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South Carolina Health Information Exchange. Update 7/23/2013 Todd Thornburg. www.SCHIEx.org. Purpose for Exchange. The need to modernize how health information is shared has been recognized and discussed for a decade. In an ideal world, a patient’s
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South Carolina Health Information Exchange Update 7/23/2013 Todd Thornburg
www.SCHIEx.org Purpose for Exchange The need to modernize how health information is shared has been recognized and discussed for a decade. In an ideal world, a patient’s history would be available electronically to their health provider anywhere the patient seeks care.
Approach SCHIEx core technology + standards-based interoperability enable providers from different organizations using different EHR systems to connect….
Services …and exchange key clinical information with other participating providers, such as: • Diagnoses and procedures • Lab results • Immunization records • Discharge summaries • Medication lists • Allergies • Clinical summaries
SCHIEx EXCHANGE Fully automated and bi-directional. Sometimes referred to as “query” or “robust” exchange. This service also includes: • SCDHEC gateway - enables bi-directional exchange with the State Immunization Registry. • Nationwide health information network eHealth Exchange gateway - Veteran health exchange. • Direct Messaging
How it works - Connect Once SCHIEx CCDRequest CCDRequest CCD registered Dr. Jane Doe ENT Dr. Smith PCP CCD Response CCD Response
Possible Benefits to Clinicians Making histories reliably available to clinicians at the point of care • Helps reduce duplication of tests or procedures. • Helps prevent medication interactions or reactions. • Prevents delays caused by missing information. • Enhances disease management. • Facilitates patient care and transitions in care.
Potential Financial Benefits ALABAMA HIE
Potential SCHIEx Services Other “Trigger Event Reporting” that could be explored • ER Admission • Inpatient Admission • ER Discharge • Inpatient Discharge • Direct delivery of notes to PCP from Hospital
What’s needed to use SCHIEx EXCHANGE? Electronic Health Record • Functionality to send, find, and retrieve documents based on national open standards • Specifications are outlined in SCHIEx interoperability Services Guide • Complete SCHIEx technical validation process
Exchange Interfaces Current Success EHS (Vitera) e-Clinical Works Testing NextGen Allscripts Meditech Medinformatics
Getting Started Connecting to SCHIEx can be Approached in 5 Steps … and begins at www.schiex.org