From Rhetoric to Reality Whats in IT for You Rhode Islands Health Information Exchange March 3rd 200

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From Rhetoric to Reality Whats in IT for
You?Rhode Islands Health Information
ExchangeMarch 3rd 2007 Amy Zimmerman,
MPHDirector, Health Information Exchange
ProjectRhode Island Department of Health
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Status of Building the Health Information
Exchange

• Technical Solutions Group- developed functional
  requirements (2005)
• RFP issued (Jan 2006)
• Proposals submitted (March 2006)
• 13 responses reviewed
• Review committee
• Official state scoring committee- state employees
• Community Review Team 7 community members,
  signed nondisclosure
• 100 concurrence between official state scorers
  and community reviewers

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Status of Building the Health Information
Exchange cont.

• Tentative award issued to EDS (October 2006)
• subcontracted with InterSystems for software
• Proposal Attributes included
• customizable COTS components
• flexibility in designing certain critical areas
  technical architecture, consent management
• Contract negotiations underway

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Context What does the AHRQ HIE Project Include?

• AHRQ HIE project is a Demonstration Project,
  intended to be the foundation for a full-fledged
  HIE.
• Initial Technical Solution ( 3 year contract)
• The exchange and sharing of Laboratory and
  Medication History for clinical and coordination
  of care purposes
• 9 Data Sharing Partners
• 5 Pilot User Sites (locations, not individual
  users)
• Option to modify contract to add more data
  elements, more data sharing partners, more data
  users contingent upon additional funding

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Technical Solution Details

• Technical Solution during the three year
  contract period includes
• Initial hardware servers, operating system,
  networking and security infrastructure, 4
  processing environments
• Software HealthShare application (clinical
  viewer, a web-based front end) Quadramed MPI
  probabilistic matching algorithm, Health
  Language
• Data repositories (at the EDS data center)
• Audit trails
• Help desk
• Maintenance and operations system monitoring 24
  x 7
• Security Plan, annual testing and reports
• Disaster Recovery Plan, annual testing and
  reports
• System documentation
• Training IT state or RHIO staff as needed (not
  end users)
• Transition plan

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Technical Solution Details cont.

• Optional services that can be added to the
  contract during and up to an additional 4 years
  include
• Adding more data categories to exchange including
  but not be limited to
• Reports (emergency department and hospital
  discharge summaries pathology, cytology,
  outpatient procedure, radiology reports, etc.)
• Additional patient phone contact information
• Administrative (health plan) data, specifically,
  insurance eligibility information (Insurance
  coverage and benefits, etc)
• Child health data (link to KIDSNET integrated
  database)
• Medication allergies
• Imaging data

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Technical Solution Details cont.

• More optional services that can be added to the
  contract during and up to an additional 4 years
  include
• Adding additional data sharing partners and end
  users
• Providing additional integration services to
  support interoperability of the RI HIE System
  with other information exchange infrastructures,
  e.g., state Medicaid systems/databases, other
  RHIOs, etc.
• Providing ongoing HIE System / application
  technical support and maintenance
• Providing operations support and hosting services
  for the HIE
• Providing HIE System disaster recovery and backup
  services

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Project Deliverables Do Not Include

• The following features are possible using the
  selected vendor solution, but are not funded
  under the current contract
• Interfaces with Electronic Medical Records (EMRs)
• Decision Support Functionality
• Creation of a Clinical Data Repository for
  aggregate reporting
• Web-based Patient Portal
• Audit of who accessed their data
• Access to clinical data
• Ability to contribute advanced directives and
  other items
• Secure Clinical Messaging
• Lab Orders and Results Delivery
• E-prescribing
• Optional services Pilot Test sites (in excess of
  5), Data Sharing Partners (in excess of 9),
  ,additional types of data (CCR, ICDs, CPTs, etc)

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AHRQ-HIE Venn Diagram
HIE

• Unlimited Data Sharing Partners
• Unlimited Users
• Other clinical information including, but not
  limited to
• Allergies
• Problem List
• CPT and ICD codes
• Decision Support (online protocols)
• Downloads of data to populate EMRs
• Bi-directional data exchange between EMRS and
  HIE
• Personal Health Records with consumer controls
• Consumer Access to Data
• Public Health Reporting

AHRQ

• 9 Data Sharing Partners
• 5 User sites
• Medication History
• Lab History
• Clinical Viewer (Web-based)

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Additional AHRQ HIE Project Activities

• Other AHRQ HIE Project Activities supporting the
  development, implementation and use of the HIE
  include
• Oversight and Community Governance Structure
• Includes development of Privacy and Security
  polices and procedures
• Consumer Education and Engagement
• Public Education and Awareness
• Provider Adoption
• Provider input into design and integration of HIE
  use into clinical office setting
• Evaluation Process, Outcomes, Lessons learned

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• HealthShare Demonstration

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Contact Information

• Amy Zimmerman, MPH
• Director, R.I. Health Information Exchange Rhode
  Island Department of Health
• 401-222-5942
• amy.zimmerman_at_health.ri.gov