DIA 2015 - EMR/EHR Clinical Data Intergration with EDC Systems
Presentation 2010 mMD EMR\\EHR
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Transcript of Presentation 2010 mMD EMR\\EHR
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EHR/PMS
mMD.net EHR & Practice Management with
Health Information Exchange & Patient Portal
MCS - Medical Communication Systems, Inc.Old Bridge, NJ
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EHR/PMS
Mission
It is our mission to develop, apply, and market
methods, technologies, products, and solutions that
support streamlined collaborative workflow among the
healthcare payers, providers, patients, sponsors, and
pharmacies, resulting in enhanced quality of care,
increased patient safety, reduced administrative
overheads, and increased effectiveness and efficiency
of healthcare processes.
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EHR/PMSA brief history in time!
1999 to 2000 – Scalability of Product architecture from Mobile to Enterprise
2001 to 2002 – First Responder for the US Army
2002 to 2004 – Ambulatory EMR (Charting+eRx+EOE+Charges+Schedule)
2005 to 2007 – Integration Adapters for PMS+Lab/Test+SureScripts+CCR+Equipment
2007 to 2009 – Integrated Practice Management & Patient Portal
2010 onwards – Health Information Exchange (Cloud Computing) / P2P / Portals
1997 to 1998 – Patient Information Manager on Palm Pilot – Pioneering effort
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EHR/PMSmMD.net Suite
(Microsoft .net Framework 3.5 / Browser based using ASP.net / Services Oriented Architecture using Windows Communication
Foundation / Microsoft SQL Server 2008)
Electronic Health Record
Patient Portal/PHR
Health Information Exchange
Mobile EHR/PHR
Practice Management
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EHR/PMSCCHIT Award-Ambulatory EHR Leadership
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Small % of EHR Products are Certified for HITECH
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EHR/PMS
Awards
EHR Systems for Small Practices (1 - 5 Physicians)
Document Imaging Systems
EHR Systems for Pediatrics
Personal Health Record (PHR) / Patient Portal
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EHR/PMS
Awards
EHR Systems – CCR Implementation
Healthcare System for Document Imaging
EHR Systems for Pediatrics
Personal Health Record (PHR) / Patient Portal
Healthcare System for Mobile Applications
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EHR/PMSRecognition from Experts
AC Group, Inc.
# 1 for 1-2 physician practices# 2 for 3-99 physician practices# 3 overall
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Top EHR vendors for Small Practices
Functionality, Company Viability, Implementation, Training, Client Base, End-User Satisfaction, Pricing, and Contracting
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EHR/PMS
PMSDemographics Scheduling Billing
Lab Info Systems
Retail Pharmacy
Child Imm. Registry
DOQ-IT
CCI Edits Engine
Terminology Server
PHREHROrder Entry ChargesCharting
Lab/Test
ChargesCharting
eRxEnterprise Integration AdaptersDIM PHR
eRx
Evolving an Integrated Community EHR
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EHR/PMS
Internet
Internet
mMD.net EHR Server
EHR Client
Drug Reference Database
PBM Servers
Co
nti
nu
ou
s U
pd
ates
EHR Client EHR Client
EHR Client
Innovative Software Architecture using Web
Services
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EHR/PMS
Drug Reference Database – First Data Bank
Drug Interactions & Alerts – First Data Bank
Drug Monographs – Lexi-Comp
Drug Formularies – RxHUB / MediMedia / Medicare Part D
Patient Handouts – First Data Bank / AAFP / AAP / Other
Clinical Best Practices Implementation through templates
CCI Edits – LMRP / LCD / MDeSolutions
Clinical Decision Support at the Point-of-Care
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EHR/PMS
Online Formulary Check
Clinical Decision Support
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EHR/PMS
Online Drug Interaction Check
Clinical Decision Support
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EHR/PMS
Clinical Alerts – for single patientClinical Alerts – for single patient
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EHR/PMS
Clinical Alerts – Decision Support for Clinical Alerts – Decision Support for Health Maintenance Treatment PlanHealth Maintenance Treatment Plan
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EHR/PMS
Clinical Alerts – Decision support Clinical Alerts – Decision support for Preventative Maintenancefor Preventative Maintenance
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EHR/PMS
Clinical Alerts – Patient Correspondence for remindersClinical Alerts – Patient Correspondence for reminders
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EHR/PMS
Clinical Performance Measures – % of Patient PopulationClinical Performance Measures – % of Patient Population
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EHR/PMS
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EHR/PMS
Clinical Performance Measures – List of Patient PopulationClinical Performance Measures – List of Patient Population
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EHR/PMS
Analysis ServicesAnalysis ServicesOLAP & Data MiningOLAP & Data Mining
Data TransformationData TransformationServicesServices
ETLETL
SQL ServerSQL ServerRelational EngineRelational Engine
Reporting ServicesReporting ServicesM
anag
emen
t To
ols
Man
agem
ent T
oo
lsD
evel
op
men
t T
oo
lsD
evel
op
men
t T
oo
ls
Reporting and Analytics
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EHR/PMS
AuthoringAuthoring ManagementManagement DeliveryDelivery
Reporting Services is an open and extensible platform supporting the authoring, management and delivery of rich, interactive reports to the entire enterprise.
Reporting and Analytics
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EHR/PMS
Rheumatology
Asthma & Allergy Pediatrics
OB/Gynand many more…
Specialty Focus
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EHR/PMS
EVIDENCE BASED MEDICINE
EF
FIC
IEN
CY
QU
AL
ITY
OF
CA
RE
B
US
INE
SS
VA
LU
E
EF
FIC
IEN
CY
QU
AL
ITY
OF
CA
RE
B
US
INE
SS
VA
LU
E
Application Content / Knowledge
e-HEALTH
Core EHRCore EHR
• Transaction• one dimensional• Transaction• one dimensional
• Guidance• Guidance
CONSUMER RELATIONSHIP MANAGEMENTENTERPRISE
INTEGRATIONPROCESS AUTOMATIONDATA REVIEW
Cooperative and context systems
• Multi-disciplinary documentation• quality improvement
• Multi-disciplinary documentation• quality improvement
• Knowledge-Driven Orders• Clinical pathways• Disease management• Outcomes measurement
• Knowledge-Driven Orders• Clinical pathways• Disease management• Outcomes measurement
Collector Documentor MentorColleagueHelper
• EMRs• Internet portals• Preventative focus• Wellness
• EMRs• Internet portals• Preventative focus• Wellness
Evolution from EMR to EHR
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EHR/PMS
• Physicians within a community network, e.g. members of IPAs and PHOs
• Consumers to view and control access to their health record
• Hospitals and Health Systems to connect with its affiliated physicians
• Public health Agencies and Registries to view the summary of patient population
It provides a framework for disparate clinical systems to interact with each other and building a community-wide network.. It typically servers the following customers:
A Cloud based Health Information Exchange
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EHR/PMS
HOSPITAL (Lab/Radiology)
Web Portals
PatientZone
ProviderZone
HOSPITAL (R/A/D/T)
Child Immunization
Registry
mMD.neteHealth CloudHL7 CCD
HL7 CCD ASCII
NCPDP Script
HL7 ORD / ORU
HL7 ADT / DFT
HL7 ORD / ORUHL7
ORD / ORU
RegistryZone
HospitalZone
Physicians
Patients
Hospitals/Health systems
Public Health Agencies/Registries
mMD.net eHC (eHealth Cloud)
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EHR/PMS
CCR / CCDDatabase
Interface Engine
HL7
XML
ASCII
Patient Database
Practice 5Database
Practice 4Database
Practice 3Database
Practice 2Database
Practice 1Database
Content Store
VocabularyDatabase
Med Necessity Rule Base
LabDatabase
FormularyDatabase
DrugDatabase
Content UpdateEngine
EXTERNAL DATA SOURCES
HOSPITAL RADT
Billing Services
Payer / Clearing House
LAB / RADIOLOGY / CARDIOLOGY
PHARMACY
Practice Management
Template Store
eHC Portal
RegistryZone
HospitalZone
PatientZone
ProviderZone
Charge Codes
Database
Document Template
ReportsTemplate
Contents SourcesContents Sources
Content Sources
Lab Orders
Lab Results
Lab Orders
Lab Results
Rx
Dispense Info
Rx
Dispense Info
RADT Info RADT Info
Rx Refill RequestRx Refill Request
Rx Refill Response Rx Refill Response
Billing Info Billing Info
CCR/CCD
270 / 278 /837
271 / 278 / 835
270 / 278 /837
271 / 278 / 835
Child Immunization
Monthly patient observations
(DOQ-IT)Child Immunization
Monthly Patient Observations
(DOQ-IT)
Dx basedTemplate
Rx Template
mMD.Net eHC (eHelath Cloud)
AlertsEngine
Real-time Alerts
Child Imm. Registry
Meaningful Use
Physicians
Patients
Hospitals/Health systems
Public Health Agencies/Registries
Solution Architecture
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EHR/PMS
CCR / CCDDatabase
Interface Engine
HL7
XML
ASCII
Practice Database
Practice 5Database
Practice 4Database
Practice 3Database
Practice 2Database
Practice 1Database
Content Store
VocabularyDatabase
Med Necessity Rule Base
LabDatabase
FormularyDatabase
DrugDatabase
Content UpdateEngine
EXTERNAL DATA SOURCES
HOSPITAL RADT
Billing Services
Payer / Clearing House
LAB / RADIOLOGY / CARDIOLOGY
PHARMACY
Practice Management
Template Store
eHC Portal
RegistryZone
HospitalZone
PatientZone
ProviderZone
Charge Codes
Database
Document Template
ReportsTemplate
Contents SourcesContents Sources
Content Sources
Lab Orders
Lab Results
Lab Orders
Lab Results
Rx
Dispense Info
Rx
Dispense Info
RADT Info RADT Info
Rx Refill RequestRx Refill Request
Rx Refill Response Rx Refill Response
Billing Info Billing Info
CCR/CCD
270 / 278 /837
271 / 278 / 835
270 / 278 /837
271 / 278 / 835
Child Immunization
Monthly patient observations
(DOQ-IT)Child Immunization
Monthly Patient Observations
(DOQ-IT)
Dx basedTemplate
Rx Template
mMD.Net eHC (eHelath Cloud)
AlertsEngine
Real-time Alerts
Child Imm. Registry
Meaningful Use
eReferrals PCP sends out a referral to a Specialist 1
mMD.Net eHC automatically identifies the Specialist
within the community and Transmits the CCD record along with the Referral
letter.
2
Specialist receives the referral in the dashboard and imports the CCD.
3
PCP
Specialist
Each Provider is able to track the
status of the referrals on their
respective dashboard.
4
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EHR/PMS
CCR / CCDDatabase
Interface Engine
HL7
XML
ASCII
Practice Database
Practice 5Database
Practice 4Database
Practice 3Database
Practice 2Database
Practice 1Database
Content Store
VocabularyDatabase
Med Necessity Rule Base
LabDatabase
FormularyDatabase
DrugDatabase
Content UpdateEngine
EXTERNAL DATA SOURCES
HOSPITAL RADT
Billing Services
Payer / Clearing House
LAB / RADIOLOGY / CARDIOLOGY
PHARMACY
Practice Management
Template Store
eHC Portal
RegistryZone
HospitalZone
PatientZone
ProviderZone
Charge Codes
Database
Document Template
ReportsTemplate
Contents SourcesContents Sources
Content Sources
Lab Orders
Lab Results
Lab Orders
Lab Results
Rx
Dispense Info
Rx
Dispense Info
RADT Info RADT Info
Rx Refill RequestRx Refill Request
Rx Refill Response Rx Refill Response
Billing Info Billing Info
CCR/CCD
270 / 278 /837
271 / 278 / 835
270 / 278 /837
271 / 278 / 835
Child Immunization
Monthly patient observations
(DOQ-IT)Child Immunization
Monthly Patient Observations
(DOQ-IT)
Dx basedTemplate
Rx Template
mMD.Net eHC (eHelath Cloud)
AlertsEngine
Real-time Alerts
Child Imm. Registry
DOQ-IT
mMD.Net eHC automatically identifies the PCP within the community and Transmits the CCD
record along with the consult letter.
2
PCP receives the consult in the dashboard and imports the CCD3
Specialist sends out the consult to the PCP.
1
PCP
Specialist
Each Provider is able to track the
status of the referrals on their
respective dashboard.
4
eReferrals
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EHR/PMS
CCR / CCDDatabase
Interface Engine
HL7
XML
ASCII
Practice Database
Practice 5Database
Practice 4Database
Practice 3Database
Practice 2Database
Practice 1Database
Content Store
VocabularyDatabase
Med Necessity Rule Base
LabDatabase
FormularyDatabase
DrugDatabase
Content UpdateEngine
EXTERNAL DATA SOURCES
HOSPITAL RADT
Billing Services
Payer / Clearing House
LAB / RADIOLOGY / CARDIOLOGY
PHARMACY
Practice Management
Template Store
eHC Portal
RegistryZone
HospitalZone
PatientZone
ProviderZone
Charge Codes
Database
Document Template
ReportsTemplate
Contents SourcesContents Sources
Content Sources
Lab Orders
Lab Results
Lab Orders
Lab Results
Rx
Dispense Info
Rx
Dispense Info
RADT Info RADT Info
Rx Refill RequestRx Refill Request
Rx Refill Response Rx Refill Response
Billing Info Billing Info
CCR/CCD
270 / 278 /837
271 / 278 / 835
270 / 278 /837
271 / 278 / 835
Child Immunization
Monthly patient observations
(DOQ-IT)Child Immunization
Monthly Patient Observations
(DOQ-IT)
Dx basedTemplate
Rx Template
mMD.Net eHC (eHelath Cloud)
AlertsEngine
Real-time Alerts
Child Imm. Registry
DOQ-IT
mMD.Net eHC automatically identifies the PCP within the community and Transmits the CCD
record along with the consult letter.
2
PCP receives the consult in the dashboard and imports the CCD3
Specialist sends out the consult to the PCP.
1
PCP
Specialist
Each Provider is able to track the
status of the referrals on their
respective dashboard.
4
eReferrals
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EHR/PMS
HardwareHardware
Operating SystemOperating System
Database ServicesDatabase Services
Interface ServicesInterface Services
Application ServicesApplication Services
Utilizing Core Competencies!
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EHR/PMS
UI Layer
Business Layer
Data Layer
Innovative Software Architecture
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EHR/PMSInnovative Software Architecture
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EHR/PMS
mMD.net Integration Server
Innovative Software Architecture