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Founded January 2005

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Founded January 2005 – PowerPoint PPT presentation

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Title: Founded January 2005


1
Founded January 2005 www.bbrhio.com
Presentation by Dan Kaelin
2
ChairmanDan Kaelin, MDVascular Surgery
Associates Co-Vice ChairSharon Roush,
CEO Capital Regional Medical Center
Co-Vice ChairMark O'Bryant, President
CEOTallahassee Memorial Healthcare
Executive DirectorAllen Byington, President
CEOElectroNet Broadband Communications
Board Members
Capital Health PlanJohn Hogan, CEO Capital
Medical Society Karen Wendland, Exec.
Director ElectroNet Broadband CommunicationsAllen
Byington, President CEO KWB Pathology
AssociatesJerry Harris, MD Medical Group of
North FloridaDebra Weller, Administrator Patients
FirstRandy R Reese, MD Rural Medicaid Coalition
of North FloridaRob Lombardo, Director
Radiology AssociatesJohn Detelich, CEO /
Practice Manager Southern Medical Group Debra
Sundberg Tallahassee Community College Dr. Bill
Law, President Tallahassee Ear Nose
ThroatDuncan Postma, MD Tallahassee Orthopedic
Clinic Martin Shipman, President
CEO Tallahassee Primary Care Associates Tom
Harrison, CEO
3
Service Area
In collaboration with the Rural Medicaid
Coalition of North Florida
4
BBRHIO Mission
Improve the safety, outcomes, privacy and
efficiency of healthcare
  • Objectives
  • Create a unified healthcare community that is
    electronically connected.
  • Provide technical business support to providers.
  • Help practices focus on patient care by reducing
    the burdens of patient data sharing for
    providers, thus producing a safer and more
    enjoyable experience for patients.
  • Help streamline office workflow for community
    interaction by providing efficiencies and cost
    savings for the healthcare community through
    reductions in paper based communication.

5
CRMC
TMH
6
Infrastructure
CRMC
TMH
Radiology
TDI
Non Medical
VSA
CHP
CHP.
VPN
CHP.
Remote VPN Users
TNC
7
Hospitals _at_ Level 4
8
Governance Stakeholder Participation
  • Board ratified policy and procedures
  • Board ratified Participant agreement
  • Committee ratified standard intake form
  • Committee ratified e-referral form

9
RHIN building blocks
  • Master Patient Index/Regional Master Patient
    Index (MPI/RMPI) required to identify and match
    patients from different systems
  • Record Locator Service (RLS) identify patient
    encounters at each point of care
  • Data paper, electronic, shared, interfaces

10
Without the RHIN
11
BBRHIO RHIN Architecture
VPN
Small organizations can connect either directly
to the RHIN or through a VPN gateway
Organizations can connect bi-directly to feed
their data and receive data directly into their
EMR
In the early Phases CHP, CRMC TMH will provide
a one way feed of their data. They have the
largest repositories and the priority is to make
their data available as soon as possible
12
Current RHIN Services
  • pMAN Connectivity Dedicated fiber-based Private
    Medical Area Network VPN gateway
  • Core RHIN Platform
  • Data Sharing Patient demographic and clinical
    data feeds
  • RHIN Web Portal Secure web interface for
    clinicians
  • User Access Audit Control Detailed audit logs
    across the entire system
  • Disaster Recovery Business Continuity
  • RHIN Applications
  • e-Prescribing
  • Document Imaging
  • Patient Portal Web interface for electronic
    patient registration form and Personal Health
    Record (PHR).

13
Current Funding
  • GHIIAB/AHCA grants
  • 1st Grant Jan 2006 July 2006
  • 2nd Grant July 2006 July 2007
  • 3rd Grant July 2007 July 2008
  • Contributions from board members
  • Cash
  • Resources

14
2007 2008 Goals
  • The overarching goals for Phase III is
  • Further refine our strategic roadmap based on
    lessons learned
  • Implement business operational infrastructure
  • Begin generating revenue
  • Identify a viable sustainability model.
  • Broaden stakeholder outreach

15
07-08 Grant Focus
The focus for this grant cycle will be to garner
acceptance and consensus plus identify and
combine the elements that will create the most
improvement in efficiency and return on
investment for stakeholders.
  • Education and adoption
  • Business operational infrastructures
  • Production integration of current applications
  • Expanding the suite of applications
  • Increasing the number of provider data feeds
  • Combining the right ingredients of technology,
    services, education, stakeholder consensus,
    privacy security and governance to achieve
    sustainability.

16
Adoption
  • To ensure adoption we must successfully market
  • Safer more private and secure way to share health
    information

17
Education for Adoption
  • A more formalized approach to reach a larger and
    more diversified audience through
  • Securing a high profile local or regional
    champion and spokesperson
  • Audience specific content and media
  • Traditional higher profile marketing methods
  • Pursuing buy-in of local regional community
    officials, patients and employers

18
Operational Infrastructure
  • Hardware Network Resources
  • Billing Invoicing System
  • Continued Marketing Education
  • Operational Staff
  • Support Staff

19
Production - RHIN Platform
RHIN Web Portal patient search
Secure Internet Access
Clinical data display including labs, radiology
reports, allergies, problems, providers, and
medication history
20
Production - RHIN Apps
Patient Portal (PHR)
eRx
Document Imaging
21
Proposed New RHIN Apps
  • Lab Messaging
  • Electronic Referrals Secure Messaging
  • Community EMR-Lite via VistA
  • Physician Directory On-call List
  • Electronic Home Healthcare Orders
  • Patient Education Material from Patient EDU
  • Medication Reconciliation Pilot with HCS

22
Rural Providers
CRMC
TMH
CHP
FHIN
Radiology

RHIN
RHIN ENABLED EMR
Pathology
Vascular
P Ps
  • RMPI/RLS
  • e-RX
  • Document Management
  • Secure Messaging
  • Referrals
  • Intake Form
  • PHR
  • Personal Documents

Patient Portal
RHIN Portal
Other EMRs
23
Sustainability
  • Stakeholder return on investment either in time
    savings, reduced cost, reduced liability or
    improved patient satisfaction is ultimately where
    sustainability will emerge.
  • A RHIN App is as a business defined module that
    snaps into the RHIN platform taking advantage of
    the unified login for providers and the patient
    index search.
  • The goal and base concept of a RHIN App is to
    provide a better service through electronic means
    compared to the current primarily manual
    telephonic and paper based operations.
  • A RHIN App operates under the principle that it
    will save a provider X dollars so they can then
    pay the BBRHIO a percentage of X dollar savings
    in service fees.

24
Existing Paper Workflow(8 Steps)
  • Phone request -gt fax patient release of
    information form -gt pull record -gt copy/fax/mail
    record -gt record to unverified recipient -gt no
    audit -gt redo fax/phone call(s) -gt receiving end
    manually file/scan into record

25
BBRHIO Workflow
  • Internet to RMPI/RLS gt e-request gt print or
    import data into EMR
  • Paper practice gt scan gt RMPI gt RHIN
  • Improved privacy compliance
  • Provides audit trail
  • Creates significant efficiency

26
Community Benefits
  • Enhances provider capabilities
  • Local
  • Regional
  • IMPROVES PATIENT SAFETY OUTCOMES
  • Creates personal health record
  • Reduces impact to employees and employers
  • Increases productivity
  • Reduces healthcare cost
  • Improved outcomes

27
(No Transcript)
28
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