June 5, 2008

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June 5, 2008

description

June 5, 2008. 750,000 patients in multi-state region. 2/3 of patients live in Tennessee 1 /3 live in Virginia 5% in other states. CareSpark’s Mission. Regional Population Has High Disparities of:. CareSpark’s mission is to improve the health - PowerPoint PPT Presentation

Transcript of June 5, 2008

Page 1: June 5, 2008

June 5, 2008

Page 2: June 5, 2008

750,000 patients in multi-state region

2/3 of patients live in Tennessee

1/3 live in Virginia

5% in other states

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CareSpark’s Mission

CareSpark’s mission is to improve the health

of people in NE Tennessee and SW Virginia

through the collaborative use

of health information

Regional Population Has High Disparities of:

• Diabetes

• Cardiovascular Disease

• Hypertension

• Lung Disease

• Cancer

• Premature Mortality

CareSpark region has $2,400 higher per capita patient care coststhan other regions of the country

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What Will CareSpark Do?

Outcomes Improvement •Individual health outcomes Population health status

Decision Support(real-time, at point of care, across all systems)

Patient-specific info (Rx, Dx, Hx)

Clinical Best Practices

PHR / EMR / CCR

Cost-Efficient Use of Resources

Reduced duplication, errors, administrative costs

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Source: SBCCDE, CITL, Gordian Project analysis

Redundancy

Treatment

Errors

Diagnostic

Electronic Medical Record

Clinical Data Sharing

Decision Support

Value is Derived from Better Medical Decisions

Patient Data

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CareSpark’s Strategic Outcomes

Population Health ClinicalPremature Mortality Adult Diabetics, Rx filled, vision / foot, HBA1C<7

New Diabetes CasesLipid Panel LDL < 100Flu Vaccines for 65+ Pneumo Vax for ages 65+, <2ER Visits for Health Attack Stroke TherapyPost- MI followup Cancer Screenings (PAP, Mammogram, colorectal)

Financial Savings -- ROI• Patient• Clinician• Facilities• Purchaser (health plan, employer, taxpayer, individual)

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CareSpark RHIO Consortium Partners

National / International: Local / Regional:ActiveHealth the Creative

Trust AllScripts DeliberareAnakam Holston

TechnologyCisco IntellithoughtCGI LucentGlowDell OnePartnerGE HealthcareHealthvision / Quovadx State:Initiate Systems TennesseeIntel Virginia MisysOracle Federal:Siemens DHHS / ONCWellogic

Market / thought leaders committed to interoperability, collaboration and results

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CareSpark IHE Architecture

Data P

articipan

ts

CareSpark Data StoreCareSpark Data Store

XDSDocumentRegistry

XDSDocumentRegistry

XDS PatientIdentitySource(MPI)

XDS PatientIdentitySource(MPI)

PortalPortal

Hospital 1 Phys PortalHospital 1 Phys Portal

IHE DocConsumer

IHE DocConsumer

Hospital 1Hospital 1

IHE DocSource/ DocConsumer

IHE DocSource/ DocConsumer

Physician Practice 1Physician Practice 1

IHE DocSource/ DocConsumer

IHE DocSource/ DocConsumer

Document RepositoryDocument Repository

Document RepositoryDocument Repository

FILTERFILTER

Clinical DataRepository

Clinical DataRepository

Public HealthData Mart

Public HealthData Mart

De-IdentifiedData Mart

De-IdentifiedData Mart

Car

eSp

ark

XD

S D

ata

Sto

re

-

F

or P

atie

nt C

are

Cli

nic

al D

ata

R

epo

sito

ry

-

F

or

Pub

lic H

ealth

Im

prov

emen

t

XDS PIXServiceXDS PIXService

CT TimeServiceCT TimeService

XDS PDQService

XDS PDQService

ATNA AuditRepositoryATNA AuditRepository

XDSDocumentRepository

XDSDocumentRepository

XDSKey Store

XDSKey Store

Public Health Department 1Public Health Department 1

Additional Providers and other data participantsAdditional Providers and other data participants

IHE DocSource/ DocConsumer

IHE DocSource/ DocConsumer

IHE DocSource/ DocConsumer

IHE DocSource/ DocConsumer

Document RepositoryDocument Repository

Data

Transformation

Data

Transformation

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CareSpark NHIN Architecture

CareSpark(Hosted at CGI)CareSpark(Hosted at CGI)

OracleOracle

XDS PatientIdentitySource(MPI)

XDS PatientIdentitySource(MPI)

PortalWellogic

PortalWellogic

CloverleafCloverleaf

XDS PIXServiceXDS PIXService

CT TimeClient

CT TimeClient

ATNA AuditRepositoryATNA AuditRepository

XDSDocumentRepository

XDSDocumentRepository

XDSKey Store

XDSKey Store

XDS PDQService

XDS PDQService

XDS RegService

XDS RegService

XDS RepService

XDS RepService

Two FactorAnakam

Two FactorAnakam

EMPIInitiate

EMPIInitiate

PostGreSqlPostGreSql

XDSDocumentRegistry

XDSDocumentRegistry

XDSRegistry

NIST

XDSRegistry

NIST

ATNAWinSysLog

ATNAWinSysLog

ADTService

ADTService

Web Server

DB Server

VersionControl

Subversion

VersionControl

Subversion

MPOPMPOP

MPOPConsentMPOP

ConsentCustom

InterfacesCustom

Interfaces

Anakam

ESBESB

NHIN request/response

Providers

Any other inbound/outbound end point

Socket TCP

SOAP/HTTP

Flat File

Data

Transformation

Data

Transformation

Protocol

Transformation

Protocol

Transformation

Message

Enhancement

Message

Enhancement

Security

Validation

Security

Validation

RoutingRouting

OrchestrationOrchestration

Anakam

Two FactorAnakam

Two FactorAnakam

Web Server

PHRActiveHealth

PHRActiveHealth

Web Server

e-PrescriptionAllScripts

e-PrescriptionAllScripts

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Convergence of Data

Administrative

Billing & Claims

Clinical

Personal Health Record

Research

Best Practices

Patient-Centered

Care

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Participation in Nationwide Health Information Network

NHIN Prototype Demonstration 2006-07

partner with Accenture consortium

CareSpark, West Virginia, Kentucky

NHIN Trial Implementation 2008

Secure exchange

Standardized interfaces

Consumer access

* Emergency use case:

summary medical record

* Medication Management

eRx, med history, decision

support

* Consumer Empowerment

personal health record, registration

and medication history

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Better Health for Central Appalachia

www.carespark.com

Liesa Jenkins, Executive Director423-963-4970

[email protected]