Presentation 2010 mMD EMR\\EHR

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  • This diagram illustrates the transition in use of HIT for clinical automation by HCOs from the first implementations until today. The value and sophistication of clinical automation has improved across the last several decades. We’ve moved from systems that were merely disconnected, transaction-based applications to integrated systems that collect patient data and provide information/knowledge to manage disease, measure outcomes, and reach out to the healthcare consumer. GARTNER’s definition of CPR generations TU-12-9718 1. Collector 2. Documentor 3. Helper 4. Colleague 5. MEntor
  • Presentation 2010 mMD EMR\\EHR

    1. 1. mMD.net EHR & Practice Management with Health Information Exchange & Patient Portal MCS - Medical Communication Systems, Inc. Old Bridge, NJ
    2. 2. <ul><ul><li>Mission </li></ul></ul><ul><ul><li>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 . </li></ul></ul>
    3. 3. <ul><ul><li>A brief history in time! </li></ul></ul><ul><li>1999 to 2000 – Scalability of Product architecture from Mobile to Enterprise </li></ul><ul><li>2001 to 2002 – First Responder for the US Army </li></ul><ul><li>2002 to 2004 – Ambulatory EMR (Charting+eRx+EOE+Charges+Schedule) </li></ul><ul><li>2005 to 2007 – Integration Adapters for PMS+Lab/Test+SureScripts+CCR+Equipment </li></ul><ul><li>2007 to 2009 – Integrated Practice Management & Patient Portal </li></ul><ul><li>2010 onwards – Health Information Exchange (Cloud Computing) / P2P / Portals </li></ul><ul><li>1997 to 1998 – Patient Information Manager on Palm Pilot – Pioneering effort </li></ul>
    4. 4. mMD.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
    5. 5. CCHIT Award-Ambulatory EHR Leadership
    6. 6. Small % of EHR Products are Certified for HITECH
    7. 7. <ul><li>EHR Systems for Small Practices (1 - 5 Physicians) </li></ul><ul><li>Document Imaging Systems </li></ul><ul><li>EHR Systems for Pediatrics </li></ul><ul><li>Personal Health Record (PHR) / Patient Portal </li></ul>Awards
    8. 8. Awards <ul><li>EHR Systems – CCR Implementation </li></ul><ul><li>Healthcare System for Document Imaging </li></ul><ul><li>EHR Systems for Pediatrics </li></ul><ul><li>Personal Health Record (PHR) / Patient Portal </li></ul><ul><li>Healthcare System for Mobile Applications </li></ul>
    9. 9. <ul><ul><li>Recognition from Experts </li></ul></ul>AC Group, Inc. # 1 for 1-2 physician practices # 2 for 3-99 physician practices # 3 overall
    10. 10. Top EHR vendors for Small Practices Functionality, Company Viability, Implementation, Training, Client Base, End-User Satisfaction, Pricing, and Contracting
    11. 11. Lab Info Systems Retail Pharmacy Child Imm. Registry DOQ-IT PHR eRx <ul><ul><li>Evolving an Integrated Community EHR </li></ul></ul>PMS Demographics Scheduling Billing CCI Edits Engine Terminology Server EHR Order Entry Charges Charting Lab/Test Charges Charting eRx Enterprise Integration Adapters DIM PHR
    12. 12. Internet mMD.net EHR Server EHR Client Drug Reference Database PBM Servers Continuous Updates EHR Client EHR Client EHR Client <ul><ul><li>Innovative Software Architecture using Web Services </li></ul></ul>
    13. 13. <ul><li>Drug Reference Database – First Data Bank </li></ul><ul><li>Drug Interactions & Alerts – First Data Bank </li></ul><ul><li>Drug Monographs – Lexi-Comp </li></ul><ul><li>Drug Formularies – RxHUB / MediMedia / Medicare Part D </li></ul><ul><li>Patient Handouts – First Data Bank / AAFP / AAP / Other </li></ul><ul><li>Clinical Best Practices Implementation through templates </li></ul><ul><li>CCI Edits – LMRP / LCD / MDeSolutions </li></ul><ul><ul><li>Clinical Decision Support at the Point-of-Care </li></ul></ul>
    14. 14. Online Formulary Check <ul><ul><li>Clinical Decision Support </li></ul></ul>
    15. 15. Online Drug Interaction Check <ul><ul><li>Clinical Decision Support </li></ul></ul>
    16. 16. Clinical Alerts – for single patient
    17. 17. Clinical Alerts – Decision Support for Health Maintenance Treatment Plan
    18. 18. Clinical Alerts – Decision support for Preventative Maintenance
    19. 19. Clinical Alerts – Patient Correspondence for reminders
    20. 20. Clinical Performance Measures – % of Patient Population
    21. 22. Clinical Performance Measures – List of Patient Population
    22. 23. <ul><ul><li>Reporting and Analytics </li></ul></ul>Analysis Services OLAP & Data Mining Data Transformation Services ETL SQL Server Relational Engine Reporting Services Management Tools Development Tools
    23. 24. Reporting Services is an open and extensible platform supporting the authoring, management and delivery of rich, interactive reports to the entire enterprise. <ul><ul><li>Reporting and Analytics </li></ul></ul>Authoring Management Delivery
    24. 25. Rheumatology Asthma & Allergy Pediatrics OB/Gyn and many more… <ul><ul><li>Specialty Focus </li></ul></ul>
    25. 26. Application Content / Knowledge e-HEALTH Core EHR <ul><li>Transaction </li></ul><ul><li>one dimensional </li></ul><ul><li>Guidance </li></ul>Cooperative and context systems <ul><li>Multi-disciplinary </li></ul><ul><li>documentation </li></ul><ul><li>quality improvement </li></ul><ul><li>Knowledge-Driven </li></ul><ul><li>Orders </li></ul><ul><li>Clinical pathways </li></ul><ul><li>Disease management </li></ul><ul><li>Outcomes measurement </li></ul>Collector <ul><li>EMRs </li></ul><ul><li>Internet portals </li></ul><ul><li>Preventative focus </li></ul><ul><li>Wellness </li></ul><ul><ul><li>Evolution from EMR to EHR </li></ul></ul>EVIDENCE BASED MEDICINE EFFICIENCY QUALITY OF CARE BUSINESS VALUE CONSUMER RELATIONSHIP MANAGEMENT ENTERPRISE INTEGRATION PROCESS AUTOMATION DATA REVIEW Documentor Mentor Colleague Helper
    26. 27. <ul><li>Physicians within a community network, e.g. members of IPAs and PHOs </li></ul><ul><li>Consumers to view and control access to their health record </li></ul><ul><li>Hospitals and Health Systems to connect with its affiliated physicians </li></ul><ul><li>Public health Agencies and Registries to view the summary of patient population </li></ul>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
    27. 28. Web Portals Patient Zone Provider Zone Child Immunization Registry mMD.net eHealth Cloud HL7 CCD HL7 CCD ASCII NCPDP Script HL7 ORD / ORU HL7 ADT / DFT HL7 ORD / ORU HL7 ORD / ORU Registry Zone Hospital Zone Physicians Patients Hospitals/ Health systems Public Health Agencies/ Registries mMD.net eHC (eHealth Cloud) HOSPITAL (Lab/Radiology) HOSPITAL (R/A/D/T)
    28. 29. CCR / CCD Database Content Store Vocabulary Database Med Necessity Rule Base Lab Database Formulary Database Drug Database Content Update Engine Template Store eHC Portal Registry Zone Hospital Zone Patient Zone Provider Zone Charge Codes Database Document Template Reports Template Rx Dispense Info Rx Refill Request Rx Refill Request Rx Refill Response Rx Refill Response Billing Info Billing Info CCR/CCD Monthly Patient Observations (DOQ-IT) Dx based Template Rx Template mMD.Net eHC (eHelath Cloud) Alerts Engine Real-time Alerts Child Imm. Registry Meaningful Use Physicians Patients Hospitals/ Health systems Public Health Agencies/ Registries Solution Architecture Interface Engine HL7 XML ASCII Patient Database Practice 5 Database Practice 4 Database Practice 3 Database Practice 2 Database Practice 1 Database EXTERNAL DATA SOURCES HOSPITAL RADT Billing Services Payer / Clearing House LAB / RADIOLOGY / CARDIOLOGY PHARMACY Practice Management Contents Sources Contents Sources Content Sources Lab Orders Lab Results Lab Orders Lab Results Rx Dispense Info RADT Info RADT Info 270 / 278 /837 271 / 278 / 835 270 / 278 /837 271 / 278 / 835 Child Immunization Monthly patient observations (DOQ-IT) Child Immunization
    29. 30. CCR / CCD Database Content Store Vocabulary Database Med Necessity Rule Base Lab Database Formulary Database Drug Database Content Update Engine Template Store eHC Portal Registry Zone Hospital Zone Patient Zone Provider Zone Charge Codes Database Document Template Reports Template Rx Dispense Info Rx Refill Request Rx Refill Request Rx Refill Response Rx Refill Response Billing Info Billing Info CCR/CCD Monthly Patient Observations (DOQ-IT) Dx based Template Rx Template mMD.Net eHC (eHelath Cloud) Alerts Engine Real-time Alerts Child Imm. Registry Meaningful Use eReferrals PCP Specialist Interface Engine HL7 XML ASCII Practice Database Practice 5 Database Practice 4 Database Practice 3 Database Practice 2 Database Practice 1 Database EXTERNAL DATA SOURCES HOSPITAL RADT Billing Services Payer / Clearing House LAB / RADIOLOGY / CARDIOLOGY PHARMACY Practice Management Contents Sources Contents Sources Content Sources Lab Orders Lab Results Lab Orders Lab Results Rx Dispense Info RADT Info RADT Info 270 / 278 /837 271 / 278 / 835 270 / 278 /837 271 / 278 / 835 Child Immunization Monthly patient observations (DOQ-IT) Child Immunization 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 Each Provider is able to track the status of the referrals on their respective dashboard. 4
    30. 31. CCR / CCD Database Content Store Vocabulary Database Med Necessity Rule Base Lab Database Formulary Database Drug Database Content Update Engine Template Store eHC Portal Registry Zone Hospital Zone Patient Zone Provider Zone Charge Codes Database Document Template Reports Template Rx Dispense Info Rx Refill Request Rx Refill Request Rx Refill Response Rx Refill Response Billing Info Billing Info CCR/CCD Monthly Patient Observations (DOQ-IT) Dx based Template Rx Template mMD.Net eHC (eHelath Cloud) Alerts Engine Real-time Alerts Child Imm. Registry DOQ-IT PCP Specialist eReferrals Interface Engine HL7 XML ASCII Practice Database Practice 5 Database Practice 4 Database Practice 3 Database Practice 2 Database Practice 1 Database EXTERNAL DATA SOURCES HOSPITAL RADT Billing Services Payer / Clearing House LAB / RADIOLOGY / CARDIOLOGY PHARMACY Practice Management Contents Sources Contents Sources Content Sources Lab Orders Lab Results Lab Orders Lab Results Rx Dispense Info RADT Info RADT Info 270 / 278 /837 271 / 278 / 835 270 / 278 /837 271 / 278 / 835 Child Immunization Monthly patient observations (DOQ-IT) Child Immunization 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 CCD 3 Specialist sends out the consult to the PCP. 1 Each Provider is able to track the status of the referrals on their respective dashboard. 4
    31. 32. CCR / CCD Database Content Store Vocabulary Database Med Necessity Rule Base Lab Database Formulary Database Drug Database Content Update Engine Template Store eHC Portal Registry Zone Hospital Zone Patient Zone Provider Zone Charge Codes Database Document Template Reports Template Rx Dispense Info Rx Refill Request Rx Refill Request Rx Refill Response Rx Refill Response Billing Info Billing Info CCR/CCD Monthly Patient Observations (DOQ-IT) Dx based Template Rx Template mMD.Net eHC (eHelath Cloud) Alerts Engine Real-time Alerts Child Imm. Registry DOQ-IT PCP Specialist eReferrals Interface Engine HL7 XML ASCII Practice Database Practice 5 Database Practice 4 Database Practice 3 Database Practice 2 Database Practice 1 Database EXTERNAL DATA SOURCES HOSPITAL RADT Billing Services Payer / Clearing House LAB / RADIOLOGY / CARDIOLOGY PHARMACY Practice Management Contents Sources Contents Sources Content Sources Lab Orders Lab Results Lab Orders Lab Results Rx Dispense Info RADT Info RADT Info 270 / 278 /837 271 / 278 / 835 270 / 278 /837 271 / 278 / 835 Child Immunization Monthly patient observations (DOQ-IT) Child Immunization 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 CCD 3 Specialist sends out the consult to the PCP. 1 Each Provider is able to track the status of the referrals on their respective dashboard. 4
    32. 33. Hardware Operating System Database Services Interface Services Application Services <ul><ul><li>Utilizing Core Competencies! </li></ul></ul>
    33. 34. UI Layer Business Layer Data Layer <ul><ul><li>Innovative Software Architecture </li></ul></ul>
    34. 35. <ul><ul><li>Innovative Software Architecture </li></ul></ul>
    35. 36. <ul><ul><li>Innovative Software Architecture </li></ul></ul>mMD.net Integration Server

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