Gary parker one health record alabama telemedicine it summit- 10-18-2012
Alabama’s One Health Record® Technology & Telehealth - Partnerships in Motion Alabama Broadband & Telehealth Summit October 2012 October 18, 2012Presenter: Gary D. Parker
Agenda• Technology & Partnerships: Ultimate Goal• What is One Health Record®• Next Steps: Getting Connected to One Health Record®• Contact us.
• Technology is the making, usage, and knowledge of tools, machines, techniques, crafts, systems or methods of organization in order to solve a problem or perform a specific function…………..to the collection of such tools, machinery, and procedures.• Greek (techologia) techne meaning “craft, art, skill” and logia meaning “the study of”.
The One Health Record Partnership• Alabama HIE Advisory Commission – 22- Stakeholder groups.• Domain workgroups: Legal, Business Operations, Technology, Finance, Governance, Communications/Marketing• Outreach: REC, Tuskegee University, ASU• Events: MASA, HIMSS, Symposiums, Conferences, PCN’s, Summits, Meetings, etc.• HIE Implementation Teams ( S&I, Data, Steering, Workflow/Policy)• Medicaid HIE and HIT Offices
Alabama’s One Health Record?• Health Information Exchange (HIE) is: a. Noun – One Health Record® – The Alabama State-wide network that provides a set of core service components that enables…… b. Verb – the sharing(publishing) and reporting of electronically captured and stored health information across various connected networks so providers can improve their patient’s quality of care.
One Health Record® is the infrastructure that provides:• Publishing of Continuity of Care Documents (CCD)• Public Health Reporting (IMZ’s, Labs, Bio- surveillance)• Monitor encounter/episodes (what are we not telling our Docs)• Make referrals (via DIRECT or publish notification)• Queries (Patient and/or Provider)• Meaningful Use• Additional Skills Set development (Analytics, HIM)
Partnership in motion: Telehealth and One Health Record®The utilization of Video conferencing, an HER, and the HIE to find, update, or create a clinical summary(CCD) and push it out for use by the care providers:• Jane Testinsky arrives for an annual check-up . While performing an EKG, the PCP notes an irregularity in the results. The PCP then consults with the Jane and refers the him to a Cardiologist, Dr Heart. The PCP opens and updates the patient’s medical data using the Electronic Health Record, and then discharges the patient.• Upon discharge, the PCP generates a CCD and publishes the CCD to the HIE (One Health Record®). Jane is instructed to go to Rural County hospital on the day of the appointment. Jane is told that her consultation with Dr. Heart will be handled via a video conference because the Dr. Heart actually located in Big town 90 miles. away. Rural County is 20 minutes from Jane’s home. Dr. Heart also has 6 other appointments among 4 other facilities outside the 90 mile radius of Big Town. This is Dr. Heart’s “travel” day.• On the appointed day, The Jane goes to Rural County Hospital for her appointment with Dr. Heart. Prior to the appointment, the attending nurse at Rural opens up Jane’s EHR at the Hospital record and the nurse for Dr. Heart does likewise. A search for the patient has been done and the CCD publish by the PCP is retrieved with all the latest medical information, including the EKG results. Upon discharge, Dr. Heart updates the patient EHR, generates a CCD and publishes an updated CCD to One Health Record®.
HIE Documentsautomaticallyrequested at check-in, display here
Information received(CCD/Continuity of CareDocument or other) is viewedwith 1 click.
Partnership in motion: Telehealth and One Health Record®The utilization of Video conferencing, an HER, and the HIE to find, update, or create a clinical summary(CCD) and push it out for use by the care providers• Two days later the Jane returns to his PCP as instructed, PCP opens the EHR, the HIE query is done, and the PCP has the latest update of the patient’s CCD, including Dr. Heart comments and diagnosis. (In this case an overdose of 5-hour Energy drink).• This same scenario is repeated for Dr. Heart’s 6 other patients. The partnership provides access to care without ever leaving the office and serves the rural residents that might otherwise never get care.
THE ULTIMATE GOAL: QUALITY … REQUIRES INTEROPERABLE DATA Improved Coordination of Care Have access to longitudinal patient history before clinical decisions are Improved Reduced Reduced made Outcomes Fragmentation CostsFHIN Finalist Presentation 13
“Next Steps: Getting Connected”• One Health Record® Participants 1. Participation Agreement 2. One Health Record® Policies and Procedures 3. Business Associate Agreement 4. Qualified Service Org. Agreement (QSOA). Meets 42 CFR part II requirements for sensitive Info.
“Next Steps: Getting Connected”• HIE-EHR (Hospitals & Provider Practices) 1. One Health Record® on-ramping. (6 – 8 weeks) 2. Workflow (BPM) Integration• Web Accounts (Open to all providers) 1. Account Registration – Details at the website: www.onehealthrecord.alabama.gov. 2. Account set-up and Direct address assigned. 3. Log-in and initial Password distributed 4. Confirmation via a Direct message. Why?
QUESTIONS? Contact Information Gary D. ParkerE-mail: firstname.lastname@example.org Phone: (334) 242-5011 One Health Record® OfficeE-mail: email@example.com. Phone: (334) 353-4121 Dr. Dan Roach, III Alabama HIT Coordinator E-mail: firstname.lastname@example.org