Document

Report
Jersey Health Connect
HIE Image Enablement: A Strategic & Executional Model
Sponsored by
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
Jersey Health Connect Team
Largest Independent HIE in New Jersey
Lou Hermans
Executive Director
• Coalition lead for NJ HealthNet
• CIO, JFK Health System in Edison, NJ (former)
Jim Cavanagh
EHR Interoperability & Member Connectivity
• Lead Technology Executive responsible for connecting statewide members
• CIO, St. Joseph’s Health System in Paterson, NJ (former)
Jeremy Marut, MBA, CHCIO
Chairman of Imaging Taskforce
• Director of Enterprise Architecture at HackensackUMC
Agenda
• About Jersey Health Connect (JHC)
• Imaging Technology Approval Process and Selection
• Workflows and Use Cases
• Project Articulation to Members
• Image-enablement Benefits
• Technical uniqueness and business modeling
• Next steps
About Jersey Health Connect
New J
ersey’s
• Independent, Non-Profit HIE
• Membership includes 32 of the
Largest Acute Care Hospitals
& Health Systems in NJ
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Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Larges
t
HIE
About Jersey Health Connect
Goals:
• Accelerate current HIE activity
• Improve care coordination, access,
outcomes and efficiencies through
real-time clinical exchange
• Allow members to leverage
existing technologies
• Patient-centric approach to encourage
active and informed participation
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Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Approval Process and
Imaging Technology Selection
Confidential and proprietary information. | © 2015 Jersey Health Connect | www.jerseyhealthconnect.org
Imaging Internal Selection Process
• Rigorous RFP process around imaging selection by individual hospital
members
• In all cases – Vital – was selected as the preferred partner
• Technology focus was originally driven by “Internal” applications
• Technology focus shifted to “Referral Community”
• Central Image Repository: Too costly
• Archive deployment: A different use case
• Image access: speed was paramount
•
“Streaming” technology replaces tradition store-and-forward
• Importance of access to community data
Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Approval Process
Imaging Taskforce
Committee
The CMIO/Clinical
Advisory Committee
Executive Board
Committee
Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Selected Technology Solution
VitreaView® & VioStream™
Leverages existing infrastructure
• Scalable, Virtualized
• Ability to stream from federated architecture
• No cache required
Multi-browser
• IE, Safari®, Firefox®, Chrome™
Multi-platform
• Windows®, Mac®, iOS®, Android™
Browser Based
• HTML and JavaScript: no plugins/downloads
• Single sign-on, role-based access control
• Access multiple image archives
simultaneously
• Simple URL-based integration EMR, EHR,
PHR and HIE
• Email a clinician
• Smartphone/table support
* When accessed from a mobile device, VitreaView is intended for information
purposes and is not intended for diagnostic use.
*All above trademarks and registered trademarks belong to their respective owners.
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Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Workflows and Use Cases
Primary Scenarios
Confidential and proprietary information. | © 2015 Jersey Health Connect | www.jerseyhealthconnect.org
Server Infrastructure
SERVER-TO-SERVER WORKFLOW, IMAGE ENABLED HEALTH INFORMATION EXCHANGE
H
HIE Platform
DICOM
PACS Data
(DICOM)
s
SITE
A
Hospital
Systems
Proxy Server
DICOM
PACS Data
(DICOM)
H
SITE B
Proxy Server
Hospital
Systems
Study Request
Web Streaming
HIE Launch
Windows, Android, Apple iOS/MacOS, etc.
Image
Viewing
Study Request
Web Streaming
DICOM
PACS Data
(DICOM)
H
SITE C
Physician
Proxy Server
Centralized
Data Center(s)
VitreaView
Servers
Hospital
Systems
Study Request
Web Streaming
DICOM
PACS Data
(DICOM)
H
DICOM
PACS Data
(DICOM)
SITE E
Proxy Server
Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
H
SITE D
Proxy Server
Hospital
Systems
Use Cases
Access to Universal Viewer via HIE platform
1. Single Study
2. Relevant Studies
3. Encounter Notification
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Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Patient Information Screen & Vitreaview Launch
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Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Project Articulation to Membership
Confidential and proprietary information. | © 2015 Jersey Health Connect | www.jerseyhealthconnect.org
Why “Image Enable”?
University of Michigan Research
• Shows fewer repeat medical images made in ERs of Hospitals taking part in HIE
• Study focused on patients who went to two different ERs in a thirty day period
• Findings showed use of repeat CT scans, chest X-rays & Ultrasound scans
lower when patients of both ERs participated in a HIE
• Actual Benefits:
•
Patients 59% less likely to have a redundant CT, 44% less likely on US, and 67%
less likely on chest X-ray
• Researchers pulled data that showed the following
•
•
•
20,139 repeat CTs (14.7%)
13,060 repeat US (21%)
29,703 repeat chest X-Rays (19.5%)
“Does Health Information Exchange Reduce Redundant Imaging? Evidence From Emergency
Departments” - Medical Care, March 2014, Volume 52, Issue 3
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Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Benefits
Clinical, Financial and Technical Benefits
HIE Benefits
EHR Benefits
• Reduction of duplicate exams
savings
• Access to local images from multiple
archives through the local EMR(s)
• Increases clinical use of JHC
systems
• Cross-reference capabilities between
studies internal and through HIE
(future)
• Aligns with ACO strategy
• Reduced costs of specialty viewers
• Utilization measurement for
Population Health Management
$18M annual savings for the uninsured
• Meets elective option for MU2 and
potentially MU3
population
Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Membership Articulation
• Business modeling demonstrates member value
• Focus on total healthcare imaging savings across the network
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Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Membership Articulation
• Membership one pager demonstrating image enable value and internal benefits
• Members invited to technical discussions, prior to project implementation
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Confidential and proprietary information. For internal use only. | © 2014 Jersey Health Connect | www.jerseyhealthconnect.org
Next Steps
Questions?

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