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Respiratory Therapy Department Integration to EHR

Respiratory Therapy Department Integration to EHR. November 18, 2009. Best Ever Hospital Best City, IL. MMI – 405: HIT Integration, Interoperability, and Standards Suzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson. Agenda. Where We Left Off Information Architecture Diagram

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Respiratory Therapy Department Integration to EHR

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  1. Respiratory Therapy DepartmentIntegration to EHR November 18, 2009 Best Ever Hospital Best City, IL MMI – 405: HIT Integration, Interoperability, and Standards Suzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson

  2. Agenda • Where We Left Off • Information Architecture Diagram • Origin of the Individual Data Elements • Flow of the Data Sets between Systems

  3. Where We Left Off Best Ever Hospital Best City, IL

  4. The Solution Now, RCMIS stands alone Integrate the RCMIS with • BEH’s EHR for patient information (ADT), orders, results, and patient billing • Appropriate ventilators and monitors

  5. Information Architecture Diagram

  6. Integration Architecture

  7. Origin of Individual Data Elements

  8. RCMIS Data Elements

  9. ADT (PID) Data Elements ADT HL7 PID Segment From: Hospital EMR To: RCMIS

  10. Orders Data Elements From RCMIS and Hospital EMR HL7 ORM Segment

  11. Observation Data Elements From: RCMIS & Hospital EMR

  12. Medical Document Management - Results From: RCMIS To: Hospital EMR HL7 MDM Message

  13. Detail Financial Transaction (DFT) From: RCMIS To: Hospital EMR

  14. Ventilator Interface From: Vents and BS Monitors To: RCMIS and Hospital EMR Pictures from http://www.draeger.com/US/en_US/products/medical_monitoring/pods_modules_options/mon_device_connectivity.jsp http://www.absolutemed.com/Medical-Equipment/miscellaneous/PURITAN-BENNETT-7200-Series-Ventilator

  15. Flow of Data Between Systems

  16. Integrated Interface Data Flow Medical Device Data Medical Device Data RCMIS Interface Engine Best Ever Hospital Electronic Medical Record Respiratory Care Management Information System ADT ADT Results Results Billing Billing Orders Orders Bedside Monitoring Equipment Vent Photo - http://www.puritanbennett.com/prod/Product.aspx?S1=VEN&S2=VNT&id=320

  17. RCMIS Interface Engine Medical Device Data Best Ever Hospital Electronic Medical Record Respiratory Care Management Information System ADT Results Results Billing Orders Orders Bedside Monitoring Equipment Vent Photo - http://www.puritanbennett.com/prod/Product.aspx?S1=VEN&S2=VNT&id=320

  18. Integrated Interface Data Flow Medical Device Data Medical Device Data RCMIS Interface Engine Best Ever Hospital Electronic Medical Record Respiratory Care Management Information System ADT ADT Results Results Billing Billing Orders Orders Bedside Monitoring Equipment Vent Photo - http://www.puritanbennett.com/prod/Product.aspx?S1=VEN&S2=VNT&id=320

  19. Thank You

  20. References • University of Connecticut Health Center.Respiratory Therapy Department. Retrieved October, 2009, from http://nursing.uchc.edu/unit_manuals/respiratory/index.html. • Johns Hopkins Medicine. Respiratory Care Services at Johns Hopkins. Retrieved October, 2009, from http://www.hopkinsmedicine.org/respcare. • Medical College of Georgia. Respiratory Therapy. Retrieved October, 2009 from http://www.mcg.edu/sah/respther/index.html. • Quality Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy of Sciences; 2001:39-40,100. • Aspden P, Wolcott JA, Bootman JL et al., eds. Preventing medication errors. Washington,DC: National Academies Press; 2007:4. • Safe practices for better healthcare: a consensus report. Washington, DC: National Quality Forum; 2003. • Joint Commission on the Accreditation of Healthcare Organizations. Proposed revisions to Standards MM.4.10 and MM.8.10. Retrieved October, 2009, from www.jointcommission.org. • Williams, B. 1990. How to do an ROI (return on investment). Healthc Inform 7(2):30-2. • Ford, Richard M. Respiratory Care Management Information Systems. RESPIRATORY CARE. (2004); 49(4): 367-377. • Pullen, EE. Computers help provide better care. RESPIRATORY THERAPY. (1980); 10(4): 25-27. • Nelson, Steven B. Conference Summary: Computers in Respiratory Care. RESPIRATORY CARE. (2004) 49(5): 531-536. • Mussa, CC. Respiratory care informatics and the practice of respiratory care. RESPIRATORY CARE. (2008); 53(4): 488-499. • Clinivision. Mobile Patient Charting System. Retrieved October 2009 from http://clinivision.com/products/. • Unified Medical Language System (UMLS). United States National Library of Medicine National Institutes of Health. Referenced October 2009 from http://www.nlm.nih.gov/research/umls/knowledge_sources/metathesaurus/mapping_projects/loinc.html. • Vawdrey, David, et al. Assessing Data Quality in Manual Entry of Ventilator Settings. J Am Med Inform Assoc. 2007;14:295–303. • ScienceDirect.com; http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B75DF-4BVBRPC-B&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=1076766201&_rerunOrigin=google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=321a5b066da5c9b201c60fb32d8cb5ca • Theronix, Opus Respiratory Care, system documentation provided to authors by Theronix sales representative. • CorePoint Health Web Site, HL& PID (Patient Identification) Segment,. Referenced November 2009 from http://www.corepointhealth.com/resource-center/hl7-resources/hl7-pid-segment • CorePoint Health Website, HL7 ORM Message. Referenced November 2009 from http://www.corepointhealth.com/resource-center/hl7-resources/hl7-orm-message • CorePoint Health Website, HL7 OBX Segment. Referenced November 2009 from http://www.corepointhealth.com/resource-center/hl7-resources/hl7-obx-segment

  21. References • CorePoint Health Website, HL7 OBX Segment. Referenced November 2009 from http://www.corepointhealth.com/resource-center/hl7-resources/hl7-obx-segment • CorePoint Health Web Site; HL7 MDM Message – Medical Document Management. Referenced November 2009 from http://www.corepointhealth.com/resource-center/hl7-resources/hl7-mdm-message • CorePoint Health Website, Detail Financial Transaction (DFT). Referenced November 2009 from http://www.corepointhealth.com/resource-center/hl7-resources/hl7-dft-detail-financial-transaction • Drager Corporate Website, Device Connectivity Option. Referenced November 2009 from http://www.draeger.com/US/en_US/products/medical_monitoring/pods_modules_options/mon_device_connectivity.jsp • Absolute Medical Equipment website, Medical Equipment, Miscellaneous. Referenced November 2009 from http://www.absolutemed.com/Medical-Equipment/miscellaneous/PURITAN-BENNETT-7200-Series-Ventilator • Puritan Bennett. Supportair™ Titration Platform Ventilator. Referenced October 2009 from http://www.puritanbennett.com/prod/Product.aspx?S1=VEN&S2=VNT&id=320

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