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NDHIMA – Fall Conference

NDHIMA – Fall Conference. September 13, 2013. Agenda. Participation Update Direct Status HIE Implementation Project Update EMR Loan/NDHIN Connectivity Grant Program NDHIN – Delivering Value. NDHIN. 105 Participating Organizations http :// www.ndhin.org/providers/participating-providers.

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NDHIMA – Fall Conference

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  1. NDHIMA – Fall Conference September 13, 2013

  2. Agenda • Participation Update • Direct Status • HIE Implementation • Project Update • EMR Loan/NDHIN Connectivity Grant Program • NDHIN – Delivering Value

  3. NDHIN • 105 Participating Organizations • http://www.ndhin.org/providers/participating-providers

  4. Provider Education • http://www.ndhin.org/video/provider-education-video

  5. Push Services

  6. NDHIN Direct Secure Messaging

  7. Adoption of Direct is growing… Map Legend State HIE Program Grantees, August 2013 NH VT ME WA Live ND MT Not Live MN MA NY OR WI SD MI Pilot ID RI CT WY NJ PA Not implementing Direct IA NE OH MD DE IN NV IL WV VA UT CO CA KS MO KY Other States and Territories NC AK HI TN SC OK AR AZ NM AS CNMI GA AL MS DC PR LA TX GU USVI FL

  8. NATE

  9. DirectTrust

  10. Pull (Query based) Services

  11. Integrated Health Data Architecture

  12. Data Feeds to HIE • VPN Connection to Data Providers • HL7 • Admission, Discharge, Transfer (ADT) • Labs (ORU) • Radiology Reports/Documents (ORU) • Clinical Documents • Immunizations (VXU) • CCD/C-CDA Exchange

  13. Interfaces Interfaces

  14. Interfaces Interfaces Continued

  15. Imaging

  16. NDHIN Patient Portal • Provide patients secure access to their current medical records from all participating sources • Improve communication between patients and providers • Upload relevant documents (such as Advance Directives) • The NDHIN Clinical Portal will be the statewide Advance Directive Repository • View who has accessed their Clinical Portal record • Providers can: • Electronically deliver results • Confirm/Remind upcoming appointments • Provide patient reference information

  17. Notifications

  18. Subscriptions/Notifications • Providers can “subscribe” to their patients and be notified when specific events/triggers happen – based on HL7 messages • Inpatient Admission • Inpatient Discharge • Abnormal Lab Result (includes all abnormal results) • Above High/Low Abnormal OR Panic Lab Result (subset of abnormal lab result) • New Final Radiology Result • Patient is admitted to the ER

  19. Audit Log

  20. Patient Consent • Opt Out/Opt In of HIE managed by two methods: • ADT Message (PD1-11) • Manually, within HIE

  21. Integration with EHRs • Direct: NDHIN as HISP • EHRs will be Direct-Enabled as part of 2014 Certification • SSO/Clinical Integration with HIE

  22. Example Integration (Epic)Single Click access to Clinical Portal

  23. Example Integration (Cerner)Single Click access to Clinical Portal

  24. HealtheWay

  25. Project Status • Jamestown Regional Medical Center –ADT testing complete, LAB message analysis almost complete, validation planning underway, eMPI bulk load complete, regular status calls occurring, and outreach/training activities underway. • Sanford (Fargo) – ADT message analysis continues, Immunization pass-through to NDIIS in Production, regular status calls occurring. • St. Alexius - Readiness Assessment submitted, regular status calls occurring and outreach/training activities underway. • Dept. of Health, Public Health Reporting connection – connection complete, regular status calls occurring planning for ELR to be sent through NDHIN from first participant. • Dept. of Health, Immunization Integration – pass-through for Sanford Fargo in production, testing with Altru, planning with other participants continues.

  26. Project Status • Altru Health System – ADT testing almost complete, LAB message analysis beginning, Readiness Assessment complete. • Sanford (Bismarck) – VPN complete, ADT message analysis almost complete, LAB message analysis beginning, outreach/training activities underway. • Catholic Health Initiatives – Participant agreement being finalized, onboarding planning underway. • Family HealthCare – VPN and Readiness Assessment feedback in progress. • Trinity and Mid Dakota Clinic – Onboarding in progress.

  27. EMR Loan/Connectivity Grant Programs • EMR Loan Program – Disbursed $11.5M to date • NDHIN Connectivity Grants • Purpose: Provide funds to providers to connect their electronic health record system to the NDHIN • Funds Available - 1 to 1.3 Million Dollars (Disbursed $553K to date) • Hospitals - $30,000 • Clinics and Other Providers - $10,000 • Pharmacies - $5,000

  28. NDHIN – Delivering Value • What role can NDHIN play? • Direct Messaging Service Provider (HISP) • Provide data to Providers from other locations/other EHR Systems • Direct • Clinical Portal • EHR Integration (Epic, Cerner, etc…) • Provide data from other Providers to you/your EHR System • Direct • Clinical Portal • EHR Integration (Epic, Cerner, etc…) • Deliver data to State Lab/Registries/Other Sources – Meaningful Use • Immunizations • Electronic Lab Reporting • Syndromic Surveillance • PCMH • Analytics/Reporting (ACOs, Community Needs Assessments, etc…)

  29. Agenda • Participation Update • Direct Status • HIE Implementation • Project Update • Loan/Connectivity Grant Program • NDHIN – Delivering Value

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