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DSA/M3
“ simple idea born of necessity combined with
a
  advanced technology to achieve our goal”
DSA/M3 Healthcare
 Service Overview
DSA/M3 Healthcare
 Service Overview
Medical ID Card
& DSA/M3 Medical ID Net work
Electronic Health Record Solution
Health Information Exchange
M3 Corporate Profile
Mary L. Mazza, D.O.-emergency physician who
identified a need in her daily practice for the
availability of medical information easily and quickly
Jerry Ellen Owensby, M.D.-internist and solo
practitioner who also has identified a need for
accessible, up-to-date medical information in the office
setting
Ms. Barbara Abbate-small businesswoman who has
been converting medical offices from paper to
electronic data as they move toward an electronic
medical record system
DSA Corporate Profile
45 years of experience - founded in 1963
Employee Owned - 175+ people
Operations throughout the U.S.
Highly trained, experienced, and cleared engineering personnel
  100% cleared technical staff
  80% of staff cleared at Top Secret (TS) level
  30% of TS cleared staff holds Sensitive Compartmental
  Information (SCI) and Special Access Program (SAP) access
Operational experience with federal civil agencies, Department
of Defense, Intelligence Community, and commercial customers
DSA
DSA/M3 Convergence of
     Disciplines
Systems Engineering
  and Integration                            Identity Management
     Solutions



 Enterprise Business
                                                  Information
Solutions / Knowledge
                                                   Assurance
    Management



 Data Digitalization
                        Program / Acquisition
    and Records                               Healthcare Expertise
                            Management
   Management
Identity Management &
Privacy Data Experience
 Certified Personal Identity Verification (PIV) credential
 card issuer for the Federation for Identity and Cross-
 Credentialing Systems (FiXs) organization
 Experienced in identity management enrollment &
 registration support efforts
 Experienced in testing and certifying federal
 government privacy information systems
 Experienced in developing secure role-based database
 management systems
 Identity and biometric verification hardware reseller
DSA/M3 Medical Card &
  Medical ID Net work
DSA/M3 Medical Card
& Medical ID Net work
 Provides subscribing patients with portable medical
 information in the form of an infodisc, flash drive, or
 smartcard
 Provides subscribing patients with an electronic
 archive of their medical record
 Provides emergency physicians with access to patient
 archived emergency medical information, either via
 patient smartcard or fax on-demand service
 Enables enrolled providers to access cardholder
 medical information
DSA/M3 Medical Card &
Emergency Medical ID Net work
  Insurance Information

  Demographics
                                infodisc, flash
  Emergency POC
                                   drive or
                                  smartcard
  Primary Healthcare Provider

  Medical/Surgical History

  Medications

  Allergies

  Immunizations
DSA/M3 Medical Card &
Emergency Medical ID Net work


  Premium Medical Package
Premium Package
            option 1
M3 Infodisc/Flash Drive
 patient secure on-line registration of
 basic medical information (not updatable
 by subscriber)
 static medical records archived onto disc
 or flashdrive
 information is accessible by inserting
 infodisc/flash drive in provider CPU
Premium Package
           option 2
Emergency Medical ID Smartcard
 Patient secure on-line registration of
 basic medical information written onto
 microchip (updatable by subscriber)
 this information is accessible via
 microchip reader or Password/PIN
 protected access online
Premium Package
                 option 3
Smartcard and Archived Medical Records
  Patient secure on-line registration of basic medical
  information (updatable by subscriber)
  Patient medical record archived for care provider
  access
  Subscribing Care Providers granted secure net work
  access to archived medical information of cardholder
  Non-subscribing Care Providers granted access to
  archived medical records through patient initiated
  secure automated fax-on-demand access
DSA/M3 Medical Card
& Medical ID Net work

 Platinum M3 Medical Card
  Smart Card with Photo & Fingerprints
  (the ultimate secure solution)
Platinum M3 Medical Card
 patient registers at mobile registration station or kiosk for photo and
 fingerprint capture
 medical record archived for secure care provider access
 subscribing care providers granted secure net work access to archived
 medical information of cardholders
 non-subscribing care providers granted access to archived medical
 records through patient initiated secure automated FAX-on-Demand
 access
 up to four free updates posted to medical data during subscription
 period
 worldwide medical record automated fax-on-demand ser vice
 free lost card replacement
DSA/M3 Medical Card
& Medical ID Net work
 secure encrypted data connections to a central repository of
 electronic patient medical records.
 access granted by the digital certificate and the fingerprint data
 that are contained on the healthcare provider’s Smartcard.
 care provider Smart Card’s Digital Certificate, along with an
 encryption certificate installed on the Care Provider’s
 workstation, used to create a 128 bit encrypted link to the
 DSA/M3 central patient medical record repository
 Once care provider is logged into the repository, the digital
 certificate combined with the digital certificate from the
 patient’s Medical ID Card grant access to the patient’s electronic
 medical record.
DSA/M3 Medical Card
& Medical ID Net work
 Once access to the medical record access is granted, the
 access event (Date, time, and name of the accessing care
 provider) is logged and recorded for auditing purposes.
 Upon the conclusion of the visit, the care provider is
 provided an opportunity to enter a journal entry which
 describes the provided treatment.
 The patient may obtain a copy of the treatment history
 and fax it to the DSA/M3 data center.
 The received copies of medical treatment summaries will
 be appended to the patient’s on-line medical record.
DSA/M3 Medical Card
& Medical ID Net work
Provider’s Office
         Scenario
Enrolled Care Provider
presents Smartcard along
with fingerprint/PIN to
authenticate to Medical ID
Net work

Cardholding Patient presents
card and fingerprint/PIN to
verify identity

Care Provider accesses
information stored on
microchip and any archived
medical data stored in Data
Center
Medical Record Digitalization
and EHR Licensing Support for
  Outpatient Environments
Ser vices Offered
Digitalization of paper medical records
Assistance in importing digitalized medical
data into customer owned EHR System
Licensing connection to DSA/M3 Federated
EHR System
Assistance in importing digitalized medical
data into DSA/M3 EHR or third-party EHR
System
EMR Rollout
Pilot program in state of Arizona
Target all practicing physicians, practice locations and
priority segments
  Specialties
  Patient types
  Current EHR usage
  Priority contacts (i.e. Medicare, large hospital net works,
  insurance providers, etc.)
Roll out EHR system that integrates seamlessly into DSA/
M3 Net work and Interoperability Solution
EMR Licensing Diagram
Health Information
     Exchange
Current HIE Work
Michigan's Upper Peninsula Health Care Net work (UPHCN)
Corporation of sixteen health care organizations formed
to facilitate access to high quality health care at a
reasonable cost
  Supports 319,600 Residents
  Total of 1,005 Licensed Beds
  Total of 6,651 Employees or Full Time Equivalents (FTEs)
  Outpatient Registration of 1,484,393
Initial Inter-Operational Capability - March 2009
Medical Information
eXchange (MIX) Server
 MIX Ser vers are located at each hospital
 and at the Regional Center
 Ser ves as a query translator
 Allows for EHR data to be shared bet ween
 MIX-enabled hospitals
 All messages bet ween participating MIX
 ser vers are compliant with the HL7
 messaging format
Medical Information
eXchange (MIX) Server
 Proprietary medical data from existing
 EHR systems used by individual hospitals
 are converted to the Continuity of Card
 Record (CCR) format for sharing
 bet ween hospitals
 Data is requested and viewed using MIX
 Interface
MIX Server Data Flow
MIX Server Diagram
MIX Server Query
     Screen
MIX Server Query
     Screen
UPHCN Architecture
Potential Banner Health
       Scenario
Potential Arizona Scenario
    a “net work of net works
Identity Management
 Identity Management of physicians and patients is
 integrated into this information exchange solution
 Care Providers are issued Smartcard with credentials
   Fingerprint
   Assigned digital certificate
 Patients are issued Medical ID Smartcard
 Card Management Stations are located at each
 hospital and at the Regional Center
Provider Credential
    Smartcard
              Digital certificate is
              contained on each
              medical card

              Providers are
              uniquely identified
              based off the
              National Provider
              Identifier (NPI)

              Role-based
              credentials regulate
              access to data
Provider Credential
    Smartcard
              Digital certificate is
              contained on each
              medical card

              Providers are
              uniquely identified
              based off the
              National Provider
              Identifier (NPI)

              Role-based
              credentials regulate
              access to data
Patient Smartcard
             Contains medical profile on chip

                 Insurance Information
                 Demographics
                 Emergency POC
                 Primary Healthcare Provider
                 Medical/Surgical History
                 Medications
                 Allergies
                  Immunizations
             Allows access to electronic
             medical record

             Prevents identity fraud

                 Photograph on card

                 Fingerprint stored on chip
Patient Smartcard
             Contains medical profile on chip

                 Insurance Information
                 Demographics
                 Emergency POC
                 Primary Healthcare Provider
                 Medical/Surgical History
                 Medications
                 Allergies
                  Immunizations
             Allows access to electronic
             medical record

             Prevents identity fraud

                 Photograph on card

                 Fingerprint stored on chip
DSA/M3 Healthcare
 Service Offerings
Medical ID Card
& DSA/M3 Medical ID Net work
Electronic Health Record Solution
Health Information Exchange
Extras
Card Management
     Diagram
MIX Diagram - Complex

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DSA/M3 Serviceofferings

  • 1. DSA/M3 “ simple idea born of necessity combined with a advanced technology to achieve our goal”
  • 3. DSA/M3 Healthcare Service Overview Medical ID Card & DSA/M3 Medical ID Net work Electronic Health Record Solution Health Information Exchange
  • 4. M3 Corporate Profile Mary L. Mazza, D.O.-emergency physician who identified a need in her daily practice for the availability of medical information easily and quickly Jerry Ellen Owensby, M.D.-internist and solo practitioner who also has identified a need for accessible, up-to-date medical information in the office setting Ms. Barbara Abbate-small businesswoman who has been converting medical offices from paper to electronic data as they move toward an electronic medical record system
  • 5. DSA Corporate Profile 45 years of experience - founded in 1963 Employee Owned - 175+ people Operations throughout the U.S. Highly trained, experienced, and cleared engineering personnel 100% cleared technical staff 80% of staff cleared at Top Secret (TS) level 30% of TS cleared staff holds Sensitive Compartmental Information (SCI) and Special Access Program (SAP) access Operational experience with federal civil agencies, Department of Defense, Intelligence Community, and commercial customers
  • 6. DSA
  • 7. DSA/M3 Convergence of Disciplines Systems Engineering and Integration Identity Management Solutions Enterprise Business Information Solutions / Knowledge Assurance Management Data Digitalization Program / Acquisition and Records Healthcare Expertise Management Management
  • 8. Identity Management & Privacy Data Experience Certified Personal Identity Verification (PIV) credential card issuer for the Federation for Identity and Cross- Credentialing Systems (FiXs) organization Experienced in identity management enrollment & registration support efforts Experienced in testing and certifying federal government privacy information systems Experienced in developing secure role-based database management systems Identity and biometric verification hardware reseller
  • 9. DSA/M3 Medical Card & Medical ID Net work
  • 10. DSA/M3 Medical Card & Medical ID Net work Provides subscribing patients with portable medical information in the form of an infodisc, flash drive, or smartcard Provides subscribing patients with an electronic archive of their medical record Provides emergency physicians with access to patient archived emergency medical information, either via patient smartcard or fax on-demand service Enables enrolled providers to access cardholder medical information
  • 11. DSA/M3 Medical Card & Emergency Medical ID Net work Insurance Information Demographics infodisc, flash Emergency POC drive or smartcard Primary Healthcare Provider Medical/Surgical History Medications Allergies Immunizations
  • 12. DSA/M3 Medical Card & Emergency Medical ID Net work Premium Medical Package
  • 13. Premium Package option 1 M3 Infodisc/Flash Drive patient secure on-line registration of basic medical information (not updatable by subscriber) static medical records archived onto disc or flashdrive information is accessible by inserting infodisc/flash drive in provider CPU
  • 14. Premium Package option 2 Emergency Medical ID Smartcard Patient secure on-line registration of basic medical information written onto microchip (updatable by subscriber) this information is accessible via microchip reader or Password/PIN protected access online
  • 15. Premium Package option 3 Smartcard and Archived Medical Records Patient secure on-line registration of basic medical information (updatable by subscriber) Patient medical record archived for care provider access Subscribing Care Providers granted secure net work access to archived medical information of cardholder Non-subscribing Care Providers granted access to archived medical records through patient initiated secure automated fax-on-demand access
  • 16. DSA/M3 Medical Card & Medical ID Net work Platinum M3 Medical Card Smart Card with Photo & Fingerprints (the ultimate secure solution)
  • 17. Platinum M3 Medical Card patient registers at mobile registration station or kiosk for photo and fingerprint capture medical record archived for secure care provider access subscribing care providers granted secure net work access to archived medical information of cardholders non-subscribing care providers granted access to archived medical records through patient initiated secure automated FAX-on-Demand access up to four free updates posted to medical data during subscription period worldwide medical record automated fax-on-demand ser vice free lost card replacement
  • 18. DSA/M3 Medical Card & Medical ID Net work secure encrypted data connections to a central repository of electronic patient medical records. access granted by the digital certificate and the fingerprint data that are contained on the healthcare provider’s Smartcard. care provider Smart Card’s Digital Certificate, along with an encryption certificate installed on the Care Provider’s workstation, used to create a 128 bit encrypted link to the DSA/M3 central patient medical record repository Once care provider is logged into the repository, the digital certificate combined with the digital certificate from the patient’s Medical ID Card grant access to the patient’s electronic medical record.
  • 19. DSA/M3 Medical Card & Medical ID Net work Once access to the medical record access is granted, the access event (Date, time, and name of the accessing care provider) is logged and recorded for auditing purposes. Upon the conclusion of the visit, the care provider is provided an opportunity to enter a journal entry which describes the provided treatment. The patient may obtain a copy of the treatment history and fax it to the DSA/M3 data center. The received copies of medical treatment summaries will be appended to the patient’s on-line medical record.
  • 20. DSA/M3 Medical Card & Medical ID Net work
  • 21. Provider’s Office Scenario Enrolled Care Provider presents Smartcard along with fingerprint/PIN to authenticate to Medical ID Net work Cardholding Patient presents card and fingerprint/PIN to verify identity Care Provider accesses information stored on microchip and any archived medical data stored in Data Center
  • 22. Medical Record Digitalization and EHR Licensing Support for Outpatient Environments
  • 23. Ser vices Offered Digitalization of paper medical records Assistance in importing digitalized medical data into customer owned EHR System Licensing connection to DSA/M3 Federated EHR System Assistance in importing digitalized medical data into DSA/M3 EHR or third-party EHR System
  • 24. EMR Rollout Pilot program in state of Arizona Target all practicing physicians, practice locations and priority segments Specialties Patient types Current EHR usage Priority contacts (i.e. Medicare, large hospital net works, insurance providers, etc.) Roll out EHR system that integrates seamlessly into DSA/ M3 Net work and Interoperability Solution
  • 26. Health Information Exchange
  • 27. Current HIE Work Michigan's Upper Peninsula Health Care Net work (UPHCN) Corporation of sixteen health care organizations formed to facilitate access to high quality health care at a reasonable cost Supports 319,600 Residents Total of 1,005 Licensed Beds Total of 6,651 Employees or Full Time Equivalents (FTEs) Outpatient Registration of 1,484,393 Initial Inter-Operational Capability - March 2009
  • 28. Medical Information eXchange (MIX) Server MIX Ser vers are located at each hospital and at the Regional Center Ser ves as a query translator Allows for EHR data to be shared bet ween MIX-enabled hospitals All messages bet ween participating MIX ser vers are compliant with the HL7 messaging format
  • 29. Medical Information eXchange (MIX) Server Proprietary medical data from existing EHR systems used by individual hospitals are converted to the Continuity of Card Record (CCR) format for sharing bet ween hospitals Data is requested and viewed using MIX Interface
  • 36. Potential Arizona Scenario a “net work of net works
  • 37. Identity Management Identity Management of physicians and patients is integrated into this information exchange solution Care Providers are issued Smartcard with credentials Fingerprint Assigned digital certificate Patients are issued Medical ID Smartcard Card Management Stations are located at each hospital and at the Regional Center
  • 38. Provider Credential Smartcard Digital certificate is contained on each medical card Providers are uniquely identified based off the National Provider Identifier (NPI) Role-based credentials regulate access to data
  • 39. Provider Credential Smartcard Digital certificate is contained on each medical card Providers are uniquely identified based off the National Provider Identifier (NPI) Role-based credentials regulate access to data
  • 40. Patient Smartcard Contains medical profile on chip Insurance Information Demographics Emergency POC Primary Healthcare Provider Medical/Surgical History Medications Allergies Immunizations Allows access to electronic medical record Prevents identity fraud Photograph on card Fingerprint stored on chip
  • 41. Patient Smartcard Contains medical profile on chip Insurance Information Demographics Emergency POC Primary Healthcare Provider Medical/Surgical History Medications Allergies Immunizations Allows access to electronic medical record Prevents identity fraud Photograph on card Fingerprint stored on chip
  • 42. DSA/M3 Healthcare Service Offerings Medical ID Card & DSA/M3 Medical ID Net work Electronic Health Record Solution Health Information Exchange
  • 44. Card Management Diagram
  • 45. MIX Diagram - Complex