august 13, 2019
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Connecting Communities, in Ohio and NationwideAugust 13, 2019
1 © Carequality 2019
The Situation
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Some are geographically based, but other types of data sharing communities also exist.
Communities of data sharing partners have formed,
brought together by specific needs.
© Carequality 2019
The Solution
3
Carequality creates a standardized, national-level interoperability
framework to link all data sharing networks.
Carequality is creating a web of interconnected communities.
© Carequality 2019
What Does This Mean For You?
• Health IT interoperability connections can be a lot of work
– Legal teams sign off on contracts
– Technical staff negotiate standards
– Compliance and privacy officers weigh in on policy
– Users complete acceptance testing
• Carequality has standardized these elements at a nationwide level, with buy-in from across the industry
• Complete one implementation – often very straightforward – and connect as a result into a broad nationwide ecosystem with a large Ohio footprint
4
Essential Elements
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Common rules of the road: In order for the varied participants to trust each other with health information, everyone needs to have a legal obligation to abide by the same rules.
Well-defined technical specs: Shared rules are not enough; clear standards must be laid out in an implementation guide that all implementers can follow.
A participant directory: To connect using the common standards, systems must know the addresses and roles of each participant.
© Carequality 2019
6
Carequality by the Numbers
Estimated 50% of US physicians with access to exchange today
Estimated 90% of US physicians Carequality capable
Nearly 40,000 clinics and over 1700 hospitals live
36M+ CCD/C-CDA documents exchanged monthly
© Carequality 2019
Ohio Carequality Participation
7 Source: https://carequality.org/active-sites-search/
8
Current Carequality Connected Agreement Signees
HIEs
TECHNOLOGY VENDORS
SERVICE PROVIDERS
CONSUMER APPS
OTHER
EHRs in Production
• AdvancedMD
• athenahealth
• Cerner
• Clinicient
• DocuTAP
• eClinicalWorks
• Epic
• Experian Health
• GE Centricity (now merged with athena)
• Glenwood Systems
• Greenway
• Homecare Homebase
• MatrixCare
• Medent
• Netsmart
• NextGen
• PCC (Pediatrics)
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What if My Vendor Wasn’t Listed?
• Brightree, Evident, and MEDITECH: Contact the vendor to get signed up; they are in final testing through CommonWell
• Allscripts: Contact the vendor to learn about timelines and requirements, and how to be an early adopter
• Other CommonWell members (see https://www.commonwellalliance.org/how-to-participate/alliance-members/): Contact the vendor to ask about plans to use CommonWell’sCarequality connectivity
• Anyone else:
– Contact the vendor to ask about its Carequality plans
– Consider reaching out to a service provider for connectivity options (more details on next slide)
– Note, HIEs are also an option but no Ohio HIEs currently participate
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Service Provider Options
• In production today:
– Health Gorilla
– Kno2
– Surescripts
– Zen Healthcare
• In implementation:
– eHealth Exchange
– Ellkay
– HealthLX
– Inovalon
– ParticleHealth
– Redox
– Safety Net Connect
– Surescripts
– Swellbox
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What’s Next?
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• Work In Progress
– Improving document content
– Expanding consumer access
– Coordinating care team notifications
– Governance for FHIR-based data element access
– Image sharing
• Future
– Additional care coordination support
If you’d like to join the conversation, please contact us at admin@carequality.org
© Carequality 2019
13
Thank You!
© Carequality 2019
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