Presentation - HIMSS Interoperability Showcases

Report
Interoperability
1-21-2013
Kevin Schmidt
Director, Clinical Network
Gaps Across Care Venues
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Goal is to close the Gaps
Physician Office
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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What is HIE?
HIE (Health Information
Exchange) is a verb that
describes what type of data is
exchanged between different
parties, known as
interoperability. Cerner’s
approach to interoperability divides HIE into 3
categories, this presentation will describe each
category and how Cerner responds to these categorical
needs in Healthcare.
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Trust
Usually the hardest thing to get past
HIE requires collaboration and trust between 2 or more
entities and includes
Users
Technologies
Vendors
Forms of Trust
DURSA – Data Use and Reciprocal Support Agreement
MPA – Membership Participation Agreement
Electronic Certificates
NDA – Non-Disclosure Agreement
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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HIE Categorically
Send
Fire and Forget
Systematic Push to Notify
Regarding Important Information
Collaborate
Back and forth exchange
Ad Hoc Communication
Discover
Query.
Information Pulled from the
Community at The Point of Care
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Send
Systematically Push in Real Time
Responds from an Electronic Order to Deliver Results
from one EHR System to another
•
•
•
•
•
CCD
Radiology Results
Lab Results
Documents
Etc.
Deliver Immunizations from EHR System to State
Immunization Registry
Deliver Notifications of a patient registering in a
hospital to PCP
ePrescribing
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Cerner’s Response
Send
Cerner Clinical HUB Connects any Certified EHR System to any other
Certified EHR System
• Note: Each system will still need an outbound and inbound interface
Cerner Immunization HUB can connect any Certified EHR System to a
Certified Immunization Registry
• Note: For Cerner EHR Systems, the user can query the connected
Immunization Registry
Cerner’s RxHub Connects EHR System to SureScripts
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Discover
On Demand Query
Query for CDA from EHR System to Community or State
Query for CDA from EHR System to EHR System
Query for CDA from Community or State to Community
or State
Integrated in the clinician’s workflow
Content of the CDA will continue to grow as EHR
Systems adopt interoperability functionality
Leverage Standards
•
•
•
•
NwHIN – eHealth Exchange
XCA – Cross Community Access
XDS.b – Cross Document Sharing
HL7 – Health Level 7
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Cerner’s Response
Discover
Cerner offers an open network to any community or EHR System that
can leverage XCA (Cross Community Access) called Resonance
• Incorporates query into the clinician’s workflows
• For Cerner EHR Solutions, can import Problems, Allergies, Medications,
and Immunization
Cerner offers an XDS.b Repository with MPI called Clinical Exchange
Platform
• Also includes XCA, eHealth Exchange, and a HL7v2 to HL7v3 adapter
• Incorporates query into the clinician’s workflow
• For Cerner EHR Solutions, can import Problems, Allergies, Medications,
and Immunization
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Collaborate
Ad Hoc communication
Use DIRECT Standards
Building a Nationwide Ad Hoc Network connecting
trusted HISPs – Health Information Service Provider
Able to attach clinical information to the message
Requires a relationship between to end points
Integrated in the clinician’s workflow
Satisfies Meaningful Use Stage 2
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Cerner’s Response
Collaborate
Cerner is a HISP (Health Information Service Provider) for all of
Cerner’s clients
Cerner Actively participates and sits on the board of DirectTrust.org
Enabled Message Center in Cerner’s EHR System to use Cerner’s HISP
Cerner Direct Inbox is a stand alone portal offering that leverages
Cerner HISP
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Summary
HIE is placed in 3 different categories
Send
Discover
Collaborate
Not one is a replacement for the other
It is very important to integrate HIE into the user’s
everyday workflow
Technology is not the hardest part
The exchange of Health Information can only take place at
the “speed of trust”
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Questions?
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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