What Are We Going to Do Now? SMRTNET Secure Medical Records Transfer Network

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What Are We Going to Do Now?SMRTNETSecure
Medical Records Transfer Network
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Todays Connectivity World
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How Many Records Do You Have?

• Physicians
• Pharmacies
• Hospitals
• Laboratories
• Specialists
• Public health
• Native American and IHS
• Veterans
• Clinics

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SMRTNET brings them together
Diagnosed With Arthritis 2-9-05
Prescribed medication for Cholesterol 12-22-05
Diagnosed Asthma 5-27-99
Diagnosed With Arthritis
4-29-06
Foot Surgery Bone Spur removal 1-15-02

Diagnosed with IBS 9-30-02

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Rural Benefits

• Medical history
• Meaningful use
• Ties medical community together
• Improve key quality indicators
• Efficiency and friction reduction
• Communication with specialists and urban areas
• Decrease drug seeking
• No EHR required
• Makes a small office big
• Recruiting

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What is a Network?

• Members only
• Share data on common patients for treatment
• Various EHRs and data sources
• Common governance (policies and rules)
• Members
• Prices
• Policies
• Member agreement
• Security
• Finances
• Growth
• Products
• Personnel

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Public HIE Utility Company

• Non profit operated by members
• Incubator network and multiple self-governed
  networks
• Governance
• Comprehensive member agreement (3 years and
  125,000)
• Planning Process
• Privacy policies (1 year and constant upgrades)
• Data and connections ( 650,000)
• Return on Investment
• Quality improvement
• Proven technology that fits with Oklahoma
• Economic stability without grant funds

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Hospital ED Cost Reductions for OKC
Category Cost reduction
ED uninsured costs (5) 1,714,047
Uninsured lab costs (5) 351,001
Uninsured inpatient (5) 7,439,713
Increase in ED efficiency ( 10.00 per visit) 4,870,000
Total 14, 374, 751
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Current Data

• Over 37 million encounters
• Over 11,500 contributing providers
• Over 3 million patients
• Growing significantly

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Data set

• Demographics
• Allergies and reactions
• Diagnosis
• Procedure code
• Provider
• Medications
• Laboratory results
• Immunizations
• History and physical (July)
• Reports (July)
• Discharge summary (July)

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SMRTNET Meaningful Use
Consumer Services
SMRTNET Hub Services
SMRTNET HIE
Alerts Reminders
Personal Health Record
Secure Messaging
Clinical Hub
Billing
Scheduling
EMR View
ePrescribe

P P P P P P P P
P P P P P P P P P P P P P
P P
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Security

• William Braithwaite, MD, PH.D, author of HIPAA
• Regenstrief Institute and Chris Sears
• Over 20 Oklahoma attorneys
• Over 15 privacy officers
• 27 privacy policies
• Operational for four years without any incidents

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Development Network

• Hospital Tahlequah City Hospital
• University Northeastern State University
• Public Health OSDH/Cherokee County
• Federal Hastings Medical Center
• Tribal Cherokee Nation
• Mental Health Bill Willis Community MHC
• Community Health Ctr NEO Community Health Centers

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Networks in Oklahoma
Network SMRTNET Planning Process Sponsor Status
SMRTNET statewide incubator Yes SMRTNET Operational
Oklahoma City Yes GOCHC Operational
SMRTNET Northeast Yes SMRTNET Operational
Norman PHO Yes Norman PHO Operational
Health Alliance Uninsured Yes HAU/OSMA Construction
GTHAN-Tulsa Yes GTHAN Assessing bids
Heartland Health OSU Construction
SoonerVerse Yes OKPCA Awaiting Funding
OSMA Yes Oklahoma State Medical Association Planning
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SMRTNet Growth
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Incubator Network

• State Wide
• First step
• Meetings are statewide

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Northeast Oklahoma

• Cherokee Nation (14 counties)
• Tahlequah City Hospital
• Northeastern Oklahoma University
• Northeastern Oklahoma Community Health Center
• Baptist Memorial (Miami)
• Grove General (Grove)
• Mayes County Medical Center (Pryor)

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SMRTNET-OKC (GOCHC)

• Greater Oklahoma City Hospital Council
• OU Medical Center
• Unity Health Center
• Edmond Medical Center
• Heart Hospital
• INTEGRIS Baptist Medical Center
• INTEGRIS Canadian Valley Regional Hospital
• INTEGRIS Southwest Medical Center
• Mercy Health Center
• Midwest Regional Medical Center
• Norman Regional Hospital
• Norman HealthPlex
• St. Anthonys Hospital
• Oklahoma Heart Hospital
• Moore Medical Center
• Oklahoma City-County Health Dept

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Rural Hospitals

• Baptist Regional (Miami)
• Bass Baptist (Enid)
• Blackwell Regional (Blackwell)
• Clinton Regional (Clinton)
• Grove General (Grove)
• Marshall Memorial (Madill)
• Mayes County Medical (Pryor)
• Spencer Behavioral Health (Spencer)
• Tahlequah City Hospital (Tahlequah)
• Hastings Indian Hospital (Tahlequah)

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Norman PHO

• Very unique group of 300 physicians all using the
  same electronic record system
• NPHO will develop their own network
• Integrate to SMRTNET network
• Object of AHRQ research contract and Beacon grant
• Leverage OKPRN Prevention Science Algorithms

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GTHAN Planning Process

• Associated Centers for Therapy
• Blue Cross Blue Shield
• Cherokee Nation
• Community Care
• Dept of Veterans Affairs
• EMSA
• Family and Childrens Services
• Hillcrest Medical Center
• Indian Health Resource Center
• Merck and Company

• Muskogee (Creek) Nation
• OMNI Medical Group
• OSU Center for Health Services
• OU School of Community Medicine
• Planned Parenthood
• Redbud Physical Therapy
• Regional Medical Laboratory
• St Francis Health System
• Tulsa Fire Department
• Warren Clinic

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Community Health Center Planning

• Central Oklahoma Family Medical Center
• Mary Mahoney
• Community Health Connections
• Cherokee Nation Health Services
• East Central Oklahoma Family Health Center
• Robert Clark Family Health Center
• Family Health Center of Southern Oklahoma
• Great Salt Plains Health Center
• Indian Healthcare Resource Center
• Stigler Health and Wellness Center

• Kiamichi Healthcare Resource Center
• Lawton Community Health Center
• Morton Comprehensive Health Services
• Midtown Family Health Center
• Nowata Family Health Center
• Arkansas Verdigris Valley Health center
• Caring Hands Healthcare Center
• Northeast Oklahoma Community Health Center
• Oklahoma Community Health Services
• Pushmataha Family Medical Center

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Ambulatory Interfaces Underway

• eClinicalWorks
• Allscripts
• Cerner
• Greenway
• NextGen
• Others especially upon request

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OKC Uninsured Clinics

• Baptist Community Clinic
• Baptist Mission Center
• City Rescue Mission and Dental Clinic
• Cross and Crown Clinic
• Community Charity Eye Clinic
• Crossings Community Clinic
• Good Samaritan Free Clinic of Edmond
• Good Shepherd Ministries
• In Gods Care
• King's Klinic
• Lighthouse Medical Clinic
• Little Flower Clinic
• Manus Juntas Clinic
• Mid-Del Community Clinic
• Ministries of Jesus
• Open Arms Clinic
• Reaching Our City Medical Center
• St. Charles Clinic

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Oklahoma State Department of Health

• Immunization registry
• All 90 county health departments
• Oklahoma City County Health Department
• Developing bi-directional interface
• Four years
• Three attorneys
• 20,000

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Native American Services

• Cherokee Nation possibly the only truly
  interoperable tribe in the country
• SMRTNET member agreement used as national
  template for Indian Health Service
• Active discussions with other tribes

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Physician Roll-out

• 1,400 physicians with medical privileges at 24
  hospitals at no charge
• Do not have to have an EHR
• 1,500 Oklahoma Medical Association (in planning)
• Norman Physician Hospital Organization 300
  physicians
• All other providers through incubator network and
  do not need to be in a network

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Contacts

• Mark Jones
• Chief Operating Officer and Principal
  Investigator
• markjones_at_smrtnet.org
• 918 931 9410