Meridian Physician Summit Building and Connecting the Medical Neighborhood June 7, 2014
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Meridian Physician Summit Building and Connecting the Medical Neighborhood June 7, 2014. Topics. Jersey Health Connect (JHC). Non profit NJ Health Information Organization (HIO) established in 2010 Largest HIO in the state 4 th Largest transactional volume in the Nation - PowerPoint PPT Presentation
Transcript of Meridian Physician Summit Building and Connecting the Medical Neighborhood June 7, 2014
Meridian Physician Summit
Building and Connecting the Medical Neighborhood
June 7, 2014
Topics
Topic Presenter Time
Jersey Health Connect Membership Phase 1 Meridian Connection
Bob Radvanski
20 minutes
RelayHealth Demonstration Overview Provider Portal Patient Portal
Alex Kesler 40 minutes
Integrating Clinical Information Steve Sakovits
15 minutes
Questions & Answers 15 minutes
Jersey Health Connect (JHC)
• Non profit NJ Health Information Organization (HIO) established in 2010
• Largest HIO in the state– 4th Largest transactional volume in the Nation
• Powered by technology from RelayHealth• Provides access to both physicians and patients• Meridian signed as a member - Feb 2014
A Shared Vision for New Jersey…
• Improve care coordination, access, outcomes and efficiencies through the use of technologies facilitating to real-time clinical exchange
• Comply with national standards related to privacy and security considerations
• Allow organizations to maintain individual technology strategies
• Provide consumers a consolidated view of their health information to encourage active and informed participation
Electronic access to aggregated health information available whenever and wherever it is needed at the point of care.
30 Of
The State’s
Leading Healthcare Providers
Jersey Health Connect (JHC)
Hospitals Contributing Data 2012 2013 2014
Hamilton
RahwayNew Brunswick
Overlook Morristown Newton
Saint Barnabas Medical Center
Clara Maass
766 Connected Practices 1,778 Connected Physicians 20,221 Patient Queries 139,597 Connected Patients 2.6M Results & Messages
Jersey Health ConnectBy The Numbers
(serves 6 million patients in 10 counties)
4th Largest Directed
TransactionsIn The Country
State HIE Grantee Monthly Transactions
Indiana 14,532,368Colorado 5,011,816New York 3,322,812
JERSEY HEALTH CONNECT 2,295,636
Minnesota 1,680,124Vermont 889,700Delaware 827,483
Washington 138,422Michigan 98,976Maryland 48,655
Ohio 35,359Rhode Island 29,627
California 28,429Alaska 3,701Utah 2,482
Benefits to JHC Membership
• Collaborative model to improve patient care
• Opportunity for patient
engagement with Personal
Health Record
• Ability to share and retrieve patient care
data across healthcare systems and
electronic records platforms
What are JHC members contributing?
• Patient demographics/Visit History• Lab results• Radiology results• Transcribed documents• CCD/CCDAs
What is a CCD?CCD stands for Continuity of Care Document
Contains a summary of the patient’s health status from an episode of care. May include
Allergies Problems Medications Results Procedures Vital Signs Past Medical Hx, Family Hx, Social Hx Advance Directives Insurance
Structured format
www.jerseyhealthconnect.org
Jersey Health Connect (JHC)
Meridian Affiliation Network
Connection
Phase 1
Jersey Health Connect ….. powered by RelayHealth
Physician Practices
SOMC RMC OMC LTCJSUMC
eClinicalWorks
BCH
GE Centricity
Home Health
Allscripts Pro Greenway Practice Fusion
Vitera
Acute Facilities & Emergency Depts Post Acute Facilities
Implementation Underway – Phase 1Meridian Affiliation Network
Meridian Affiliation Network Phase 1 Connections Timeline
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Joined JHC
Planning & Vendor Alignment
Acute Care
Patient (PHR)
Ambulatory EMRs & Home Health
Provider Portal
Long Term Care
Jersey Health Connect ……………Powered by RelayHealth
48M+patient records managed
30M+clinical transactions
sent/month
3M+ patients enrolled online
720k patient messages
sent/month
48k+providers accessing data
267health systems &
partners participating
125+healthcare IT vendors
integrated
85+HIEs nationwide
powered by RelayHealth
DOD100+ MTFs
10K+ physicians800K enrolled patients
JHC30 hospitals
1800 physicians140K enrolled patients
RelayHealth Clinical Platform Footprint
Key Capabilities of RelayHealth
• Secure Messaging– Provider to provider– Provider to patient
• ED Notification• Results Delivery to EMR• Exchange data between EMRs• Provider Portal• Embedded Personal Health Record (PHR)
RELAYHEALTH DEMONSTRATION
Questions
&
Answers
Meridian Physician Summit
Integrating Clinical Information
June 7, 2014
Meridian / Physician EMR Connectivity Update
• Connectivity progress over the last 6 months• Hard at work on Cardiology Results
Meridian’s Integrated Health Care Delivery System
Meridian’s Connected Continuum
Meridian’s Continuum Challenge
Today data does not always flow between the systems that support our continuum of care
– Each service uses a system from a different IT vendor
– Inpatient data does not reside in the same database as Ambulatory data
– Limited ability for advanced data analytics
– Patient data from across the continuum is not easily available to physicians
– Patients have often have identifiers that are unique to each computer system making it difficult to merge patient data across the continuum
Integrating Clinical Information
Meridian has launched an initiative to evaluate the use of an Enterprise Data Warehouse (eDW) to integrate data from across the continuum of services to support the Clinically Integrated Network and Population Health Management.
An enterprise data warehouse (eDW), is a database used for reporting and data analysis. Integrating data from one or more disparate sources creates a central repository of data.
Our Process
Built a Cross Functional Team
213 4
Spoke to dozens of vendors,
consultants and hospital systems and published our
requirements
Conducted numerous system demonstrations and technical
reviews
Down to two finalists used
by leading health systems
Core Operational Systems Soarian CentricityLawsonInvision Cerner
SigmaCare
ETL, Data Warehousing & DSS
Siemens Data Warehouse
Meridian Enterprise Data Warehouse
Analytical Systems
Care Registries
MedSeekCRM
Contact Management
Predictive Modeling
Crimson
ETL Engine
Physician Access
Relay Health
HIE
P.H. Analytics
(TBD)CMS & Payer Data
Meridian Enterprise Data Warehouse - Future State
-Siemens Pharmacy-Sunquest Lab-Etc.
-Disease Registry-Misc. Analytical Systems-Etc.
-AllScripts-ECHO-Planning-Palliative Care-Etc.
-Physician EMR CCD’s-Soarian CCD’s-Ext. Lab-Etc.
Enterprise Data Warehouse
Benefits• Aggregate, transform and reconcile data
from cross the continuum of care• Identify, score and project the risks of
individual patients• Disease Registries• Physician scorecards• Physician access to information on their
population
Population Health Analytics - Registries
• Disease Registries– Identify high risk patients– Identify patients with care gaps– Provide consistent measurement of quality
1. Chronic Disease
1. Diabetes, Hypertension, Heart Failure, etc
2. Wellness
1. Pediatric, Adult, Senior & Maternity
3. Medications
1. Generic Dispense Rates
2. Medication Utilization– Support reporting requirements (ACO, HCQA, CMS, HEDIS, etc)
Attributed Population Auto-segmented into defined clinical Registries
Specific to attributed Population
Specific to attributed Population
Real-time view of current
performance
Support PCMH, value based purchasing & visibility into care gaps
Scorecard reflects clinical, financial, and other performance metrics.
Real-time, summary performance score calculated by the system
Drill-down to patient-centric view and performance against defined measures
Connecting with Community Physicians
eDW vendors & HIE’s like Relay Health are developing their solutions for exchanging data with each other, but the capabilities are still evolving
– We have had extensive conversations with Relay Health and the eDW vendors
– Over 40 EMR’s in use by Meridian Physicians
In Patient EMR
Physician EMR
Lab Results
eDW
HIE
Connecting with Community Physicians
Your Logo
Physician EMR
eDW connectivity with community physicians is predicated on use of EMR’s & EMR CCD connectivity with an HIE
– Meridian IT is working to connect physician EMR’s with the current HIE
– We have connected 155 Physicians to the HIE for CCD’s
– Many physicians do not use an EMR today
Mobile Apps
Looking to roll out a Pilot this summer and enterprise wide deployment if successful
HIPAA-Secure Messaging• Receive admit & discharge notifications, critical
values, exchange critical patient information including X-rays, EKGs & images with colleagues
Easy-Access Member Directory• Locate regional physicians by last or first name
or by specialty
Care Team Directory• Physician created Care Team
Pharmacy Search• Find and map a local pharmacy, search by zip
code, city, street name
Physician Groups• Search physicians by facility privileges or
groups of which they are a member
The Connectivity Challenge & The Road Ahead
Your Logo2011
2012
2014
2015
2016
ICA HIE
ACO Analytics
Enterprise Data Warehousing and Advanced Analytics
2014
2013
2014
Lab, Radiology & CCD connections
Jersey Health Connect HIE
Mobile Apps with Admission, Discharge and Results
Thank You
