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Bidirectional Health Information Exchange (BHIE)

Bidirectional Health Information Exchange (BHIE). 24 April 2007 1300 EDT IHS Briefing Mr. Greg W. Donham Draft. Interagency Briefing Agenda. Overview of BHIE Architectural Approach of BHIE BHIE Deployment and Statistics CHDR and the Future of Interoperability.

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Bidirectional Health Information Exchange (BHIE)

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  1. Bidirectional Health Information Exchange (BHIE) 24 April 2007 1300 EDT IHS Briefing Mr. Greg W. Donham Draft

  2. Interagency Briefing Agenda • Overview of BHIE • Architectural Approach of BHIE • BHIE Deployment and Statistics • CHDR and the Future of Interoperability DRAFT

  3. Steps to interoperability Federal Health Information Exchange (FHIE), provides clinicians at all Veterans Health Administration facilities with the capability to access DoD health information on separated and retired members of the Uniformed Services. Bidirectional Health Information Exchange (BHIE): BHIE permits DoD military treatment facilities to share clinical data capable of computational actions with any VA medical center when a shared patient presents for care. Clinical Data Repository/Health Data Repository (CHDR) enables the VA’s Health Data Repository (HDR) and the DoD’s Clinical Data Repository (CDR) to share outpatient pharmacy and drug allergy information for Active Dual Consumer (ADC) patients. DRAFT

  4. DoD/VA BHIE Project : NDAA Funded • The goal of BHIE is to improve the service to provide outstanding health care to our Veterans by: • Providing a more complete electronic text and image record of patient care over time • Providing timely and accurate clinical information to the health care provider and patients • Displaying and, if possible, avoiding the duplication of medical tests • Providing a more complete record of external care for VA patients DRAFT

  5. Interoperability Goals • Provide the best healthcare possible to the U.S. Military and our veterans • Operate a joint system for initial one-way transfer of electronic health information from DoD to VA that contributes to veterans’ health • Provide on-demand electronic health information to assist in the compensation process • Ensure compliance with HIPAA regulations and security requirements with existing systems • Create an environment for storing very sensitive information • Use a patient-focused information technology familiar to authorized VA and DoD users DRAFT

  6. High-Level FHIE/BHIE Architectural Components DoD VA FHIE/BHIE Framework MHS Data Repository DMSS HL7 PDTS SADR K61 Pre/Post PDHRA FHIE Repository CPRS CHCS CHCS CHCS Sharing Facility Query Access VistALink RDV & VistAWeb VistA VA Host (Station 200) FHIE/BHIE Framework CACHE’ VistA Local VAMC HL7/ADT WS/XML DoD Web Server CIS HL7/ADT PIDS/ Correlation Vitria IE WS/XML VA MPI -Correlation of Patient Identity -Information Locator -Security -Optimization -Adapter/Connector DoD GUI DRAFT

  7. BHIE Capabilities • BHIE delivers Patient Identification Correlation and real time bidirectional transmittal and display of: • Outpatient Pharmacy; • Drug and Food Allergy; • Surgical Pathology Reports; • Cytology Results; • Radiology Text Reports; • Microbiology Results; • Chemistry & Hematology Results; • Laboratory Orders • CliniComp/Essentris Emergency Department Notes and Discharge Summaries • Medical Images (as of 3 May 2007) DRAFT

  8. BHIE Implementations Madigan AMC - Oct 04* William Beaumont AMC - Feb 05 Dwight D. Eisenhower AMC - Sep 05 Naval Hospital Great Lakes - 14 Sep 05 NMC, San Diego – Balboa - 21 Sep 05 National Capital Area - 14 Nov 05 Mike O'Callaghan Federal Hospital - 30 Nov 05 Landstuhl Regional MC, Germany - 20 Mar 06 Tripler Army Medical Center - 05 Apr 06* Womack Army Medical Center - 26 Apr 06* David Grant Medical Center - 18 Apr 06 Wilford Hall Medical Center - 10 May 06 * BHIE-CIS Implemented Brooke Army Medical Center – 10 May 06 * Bassett Army Community Hospital - 26 May 06 NH Jacksonville – 7 Jul 06 NH Charleston – 1 Aug 06 NH Pensacola – 3 Aug 06 NH Camp Lejeune – 11 Sep 06 NACC Groton – 16 Sep 06 NH Lemoore – 27 Sep 06 NMC Portsmouth – 27 Sep 06 Leonard Wood ACH – 12 Mar 07 Darnall AMC – 27 Mar 07 Fox Army Health Clinic – 3 Apr 07 Martin Army Community Hospital – 4 Apr 07 • Interagency installation and training completed at: DRAFT

  9. BHIE Sites: Current and Pending Bassett ACH Madigan AMC Minot AFB NCA NACC Groton Evans ACH NHC Great Lakes Wright-Patterson AFB David Grant MC NMC Portsmouth NH Lemoore Leonard Wood ACH Womack AMC Eisenhower AMC Mike O’Callaghan Federal Hospital Elmendorf AFB Fox AHC NH Camp Lejeune NH Camp Pendleton Kirtland AFB NMC San Diego NHC Charleston Martin ACH William Beaumont AMC NH Jacksonville NH Pensacola Tripler AMC Darnall AMC MacDill AFB NH Corpus Christi Brooke AMC Wilford Hall LRMC BHIE-CIS operational BHIE operational BHIE implementations planned during FY2007 25 DoD host sites = 15 DoD Medical Centers, 18 DoD Hospitals & over 190 DoD Clinics (Access to over 2.1 Million correlated patients) DRAFT

  10. Questions DRAFT

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