respiratory therapy department integration to ehr
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Respiratory Therapy DepartmentIntegration to EHR
November 18, 2009
MMI – 405: HIT Integration, Interoperability, and StandardsSuzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson
Best Ever HospitalBest City, IL
Agenda
November 18, 2009 2
• Where We Left Off• Information Architecture Diagram• Origin of the Individual Data Elements• Flow of the Data Sets between Systems
Best Ever HospitalBest City, IL
Where We Left Off
November 18, 2009 3
Best Ever HospitalBest City, IL
Best Ever HospitalBest City, IL
The SolutionNow, RCMIS stands aloneIntegrate the RCMIS with • BEH’s EHR for patient
information (ADT), orders, results, and patient billing
• Appropriate ventilators and monitors
November 18, 2009 4
Best Ever HospitalBest City, IL
Information Architecture Diagram
November 18, 2009 5
Best Ever HospitalBest City, IL
Integration Architecture
November 18, 2009 6
Best Ever HospitalBest City, IL
Origin of Individual Data Elements
November 18, 2009 7
Best Ever HospitalBest City, IL
RCMIS Data Elements
Best Ever HospitalBest City, IL
ADT (PID) Data Elements
ADT HL7 PID Segment
From: Hospital EMR
To: RCMIS
Best Ever HospitalBest City, IL
Orders Data Elements
HL7 ORM Segment
From RCMIS and Hospital EMR
Best Ever HospitalBest City, IL
Observation Data ElementsFrom: RCMIS &
Hospital EMR
Best Ever HospitalBest City, IL
Medical Document Management - Results
HL7 MDM Message
From: RCMIS
To: Hospital EMR
Best Ever HospitalBest City, IL
Detail Financial Transaction (DFT)From: RCMIS
To: Hospital EMR
Best Ever HospitalBest City, IL
Ventilator InterfaceFrom: Vents and BS Monitors
To: RCMIS and Hospital EMR
Pictures from http://www.draeger.com/US/en_US/products/medical_monitoring/pods_modules_options/mon_device_connectivity.jsp
http://www.absolutemed.com/Medical-Equipment/miscellaneous/PURITAN-BENNETT-7200-Series-Ventilator
Best Ever HospitalBest City, IL
Flow of Data Between Systems
November 18, 2009 15
Best Ever HospitalBest City, IL
Respiratory Care Management Information
System
Best Ever Hospital Electronic
Medical Record
Bedside Monitoring Equipment
RCMISInterface
Engine
ADTADT
ResultsResults
OrdersOrders
Billing Billing
Medical Device Data
Medical Device Data
Integrated Interface Data Flow
November 18, 2009 16
Vent Photo - http://www.puritanbennett.com/prod/Product.aspx?S1=VEN&S2=VNT&id=320
Best Ever HospitalBest City, IL
Respiratory Care
Management Information
System
Best Ever Hospital Electronic
Medical Record
Bedside Monitoring Equipment
RCMISInterface
Engine
ADT
ResultsResults
OrdersOrders
Billing
Medical Device Data
Vent Photo - http://www.puritanbennett.com/prod/Product.aspx?S1=VEN&S2=VNT&id=320
November 18, 2009 17
Best Ever HospitalBest City, IL
Respiratory Care Management Information
System
Best Ever Hospital Electronic
Medical Record
Bedside Monitoring Equipment
RCMISInterface
Engine
ADTADT
ResultsResults
OrdersOrders
Billing Billing
Medical Device Data
Medical Device Data
Integrated Interface Data Flow
November 18, 2009 18
Vent Photo - http://www.puritanbennett.com/prod/Product.aspx?S1=VEN&S2=VNT&id=320
Best Ever HospitalBest City, IL
Thank You
November 18, 2009 19
Best Ever HospitalBest City, IL
References1. University of Connecticut Health Center. Respiratory Therapy Department. Retrieved October, 2009, from
http://nursing.uchc.edu/unit_manuals/respiratory/index.html.2. Johns Hopkins Medicine. Respiratory Care Services at Johns Hopkins. Retrieved October, 2009, from http://www.hopkinsmedicine.org/respcare. 3. Medical College of Georgia. Respiratory Therapy. Retrieved October, 2009 from http://www.mcg.edu/sah/respther/index.html. 4. Quality Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy of
Sciences; 2001:39-40,100.5. Aspden P, Wolcott JA, Bootman JL et al., eds. Preventing medication errors. Washington,DC: National Academies Press; 2007:4.6. Safe practices for better healthcare: a consensus report. Washington, DC: National Quality Forum; 2003.7. Joint Commission on the Accreditation of Healthcare Organizations. Proposed revisions to Standards MM.4.10 and MM.8.10. Retrieved October,
2009, from www.jointcommission.org.8. Williams, B. 1990. How to do an ROI (return on investment). Healthc Inform 7(2):30-2.9. Ford, Richard M. Respiratory Care Management Information Systems. RESPIRATORY CARE. (2004); 49(4): 367-377.10. Pullen, EE. Computers help provide better care. RESPIRATORY THERAPY. (1980); 10(4): 25-27.11. Nelson, Steven B. Conference Summary: Computers in Respiratory Care. RESPIRATORY CARE. (2004) 49(5): 531-536.12. Mussa, CC. Respiratory care informatics and the practice of respiratory care. RESPIRATORY CARE. (2008); 53(4): 488-499.13. Clinivision. Mobile Patient Charting System. Retrieved October 2009 from http://clinivision.com/products/.14. Unified Medical Language System (UMLS). United States National Library of Medicine National Institutes of Health. Referenced October 2009
from http://www.nlm.nih.gov/research/umls/knowledge_sources/metathesaurus/mapping_projects/loinc.html. 15. Vawdrey, David, et al. Assessing Data Quality in Manual Entry of Ventilator Settings. J Am Med Inform Assoc. 2007;14:295–303.16. ScienceDirect.com;
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B75DF-4BVBRPC-B&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=1076766201&_rerunOrigin=google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=321a5b066da5c9b201c60fb32d8cb5ca
17. Theronix, Opus Respiratory Care, system documentation provided to authors by Theronix sales representative.18. CorePoint Health Web Site, HL& PID (Patient Identification) Segment,. Referenced November 2009 from
http://www.corepointhealth.com/resource-center/hl7-resources/hl7-pid-segment 19. CorePoint Health Website, HL7 ORM Message. Referenced November 2009 from
http://www.corepointhealth.com/resource-center/hl7-resources/hl7-orm-message 20. CorePoint Health Website, HL7 OBX Segment. Referenced November 2009 from
http://www.corepointhealth.com/resource-center/hl7-resources/hl7-obx-segment
November 18, 2009 20
Best Ever HospitalBest City, IL
References21. CorePoint Health Website, HL7 OBX Segment. Referenced November 2009 from
http://www.corepointhealth.com/resource-center/hl7-resources/hl7-obx-segment 22. CorePoint Health Web Site; HL7 MDM Message – Medical Document Management. Referenced November 2009 from
http://www.corepointhealth.com/resource-center/hl7-resources/hl7-mdm-message 23. CorePoint Health Website, Detail Financial Transaction (DFT). Referenced November 2009 from
http://www.corepointhealth.com/resource-center/hl7-resources/hl7-dft-detail-financial-transaction 24. Drager Corporate Website, Device Connectivity Option. Referenced November 2009 from
http://www.draeger.com/US/en_US/products/medical_monitoring/pods_modules_options/mon_device_connectivity.jsp 25. Absolute Medical Equipment website, Medical Equipment, Miscellaneous. Referenced November 2009 from http://www.absolutemed.com/Medical-
Equipment/miscellaneous/PURITAN-BENNETT-7200-Series-Ventilator 26. Puritan Bennett. Supportair™ Titration Platform Ventilator. Referenced October 2009 from http://www.puritanbennett.com/prod/Product.aspx?
S1=VEN&S2=VNT&id=320
November 18, 2009 21
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