september, 2005what ihe delivers 1 presenters ian stahl, initiate systems patient identification...
TRANSCRIPT
1September, 2005 What IHE Delivers
Presenters Ian Stahl, Initiate SystemsPresenters Ian Stahl, Initiate Systems
PATIENT IDENTIFICATION PATIENT IDENTIFICATION CROSS-REFERENCING CROSS-REFERENCING (PIX and PDQ):(PIX and PDQ):
AS THE STRATEGIC FOUNDATION FOR AS THE STRATEGIC FOUNDATION FOR
INTEROPERABILITYINTEROPERABILITY
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Your PresenterYour Presenter
Ian Stahl, Director of Product Management,
Initiate Systems, Inc.• [email protected]• (512) 634-5183
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The healthcare realityThe healthcare reality
Volume of patient data increasing exponentially
Quality of patient data declining
Fragmented, duplicate and conflicting patient information within and across databases andtouch points
Regulatory and safety issues drivenew requirements
ADTRob Johnson
1000 Main St.
ADTRob Johnson
1000 Main St.
PACSBob Johnson
(555) 123-4567
PACSBob Johnson
(555) 123-4567
LabRobert [email protected]
BillingBobby M. Johnsoncredit card# 5555-55-1234
BillingBobby M. Johnsoncredit card# 5555-55-1234
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Critical Data DetailsCritical Data Details
Over 30% of all Master Person Index (MPI)records have an invalid or blank value inname (first/last), date of birth or gender Jumps to over 60% if middle name counted
Over 80% of all confirmed duplicate recordshave a data discrepancy in one or more keypatient identifying fields i.e., Name, date of birth, SSN/SIN or gender
Nearly 40% of all duplicate records havea discrepancy in the first or last name
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Clinics, Labs, Imaging
Hospital1
Hospital1
Hospital2
Hospital2 Hospital
3Hospital
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Physicians Network
Physicians Network
ClinicalSystemClinicalSystem
Pharmacy&
Pharmacy Benefits Mgmt.
Pharmacy&
Pharmacy Benefits Mgmt.
Hospitals(for Inpatients &
Outpatients)
Hospitals(for Inpatients &
Outpatients)
Labs & ImagingLabs & Imaging
Lab SystemsLab Systems PhysicianPhysician
Public HealthPublic Health
CountyGeneralCounty
General
GeneralGeneral
Real-t
ime
Query
API
Nightly Update
XML
Real-timeQuery
API
Real-timeUpdates
SOAP
SearchFlat File
Real-time
Updates
HL7
NCPDP
Real-timeQuery
IdentityIdentity
IdentityIdentityIdentityIdentity
IdentityIdentity
IdentityIdentity
IdentityIdentity
IdentityIdentity EHR
Interoperability will drive and deliver EHRInteroperability will drive and deliver EHR
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The Basic QuestionsThe Basic Questions
How do I begin to integrate all these solutions? Use and insist on IHE Profiles – Templates for needed Use and insist on IHE Profiles – Templates for needed
interoperability functionsinteroperability functions
What do I use to “glue” these solutions together? HL7 Messages – Healthcare messaging standard HL7 Messages – Healthcare messaging standard
already used already used
What drives access to all the solutions? The patient – Healthcare is about the patient informationThe patient – Healthcare is about the patient information
How do I deliver an EHR? Find the patient – Use IHE Profiles with HL7 Messages Find the patient – Use IHE Profiles with HL7 Messages
to access the patient records and other supporting datato access the patient records and other supporting data
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Patient Identity Drives Interoperability Patient Identity Drives Interoperability
Do we know this patient?
Is this the correct patient?
What information do I have about this patient?
Where did this patient information come from?
What “view” do I have of this patient?
What else do I know about this patient?
The Key to Patient Identity is:The Key to Patient Identity is:
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How Does PIX/PDQ Drive Interoperability How Does PIX/PDQ Drive Interoperability
Do we know this patient? PIX/PDQ Query from client to XRef ManagerPIX/PDQ Query from client to XRef Manager
Is this the correct patient? PIX/PDQ Manager must handle, accurately, the matching and PIX/PDQ Manager must handle, accurately, the matching and
linking with tunable probabilistic algorithmslinking with tunable probabilistic algorithms What information do I have about this patient? PIX/PDQ Manager Response to queryPIX/PDQ Manager Response to query
Where did this patient information come from? Domain based HL7 Messages Identify sourcesDomain based HL7 Messages Identify sources
What “view” do I have of this patient? Security applied at the application, PIX/PDQ Manager , or bothSecurity applied at the application, PIX/PDQ Manager , or both
What else do I know about this patient? Extending the PIX/PDQ Manager and using other IHE profiles Extending the PIX/PDQ Manager and using other IHE profiles
(i.e. XDS)(i.e. XDS)
By answering the questions:By answering the questions:
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Interoperability requires accurate patient matching and linkingInteroperability requires accurate patient matching and linking
P&C policyholder dataP&C policyholder data
Claims and billing dataClaims and billing data
Debbie BeckerNULL5555-55-1234
Local identifierDBECKER1234
Commercial policyholder dataCommercial policyholder data
Debbie Becker9146 E VILLA DEL SOLNETOWN, CA 45885
Local identifierHOSPABC98765
Store #3908, Zip =
Debbie Dozier -Becker9146 E VIA DEL SOLNETOWN, CA 45883
Local identifier12/19/61 – 727
Debbie DozierNEED INFO5555-55-1234
Local identifier12345ABCDE
Web self service dataWeb self service data
Debbie Becker9146 VIA DEL SOL480-473-3486
Local identifierBECKER4804733486
InitiateIdentity Hub™ software
1. Derives & standardizes data for efficiency2. Finds all potential matches3. Use sophisticated probabilistic statistics to
compare many attributes & score records4. Puts results in 3 buckets – link, don’t link,
needs manual review
Trusted systemof record
Trusted systemof record
1: 12/19/61 – 7272: DBECKER12343: 12345ABCDE4: HOSPABC987655: BECKER4807343486
Debbie Becker9146 VIA DEL SOLNETOWN, CA 45883480-473-34865555-55-1234
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Clinics, Labs, Imaging
Hospital1
Hospital1
Hospital2
Hospital2 Hospital
3Hospital
3
Physicians Network
Physicians Network
ClinicalSystemClinicalSystem
Pharmacy&
Pharmacy Benefits Mgmt.
Pharmacy&
Pharmacy Benefits Mgmt.
Hospitals(for Inpatients &
Outpatients)
Hospitals(for Inpatients &
Outpatients)
Labs & ImagingLabs & Imaging
Lab SystemsLab Systems PhysicianPhysician
Public HealthPublic Health
CountyGeneralCounty
General
GeneralGeneral
Real-t
ime
Query
API
Nightly Update
XML
Real-timeQuery
API
Real-timeUpdates
SOAP
SearchFlat File
Real-time
Updates
HL7
NCPDP
Real-timeQuery
IdentityIdentity
IdentityIdentityIdentityIdentity
IdentityIdentity
IdentityIdentity
IdentityIdentity
IdentityIdentity
PIX/PDQ Managers change the healthcare ecosystemPIX/PDQ Managers change the healthcare ecosystem
Trusted systemof record
Trusted systemof record
1: 12/19/61 – 7272: DBECKER12343: 12345ABCDE4: HOSPABC987655: BECKER4807343486
Debbie Becker9146 VIA DEL SOLNETOWN, CA 45883480-473-34865555-55-1234
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Billing
Care delivery Purchasing
Research
Diagnosis Treatment
Scheduling
Communications
The invocation of the necessary
services to provide the most accurate information to the right place at the
right time
Registration
ProcessProcessProcessProcess
Interoperability definedInteroperability defined
PatientPatient PayorPayor ProviderProvider PBMPBM SupplierSupplier PharmacyPharmacy PublicHealthPublicHealth
RadiologyRadiology RHIORHIO
PeoplePeoplePeoplePeople
PhysicianPhysician Etc.Etc.
ERPERP ClinicalClinical RxRx ResourceResource FormularyFormularyFinancialFinancial ResearchResearch
DataDataDIDIPatientPatient 3rd party/
Ref. data3rd party/Ref. data
Etc.Etc.ProviderProvider
Pri
vacy,
Secu
rity
, S
tan
dard
s,
Reg
ula
tory
Com
plian
ce
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Solution
Reference architectureReference architectureLabmgt
EMPIEMPI HISHIS ClinicalClinical FinancialFinancial ProviderProvider 3rd party3rd party
Radiologymgt
Customerportal
Business
Integration
Hosting
Medicalmgt
Medicationmgt
Sticky applications
On rampto RHIO
Business Logic
Infrastructure
Application ServicesApplication Services
Core Business ServicesCore Business Services
Messaging Services and Source AdaptersMessaging Services and Source Adapters
Data ServicesData Services
Identity ServicesIdentity Services
Con
su
lting
Data ServicesData Services
Security ServicesSecurity ServicesInitiate
Sta
nd
ard
s
Service
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How to get startedHow to get started
Start with choosing a solution that supports the IHE PIX/PDQ Manager functionality
Choose vendors who have products that support the PIX/PDQ client to call the IHE PIX/PDQ Manager
Feed the IHE PIX/PDQ Manager patient identifying information
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IHE Web site: www.IHE .netIHE Web site: www.IHE .net
Frequently Asked QuestionsFrequently Asked Questions
Integration Profiles in Technical Frameworks:Integration Profiles in Technical Frameworks: CardiologyCardiology IT InfrastructureIT Infrastructure LaboratoryLaboratory Patient Care CoordinationPatient Care Coordination RadiologyRadiology
Connectathon ResultsConnectathon Results
Vendor Products Integration StatementsVendor Products Integration Statements
Participation in Committees & ConnectathonsParticipation in Committees & Connectathons
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Questions?Questions?
Ian Stahl, Director, Product Management [email protected]
Bill Klaver, Healthcare Solutions Architect [email protected]
www.initiatesystems.com
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