NORTHERN VIRGINIA REGIONAL HEALTH INFORMATION ORGANIZATION
12
NORTHERN VIRGINIA REGIONAL HEALTH INFORMATION ORGANIZATION June 15 th , 2012 J.P. Auffret and Leslie Ellwood
description
NORTHERN VIRGINIA REGIONAL HEALTH INFORMATION ORGANIZATION. June 15 th , 2012 J.P. Auffret and Leslie Ellwood. NoVaRHIO Organization. - PowerPoint PPT Presentation
Transcript of NORTHERN VIRGINIA REGIONAL HEALTH INFORMATION ORGANIZATION
NORTHERN VIRGINIAREGIONAL HEALTH INFORMATION
ORGANIZATION
June 15th, 2012J.P. Auffret and Leslie Ellwood
NoVaRHIO Organization
Organized as a Virginia not-for-profit corporation and is recognized by the IRS as having tax exempt status under Section 501(c)(3) of the Internal Revenue Code. • Start-up funding- Through grants and contributions including Commonwealth of
Virginia grant
• Hospitals• Doctors• Local Governments
• Payers• Laboratories• Pharmacy Organizations
• Businesses• Universities• Not-for-profits
2
Our Mission ...to improve the health status and health care of the those who live and work in
Northern Virginia by facilitating the availability of accurate and timely electronic medical records when needed for health maintenance and treatment
Counties Cities TownsArlingtonFairfaxLoudounPrince William
AlexandriaManassasManassas ParkFalls ChurchFairfax
CliftonDumfriesHamiltonHaymarketHerndonHillsboroLeesburgLovettsvilleMiddleburgOccoquanPurcellvilleVienna
NoVaRHIO – Our Region
3
NOVA RHIO: MEDS-ED PILOT PROJECT AT INOVA ALEXANDRIA HOSPITAL
Why MEDS-ED?• The MEDS-ED Link Pilot Project – supported by Inova, GE, Picis,
Audacious Inquiry, GMU and the Commonwealth of Virginia – has the goal of providing electronic access to patient medical histories in hospital EDs and integrating with hospital ED systems.• NoVaRHIO started with MEDS-ED as the benefit of health information
in emergencies is recognized by most – MEDS-ED contributes to gaining public support.• Assists physicians, hospitals and patients - in treatment, in quality
of care and in medication reconciliation. • Provides foundation for a full HIE and integration with ED systems as
a result of contribution of partners and development of CCD platform. • Dovetails with the NoVaRHIO “File-for-Life”, a basic paper-based
personal health record summary. initiative has a potential health benefit and builds awareness of the value of health information.
5
1. Consent &Demographics
2. Query Pharmacies& Payers
4. Medication History Response
3. Query Other Data Sources File of Life Clinical Summaries (future phase)
WorkflowEmbedded HIE
6
How are these discrete meds integrated?
7
NoVaRHIO Medication History ServiceInova Picis
RxNorm (RxCUI)-to-FDB (GCN_SeqN)
Final MessageFormat: CCD Code: RxNorm
Medication ConversionNDC-to-RxNorm (RxCUI)
Response Messagefrom SureScripts
Format: RDS Code: NDC
Pharm#2
Pharm#N
PBM#N
PBM#2
Pharm#1
PBM#1
SureScriptsRxHub
HL7 CCD Format w/ RxNorm Coded Meds
8
NoVaRHIO’s Menu of Services and MEDS-ED Future Path• Extend MEDS-ED to labs, radiology, physician community
desktop, immunizations, discharge summaries• Build upon “File-for-Life” effort with PHR+ tailored to specific
healthcare groups and providing / enabling surround services; enhanced core of personal health information at time of emergency medical system (EMS) care• Connect to COV-HIE• Investigate possible connections with VA / DoD• Support regional provider efforts on Stage 2 Meaningful Use• Provide value as a neutral organization in rapidly changing technology
and data availability environment; adaptation of leading edge and proven mobile HIE type technologies and applications from other U.S. regions.
9
Concurrent hospital and health systems development and promotion of shared electronic health record with internal capability of sharing information and messaging among hospital and attending physicians.
EPIC electronic health record Uncertain physician acceptance
Cloud computing reduces investment expense for an HIE, but pricing of services and products is controlled by the cloud vendor, with the HIE receiving a percentage of the gross income.
Disruptive Influences and Challenges for HIE Development
Sustainability of funding models for HIE in Northern Virginia Grant dependence not a sustainable model (CareSpark) Business model for mix of sponsorship fees and subscription
and transaction fees for users not yet established
Rapid technology change and associated technology risk
Uncertain regulatory environment
Dynamic competitive and market environment – market participants are suppliers, partners and competitors at same time.
Disruptive influences and Challenges for HIE Development
Philip Reilly, Chair, Board of Directors [email protected]. Auffret, Vice Chair, Board of Directors [email protected] Ellwood, MD, Member, Board of
Directors [email protected]
Contacts for Northern Virginia RHIO
