presentation 2010 mmd emr\\ehr

36
EHR/PMS mMD.net EHR & Practice Management with Health Information Exchange & Patient Portal MCS - Medical Communication Systems, Inc. Old Bridge, NJ

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Page 1: Presentation 2010 mMD EMR\\EHR

EHR/PMS

mMD.net EHR & Practice Management with

Health Information Exchange & Patient Portal

MCS - Medical Communication Systems, Inc.Old Bridge, NJ

Page 2: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Mission

It is our mission to develop, apply, and market

methods, technologies, products, and solutions that

support streamlined collaborative workflow among the

healthcare payers, providers, patients, sponsors, and

pharmacies, resulting in enhanced quality of care,

increased patient safety, reduced administrative

overheads, and increased effectiveness and efficiency

of healthcare processes.

Page 3: Presentation 2010 mMD EMR\\EHR

EHR/PMSA brief history in time!

1999 to 2000 – Scalability of Product architecture from Mobile to Enterprise

2001 to 2002 – First Responder for the US Army

2002 to 2004 – Ambulatory EMR (Charting+eRx+EOE+Charges+Schedule)

2005 to 2007 – Integration Adapters for PMS+Lab/Test+SureScripts+CCR+Equipment

2007 to 2009 – Integrated Practice Management & Patient Portal

2010 onwards – Health Information Exchange (Cloud Computing) / P2P / Portals

1997 to 1998 – Patient Information Manager on Palm Pilot – Pioneering effort

Page 4: Presentation 2010 mMD EMR\\EHR

EHR/PMSmMD.net Suite

(Microsoft .net Framework 3.5 / Browser based using ASP.net / Services Oriented Architecture using Windows Communication

Foundation / Microsoft SQL Server 2008)

Electronic Health Record

Patient Portal/PHR

Health Information Exchange

Mobile EHR/PHR

Practice Management

Page 5: Presentation 2010 mMD EMR\\EHR

EHR/PMSCCHIT Award-Ambulatory EHR Leadership

Page 6: Presentation 2010 mMD EMR\\EHR

Small % of EHR Products are Certified for HITECH

Page 7: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Awards

EHR Systems for Small Practices (1 - 5 Physicians)

Document Imaging Systems

EHR Systems for Pediatrics

Personal Health Record (PHR) / Patient Portal

Page 8: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Awards

EHR Systems – CCR Implementation

Healthcare System for Document Imaging

EHR Systems for Pediatrics

Personal Health Record (PHR) / Patient Portal

Healthcare System for Mobile Applications

Page 9: Presentation 2010 mMD EMR\\EHR

EHR/PMSRecognition from Experts

AC Group, Inc.

# 1 for 1-2 physician practices# 2 for 3-99 physician practices# 3 overall

Page 10: Presentation 2010 mMD EMR\\EHR

Top EHR vendors for Small Practices

Functionality, Company Viability, Implementation, Training, Client Base, End-User Satisfaction, Pricing, and Contracting

Page 11: Presentation 2010 mMD EMR\\EHR

EHR/PMS

PMSDemographics Scheduling Billing

Lab Info Systems

Retail Pharmacy

Child Imm. Registry

DOQ-IT

CCI Edits Engine

Terminology Server

PHREHROrder Entry ChargesCharting

Lab/Test

ChargesCharting

eRxEnterprise Integration AdaptersDIM PHR

eRx

Evolving an Integrated Community EHR

Page 12: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Internet

Internet

mMD.net EHR Server

EHR Client

Drug Reference Database

PBM Servers

Co

nti

nu

ou

s U

pd

ates

EHR Client EHR Client

EHR Client

Innovative Software Architecture using Web

Services

Page 13: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Drug Reference Database – First Data Bank

Drug Interactions & Alerts – First Data Bank

Drug Monographs – Lexi-Comp

Drug Formularies – RxHUB / MediMedia / Medicare Part D

Patient Handouts – First Data Bank / AAFP / AAP / Other

Clinical Best Practices Implementation through templates

CCI Edits – LMRP / LCD / MDeSolutions

Clinical Decision Support at the Point-of-Care

Page 14: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Online Formulary Check

Clinical Decision Support

Page 15: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Online Drug Interaction Check

Clinical Decision Support

Page 16: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Clinical Alerts – for single patientClinical Alerts – for single patient

Page 17: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Clinical Alerts – Decision Support for Clinical Alerts – Decision Support for Health Maintenance Treatment PlanHealth Maintenance Treatment Plan

Page 18: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Clinical Alerts – Decision support Clinical Alerts – Decision support for Preventative Maintenancefor Preventative Maintenance

Page 19: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Clinical Alerts – Patient Correspondence for remindersClinical Alerts – Patient Correspondence for reminders

Page 20: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Clinical Performance Measures – % of Patient PopulationClinical Performance Measures – % of Patient Population

Page 21: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Page 22: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Clinical Performance Measures – List of Patient PopulationClinical Performance Measures – List of Patient Population

Page 23: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Analysis ServicesAnalysis ServicesOLAP & Data MiningOLAP & Data Mining

Data TransformationData TransformationServicesServices

ETLETL

SQL ServerSQL ServerRelational EngineRelational Engine

Reporting ServicesReporting ServicesM

anag

emen

t To

ols

Man

agem

ent T

oo

lsD

evel

op

men

t T

oo

lsD

evel

op

men

t T

oo

ls

Reporting and Analytics

Page 24: Presentation 2010 mMD EMR\\EHR

EHR/PMS

AuthoringAuthoring ManagementManagement DeliveryDelivery

Reporting Services is an open and extensible platform supporting the authoring, management and delivery of rich, interactive reports to the entire enterprise.

Reporting and Analytics

Page 25: Presentation 2010 mMD EMR\\EHR

EHR/PMS

Rheumatology

Asthma & Allergy Pediatrics

OB/Gynand many more…

Specialty Focus

Page 26: Presentation 2010 mMD EMR\\EHR

EHR/PMS

EVIDENCE BASED MEDICINE

EF

FIC

IEN

CY

QU

AL

ITY

OF

CA

RE

B

US

INE

SS

VA

LU

E

EF

FIC

IEN

CY

QU

AL

ITY

OF

CA

RE

B

US

INE

SS

VA

LU

E

Application Content / Knowledge

e-HEALTH

Core EHRCore EHR

• Transaction• one dimensional• Transaction• one dimensional

• Guidance• Guidance

CONSUMER RELATIONSHIP MANAGEMENTENTERPRISE

INTEGRATIONPROCESS AUTOMATIONDATA REVIEW

Cooperative and context systems

• Multi-disciplinary documentation• quality improvement

• Multi-disciplinary documentation• quality improvement

• Knowledge-Driven Orders• Clinical pathways• Disease management• Outcomes measurement

• Knowledge-Driven Orders• Clinical pathways• Disease management• Outcomes measurement

Collector Documentor MentorColleagueHelper

• EMRs• Internet portals• Preventative focus• Wellness

• EMRs• Internet portals• Preventative focus• Wellness

Evolution from EMR to EHR

Page 27: Presentation 2010 mMD EMR\\EHR

EHR/PMS

• Physicians within a community network, e.g. members of IPAs and PHOs

• Consumers to view and control access to their health record

• Hospitals and Health Systems to connect with its affiliated physicians

• Public health Agencies and Registries to view the summary of patient population

It provides a framework for disparate clinical systems to interact with each other and building a community-wide network.. It typically servers the following customers:

A Cloud based Health Information Exchange

Page 28: Presentation 2010 mMD EMR\\EHR

EHR/PMS

HOSPITAL (Lab/Radiology)

Web Portals

PatientZone

ProviderZone

HOSPITAL (R/A/D/T)

Child Immunization

Registry

mMD.neteHealth CloudHL7 CCD

HL7 CCD ASCII

NCPDP Script

HL7 ORD / ORU

HL7 ADT / DFT

HL7 ORD / ORUHL7

ORD / ORU

RegistryZone

HospitalZone

Physicians

Patients

Hospitals/Health systems

Public Health Agencies/Registries

mMD.net eHC (eHealth Cloud)

Page 29: Presentation 2010 mMD EMR\\EHR

EHR/PMS

CCR / CCDDatabase

Interface Engine

HL7

XML

ASCII

Patient Database

Practice 5Database

Practice 4Database

Practice 3Database

Practice 2Database

Practice 1Database

Content Store

VocabularyDatabase

Med Necessity Rule Base

LabDatabase

FormularyDatabase

DrugDatabase

Content UpdateEngine

EXTERNAL DATA SOURCES

HOSPITAL RADT

Billing Services

Payer / Clearing House

LAB / RADIOLOGY / CARDIOLOGY

PHARMACY

Practice Management

Template Store

eHC Portal

RegistryZone

HospitalZone

PatientZone

ProviderZone

Charge Codes

Database

Document Template

ReportsTemplate

Contents SourcesContents Sources

Content Sources

Lab Orders

Lab Results

Lab Orders

Lab Results

Rx

Dispense Info

Rx

Dispense Info

RADT Info RADT Info

Rx Refill RequestRx Refill Request

Rx Refill Response Rx Refill Response

Billing Info Billing Info

CCR/CCD

270 / 278 /837

271 / 278 / 835

270 / 278 /837

271 / 278 / 835

Child Immunization

Monthly patient observations

(DOQ-IT)Child Immunization

Monthly Patient Observations

(DOQ-IT)

Dx basedTemplate

Rx Template

mMD.Net eHC (eHelath Cloud)

AlertsEngine

Real-time Alerts

Child Imm. Registry

Meaningful Use

Physicians

Patients

Hospitals/Health systems

Public Health Agencies/Registries

Solution Architecture

Page 30: Presentation 2010 mMD EMR\\EHR

EHR/PMS

CCR / CCDDatabase

Interface Engine

HL7

XML

ASCII

Practice Database

Practice 5Database

Practice 4Database

Practice 3Database

Practice 2Database

Practice 1Database

Content Store

VocabularyDatabase

Med Necessity Rule Base

LabDatabase

FormularyDatabase

DrugDatabase

Content UpdateEngine

EXTERNAL DATA SOURCES

HOSPITAL RADT

Billing Services

Payer / Clearing House

LAB / RADIOLOGY / CARDIOLOGY

PHARMACY

Practice Management

Template Store

eHC Portal

RegistryZone

HospitalZone

PatientZone

ProviderZone

Charge Codes

Database

Document Template

ReportsTemplate

Contents SourcesContents Sources

Content Sources

Lab Orders

Lab Results

Lab Orders

Lab Results

Rx

Dispense Info

Rx

Dispense Info

RADT Info RADT Info

Rx Refill RequestRx Refill Request

Rx Refill Response Rx Refill Response

Billing Info Billing Info

CCR/CCD

270 / 278 /837

271 / 278 / 835

270 / 278 /837

271 / 278 / 835

Child Immunization

Monthly patient observations

(DOQ-IT)Child Immunization

Monthly Patient Observations

(DOQ-IT)

Dx basedTemplate

Rx Template

mMD.Net eHC (eHelath Cloud)

AlertsEngine

Real-time Alerts

Child Imm. Registry

Meaningful Use

eReferrals PCP sends out a referral to a Specialist 1

mMD.Net eHC automatically identifies the Specialist

within the community and Transmits the CCD record along with the Referral

letter.

2

Specialist receives the referral in the dashboard and imports the CCD.

3

PCP

Specialist

Each Provider is able to track the

status of the referrals on their

respective dashboard.

4

Page 31: Presentation 2010 mMD EMR\\EHR

EHR/PMS

CCR / CCDDatabase

Interface Engine

HL7

XML

ASCII

Practice Database

Practice 5Database

Practice 4Database

Practice 3Database

Practice 2Database

Practice 1Database

Content Store

VocabularyDatabase

Med Necessity Rule Base

LabDatabase

FormularyDatabase

DrugDatabase

Content UpdateEngine

EXTERNAL DATA SOURCES

HOSPITAL RADT

Billing Services

Payer / Clearing House

LAB / RADIOLOGY / CARDIOLOGY

PHARMACY

Practice Management

Template Store

eHC Portal

RegistryZone

HospitalZone

PatientZone

ProviderZone

Charge Codes

Database

Document Template

ReportsTemplate

Contents SourcesContents Sources

Content Sources

Lab Orders

Lab Results

Lab Orders

Lab Results

Rx

Dispense Info

Rx

Dispense Info

RADT Info RADT Info

Rx Refill RequestRx Refill Request

Rx Refill Response Rx Refill Response

Billing Info Billing Info

CCR/CCD

270 / 278 /837

271 / 278 / 835

270 / 278 /837

271 / 278 / 835

Child Immunization

Monthly patient observations

(DOQ-IT)Child Immunization

Monthly Patient Observations

(DOQ-IT)

Dx basedTemplate

Rx Template

mMD.Net eHC (eHelath Cloud)

AlertsEngine

Real-time Alerts

Child Imm. Registry

DOQ-IT

mMD.Net eHC automatically identifies the PCP within the community and Transmits the CCD

record along with the consult letter.

2

PCP receives the consult in the dashboard and imports the CCD3

Specialist sends out the consult to the PCP.

1

PCP

Specialist

Each Provider is able to track the

status of the referrals on their

respective dashboard.

4

eReferrals

Page 32: Presentation 2010 mMD EMR\\EHR

EHR/PMS

CCR / CCDDatabase

Interface Engine

HL7

XML

ASCII

Practice Database

Practice 5Database

Practice 4Database

Practice 3Database

Practice 2Database

Practice 1Database

Content Store

VocabularyDatabase

Med Necessity Rule Base

LabDatabase

FormularyDatabase

DrugDatabase

Content UpdateEngine

EXTERNAL DATA SOURCES

HOSPITAL RADT

Billing Services

Payer / Clearing House

LAB / RADIOLOGY / CARDIOLOGY

PHARMACY

Practice Management

Template Store

eHC Portal

RegistryZone

HospitalZone

PatientZone

ProviderZone

Charge Codes

Database

Document Template

ReportsTemplate

Contents SourcesContents Sources

Content Sources

Lab Orders

Lab Results

Lab Orders

Lab Results

Rx

Dispense Info

Rx

Dispense Info

RADT Info RADT Info

Rx Refill RequestRx Refill Request

Rx Refill Response Rx Refill Response

Billing Info Billing Info

CCR/CCD

270 / 278 /837

271 / 278 / 835

270 / 278 /837

271 / 278 / 835

Child Immunization

Monthly patient observations

(DOQ-IT)Child Immunization

Monthly Patient Observations

(DOQ-IT)

Dx basedTemplate

Rx Template

mMD.Net eHC (eHelath Cloud)

AlertsEngine

Real-time Alerts

Child Imm. Registry

DOQ-IT

mMD.Net eHC automatically identifies the PCP within the community and Transmits the CCD

record along with the consult letter.

2

PCP receives the consult in the dashboard and imports the CCD3

Specialist sends out the consult to the PCP.

1

PCP

Specialist

Each Provider is able to track the

status of the referrals on their

respective dashboard.

4

eReferrals

Page 33: Presentation 2010 mMD EMR\\EHR

EHR/PMS

HardwareHardware

Operating SystemOperating System

Database ServicesDatabase Services

Interface ServicesInterface Services

Application ServicesApplication Services

Utilizing Core Competencies!

Page 34: Presentation 2010 mMD EMR\\EHR

EHR/PMS

UI Layer

Business Layer

Data Layer

Innovative Software Architecture

Page 35: Presentation 2010 mMD EMR\\EHR

EHR/PMSInnovative Software Architecture

Page 36: Presentation 2010 mMD EMR\\EHR

EHR/PMS

mMD.net Integration Server

Innovative Software Architecture