sean cassidy: the naked health information exchange
DESCRIPTION
Sean Cassidy's presentation at Naked Hospital 2010- "The Naked Information Exchange"TRANSCRIPT
© 2010 IBM Corporation
The Naked Health Information Exchange
Sean Cassidy, SVP, GM, Healthcare – Initiate, an IBM Company
26 August 2010
Document number
© 2010 IBM Corporation
What is a naked HIE?
Open to all stakeholders
Provides seamless and transparent access to all available information
Accessible by any application, no technology constraints
Maintains accurate patient and provider identity
Respects policy, privacy and preferences
Enables evolution as well as revolution
Demonstrates clear value to participants
Supports ‘meaningful use’
Helps deliver better care and outcomes
2
Information Management
© 2010 IBM Corporation
Value
Scope of Information Sharing
EMR at the point of care
Connect organizations
Uniquely identify patients,providers & organizations
Aggregate & harmonize
Seamless access
HIE value delivery roadmap (UMass Memorial view)
3
Information Management
© 2010 IBM Corporation
Value
Scope of Information Sharing
Connect
Exchange
Access
Analyze
HIE technology deployment roadmap
“Push Data”
Secure Connectivity
Message Translation and Mapping
Auditing and Logging
“Subscribe to Data”
Orders, Results and Referrals; Admin Transactions
Queuing and Reconciliation
Community Enabled EMPI and Provider; XDS; Consent
“Request Data”
Virtual Patient Record
Integrated Workflow
Terminology/Vocabulary Services
“Get Information”
Quality Reporting
Outcomes Analysis
BI Platform
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Information Management
© 2010 IBM Corporation
Value
Scope of Information Sharing
Connected and Collaborating
“Easier to do Business with”
Meaningful User
Accountable
HIE organizational evolution roadmap
Computerized
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Information Management
© 2010 IBM Corporation
How HIE roadmap impacts patients
Impact Over Time
Population
Patient
Population-LevelHealth Research
Chronic DiseaseManagement
ClinicalInformationSharing for Patient
ImprovePatientAccess
Admission History
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Information Management
© 2010 IBM Corporation
Private health information exchange
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Information Management
© 2010 IBM Corporation
ResultsPortal
Orthopedic
Interoperability Services
Foundational connectivity & exchange application architecture
IPA
Network
Order/Results Mgmt
Shared Registration
Maintainlocal Interfaceto Initiate Agent
InterfaceEngine
EMR-Generated Orders
Remote Printing& Document
Capture
ClinicalSystems
OtherSystems
Identity Services: Patient & Provider
Results Delivery
Referral & Consults
Document Registry & Repository (XDS)
Document & Image
Sharing
HostedEMR
Health System A
RemoteOffice 6
RemoteOffice 5
RemoteOffice 4
EMR
RemoteOffice 2
Office 1
Family Practices
EMR PM
Oncology/Hematology
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Information Management
© 2010 IBM Corporation
Traditional uses of an EMPI
PATIENT INFORMATION
Debbie
9146 E. Via Del Sol
Netown
Becker
CA / 45883
F
30
1/1/65
First:
Last:
Address:
City:
State/Zip:
Gender:
Age:
DOB:
HospitalRegistration
Data Quality
Clinical Info Sharing
CustomerSvc / Billing
EMPI
HEALTHCARE PROVIDER #01
Dr. Debbie Dozier-Becker
Netown, CA 45883
9146 E. Via Del Sol
Name:
Address:
Address 2:
LocalIdentifier:
12/19/61 - 727
HOSPITAL #02C
Debbie Becker, M.D.
Netown, CA 45883
9146 E. Via Del Sol
Name:
Address:
Address 2:
LocalIdentifier:
ABC98765
CLINIC / DOCTOR’S OFFICE
Debbie Becker
480-473-3486
9146 E. Via Del Sol
Name:
Address:
Phone:
LocalIdentifier:
VR:1432141234
PHARMACY
Deb Becker, M.D.
5555-55-1234
Null
Name:
UPIN #:
ID#:
LocalIdentifier:
DBECKER1234
Dr. Debbie Dozier
5555-55-1234
1918282
Name:
UPIN #:
ID#:
LocalIdentifier:
PIN122341
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Information Management
© 2010 IBM Corporation
EnterpriseMaster PatientIndex
HIS
HIS
CommunityMaster PatientIndex
ADT
Shared registration
‘Trusted’ ‘Un-trusted’
“Enterprise”Patient
ADT
ADT
Search
Search
AmbulatoryEMR
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Health System HIE Services Affiliate
© 2010 IBM Corporation
Lab SystemResults
Reconciliation& Delivery
Results (With MRN)
Results reconciliation & delivery
CommunityMaster PatientIndex
Results (No MRN)Ambulatory
EMR
Exceptions Mgmt.
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Information Management
Health System HIE Services Affiliate
© 2010 IBM Corporation
Health System HIE Services Affiliate
HISDocument
Subscription Mgmt Documents
Document ‘subscription’
DocumentsAmbulatory
EMR
XDS Registry/
Repository
Request
Relationships
SubscriptionRequest
CommunityMaster PatientIndex
Provider Index
Documents
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Information Management
© 2010 IBM Corporation
Health System HIE Services Affiliate
Lab SystemOrder/ResultsReconciliation
& Delivery
AmbulatoryEMR
Results
Order reconciliation & delivery
CommunityMaster PatientIndex
Results
HIS
Orders
Order Queue Mgmt.
Exceptions Mgmt.
ADT
ADT
Orders
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Information Management
© 2010 IBM Corporation
Meditech
Imagecast
VISICU
Allscripts
Soarian
NextGen
Community patient search
CommunityMaster PatientIndex
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Information Management
PATIENT INFORMATION
John
123 Main Street
Anywhere
Smith
CA/12345
First:
Last:
Address:
City:
State/Zip:
Allergies
Medications
Problem List
Surgical History
Immunizations
Etc.
© 2010 IBM Corporation
Additional identity management related HIE scenarios
Referrals & consults
PHR integration/authorization
Inter/cross network exchange and ‘hub of hubs’
Patient consent (patient master)
Provider policy management (e.g., Information sharing preferences)
Data governance/stewardship
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Information Management
© 2010 IBM Corporation
Mission: Enable high-quality, patient-centric care by making all relevant information about a patient available at the point-of-care, irrespective of organization, geography or care setting.
Document distribution (‘push’, ‘pull’ & ‘subscription’)
Referral management
Shared registration
Community patient search (virtual patient object support)
Provider management
Strategy: Establish an advanced community HIE platform that connects stakeholders in central Massachusetts and improves relationships with providers. Leverage off-the-shelf technologiesthat can be deployed quickly.
IBM Solution: IBM® Initiate® Exchange, Patient, and Provider
Revenue: $1.4B
Hospitals: 7
Beds: 1,100
Employees: 13,500
Physicians: 1,600
RegisteredNurses: 3,000
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Case study
© 2010 IBM Corporation
UMass MemorialHealth Care
PhysicianPractice
Orders & referrals
Results & documents
Efficiency
Quality
Cost-effectiveness
Patient satisfaction
Revenue
Efficiency
Quality
Patient satisfaction
at
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Information Management
© 2010 IBM Corporation
What is a naked HIE?
Open to all stakeholders
Provides seamless and transparent access to all available information
Accessible by any application, no technology constraints
Maintains accurate patient and provider identity
Respects policy, privacy and preferences
Enables evolution as well as revolution
Demonstrates clear value to participants
Supports meaningful use
Helps deliver better care and outcomes
18
Information Management
© 2010 IBM Corporation19
Information Management
Thank you
“ The SaaS model allows us to support our mission of improving the healthof our communities by being able to quickly connect our physician community while giving us the flexibility to expand the scope at our own pace.”
– Jeff Allport, Vice President, IT Solutions Delivery,St. Joseph Health System
Contact:
Sean Cassidy, Senior VP, GM, Healthcare
Phone: 312-208-0468
Email: [email protected]
© 2010 IBM Corporation20
Information Management
Trademarks and notes
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