Current Status and Plan

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Forest Blanton, Sr. VP and CIO Memorial Healthcare System

Agenda

Status of the Atlantic Coast HIE

Lessons Learned Questions

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The Atlantic Coast Health Information Exchange (ACHIE) Memorial Healthcare System Strategic Plan

a. Plan completed in 2008 included the following recommendations:

i. Replace MHS’s home-grown Accounts Receivable Management System with a commercial ARM system capable of supporting integrated inpatient and ambulatory clinical operations

ii. Select and install a Health Information Exchange to connect MHS physicians

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Background of ACHIE b. RFPs completed in Spring of 2009 and

selections made

i. EPIC for an Integrated Clinical/Financial system

ii. Axolotl for HIE and “EMR Light”

c. Contract executed late 2009

d. Initial implementation March 17, 2010

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Participating Vendors

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Contracted: Allscripts MyWay (Healthcare Data Solutions)

CompuGroup Medical eClinicalWorks eMDs Epic Greenway Medical Technologies Inc. IOS Health Systems Inc. Soren Technology Suitemed LLC MedPlus Inc./Quest First Medical Solutions

In Negotiation: GE Amazing Charts NextGen Sage CureMD

ACHIE Project Status

1. Currently implementing with

9 EHRs and 103 providers

2. Current signed practices (56)

should be implemented by

end of Q3 2012

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Vendor HIE Go-Live Forecast

eMDs Live

IOS Health Systems Inc. Live

Soren Technology Live

eClinicalWorks 6/14/2012

SuiteMed LLC 6/22/2012

Allscripts MyWay (Healthcare Data Solutions) 6/25/2012

MedPlus Inc./Quest 6/26/2012

Greenway Medical Technologies Inc. 7/16/2012

State of Florida HIE 8/1/2012

CompuGroup Medical TBD

ACHIE Technical Specifications 2. Interface methods

a. HL7

Discrete textual information sent in real time as it is made available

Include Lab results

b. Continuity of Care Document (CCD) Exchange

Newer standard for exchange

XML Summary documents queried for by physicians

Multiple standard exist, standards are published by Integrating the

Healthcare Enterprise (IHE)

Not all EHR vendors support CCD at this time

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Atlantic Coast HIE Configuration

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Data Delivery Push: Data for patients with an existing relationship can be pushed

automatically to an EHR (HL7 Interface) VHR Search (Pull): VHR can be searched by patient demographics

then information can be pulled into the EHR (HL7 Interface) Query: Patients can be located from a provider’s EHR system and

data placed in the EHR (CCD Connection) Patient Consent

“Opt In” HIE: Patients will need to specifically consent for information to be shared in the HIE

Responsibility of individual physicians to educate patients on the consent policy

Information in EHR systems Information sent to EHR systems can be integrated directly within

other electronic medical records

ACHIE On-Boarding to the FLHIE

1. ACHIE accepted as early adopter in Group 2 to

connect to the Florida HIE

2. Kickoff Meeting January 19th

3. Policies updated to comply with State Guidelines

4. Consent policy modified to conform with State

standards

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National HIE

FL HIE

Inter HIE

Gateway

Atlantic Coast HIE

Health System

Independent Physicians

Management Group

Other Independent

Physicians

MHS Facilities

Voluntary MHS Physician EHR’s

Reference Labs

Other Providers

Private HIE

Personal Health Record

ACHIE Governance Model 1. MHS is offering membership in ACHIE to any

provider who wishes to join

2. Governance model has being revised to make it

more participative and open

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Lessons Learned Be Transparent

Lots of Contracts

Be Patient

Tie HIE Connections to EHR Contracts

Promote Value

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Questions

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www.atlanticcoasthie.com