Connecting the Community Sarasota Memorial Health Care System and Health Information Exchange (HIE) About Me 6/8/2016
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1 Connecting the Community Sarasota Memorial Health Care System and Health Information Exchange (HIE) About Me Brian Henderson, MBA PMP Director of Physician IT Services Lead 3 teams Employed physicians Community providers SMHXchange Executive Sponsor Member of HIMSS, PMI and CHIME 1
2 Agenda Overview of SMHCS What is a Health Information Exchange (HIE)? Benefits and Challenges SMHCS HIE strategy and project Scope of project Current state Next phases Sarasota Memorial Health Care System Public, not-for-profit healthcare system Sarasota and Manatee counties Sarasota Memorial Hospital 819 beds staff, 800+ physicians, >1000 volunteers Magnet Recognition for Nursing Excellence 5 Urgent Care Centers 1 Free standing Emergency Center Mission and Vision Mission To provide health care services that excel in care, quality and innovation Vision Our community will be served by the best health care system in America. Sarasota Memorial Health System will be the best place to be a patient, the best place to work and the best place to practice medicine. Our extraordinary people, our innovative clinical technology and our effective use of information systems will set us apart. 2
3 Health Information Exchange (HIE) HIE provides the capability to electronically move clinical information among disparate healthcare information systems, and maintain the meaning of the information being exchanged. The goal of HIE is to facilitate access to, and retrieval of, clinical data to provide safe, timely, efficient, effective, equitable and patient-centered care. HIMSS Dictionary of Healthcare Information Technology Terms, Acronyms and Organizations, Third Edition Benefits of HIE Greater longitudinal view of patient medical record Quicker access to clinical information Vehicle for improved patient care and quality Increased patient safety Reduce duplication of services and healthcare costs Improve public health reporting and monitoring Challenges of HIE People, Processes and Technology People Public perception Data safety Processes Normalizing data Players in the game Technology Connecting the dots 3
4 HIE Examples Indiana Health Information Exchange Regenstrief Institute 19,000 doctors, 80 hospitals, 7 million patients Florida HIE Patient Look-Up (PLU) Event Notification Service (ENS) Direct Messaging (DMS) Part of strategic vision of SMHCS 2 Project Phases covering ~24 months Phase 1 Hospital clinical systems Employed physician EHR Community physician EHR supported by SMH Phase 2 7 practices on 5 different EHRs What are we exchanging? Demographics PAMI Problems, Allergies, Medications & Immunizations Lab results Procedures Vitals Some documents Reports and summaries 4
5 Phase 1 Systems Hospital Allscripts Sunrise Clinical Manager - Medilinks - Rehab Sunquest Lab - ER TAPS AMPFM - epi 3M Coding - GE Surgery & OB Medilinks Respiratory - Syngo CoPath Plus - Provation - Endo CardioServer - Apollo - Cardiology Blood Bank - Streamline Health scanned documents Employed physicians: Greenway Intergy Community physicians: Allscripts TouchWorks Phase 2 Systems GE Centricity SRS ONCO Greenway Prime Suite Allscripts Professional How are we doing this? dbmotion from Allscripts Agent Clinical Viewer Collaborate 5
6 dbmotion Agent Encounters Problems Allergies Medications Immunizations dbmotion Clinical Viewer dbmotion Collaborate 6
7 Where Are We Now? Phase 1 systems SMH clinical systems connected Allscripts TouchWorks Greenway Intergy Where are we at now? Phase 2 systems Contacting Phase 2 practices and vendors Working on data sharing agreements Scheduling technology calls Setting up connectivity and testing Beyond Phase 2 Sarasota icare physicians Considerations Department of Health Other local hospitals Large primary and specialty care groups Continue to market TouchWorks Population Health and Analytics 7
8 Challenges and Considerations Data sharing agreement Patient consent decisions Coordination with practices and vendors Data normalization Physician practice workflow Costs System connectivity and messaging testing Security and auditing Questions? 8
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