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HITSAC MEETING DECEMBER 15, 2015
EXCHANGE
CVHIE Applicant CVHIE Application and EXCHANGE
Trust Agreement
Technical Testing and Certification
CVHIE Certified Node
CVHIE Certified Node
CVHIE Certified Node
eHealth Exchange Other Participants…
Production Technical Connectivity
Production Legal and Policy
Production Legal and Policy
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110 Participants 100M+ Patients
A “Connected Commonwealth”
Bon Secours Centra VCU***
Inova Virginia Hospital Center
Valley Health UVA Health System
Augusta** Mary Washington**
Sentara Carilion*
VA DoD SSA
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PHR 32 Health Systems 3,800+ Providers
*Transitioning to CV **Application approved ***Onboarding
E-Alerts Inova – ADTs
200+ physicians in 5 practices
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o Virtual longitudinal health record o Role Based Access: Practice and Hospital users o Access to federal and private healthcare partners across
eHealth Exchange o Used for treatment, payment and operations purposes o Searches and retrieves partner clinical data and renders and
parses the information into a single chart within clinical components
STREAMLINE One-stop access to clinical information
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Clinical Chart o Clinical Document Summary (C-CDA and C62) rendering that has multiple clinical
components – Demographics, Providers, Allergies, Encounters, Immunizations, Medications, Payers, Problems, Procedures, Results-Clinical Notes, Laboratory, Radiology, Pathology, etc.
o Filtering and printing by participant, across sources, within sections, within results
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Public Health Reporting
Provider's Information
System
VDH Specified Standard Content via HTTPS or SFTP
Delivered per VDH web service specification
ELR Syndromic Surveillance Immunizations Cancer Registry
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Hospital Discharge
Patient Panel
PM System
Alert Aggregator
ADT
Subscribe
Publish
Encounter Alerts - Basic Model
Alert Delivery
Physician Practice
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Hospital Discharge
Patient Panel
PM System
Alert Aggregator
ADT
Subscribe
Publish
Encounter Alerts – Basic+ Model
Alert Delivery
Physician Practice
New portal; allows query for C-CDAs
Allows Filtering
New delivery methods
Cross-border alerts With CRISP
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Moving Forward
Products and Services Committee
Introduce a process for identifying and vetting opportunities Ideas are proposed in writing to this committee from
a sponsor
Evaluation – Value, technology, regulatory, legal, policy & procedures
Submit to CVHIE Board of Directors if action is needed
Add to Products and Services Roadmap
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Priorities Increase connectivity to non-Epic hospitals
Connectivity to ambulatory providers for
referrals/transfers
Encounter Alerts deployment statewide
Communication improvement/expansion
Provider Portal expansion
Results Routing
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Additional Opportunities Genomics Bi-Directional Immunization
Registry Data DMAS / DSRIP Death and Birth Registries Behavioral health Ambulatory connectivity Results routing SIM Planning Grant APCD Wounded Warriors (VLER)
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Building Bridges: Current and Future Roles for HIE
St. Johns Bridge Portland, OR 205 feet
Data Suppliers – Data Receivers
Golden Gate Bridge San Francisco, CA 220 feet
Hospital - Hospital
Robert O. Norris Bridge White Stone, VA 110 feet
Military - Civilian
Mackinac Bridge Michigan 200 feet
Payers - Providers
Old Cooper River Bridge Charleston, SC 285 feet – Grade F
Hospital - PCP
Harry Nice Bridge 135 feet
Provider - Provider Ponte Vecchio Florence
Home - PCP
Royal Gorge Arkansas River, CO 1,053 feet
Data Suppliers = Data Receivers
Tower Drawbridge London
/ “Data Blocking”
Somerset Bridge Bermuda
API - API
Rainbow Bridge Niagara Falls 202 feet
- Physicians
- Behavioral Health
- Long-term Care
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