Post on 24-Feb-2016
description
NDHIMA – Fall Conference
September 13, 2013
Agenda• Participation Update• Direct Status• HIE Implementation• Project Update• EMR Loan/NDHIN Connectivity Grant Program• NDHIN – Delivering Value
• 105 Participating Organizations• http://www.ndhin.org/providers/participating-providers
NDHIN
Provider Education• http://www.ndhin.org/video/provider-education-video
Push Services
NDHIN Direct Secure Messaging
Adoption of Direct is growing…
7
Map Legend
Not Live
Live
Pilot
Not implementing Direct
CO
NM
TX
OK
CA
NV
OR
WA
ID
AZ
UT
MT
WY
ND
SD
NE
KS
MN
IA
WIMI
MO
AR
LA
IL IN
MS AL
FL
GA
SC
NCTN
KY
OH
WV VA
PA
NY
VTNHME
AK
AS
DC
GU
HI
PR
USVI
CNMI
Other States and Territories
RICT
DE
NJ
MA
MD
State HIE Program Grantees, August 2013
NATE
DirectTrust
Pull (Query based) Services
Integrated Health Data Architecture
Data Feeds to HIE• VPN Connection to Data Providers• HL7
• Admission, Discharge, Transfer (ADT)• Labs (ORU)• Radiology Reports/Documents (ORU)• Clinical Documents• Immunizations (VXU)
• CCD/C-CDA Exchange
InterfacesInterfacesType of Data Interface Approach User Interface
(Front end View)
Patient Demographics
HL7– ADT Demographics to EMPI
Homepage
Patient Search
Patient Summary - Demographics & Emergency Contacts
Encounter History HL7 – ADT (PV1 segment)
Inbound
Patient Summary – Encounter History Windowlet
Laboratory Results
HL7 - ORU Inbound - Numerical and Textual (e.g. Pathology and Microbiology)
Document Tree/Results Viewer
Normalized to LOINC
Radiology Reports HL7 - ORU Inbound - Textual
Document Tree/Results Viewer
Transcribed Reports
HL7 Or MDM – Inbound or PDFs/Scanned documents
Document Tree/Results Viewer
InterfacesInterfaces ContinuedType of Data Interface Approach User Interface
(Front end View)
Allergies HL7 - ADT (AL1 segment) Inbound
Patient Summary - Allergies Windowlet
Normalized to SNOMED
Diagnosis HL7 – ADT (DG1 segment) Inbound
Patient Summary – Encounter History Windowlet
Medications
(Current Inpatient and historical)
HL7- RDSO13, RDEO11, RAS017 and OMPO09 – Inbound
Patient Summary – Medications Windowlet
Normalized to RXNorm or NDC
Problems HL7-PPR Patient Summary – Problems Windowlet
Normalized to ICD 9/10 or SNOMED
Procedures CCD – will be parsed from the CCD into the CDR
Patient Summary – Procedures Windowlet
Normalized to ICD 9/10 or CPT4
Imaging
NDHIN Patient Portal• Provide patients secure access to their current medical
records from all participating sources• Improve communication between patients and providers• Upload relevant documents (such as Advance Directives)
• The NDHIN Clinical Portal will be the statewide Advance Directive Repository
• View who has accessed their Clinical Portal record• Providers can:
• Electronically deliver results• Confirm/Remind upcoming appointments • Provide patient reference information
Notifications
Subscriptions/Notifications• Providers can “subscribe” to their patients and be notified
when specific events/triggers happen – based on HL7 messages• Inpatient Admission • Inpatient Discharge • Abnormal Lab Result (includes all abnormal results) • Above High/Low Abnormal OR Panic Lab Result (subset of
abnormal lab result) • New Final Radiology Result • Patient is admitted to the ER
Audit Log
Patient Consent• Opt Out/Opt In of HIE managed by two methods:
• ADT Message (PD1-11)• Manually, within HIE
Integration with EHRs• Direct: NDHIN as HISP
• EHRs will be Direct-Enabled as part of 2014 Certification• SSO/Clinical Integration with HIE
Example Integration (Epic)Single Click access to Clinical Portal
Example Integration (Cerner)Single Click access to Clinical Portal
HealtheWay
Project Status• Jamestown Regional Medical Center –ADT testing complete, LAB
message analysis almost complete, validation planning underway, eMPI bulk load complete, regular status calls occurring, and outreach/training activities underway.
• Sanford (Fargo) – ADT message analysis continues, Immunization pass-through to NDIIS in Production, regular status calls occurring.
• St. Alexius - Readiness Assessment submitted, regular status calls occurring and outreach/training activities underway.
• Dept. of Health, Public Health Reporting connection – connection complete, regular status calls occurring planning for ELR to be sent through NDHIN from first participant.
• Dept. of Health, Immunization Integration – pass-through for Sanford Fargo in production, testing with Altru, planning with other participants continues.
Project Status• Altru Health System – ADT testing almost complete, LAB
message analysis beginning, Readiness Assessment complete.
• Sanford (Bismarck) – VPN complete, ADT message analysis almost complete, LAB message analysis beginning, outreach/training activities underway.
• Catholic Health Initiatives – Participant agreement being finalized, onboarding planning underway.
• Family HealthCare – VPN and Readiness Assessment feedback in progress.
• Trinity and Mid Dakota Clinic – Onboarding in progress.
EMR Loan/Connectivity Grant Programs
• EMR Loan Program – Disbursed $11.5M to date
• NDHIN Connectivity Grants• Purpose: Provide funds to providers to connect their electronic
health record system to the NDHIN• Funds Available - 1 to 1.3 Million Dollars (Disbursed $553K to date)
• Hospitals - $30,000• Clinics and Other Providers - $10,000• Pharmacies - $5,000
NDHIN – Delivering Value• What role can NDHIN play?
• Direct Messaging Service Provider (HISP)• Provide data to Providers from other locations/other EHR Systems
• Direct• Clinical Portal• EHR Integration (Epic, Cerner, etc…)
• Provide data from other Providers to you/your EHR System• Direct• Clinical Portal• EHR Integration (Epic, Cerner, etc…)
• Deliver data to State Lab/Registries/Other Sources – Meaningful Use• Immunizations• Electronic Lab Reporting• Syndromic Surveillance
• PCMH• Analytics/Reporting (ACOs, Community Needs Assessments, etc…)
Agenda• Participation Update• Direct Status• HIE Implementation• Project Update• Loan/Connectivity Grant Program• NDHIN – Delivering Value