for the purpose of improving quality, safety and effectiveness for the communities in which they operate.
Regional Health Information Organization
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MedVirginia Overview
- Collaboration in Health IT
- Health Information Exchange
- Enhance Practice Automation
Vision: “…Central Virginia as the most electronically integrated medical community in the U.S.”
A RHIO created by not-for-profit hospitals and practicing physicians in Central Virginia for the purposes of:
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Health Information Technology (HIT) vs. Health Information Exchange (HIE)
H
LIS RxIS CIS EMR
HIE HIE HIE
HIEHIEHIE
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MedVirginia Health Information Exchange (HIE)
Operational January 2006 One of a few “live” RHIO’s in the U.S. Targeting Central Virginia medical community Enrollment underway – 6 hospitals, 1000+
users in over 110 physician offices Master Patient Index of 540,000+ patients Over 1 million messages processed
each month
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Clinical data repository
Master patient index
Hospitals create an enterprise view
Radiology (RIS)
Pharmacy
Lab
EmergencyOrder entry
Billing
Ambulatory
Hospital
Source: Forrester
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Entities come together in regions
Hospital
Hospital system
Physician group
Retail pharmacy
Lab
Clinic
Public health agency
RHIO
Source: Forrester
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Nationwide HealthNationwide HealthInformation NetworkInformation Network
NHIN “is a secure, nationwide, NHIN “is a secure, nationwide, interoperable health information interoperable health information infrastructure that will connect providers, infrastructure that will connect providers, consumers, and others involved in consumers, and others involved in supporting health and healthcare.”supporting health and healthcare.”
MedVirginia is a “Trial Implementations” MedVirginia is a “Trial Implementations” contract awardee.contract awardee.
Source- www.hhs.gov/healthit
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Health IT Medical clipboard becomes a thing of the past Secure interoperable electronic records are available to
patients and their doctors anytime, anywhere Immediate access to accurate information reduces
dangerous medical errors and helps control health care costs
One of Secretary Leavitt’s Priorities
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NHIN Awardees
CareSpark
Delaware Health Information Network
Indiana University Long Beach Network for Health
Lovelace Clinic Foundation
MedVirginia New York eHealth Collaborative
North Carolina Healthcare Information and Communications Alliance
West Virginia Health Information Network
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Regions participate in a national network
New Mexico
Long Beach
Southwest Tenn.
Delaware
Central VA
Indiana
Long Island
NHIN
W. VA
NC
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NHIN “Use Cases”Developed by the American Health Information Community (AHIC). Specific deployment of HIT in addressing prioritized needs:Medication Management EHR – Labs Emergency Responder EHR Biosurveillance Quality Consumer Empowerment - Registration and Rx History Consumer Access to Clinical Information
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Emergency Responder Use Case
Specifies “….timely electronic access to critical health information relating to the assessment, stabilization and treatment of the victims of emergency incidents. …range from individuals suffering from accidents or acute episodes of illness to large groups …as the result of widespread casualty incidents including natural disasters and terrorism.”
Source: www.hhs.gov/healthit/usecases
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Emergency Responder Data Elements Demographics Emergency Contact Info Allergies Medication History Problem List Immunizations Pain Status Treatment History Patient Location Triage Category Advance Directive
MedVirginia’s Emergency Responder Vision #1
DischargeSummaries
Reference Lab Results
Clinical Results from Hospitals and Providers
MedicationsAllergies
Critical patient info available en-route & at scene
Physiciane-Prescribing
MedVirginia’s Emergency Responder Vision #2
DischargeSummaries
Reference Lab Results
Clinical Results from Hospitals and Providers
MedicationsAllergies
Critical patient info available via RHIOs post-disaster or post-evacuation
Physiciane-Prescribing
Remote database populated during “good times”
MedVirginia’s Emergency Responder Vision #2
Critical patient info available via RHIOs post-disaster or post-evacuation
Remote database web-accessible by providers where evacuees go
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And Vision #3 … Biosurveillance
Feed Emergency Dept data (chief complaint, labs, diagnosis, etc.) into Early Event Detection & Syndromic Surveillance Systems operated at local Ambulance Authority.
Support Public Health and 1st Responders
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