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June 5, 2008

June 5, 2008. 750,000 patients in multi-state region. 2/3 of patients live in Tennessee 1 /3 live in Virginia 5% in other states. CareSpark’s Mission. Regional Population Has High Disparities of:. CareSpark’s mission is to improve the health

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June 5, 2008

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  1. June 5, 2008

  2. 750,000 patients in multi-state region 2/3 of patients live in Tennessee 1/3 live in Virginia 5% in other states

  3. CareSpark’s Mission Regional Population Has High Disparities of: • CareSpark’s mission is to improve the health • of people in NE Tennessee and SW Virginia through the collaborative use • of health information • Diabetes • Cardiovascular Disease • Hypertension • Lung Disease • Cancer • Premature Mortality CareSpark region has $2,400 higher per capita patient care coststhan other regions of the country

  4. What Will CareSpark Do? • Outcomes Improvement • Individual health outcomes Population health status • Decision Support • (real-time, at point of care, across all systems) • Patient-specific info (Rx, Dx, Hx) • Clinical Best Practices • PHR / EMR / CCR • Cost-Efficient Use of Resources • Reduced duplication, errors, administrative costs

  5. Value is Derived from Better Medical Decisions Treatment Diagnostic Redundancy Patient Data Errors Electronic Medical Record Clinical Data Sharing Decision Support Source: SBCCDE, CITL, Gordian Project analysis

  6. CareSpark’s Strategic Outcomes • Population Health Clinical Premature Mortality Adult Diabetics, Rx filled, vision / foot, HBA1C<7 New Diabetes Cases Lipid Panel LDL < 100 Flu Vaccines for 65+ Pneumo Vax for ages 65+, <2 ER Visits for Health Attack Stroke Therapy Post- MI followup Cancer Screenings (PAP, Mammogram, colorectal) Financial Savings -- ROI • Patient • Clinician • Facilities • Purchaser (health plan, employer, taxpayer, individual)

  7. CareSpark RHIO Consortium Partners • National / International: Local / Regional: • ActiveHealth the Creative Trust AllScripts Deliberare • Anakam Holston Technology • Cisco Intellithought • CGI LucentGlow • Dell OnePartner • GE Healthcare • Healthvision / Quovadx State: • Initiate Systems Tennessee • Intel Virginia • Misys • Oracle Federal: • Siemens DHHS / ONC Wellogic Market / thought leaders committed to interoperability, collaboration and results

  8. XDS DocumentRepository CareSpark IHE Architecture CareSpark Data Store Physician Practice 1 Document Repository XDS PatientIdentitySource (MPI) Portal XDS PIXService IHE DocSource/ DocConsumer XDS PDQService Hospital 1 XDS DocumentRegistry CareSpark XDS Data Store - For Patient Care Data Participants Document Repository CT TimeService IHE DocSource/ DocConsumer ATNA Audit Repository XDS Key Store Hospital 1 Phys Portal Data Transformation IHE DocConsumer FILTER Public Health Department 1 Clinical Data Repository - For Public Health Improvement Clinical DataRepository IHE DocSource/ DocConsumer Additional Providers and other data participants Public HealthData Mart De-IdentifiedData Mart Document Repository IHE DocSource/ DocConsumer

  9. CareSpark NHIN Architecture CareSpark (Hosted at CGI) Anakam Web Server ESB Web Server Anakam Two FactorAnakam PortalWellogic Two FactorAnakam PHRActiveHealth DB Server MPOP Cloverleaf Data Transformation Oracle MPOPConsent CustomInterfaces SOAP/HTTP NHIN request/response Protocol Transformation XDS DocumentRepository XDS RepService Socket TCP ATNA AuditRepository Message Enhancement Providers ATNAWinSysLog XDS PDQService XDS PatientIdentitySource (MPI) EMPIInitiate Security Validation Flat File Any other inbound/outbound end point XDS PIXService ADTService PostGreSql Routing XDSRegistryNIST XDS DocumentRegistry XDS RegService Web Server Orchestration e-PrescriptionAllScripts VersionControlSubversion XDS Key Store CT TimeClient

  10. Convergence of Data Clinical Patient-Centered Care Administrative Billing & Claims Personal Health Record Research Best Practices

  11. Participation in Nationwide Health Information Network NHIN Prototype Demonstration 2006-07 partner with Accenture consortium CareSpark, West Virginia, Kentucky NHIN Trial Implementation 2008 Secure exchange Standardized interfaces Consumer access * Emergency use case: summary medical record * Medication Management eRx, med history, decision support * Consumer Empowerment personal health record, registration and medication history

  12. Better Health for Central Appalachia • www.carespark.com • Liesa Jenkins, Executive Director • 423-963-4970 • ljenkins@carespark.com

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