LACIE Presentation Mike Dittemore RN, BS, emba Executive Director

Transcription

1 LACIE Presentation Mike Dittemore RN, BS, emba Executive Director

2 LACIE Collaborative As of April 1, 2013 LACIE is an independent 501 (c)(3) with no owner, governed by a perpetual and collaborative Board of Directors LACIE has no debt viable and sustainable Information from contributing sources aggregated into a single document for viewing Operations are based in Kansas City Make every attempt to purchase all of the goods and services we utilize from the Greater Kansas City Area Cerner is our technology partner LACIE is vendor agnostic and access to the HIO can be embedded* into numerous certified EMRs. *Access to LACIE directly from electronic medical record without having to enter any additional patient information before preforming query

3 What Can The Data In The Exchange Be Used For LACIE only allows data in the exchange to be used for Treatment, Payment and Healthcare Operations (TPO) as defined by HIPAA There is currently no third party use allowed by LACIE of data entrusted to us e.g. selling data for research/ marketing LACIE does not alter, redefine, normalize data or determine what normal parameters are. Normal ranges are provided from the contributing members Should LACIE or another member discover what they believe to be a documentation error the contributing member is notified of the possible discrepancy and it is their decision to modify the information.

4 LACIE Governance Executive Committee Dr. Greg Ator University of Kansas Hospital, Chair Dr. Laura Fitzmaurice Children s Mercy, Vice Chair Jack Wagner Shawnee Mission, Treasurer Dr. Joe Boyce Heartland Health, Secretary Mitzi Cardenas Truman, Exec. Comm. Member at Large

5 LACIE Governance cont. Current Board Members Dr. David Nill Cerner (Large Employer) Ben Ernst CEO Northwest Health Services (FQHC) Jill Watson CEO KCMPA (Independent Providers) Cathy Weins VP Olathe Health System ( Community Hosp.) Jennifer Kozinn VP NKCH (Community Hospital) Harold Johnson Consumer Advocate Open Open

6 Participation Lewis And Clark Information Exchange Membership Organization Hospitals Clinics Providers University of Kansas Medical Center Children s Mercy Hospitals and Clinics Truman Medical Centers Shawnee Mission Medical Center Olathe Health System Anthony Medical Center Hiawatha Community Hospital Heartland Health/ MOSAIC Life Care North Kansas City Hospital St. Francis Hospital and Health Services Kansas City Metropolitan Physician Association Turner House Children s Clinic Saint Joe Orthopedics Social Welfare Board Samuel U Rodgers Health Center Albany Chiropractic Johnson County EMS Bethany Medical Clinic Platte County Health Department Kansas City Care Clinic Poirier Pharmacy Northwest Health Services Cerner Clinics Total ,496+

7 Participation Update Cont. Contracts Being Reviewed Lewis And Clark Information Exchange Membership Organization Hospitals Clinics Providers Additional Hospitals Currently Reviewing Agreement Verbally Committed Clinics Associated with Above Hospitals Independent Clinics/ Non-acute Facilities Estimated Number of Additional Providers Total LACIE Connected to Tiger Institute University of Missouri Columbia HIO January 2014 for bidirectional exchange LACIE and KTRACS have connected and testing is wrapping up in test environment, developing processes to onboard providers in order to query KTRACS directly through LACIE Contract signed with Vitalz to provide Patient Portal services on , MU Stage 2 Certified

8 Monthly LACIE Queries _ ,000 Patient Queries Through LACIE 40,000 39,088 35,000 30,000 25,000 20,000 18,069 Patient Queries 15,000 13,668 10,000 5, ,499 6,489 5,399 5,601 5,791 3,800 2,108 April May June July August September October November December January

9 Speed Of Data To The Exchange (Centralized Model) Role Based Views in the Portal: o Demographics = R/T o Problem List = N/E o Diagnosis = N/E o Allergies = N/E o Medications = N/E o Provider Reports = R/T o Lab Orders/ Results = R/T o Radiology Reports = R/T o Vital Signs = R/T o Clinic Visits = R/T *Viewable data in LACIE is dependent on submitting EMRs capabilities and organizations determination of what to share. Example of a Participants Data Submission R/T = Real Time once verified/ signed off N/E = Nightly Extract

10 Vendor Neutral: Sampling of Interfaces Allscripts imed Corp Amazing Charts Ingenious Med AthenaHealth Ingenix CommChart Integritas CPSI InterComponentWare eclinicalworks Meditech EHS Misys e-mds NextGen Encite Praxis Epic Prognosis GE Centricity Sage Glostream Sage Intergy gmed Siemens Greenway SOAPware, Inc. HealthVision SuccessEHS *View inside eclinicalworks Green = embedded into native EMR

11 MPI For All Centralized Connections to LACIE Matching Points: Demographics fields : First Name Middle Name Last Name SSN** DOB Gender Address* Phone *Address is actually broken up into smaller elements to evaluate separately: Street address City State Zip Records that are not a 99.21% or higher match from different organizations is kicked into a work queue and contributing sources are contacted to verify. 100% match required from same source.

12 The Early Use Actual Case (Names have been changed) Allison MaryJane Smith vs. Allison MaryJune Smith Matching Points: Demographics fields : First Name Middle Name Last Name SSN** DOB Gender Address* Phone *Address is actually broken up into smaller chunks to evaluate separately: Street address City State Zip Match or not Match?

13 The Answer Twins, one with a congenital heart problem the other no significant medical problems.

14 Office: