Craig A' Mathews, Executive Director

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Bayou Teche Community Health Network
Transforming Quality Through Health Information
Technology in St. Mary and Surrounding
Parishes Building a Rural Health Information
Exchange Opportunities and Challenges
Presented by Craig A. Mathews, Executive
Director AHRQ Annual Grantee Meeting October
27, 2007
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PRESENTATION OUTLINE

• ORGANIZATIONAL HISTORY
• GOVERNANCE FORMATION
• HIT TECHNICAL DESIGN
• PROJECT EVALUATION

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ORGANIZATIONAL HISTORY

• 501c(3), not for profit rural health network,
• Incorporated in 1998 with a mission to improve
  access to healthcare for residents of St. Mary
  and surrounding parishes.

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ORGANIZATIONAL HISTORY
NETWORK MEMBERS INCLUDE
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GOVERNANCE FORMATION

• Network began with the enactment of a Memorandum
  of Agreement
• HIT implementation identified early on as a need
  (single point of patient entry)
• HIT Governance Committee emerged
• Developed operating guidelines and established
  protocols for system access

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HIE TECHNICAL DESIGN

• IT Vendor Selection
• Browsersoft is current IT design firm

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ByNets Original Design

• Proposed Design at the start of Year 1
• 2-3 servers
• Clinics attached to severs
• Secure connection through certificates (same
  connection as banks)

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HIE TECHNICAL DESIGN
Current Approach
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HIE TECHNICAL DESIGN

• The OpenHRE Community is a consortium of
  communities and organizations throughout America,
  that are working together to achieve secure and
  sustainable health information exchange. 
  Established in 2004, this growing community
  contributes to the continuing design,
  development, and distribution of the worlds
  first open source software dedicated to health
  information exchange - the OpenHRE toolkit,
  developed by Browsersoft, Inc.

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HIE TECHNICAL DESIGN

• The OpenHRE Toolkit consists of three NHIN
  compliant services that address the needs of
  health stakeholders participating in Health
  Record Exchanges.
• These services are configured by a community to
  meet their exchange needs
• Electronic Health Record
• Clinical Data Repository
• Summary Patient Record
• Clinical Messaging
• Disease Management Outcomes
• Registry
• Reporting
• On-line Analytical Process (OLAP)

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HIE TECHNICAL DESIGN

• The OpenHRE toolkit includes
• The Authentication and Access Control Service
  (AACS) - Maintains and enforces the individual
  access control and data ownership requirements of
  stakeholders participating in Health Record
  Exchanges.
• The Record Locator Service (RLS) - Locates where
  health records exist - within an enterprise
  within a Health Record Exchange - or among
  multiple Health Record Exchanges.
• The Record Exchange Service (RES) Queries,
  retrieves, and caches data from located sources,
  and assembles the data into usable information
  displayed via web browser.

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PROJECT EVALUATION

• Normative
• Data Sharing Governance Agreements
• Project Environment LaHIE and LSU
• Vendor
• Formative
• Identification of Known Common Patients
• Identification of Unknown Common Patients (MPI
  and RLS analyses )
• Estimation of potential reduction in duplication
  and increased coordination of care.

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Common Identified Customers that are Care
Coordinated (TAC View)
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AGENCY CONTACT
Rev. Craig A. Mathews Executive Director 1111
Weber Street Franklin, LA 70538 (337)
828-5638 [phone] Fax cmathews_at_bynet-la.org
www.bynet-la.org