State of New Mexico HIT Website and NMSIIS NM … authority...4/12/2013 1 State of New Mexico HIT...

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4/12/2013 1 State of New Mexico HIT Overview: New Mexico’s HIT Website and NMSIIS NM HITREC Health Information Technology Seminar April 19, 2013 Terry Reusser, CIO and Kevin Bersell, NMSIIS Manager NM HIT Website Terry Reusser, CIO Role of Public Health Agencies • Provide HL7 connectivity capacity so EHRs can connect to a Public Health Information System – Unidirectional (reporting-only) capacity is sufficient at Stage 1, but bidirectional (reporting plus supporting record queries) may be necessary by Stage 2 or 3 (already important to many projects aside from MU) • Provide localized HL7 standard & implementation guide to requesting providers/EHR vendors 3 Limits of Public Health’s Role 4 Public health is NOT responsible to: • Set or clarify MU standards • Certify providers as meeting any MU standard – It is the provider’s responsibility to attest to CMS that they’ve met the standards – Attestation for any of the Registry options involves having submitted a test message to your state registry, which may or may not succeed – Some agencies are setting up separate servers to accept these tests in order not to contaminate live data, or because the production system is not yet HL7-ready – If the registry will be unable to accept test messages (even through a test server) in 2011-2013, providers may be granted a waiver • Certify or promote any EHR product as MU-ready • Adapt its registry to accommodate non-standard EHR submissions • Support the installation, configuration or use of any EHR or HIE (this is the vendor’s role), though it may choose to do so Public Health Reporting 5 Roadmap features 6

Transcript of State of New Mexico HIT Website and NMSIIS NM … authority...4/12/2013 1 State of New Mexico HIT...

Page 1: State of New Mexico HIT Website and NMSIIS NM … authority...4/12/2013 1 State of New Mexico HIT Overview: New Mexico’s HIT Website and NMSIIS NM HITREC Health Information Technology

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State of New Mexico HIT Overview: New Mexico’s HIT

Website and NMSIIS

NM HITREC

Health Information Technology Seminar

April 19, 2013

Terry Reusser, CIO and

Kevin Bersell, NMSIIS Manager

NM HIT Website

Terry Reusser, CIO

Role of Public Health Agencies

• Provide HL7 connectivity capacity so EHRs can connect to a Public Health Information System – Unidirectional (reporting-only) capacity is sufficient at

Stage 1, but bidirectional (reporting plus supporting record queries) may be necessary by Stage 2 or 3 (already important to many projects aside from MU)

• Provide localized HL7 standard & implementation guide to requesting providers/EHR vendors

3

Limits of Public Health’s Role

4

Public health is NOT responsible to:

• Set or clarify MU standards

• Certify providers as meeting any MU standard – It is the provider’s responsibility to attest to CMS that they’ve met the standards

– Attestation for any of the Registry options involves having submitted a test message to your state registry, which may or may not succeed

– Some agencies are setting up separate servers to accept these tests in order not to contaminate live data, or because the production system is not yet HL7-ready

– If the registry will be unable to accept test messages (even through a test server) in 2011-2013, providers may be granted a waiver

• Certify or promote any EHR product as MU-ready

• Adapt its registry to accommodate non-standard EHR submissions

• Support the installation, configuration or use of any EHR or HIE (this is the vendor’s role), though it may choose to do so

Public Health Reporting

5

Roadmap features

6

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Registering

7 8

Email Confirmation

11

New: Multiple locations

12

New: Multiple users

13

Reference Library

14

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Progress checklists

15

HL7 Message Testing

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Message Results

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Results Detailed reporting

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Sample Report

19

PID information

20

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History of testing and exchange

21

Letter of confirmation

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Future: WIKI links

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Detailed help via WIKI

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User friendly

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Web Services

• NMDOH has ability to do bi-directional data exchange via HTTPS Post or WSDL (Web Services Definition Language).

• Providers ability to submit Electronic Lab Record, Immunization or Syndromic Surveillance data via web services.

• Rhapsody Integration Engine utilization for Data validation.

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Rhapsody Engine In progress

• On-boarding process

• Hospital Inpatient Discharge Data

• Ambulatory

• Other data from the HIE

NMSIIS Update

Kevin Bersell, NMSIIS Manager

New Mexico Statewide Immunization Information System Facts

Began in 2005

Major Upgrade in 2009

Life Time Registry

18,600,000 Vaccinations

1,800,000 Individuals

Upward Trend in Reporting

0

50,000

100,000

150,000

200,000

250,000 Immunizations Per Month

Because…

…It’s the Law!

On April 1, 2013 Gov. Martinez Signed SB58 Making Reporting of Immunization Mandatory Effective July 1, 2013

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Data Exchange

• What Is It? – Providers electronically send files containing

immunization information to NMSIIS

• Why Is It Important? – Quality

– Timeliness

– Participation

– Cost

– Meaningful Use

Data Exchange Project Status

• Upgraded NMSIIS to improve data exchange and implement HL7 2.5.1

• Implement data transport engine (Rhapsody)

• 8 Current Providers with 184 sites

– 7 HL7 2.3.1

– 1 HL7 2.5.1

Current Goals

• Move all current providers to HL7 2.5.1

• Have all new providers use HL7 2.5.1

• Have 50% of all current providers using data exchange by August 2014

On-Boarding Process

• Takes 3-12 Weeks depending on Vendor Readiness

• Based on Date of NMSIIS Registration

• 44 Providers/Groups Invited

• Currently 12 Providers Actively Onboarding

Contact

Registration

(NMHIT)

Ready Check

Ready Queue

Testing

Production

Contact

Providers find out about ADX through:

– Meaningful Use activities

– Vendors

– Other Providers

– Immunization Program Contacts

All Contacts are directed to the NMHIT Website to Register

Registration

• Welcome

• Contact Info

• Documentation

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Ready Check

Provider and Vendor confirm that required components are in place:

• Provider Ready

• IT Support Available

• Registered on NMHIT and NMSIIS

• Transport Technology in Place

• HL7 2.5.1 Compliant including NMSIIS Spec

Ready Queue

• Waiting for Opening in Testing Phase

• DOH may conduct On-Site visit

Testing

• Transport Testing

– HTTP-Post

– WSDL

• VXU & ADT Testing

– Test Cases Defined in Documentation

• QBP Testing (Optional)

Production

Transition to Production

• Verification of Readiness

• Provision of Production Information

• Monitoring

Post-Production

• Monitoring

• Support

• Troubleshooting

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Terry Reusser: [email protected] Web page: www.nmhit.org Support: [email protected] Kevin Bersell: [email protected] Web page: http://immunizenm.org/

mailto:[email protected]
http://www.nmhit.org/
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
mailto:[email protected]
http://immunizenm.org/

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NMSIIS - New Mexico Department of Health

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