imMTrax and Electronic Data Exchange

1. imMTrax and Electronic Data Exchange 2014 Regional Immunization Workshop

2. imMTrax: Growth and Progress

3. Electronic Data Exchange, Why It’s Important • Electronic Data Exchange is becoming increasingly common • Electronic Data Exchange is and will continue to impact all imMTrax users • Electronic Data Exchange is the focus of many promotional campaigns and incentive programs • Meaningful Use

4. imMTrax, Benefits of Immunization Information Systems • Brings together multiple immunization records or “shot cards” • Electronically preserves a patient’s immunization record • Allows healthcare providers to make appropriate immunization decisions IIS= Immunization Information System

5. Electronic Health Records,Benefits of EHRs • Electronically preserves critical medical information • Multi-access points for medical records access • Saves time (i.e. filings, retrieval) • Ability to exchange electronic data

6. Electronic Data Exchange, Benefits • No “double data entry” • Information updated quickly and accurately • Less missing or incomplete information • Increased provider participation

7. IIS and EHR,Creating a Connection With so many different options, versions and specialty systems in use, how can EHRs send information to imMTrax efficiently?

8. Electronic Data Exchange, HL7 Messaging HL7 messages are standardized messages used to transfer electronic data between disparate electronic records systems. MSH|^~\&||MA0000||GA0000|19970901||VXU^V04|19970522MA53|T|2.3.1|||AL PID|||1234^^^^SR^~1234-12^^^^LR^~3872^^^^MR~221345671^^^^SS^~430078856^^^^MA^ ||KENNEDY^JOHN^FITZGERALD^JR^^^L|BOUVIER^^^^^^M|19900607|M|KENNEDY^^^^^^^ B|W^WHITE^NY8 RACE CODES^W^WHITE^HL70005|123 MAIN ST^APT 3B^LEXINGTON^MA^00210^ ^M^MSA CODE^MA034~345 ELM ST^^BOSTON^MA^00314^^BLD~^^^^^^BR^^MA002| |(617) 555-1212 ^PRN^PH^^^617^5551212^^||EN^ENGLISH^HL70296^^^|||||||WN^NOT HISPANIC^LOCAL CODE SET^NH^NOT OF HISPANIC ORIGIN^HL70189|CHILDREN=S HOSPITAL PD1|||CHILDREN=S HOSPITAL^^1234^^^^XX~LEXINGTON CLINIC^^1234A^^^^FI|12345^CARE^ PRIMARY^^^DR^MD^^^L^^^DN|||||||03^REMINDER/RECALL - NO CALLS^HL70215|Y NK1|1|KENNEDY^JACQUELINE^LEE|32^MOTHER^HL70063||||||||||||||||||||||||||||||898666725^^^^SS NK1|2|KENNEDY^JOHN^FITZGERALD|33^FATHER^HL70063||||||||||||||||||||||||||||||822546618^^^^SS PV1||R|||||||||||||||A|||V02^19900607~H02^19900607 RXA|0|1|19900607|19900607|08^HEPB-PEDIATRIC/ADOLESCENT^CVX^90744^HEPB-PEDATRIC/ADOLESCENT^CPT|.5|ML^^ISO+||03^HISTORICAL INFORMATION - FROM PARENT=S WRITTEN RECORD^NIP0001|^JONES^LISA|^^^CHILDREN=S HOSPITAL||5|MCG^^ISO+|MRK12345| 199206|MSD^MERCK^MVX RXA|0|4|19910907|19910907|50^DTAP-HIB^CVX^90721^DTAP-HIB^CPT|.5|ML^^ISO+||00^NEW IMMUNIZATION RECORD^NIP0001|1234567890^SMITH^SALLY^S^^^^^^^^^VEI~1234567891 ^O=BRIAN^ROBERT^A^^DR^MD^^^^^^OEI|^^^CHILD HEALTHCARE CLINIC^^^^^101 MAIN STREET^^ BOSTON^MA||||W46932777|199208|PMC^PASTEUR MERIEUX CONNAUGHT^MVX|||CP|A| 19910907120030

9. Electronic Data Exchange, Flow of Data

10. Creating an Interface,Testing Creating an Interface: Developing a relationship with a site or organization that results in extensive testing and ongoing evaluation of HL7 messaging for validity, quality and completeness. No information will be sent to imMTrax until both sides are satisfied

11. Creating an Interface,Challenges • HL7 Messages • Documentation of Consent in an EHR • Length of Testing • Demand for Testing • Level of Participation

12. Active Interface,Going “Live” The transition from sending HL7 messages for testing to sending messages that will be recorded into imMTrax. The Data Quality Checks Continue… The site or organization, along with Montana IIS staff, will continue to participate in quality assurance tasks to ensure messages are received and imported to imMTrax correctly.

13. Polling Instructions Channel should be set to 41 When polling opens, use the corresponding buttons to register your answer (A, B, C). To turn on, press the decimal on the lower right hand corner

14. Does your site participate in Electronic Data Exchange? • Yes, we’re “live” • Yes, but we’re still in Testing • No • I don’t know :01

15. Questions? IIS Manager Lisa Rasmussen (406) 444-9539 Interoperability Coordinator Deb Belleau (406) 444-5952 IIS Training and Support Michelle Funchess (406) 444-2969 Michelle’s Favorite!