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What Are We Going to Do Now? SMRTNET Secure Medical Records Transfer Network

What Are We Going to Do Now? SMRTNET Secure Medical Records Transfer Network. Today’s Connectivity World . SMRTNET brings them together. Diagnosed With Arthritis 2-9-05. Prescribed medication for Cholesterol 12-22-05. Diagnosed Asthma 5-27-99. Diagnosed With Arthritis

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What Are We Going to Do Now? SMRTNET Secure Medical Records Transfer Network

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  1. What Are We Going to Do Now?SMRTNETSecure Medical Records Transfer Network

  2. Today’s Connectivity World

  3. SMRTNET brings them together Diagnosed With Arthritis 2-9-05 Prescribed medication for Cholesterol 12-22-05 Diagnosed Asthma 5-27-99 Diagnosed With Arthritis 4-29-06 Foot Surgery Bone Spur removal 1-15-02 Diagnosed with IBS 9-30-02

  4. What is an HIE Network? • Members only • Share data on common patients for treatment • Various EHRs and data sources • Common governance (policies and rules) • Common data sharing agreement • Common privacy policies

  5. Rural Hospital Benefits • Meaningful Use • Retention of physicians • Recruitment of physicians • Encourages use of local hospital • Improve key reportable quality indicators • Efficiency and friction reduction • Communication with specialists and urban areas • Decrease drug seeking • Reduce cost of uninsured • No EHR required • Makes a small office big

  6. Public HIE Utility Company • Non profit operated by members • Multiple self-governed networks that can share data • Comprehensive member agreement (3 years and $ 125,000) • Planning Process • Privacy policies • Data and connections (51 institutions) • Proven technology that fits with Oklahoma • Economic stability without grant funds • Open access incubator network for all

  7. Development Network • Hospital Tahlequah City Hospital • University Northeastern State University • Public Health OSDH/Cherokee County • Federal Hastings Medical Center • Tribal Cherokee Nation • Mental Health Bill Willis Community MHC • Community Health Ctr NEO Community Health Centers

  8. Networks in Oklahoma

  9. SMRTNET Meaningful Use Consumer Services Health Outcomes Policy Priorities SMRTNET Hub Services • Improve quality, safety, efficiency and health disparities • Engage patients and families • Improve care coordination • Improve population and public health • Ensure adequate privacy and security protections SMRTNET HIE Personal Health Record Alerts & Reminders Secure Messaging Clinical Hub Scheduling Billing EMR View ePrescribe P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P CPOE Drug interaction checks Problem lists ePrescribing Maintain medication lists Maintain allergy lists Record demographics Record advance directives* Record vital signs Record smoking status Lab test results Generate patient lists Reporting on measures Patient reminders Decision support rules Progress notes* Eligibility checks Electronic claims Electronic copy of record Electronic access to health information Patient-specific education resources Clinical summaries at each encounter Exchange key clinical information Medication reconciliation Electronically submit data immunization data Electronically submit reportable lab results Electronic syndromic surveillance data Compliance with HIPAA privacy and security rules Compliance with fair data sharing practices P P 2011 Meaningful Use Policy Objectives

  10. Data set • Demographics • Allergies and reactions • Diagnosis • Procedure code • Provider • Medications • Laboratory results • Immunizations • History and physical • Reports • Discharge summary

  11. SMRTNET Clinical Encounters in Oklahoma

  12. SMRTNET Distribution

  13. Current Data • Over 37 million encounters • Over 11,500 contributing providers • Over 3 million patients • 16 million diagnoses

  14. Hospital ED Cost Reductions for OKC

  15. SMRTNET Community “The Experience” No Historical Data in EMR SMRTNET Community SMRTNET Community Data

  16. SMRTNET Community “The Experience” SMRTNET HIE View Who Prescribed these? What was Observed? SMRTNET Community Data SMRTNET Community Data

  17. SMRTNET Community “The Experience” SMRTNET Community Data SMRTNET Community Data

  18. SMRTNET Community “The Experience” Details from Encounter SMRTNET Community Data SMRTNET Community Data

  19. Security • William Braithwaite, MD, PH.D, author of HIPAA • Regenstrief Institute and Chris Sears • Over 20 Oklahoma attorneys • Over 15 privacy officers • 27 privacy policies • Operational for four years without any incidents

  20. Northeast Oklahoma • Adair County Health Dept (Stilwell) • AMO Health Center (Salina) • Bartlesville Health Center (Bartlesville) • Tahlequah City Hospital (Tahlequah) • Northeastern Oklahoma University (Tahlequah) • Three Rivers Health Center (Muskogee) • Vinita Health Center (Vinita) • NEO Community Health Center (Tahlequah-Hulbert-Westville) • WW Hastings Hospital (Tahlequah) • Baptist Memorial (Miami) • Grove General (Grove) • Wilma Mankiller Health Center (Stilwell) • Mayes County Medical Center (Pryor) • Mayes County Health Department (Pryor) • Redbird Smith Health Center (Sallisaw) • Sam Hider Health Center (Jay) • Will Rogers Health Center (Nowata

  21. SMRTNET-OKC (GOCHC) • Greater Oklahoma City Hospital Council • OU Medical Center • Unity Health Center • Cancer Institute of Oklahoma • Deaconess Hospital (pending) • Edmond Medical Center • Oklahoma Heart Hospital North • Oklahoma Heart Hospital South • INTEGRIS Baptist Medical Center • INTEGRIS Canadian Valley Regional Hospital • INTEGRIS Southwest Medical Center • Mercy Health Center • Midwest Regional Medical Center • Norman Regional Hospital • Norman HealthPlex • OU Medical Center (Edmond) • St. Anthony’s Hospital • Oklahoma Heart Hospital • Moore Medical Center • Oklahoma City-County Health Dept (pending)

  22. Rural Hospitals • Baptist Regional (Miami) • Bass Baptist (Enid) • Blackwell Regional (Blackwell) • Clinton Regional (Clinton) • Grove General (Grove) • Marshall Memorial (Madill) • Mayes County Medical (Pryor) • Spencer Behavioral Health (Spencer) • Tahlequah City Hospital (Tahlequah) • Hastings Indian Hospital (Tahlequah)

  23. Norman PHO • Very unique group of 300 physicians all using the same electronic record system • NPHO will develop their own network • Integrate to SMRTNET network • Object of AHRQ research contract and Beacon grant • Leverage OKPRN Prevention Science Algorithm’s

  24. Ambulatory Interfaces Underway • eClinicalWorks • Allscripts • Cerner • Greenway • NextGen • Carescope

  25. Baptist Community Clinic Baptist Mission Center City Rescue Mission and Dental Clinic Cross and Crown Clinic Community Charity Eye Clinic Crossings Community Clinic Good Samaritan Free Clinic of Edmond Good Shepherd Ministries In Gods’ Care King's Klinic Lighthouse Medical Clinic Little Flower Clinic Manus Juntas Clinic Mid-Del Community Clinic Ministries of Jesus Open Arms Clinic Reaching Our City Medical Center St. Charles Clinic OKC Uninsured Clinics

  26. Native American Services • Cherokee Nation possibly the only truly interoperable tribe in the country • SMRTNET member agreement used as national template for Indian Health Service • Active discussions with other tribes

  27. Physician Roll-out • 1,400 physicians with medical privileges at 24 hospitals at no charge • Do not have to have an EHR • 1,500 Oklahoma Medical Association (in planning) • Norman Physician Hospital Organization 300 physicians • All other providers through incubator network and do not need to be in a network

  28. Contacts Mark Jones Chief Operating Officer and Principal Investigator markjones@smrtnet.org 918 931 9410

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