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How Do We Connect Silos of Data?. PRIMARY CARE PHYSICIANS Practice Management EMR. PATIENT Personal Health Records. LAB Results. PAYERS Claim Data. PUBLIC HEALTH Registries. HOSPITAL 2 EMR/PM’s Lab PACS Archive. PHARMACY/PBMs RX History. HOSPITAL 1 EMR/PM’s Lab
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How Do We Connect Silos of Data? • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • SPECIALTYPRACTICE • Practice Management • EMR
HITSP/IHE Standards-based HIEKey Components Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records Document Registry Document Repositories • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive
Patient Identity FeedIHE PIX Patient ID Manager Name Site MRN % • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records John Doe PCP 111 99 John Doe Specialty 222 99 J. Dow Hospital 2 333 30 MRN 111 • LAB • Results MRN 333 • PAYERS • Claim Data MRN 222 • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive
Patient Identity Cross-ReferenceIHE PIX Patient ID Manager Name Site MRN % • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records John Doe PCP 111 99 John Doe Specialty 222 99 J. Dow Hospital 2 333 30 • LAB • Results PIX RESPONSE: MRN 222 PIX QUERY: MRN 111 • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive
Publish DocumentsIHE XDS Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PRIMARY CARE PHYSICIANS • Practice Management • EMR Document Registry REGISTER DOCUMENT PUBLISH • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • CCD • Allergies • Problems • Meds • Etc, Etc.
Query for DocumentsIHE XDS Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records Document Registry RETRIEVE REQUEST • LAB • Results RETRIEVE DOCUMENT 1 • PAYERS • Claim Data REQUEST DOCUMENT 1 • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • CCD • Allergies • Problems • Meds • Etc, Etc.
Engage Patients Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry PHR REQUEST / SUBSCRIBE PCP PUBLISH PHR RETRIEVED DATA PATIENT VISITS PCP • LAB • Results PATIENT RETURNS HOME • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive
Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry Patient Prescribed Meds Rx PATIENT VISITS PCP • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive
PATIENT VISITS HOSPITAL Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry Patient Prescribed Meds Patient Prescribed Meds Rx Rx PCP PUBLISH • LAB • Results RETRIEVE DATA Request Data • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive
Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry DATA RETRIEVED Rx Rx Rx Rx Rx PCP REQUEST DATA • LAB • Results Patient Returns to PCP PUBLISH • PAYERS • Claim Data • PUBLIC HEALTH • Registries Patient Prescribed Meds • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive Patient Prescribed Additional Meds Patient Prescribed Additional Meds
Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records EKG DELIVERED Document Registry PCP REQUESTS EKG PCP PUBLISHES DATA PATIENT VISITS PCP • LAB • Results SPECIALISTS NOTE REFERRAL TO SPECIALIST EKG DOCUMENT • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive • SPECIALTYPRACTICE • Practice Management • EMR
Care Coordination Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records LAB RESULTS Document Registry PCP ORDERS LAB PATIENT VISITS PCP • LAB • Results • LAB • Results • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive
Public Health Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry IMMUNIZATION RECORD PATIENT VISITS PCP • LAB • Results IMMUNIZATION RECORD IMMUNIZATION REQUESTED • PAYERS • Claim Data • PUBLIC HEALTH • Registries • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive
Improve Quality Patient ID Manager • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PRIMARY CARE PHYSICIANS • Practice Management • EMR • PATIENT • Personal Health Records • PATIENT • Personal Health Records Document Registry QUALITY DATA QUALITY DATA PATIENT VISITS PCP • LAB • Results • PAYERS • Claim Data • PAYERS • Claim Data • PUBLIC HEALTH • Registries • HOSPITAL 2 • EMR/PM’s • Lab • PACS Archive • PHARMACY/PBMs • RX History • SPECIALTYPRACTICE • Practice Management • EMR • HOSPITAL 1 • EMR/PM’s • Lab • PACS Archive