unlock your ehr data - health current · 2019. 11. 18. · ccd/ccda edi formats xml flat files...

Zen Healthcare IT | consultzen.com | 949-396-1295

Unlock your EHR DataPractical Strategies to Control your Data Destiny

● Introduction to Zen

● Strategies to unlock Data

● Real World Examples

● Q&A


Processes TechnologyPeople

Help our clients solve challenging healthcare interoperability, information exchange and data quality issues.A key partner for Health Current since 2016

Zen Mission

Engage the Right Subject

Matter Experts at the

Right Time

Design & Build Use-Case

Driven Interoperability

Solutions

Apply the Right Automation,

Compliance, and

Connectivity Tools

Zen Healthcare IT | consultzen.com | 949.396.1295

Zen Client ExamplesHIE and Provider Organizations

Zen Healthcare IT | consultzen.com | 949.396.1295

Zen Client ExamplesVendor and other HIT Organizations


Zen Difference

Collective Wisdom

Zen deploys a “hive mind” on all our projects; you

get the best engineering resources for the right

task every time.

“Every rockstar influences every engagement.”

Intellectual Property

Zen utilizes best practices and tools we’ve developed; deploying real solutions for

clients to shorten deployment timelines.

“An engineering mindset with service dedication.”

Shared Gains

Zen’s technology platform delivers proven solutions incubated across many real-world integration

deployments.

“The whole is better than the sum of the parts.”


Zen Solutions at a Glance

Engineering Services

On demand engineering, consulting

and support services

● Expand the capabilities

of your IT team

● As much or as little

support as you need

HIE Onboarding Services

Technical Project Management

Specializing in onboarding

● Health Current

● Carequality

● eHealth Exchange

Integration Engine Tools Gemini Integration Platform

Works In Your Environment

● Zen Insight

● Zen SSL Extension

● CCDA to FHIR Library

● SAML Tools

Fully managed integration as a

service and Ancillary

● No need for developers

● Scales to fit your needs

● Actively monitored and

managed


Zen Insight

Mirth®

Connect

Alert

Monitor Analyze

● Queue size

● Number of errors (total or over a period of time)

● Total messages in a period of time

● Lack of messages over a period of time

Having these alerts and active monitoring alleviates the

need for admins to manually capture this information; or

worse, allow it to go uncaptured until a major problem

arises.

Custom Email Alerts


Zen Insight

Mirth®

Connect

Alert

Monitor Analyze


Gemini Integration as a Service


Gemini Platform Overview

APIs

FHIR API

HL7 (v2, v3)

IHE

CCD/CCDA

EDI Formats

XML

Flat Files

Database

Payers

ACOs

HIEs

Hospitals

Registries

IPA/Networks

Practices

LTC Facilities

Sequoia

Filter Data

Map Data

Transform Data

Normalize Data

Data

Acquisition

Gemini

Developer

Stargate

Gateway

Data

Delivery

Business

Logic

HITRUST CSF Hosting | High Availability


When you guys are done arguing your opinions, I actually have Data!


• EHR vendors frequently charge for every new “feed” to a new endpoint. This gets expensive and doesn’t scale.

• MU certified EHR’s can typically send and receive CCDAs, but via limited means.

• MU certified EHRs are not yet widely supporting the growing need for query based exchange (Carequality / eHealth)

Data Blockers


• API’s (so far) have been focused around Patient queries (PHR) and other useful types of API type connectivity was left out.

• EHR data isn’t readily available for custom reporting tools such as Tableau, eliminating the ability to quickly create / response to reporting needs

• Workflow issues - even when HIE data is available, providers may not want to go to a separate portal to access the data.

Data Blockers


Analytics & Internal

Systems

Community

Exchange(Health Current)

National Network

Exchange(Carequality, eHX etc)

Data Ecosystems


Accept realities.

Move onto things I can control.

Strategies?


Demand collaboration.

Threaten. Yell. Plead.

Strategies?


Strategies!

Look for low hanging fruit


Strategies!

Find ways to

multiply small gains


1. First some Homeworka. Inventory your data gapsb. Do you know what your EHR vendor has committed to through MU

certification?

2. Control your destinya. Gain control of your data by adding a “hub” between your EHR and

the outside world

3. Think outside the boxa. Put 1 & 2 together and get creative!

3 Practical Strategies


Homework Tips


Do you have internal systems that do not share patient demographic, encounter or needed clinical data?

• Research Databases• Patient Engagement / Outreach / Reminders• Population Health Tools• Reporting / Analytics Tools

Inventory Your Data Gaps


How are you managing referrals in and out?

• Is the Fax Machine still the most important machine in your office?

• Have your providers adopted Direct Secure Messaging? If not, why not?



Is your connectivity with Health Current meeting your needs?

• If not, what is your current system “missing” that would help you obtain more value from your HIE participation?• Would automated data retrieval help?• Are HIE notifications “tuned” correctly for your needs?



EHRs and MU Certification Details

https://chpl.healthit.gov/#/search


EHR

CompanySoftware

NameVERSION Date

CertifiedCHPL ID


Control Your Destiny


The key is to untether it from your EHR / primary vendor.

Mirth Connect (now Nextgen Connect)

Rhapsody

Pilotfish

Qvera

Zen GEMINI - Offering a simpler approach

Do you have an Integration Engine?


Gemini Integration as a Service


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Gemini Options

Managed Services

Day-to-day support and

upkeep handled by Zen

staff.

Managed Interfaces

The Zen team builds,

maintains and monitors

your interfaces for you.

No need for developers or technical staff

Fully managed Integration as a Service. Sit

back and let the Zen experts handle the

technical details.

Integration as a Service

Zen Extensions & Libraries

SSL, SAML, and other

proprietary features not

available in the open

source.

Mirth Connect Open Source

One of the most widely

used interface engines

in the world, backed by

Zen expertise.

Gemini infrastructure - you build your own interfaces

Let Zen manage the infrastructure and

have your engineers and analysts focus on

what they do best.

Gemini Developer

Option 1

Option 2

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Get Creative!


What is Gemini Integration Platform?

Acquire, normalize and route data

Filter, map, and transform.

Apply complex business

logic to meet defined use

cases

A unique formula of

Technology + Engineering + Managed Services

Deliver data in multiple ways

Multiple endpoints in

multiple formats: API’s,

Normalized C-CDA, JSON,

Flat files, database write,

(etc)

Direct database extraction,

API, FHIR, HL7, CCD/C-CDA,

flat files (CSV/XLS), ANSI

X12, Direct Message (etc)

Flexible data acquisition models

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Zen Technology Ecosystem


Let’s talk about you…?



● Marilee Benson

● President

● [email protected]

● 949-629-0713

mailto:[email protected]

unlock your ehr data - health current · 2019. 11. 18. · ccd/ccda edi formats xml flat files...

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