Online Electronic Records With EMPI

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Online Electronic Records With EMPI

• Wingtat Yu

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Introduction

• ABC, an independent hospital affiliated with
  ABCD, looks to implement an integrated online
  electronic record system in order to enable
  health care professionals to access its network
  and record information from anywhere.

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To achieve this

• A series of three systems to be integrated into
  one comprehensive system.

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They are

• (1) Enterprise Master Patient Index (EMPI)
• (2) Clinical Data Repository
• (3) Data Warehousing

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With this new system in place

• The hospital will be able to
• 1. Accurately create unique identification means
  for each patient

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With this new system in place

• The hospital will be able to
• 2. Store his/her information (with no redundancy)
  from many different sources to a single point
  under a common data format

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With this new system in place

• The hospital will be able to
• 3. Distribute them to various departments for
  clinical data extraction, financial, medical (and
  insurance) billing, pharmaceutical, and other
  administrative purposes

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EMPI

• Incorporate important patient identifiers and
  demographic information when identifying
  patients, creating a unique ID number for each
  patient.
• EMPI is still at the design phase at CHP

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Clinical Data Repository

• Store patients clinical information received
  from different sources at a single point
• ABC has not yet purchased the system for clinical
  repository

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Data Warehousing

• Similar to clinical repository
• Also store patients more general information and
  distribute them to various outlets for billing
  and other administrative purposes
• Combines clinical and financial data under a
  common data format so staff can perform data
  extraction any time

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Data Warehousing

• Presently there is a lack of vendors for
  providing data warehousing systems and therefore
  its implementation is not yet in existence.
• Custom in-house development of a data warehousing
  system has been planned

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Focus On One Problem

• Issuance of too many different numbers to a
  patient for identification purpose

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Why a Problem?

• Duplication and misidentification of patient
  records

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The Solution

• Enterprise Master Patient Index (EMPI)

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How?

• Employ main patient identifiers and demographic
  information when identifying patients.
• It provides a unique enterprise person identifier
  for each patient.

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Specific Benefits (stated by CIO)

• Providing registrars and schedulers with
  integrated access to enterprise-wide
  patient/membership data

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Specific Benefits (stated by CIO)

• Enabling data warehouses extracting data from
  multiple sources to identify common patients,
  physicians, and payers in their analysis

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Specific Benefits (stated by CIO)

• Supporting data integration between
  information systems used by disparate facilities

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Major Vendors (EMPI)

• STC
• HIE (HBOC)
• TSI
• 3M Health System
• SMS
• Cerner

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Selected Two

• 3M Health System
• SMS

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SMSs Product

• Enterprise Access Directory (EAD)
• A common repository for patient demographic,
  insurance and visit information

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SMSs Product

• Enterprise Access Directory (EAD)
• Streamlines their registration process by common
  data storage

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SMSs Product

• Enterprise Access Directory (EAD)
• Central access to EAD from any local registration
  system

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SMSs Product

• Enterprise Access Directory (EAD)
• Combines with the Lifetime Clinical Record (LCR)
  to provide a single repository for the integrated
  health network

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3Ms Product

• Master Member Index (MMI)
• A permanent identification number--the 3M unit
  numberto tie these diverse records together

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3Ms Product

• Master Member Index (MMI)
• Structure of the Member Record
• For each member, the MMI contains a central
  record that is unique to that individual

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3Ms Product

• Master Member Index (MMI)
• Contains many data items
• Social security number, passport number, birth
  date, new home, new business
• Accept updates to all identifying information
  except the 3M number

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Evaluation Criteria Established By CIO

• Ease of Use - (4-excellent, 3-good, 2-average,
  1-poor)
• Integration with other related systems/software?

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Evaluation Criteria Established By CIO

• Determine patient identity based on
• Last name?
• First name?
• A unique unit number?
• Date of birth?
• SSN?
• Cost

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EMPI Software Products

• See Table

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Recommendation

• Both MMI and EAD are very competitive