1. Current Status and Plan
Forest Blanton, Sr. VP and CIO
Memorial Healthcare System
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2. Agenda
 Status of the Atlantic Coast HIE
 Lessons Learned
 Questions
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3. The Atlantic Coast Health
Information Exchange (ACHIE)
Memorial Healthcare System Strategic Plan
a. Plan completed in 2008 included the following
recommendations:
i. Replace MHS’s home-grown Accounts Receivable Management
System with a commercial ARM system capable of supporting
integrated inpatient and ambulatory clinical operations
ii. Select and install a Health Information Exchange to connect
MHS physicians
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4. Background of ACHIE
b. RFPs completed in Spring of 2009 and
selections made
i. EPIC for an Integrated Clinical/Financial system
ii. Axolotl for HIE and “EMR Light”
c. Contract executed late 2009
d. Initial implementation March 17, 2010
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5. Participating Vendors
 Contracted:  In Negotiation:
 Allscripts MyWay (Healthcare Data Solutions)  GE
 CompuGroup Medical  Amazing Charts
 eClinicalWorks  NextGen
 eMDs  Sage
 Epic  CureMD
 Greenway Medical Technologies Inc.
 IOS Health Systems Inc.
 Soren Technology
 Suitemed LLC
 MedPlus Inc./Quest
 First Medical Solutions
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6. ACHIE Project Status
HIE Go-Live
Vendor
Forecast
1. Currently implementing with eMDs Live
9 EHRs and 103 providers IOS Health Systems Inc. Live
Soren Technology Live
eClinicalWorks 6/14/2012
SuiteMed LLC 6/22/2012
2. Current signed practices (56) Allscripts MyWay
6/25/2012
(Healthcare Data Solutions)
should be implemented by MedPlus Inc./Quest 6/26/2012
Greenway Medical
end of Q3 2012 Technologies Inc.
7/16/2012
State of Florida HIE 8/1/2012
CompuGroup Medical TBD
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7. ACHIE Technical Specifications
2. Interface methods
a. HL7
 Discrete textual information sent in real time as it is made available
 Include Lab results
b. Continuity of Care Document (CCD) Exchange
 Newer standard for exchange
 XML Summary documents queried for by physicians
 Multiple standard exist, standards are published by Integrating the
Healthcare Enterprise (IHE)
 Not all EHR vendors support CCD at this time
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8. Atlantic Coast HIE Configuration
 Data Delivery
 Push: Data for patients with an existing relationship can be pushed
automatically to an EHR (HL7 Interface)
 VHR Search (Pull): VHR can be searched by patient demographics
then information can be pulled into the EHR (HL7 Interface)
 Query: Patients can be located from a provider’s EHR system and
data placed in the EHR (CCD Connection)
 Patient Consent
 “Opt In” HIE: Patients will need to specifically consent for
information to be shared in the HIE
 Responsibility of individual physicians to educate patients on the
consent policy
 Information in EHR systems
 Information sent to EHR systems can be integrated directly within
other electronic medical records
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9. ACHIE On-Boarding to the FLHIE
1. ACHIE accepted as early adopter in Group 2 to
connect to the Florida HIE
2. Kickoff Meeting January 19th
3. Policies updated to comply with State Guidelines
4. Consent policy modified to conform with State
standards
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10. National HIE
FL HIE
Inter
HIE
Gateway
Private
HIE
Atlantic Coast HIE
Health Management Reference Other
System Group MHS Facilities
Labs Providers
Independent
Physicians Voluntary MHS
Physician EHR’s
Other Personal Health
Independent Record
Physicians
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11. ACHIE Governance Model
1. MHS is offering membership in ACHIE to any
provider who wishes to join
2. Governance model has being revised to make it
more participative and open
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12. Lessons Learned
 Be Transparent
 Lots of Contracts
 Be Patient
 Tie HIE Connections to EHR Contracts
 Promote Value
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13. Questions
www.atlanticcoasthie.com
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