HITSAC MEETING DECEMBER 15, 2015

EXCHANGE

CVHIE Applicant CVHIE Application and EXCHANGE

Trust Agreement

Technical Testing and Certification

CVHIE Certified Node

CVHIE Certified Node

CVHIE Certified Node

eHealth Exchange Other Participants…

Production Technical Connectivity

Production Legal and Policy

Production Legal and Policy

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110 Participants 100M+ Patients

A “Connected Commonwealth”

Bon Secours Centra VCU***

Inova Virginia Hospital Center

Valley Health UVA Health System

Augusta** Mary Washington**

Sentara Carilion*

VA DoD SSA

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PHR 32 Health Systems 3,800+ Providers

*Transitioning to CV **Application approved ***Onboarding

E-Alerts Inova – ADTs

200+ physicians in 5 practices

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o Virtual longitudinal health record o Role Based Access: Practice and Hospital users o Access to federal and private healthcare partners across

eHealth Exchange o Used for treatment, payment and operations purposes o Searches and retrieves partner clinical data and renders and

parses the information into a single chart within clinical components

STREAMLINE One-stop access to clinical information

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Clinical Chart o Clinical Document Summary (C-CDA and C62) rendering that has multiple clinical

components – Demographics, Providers, Allergies, Encounters, Immunizations, Medications, Payers, Problems, Procedures, Results-Clinical Notes, Laboratory, Radiology, Pathology, etc.

o Filtering and printing by participant, across sources, within sections, within results

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Public Health Reporting

Provider's Information

System

VDH Specified Standard Content via HTTPS or SFTP

Delivered per VDH web service specification

ELR Syndromic Surveillance Immunizations Cancer Registry

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Hospital Discharge

Patient Panel

PM System

Alert Aggregator

ADT

Subscribe

Publish

Encounter Alerts - Basic Model

Alert Delivery

Physician Practice

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Hospital Discharge

Patient Panel

PM System

Alert Aggregator

ADT

Subscribe

Publish

Encounter Alerts – Basic+ Model

Alert Delivery

Physician Practice

New portal; allows query for C-CDAs

Allows Filtering

New delivery methods

Cross-border alerts With CRISP

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Moving Forward

Products and Services Committee

Introduce a process for identifying and vetting opportunities Ideas are proposed in writing to this committee from

a sponsor

Evaluation – Value, technology, regulatory, legal, policy & procedures

Submit to CVHIE Board of Directors if action is needed

Add to Products and Services Roadmap

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Priorities Increase connectivity to non-Epic hospitals

Connectivity to ambulatory providers for

referrals/transfers

Encounter Alerts deployment statewide

Communication improvement/expansion

Provider Portal expansion

Results Routing

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Additional Opportunities Genomics Bi-Directional Immunization

Registry Data DMAS / DSRIP Death and Birth Registries Behavioral health Ambulatory connectivity Results routing SIM Planning Grant APCD Wounded Warriors (VLER)

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Building Bridges: Current and Future Roles for HIE

St. Johns Bridge Portland, OR 205 feet

Data Suppliers – Data Receivers

Golden Gate Bridge San Francisco, CA 220 feet

Hospital - Hospital

Robert O. Norris Bridge White Stone, VA 110 feet

Military - Civilian

Mackinac Bridge Michigan 200 feet

Payers - Providers

Old Cooper River Bridge Charleston, SC 285 feet – Grade F

Hospital - PCP

Harry Nice Bridge 135 feet

Provider - Provider Ponte Vecchio Florence

Home - PCP

Royal Gorge Arkansas River, CO 1,053 feet

Data Suppliers = Data Receivers

Tower Drawbridge London

/ “Data Blocking”

Somerset Bridge Bermuda

API - API

Rainbow Bridge Niagara Falls 202 feet

- Physicians

- Behavioral Health

- Long-term Care