Course 5: IHS NHIE Overview and Patient Data Viewer

1. Course 5: IHS NHIE Overview and Patient Data Viewer February 1, 2011

2. Introduction

3. Course Outline • Course Objective • IHS NHIE Overview • CONNECT Overview • Universal Client GUI • Consumer Preferences Profile GUI • Documentation • Demonstration • Questions

4. Course Objective • Gain a thorough understanding usage of the Universal Client GUI and the Consumer Preferences Profile GUI. • These have been installed and maintained at the central IHS headquarters location.

5. IHS NHIE Overview - Goals • Enable IHS Cross-Facility health data exchange as well as health data exchange with external organizations over the Nationwide Health Information Network (NHIN) • Enable each IHS Facility to maintain ownership and control over their patient data

6. Key Terms • NHIE – “Nationwide Health Information Network” Health Information Exchange • GUI – Graphic User Interface

7. The Big Picture

8. CONNECT Overview

9. CONNECT • Open Source Software gateway that facilitates Health Information Exchange over the Nationwide Health Information Network • Implements Core Services to Product Specifications laid out by the Nationwide Health Information Network Initiative

10. CONNECT • A few examples of the core services are • Document Query - to obtain patient document references • Document Retrieve– to obtain patient document • Patient Discovery – to correlate enterprise patient identities across the Nationwide Health Information Network • Every Agency/Private Health Institution that uses CONNECT/equivalent gateway is termed a NHIE

11. CONNECT GUIs • CONNECT includes two GUIs as a part of its distribution • Both have been customized for IHS usage • The two GUIs are • Universal Client GUI- to view patient documents from IHS’ NHIE and from across the Nationwide Health Information Network • Consumer Preferences Profile GUI– to manage patient consent at IHS’ NHIE

12. Universal Client GUI

13. Universal Client GUI • Used by Healthcare Providers • Facilitates viewing of Patient Documents within IHS’ HIE and/or the Nationwide Health information Network • A typical workflow entails • Login to the GUI • Search for a Patient • Query for Documents • Retrieve Patient Document • Patient Discovery (Optional)

14. Universal Client GUI –Provider Login Alpha - https://ditdev2.d1.na.ihs.gov:7171/CONNECTUniversalClientGUI BETA - https://ditdev4.d1.na.ihs.gov:7171/CONNECTUniversalClientGUI • Provider logs in with D1 Credentials • Username format is “D1\<username>” • Provider clicks “Login” button

15. Universal Client GUI –Patient Search • Provider enters search criteria, Patient Demographics, and clicks “Search” button • First and Last name are required criteria • Search results are probabilistic – Best match is the first entry in the table • Provider selects required patient from table

16. Probabilistic Matching • Patient search using Demographics is probabilistic and not exact • Weights are assigned to different search criteria. Ex: First Name, Last Name, DOB etc. MPI uses this and determines best possible match, in addition to variants. • Pros: Useful during search for a patient if incomplete search information is provided. • Cons: Patient Search could return exact match and much more (Ex: Next-Of-Kin). The best match is the first record returned.

17. Probabilistic Matching

18. Universal Client GUI – Document Query • Only required criteria is the “Creation Date Range”, defaulted to one year. • “Search IHS HIE using HIEOS XCA” check box is checked by default – searches only IHS HIE • Provider clicks “Document Query”

19. Universal Client GUI – Document Retrieve • Table contains patient document references • Document Style-sheet can be selected to render document content, default – “IHS Standard Template” • Provider selects required Document from the table

20. Universal Client GUI – Retrieved Document Rendered using “IHS Standard Template”

21. Universal Client GUI – Patient Discovery • Not a part of a typical workflow • Preliminary step to be performed if subsequent “Document Queries” need to access the NHIN. • Provider clicks “Discovery Patient” on the NHIN • Table is populated with correlated enterprise patient ids from the NHIN

22. Consumer Preferences Profile GUI

23. Consumer Preferences Profile GUI • Used by Administrators • Facilitates establishment of Patient Consent at the IHS HIE • Patient consent determines if Patient Documents are shared with External Agencies or Private Healthcare institutions on the Nationwide Health Information Network • Patient Documents will always be shared for “Treatment” and “Emergency” purposes. Consent affects other purposes of use such as “Public Health” • IHS has adopted the “Opt-In with “Purpose-of-use” model. Patient is “Opted-out” by default.

24. Consumer Preferences Profile GUI A typical workflow entails • Log in to the GUI • Search for a Patient • Establish Patient Consent

25. Consumer Preferences Profile GUI – Login Alpha - https://ditdev2.d1.na.ihs.gov:7171/CONNECTConsumerPreferencesProfileGUI BETA - https://ditdev4.d1.na.ihs.gov:7171/CONNECTConsumerPreferencesProfileGUI • Administrator logs in with D1 Credentials • Username format is “D1\<username>” • Administrator clicks “Login” button

26. Consumer Preferences Profile GUI – Patient Search • Administrator enters search criteria, Patient Demographics, and clicks “Search” button • First and Last name are required criteria • Administrator selects required patient from table

27. Consumer Preferences Profile GUI – Default Patient Consent • By Default, patient is “Opted-out” • Administrator could choose to select “NHIN Opt-In Limited”

28. Consumer Preferences Profile GUI – Opt-In Limited • Administrator moves “Purpose-of-Use” between Deny and Permit Lists • Administrator clicks “Save Preferences” button

29. Documentation • User Guides • Connect GUIs User Guide

30. Demonstration

31. Questions?