Meaningful Use And The Health Information Exchange

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GE Healthcare Centricity Health Information Exchange Services CHUG BO1: Meaningful Use and the Health Information Exchange Melissa Cummings, Marketing Director, Interoperability, GE Healthcare William Howard, Director of eHealth Solutions Architecture, GE Healthcare March 19, 2010

DISCLAIMER ON POWER POINT PRESENTATIONS ON PRODUCT FUNCTIONALITY 2010 General Electric Company – All rights reserved This does not constitute a representation or warranty or documentation regarding the product or service featured. All illustrations are provided as fictional examples only. Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this publication may be reproduced for any purpose without written permission of GE. DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENT PRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY AND DO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFIC FUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S DISCRETION AND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORY CLEARANCE. GE, GE Monogram and Centricity are trademarks of General Electric Company General Electric Company, by and through its GE Healthcare division 2/ GE /

GE Healthcare Objectives and Outline 3/ GE /

BO1: Meaningful Use and the HIE GOAL: To present an understanding of HIE expectations within the meaningful use guidelines and to show how Centricity EMR is supporting these new requirements within our products. Objective 1: Understand meaningful use requirements as they relate to HIE Objective 2: Have reviewed real-world examples of current HIE use to share clinical information Objective 3: Receive an update on the national and state-level HIE landscape

Meaningful Use – EMR Capabilities Please also attend: BO2: Meaningful Use Part 2: Using Centricity EMR to facilitate Meaningful Use Don Sepulveda, Senior Marketing Manager, GE Healthcare Second of a 2-part series on Meaningful Use. Part two delves into specific product features and ways in which the Centricity EMR suite is able to facilitate your practice's goal of meeting the meaningful use criteria. 5/ GE /

Evolution of Meaningful Use The focus of this talk 6/ GE /

Evolution of Meaningful Use The focus of this talk 7/ GE /

Meaningful Use Criteria and HIE HIE Care Coordination Exchange key clinical information electronically Perform medication reconciliation for 80% of encounters Provide summary care record for 80% of care transitions üPublish clinical info Engage Patients Provide patients w/electronic copy of health information Provide timely electronic access w/in 96 hours Provide clinical summaries for each office visit üPublish clinical info üPatient portal Improve Quality Leverage clinical decision support & interaction checking Send reminders to patients, outreach, reduce disparities Report ambulatory measures to CMS or states üQuality reports üSecure messaging Privacy Protect electronic health information through technology Review security risks and implement security updates üHighly secure üConsent management üAudit trail Submit electronic data to immunization registries Electronically submit reportable lab results Provide syndromic surveillance data to public agencies üRegistry submission üQuality reports Public Health 8/

Meaningful Use - Care Coordination 9/

Meaningful Use - Care Coordination .Provide summary of care record for at least 80% of transitions of care and referrals .

About Boston Medical Center Private, not-for-profit, 626-licensed bed, academic medical center Primary teaching affiliate for Boston University School of Medicine Largest safety net hospital in New England – Serve the underserved – “Exceptional Care, Without Exception” Largest 24-hour Level I trauma center in New England 29,471 inpatient discharges 985,356 outpatient visits

Centricity Epic LMR NextGen Eclipsys Picis

eReferral System Referral coordinator (RC) Refer Ž Specialist coordinator (SC) receives referral and communicates with RC and retrieves further information from CIE. uses eReferral Portal to initiate and manage referral process. CHC Report Report Œ Patient visits PCP at CHC and receives a Specialist Referral. EMR sends Clinical Summary and Order to CIE. BMC Patient sees Specialist. Completion of visit is flagged on eReferral Portal. Referring Clinic retrieves referral report from portal and/or additional clinical data from CIE. Respond Specialist writes note. EMR submits Specialist note into CIE.

BMC Demonstration http://www.technologyreview.com/video/?vid 428

BMC Results

Meaningful Use - Care Coordination 16 /

Meaningful Use - Care Coordination .Perform medication reconciliation for at least 80% of relevant encounters and transitions of care.

Collaborative Charting “Many EMR Systems, One Chart” – Key clinical data Problems, Medications, Allergies Immunizations, Advance Directives Additional Chart Elements – Structured data, open standards Data conversion to open standards (RxNorm, SNOMED) – Clinically focused user interface No additional workflow No required direct visibility into the HIE As people of Providence, we will provide a connected experience of care based on a foundation of clinical excellence.

Collaborative Charting Outpatient: GE CentricityMed List 1 EMR Inpatient: McKesson Horizon Clinicals Health Information Exchange CCD w/ Med List 1 Med List 1 Med List 2 Business Logic CCD w/ Med List 2 Med List 2 Med List 3 CCD w/ Med List 3 Med List 3

Collaborative Charting Show Providence Movie Here As people of Providence, we will provide a connected experience of care based on a foundation of clinical excellence.

Meaningful Use - Care Coordination 21 /

Meaningful Use - Care Coordination .Capability to exchange key clinical information (for example, problem list, medication list, allergies, diagnostic test results), among providers of care and patient authorized entities electronically.

DEMO: Kryptiq Secure Messenger w/ HIE 23 /

Engage Patients 24 /

Meaningful Use – Engage Patients .At least 80% of all patients who request an electronic copy of their health information are provided it within 48 hours.

DEMO: Personal Health Record w/ HIE 26 /

Public Health 27 /

Meaningful Use – Public Health .Capability to submit electronic data to immunization registries and actual submission where required and accepted.

Immunization Registry (Lost Creek) Health Information Exchange GE Centricity EMR State Immunization Registry IZ List 1 Request IZ List 1 IZ List 2 Business Logic Response IZ List 2

Immunization Registry Integration (LostCreek) From EMR From IZ Registry 30 /

CONCLUSION 31 /

Meaningful Use Criteria and HIE HIE Care Coordination Exchange key clinical information electronically Perform medication reconciliation for 80% of encounters Provide summary care record for 80% of care transitions üPublish clinical info Engage Patients Provide patients w/electronic copy of health information Provide timely electronic access w/in 96 hours Provide clinical summaries for each office visit üPublish clinical info üPatient portal Improve Quality Leverage clinical decision support & interaction checking Send reminders to patients, outreach, reduce disparities Report ambulatory measures to CMS or states üQuality reports üSecure messaging Privacy Protect electronic health information through technology Review security risks and implement security updates üHighly secure üConsent management üAudit trail Submit electronic data to immunization registries Electronically submit reportable lab results Provide syndromic surveillance data to public agencies üRegistry submission üQuality reports Public Health 32 /

Questions? 33 /

McKesson Horizon Clinicals Outpatient: GE Centricity EMR Med List 1 CCD w/ Med List 1 Med List 1 Med List 2 CCD w/ Med List 2 Med List 2 Business Logic Med List 3 CCD w/ Med List 3 Med List 3 Collaborative Charting. As people of Providence, we will provide a connected experience of care based on a foundation of clinical excellence.

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and 'meaningful' way. Meaningful Use Goal O The goal of meaningful use is to promote the spread of electronic health records to improve health care in the United States O To show that the utilization of EHRs are done in a 'meaningful' way. O Certified Electronic Health Record Technology (CEHRT) Benefits of Meaningful Use O Complete .

Meaningful Use Settings Clinic Tab Note: These values apply to all providers within the practice in the context of Meaningful Use. 1. Dashboard frame a. Meaningful Use On - select this check box to enable meaningful use logic system-wide b. Show Dashboard - select this check box to display the system-level ARRA Dashboard icon