Washington State’s
”Thin
-
Layer”
Health Information
Exchange
Sue Merk
Vice President and
HIE Global Technical and
Operations Project Director
Objectives
•
IDENTIFY
-
key differences between this “thin
-
layer” HIE model and more traditional approaches
to HIE
•
REVIEW
-
standard and non
-
standard transactions
available for use with the HIE
•
EXPLAIN
-
translator role of the HIE in connecting
file transport and real
-
time transaction systems as
the community spans old and new communication
protocols
•
UNDERSTAND
–
the value of the HIE Meaningful
Use Metric Service to Washington Medicaid EHR
Incentive program participants
OneHealthPort HIE
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“Thin
-
Layer” HIE
•
Focus on the EXCHANGE of data
•
Protocol translation
•
Simplified connectivity
•
Standards based transactions
•
NO repository
•
NO applications
•
NO MPI
-
record matching
•
Lower cost of entry & sustainability
OneHealthPort HIE
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Standard Transactions
•
CCD
•
HL7
–
Labs, radiology, ADT
•
ePrescribing
•
Immunizations
–
2 way
•
Eligibility and benefits (270/271)
•
Community Referral Form
•
CROWNWeb
–
ESRD reporting
OneHealthPort HIE
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OneHealthPort HIE
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Referral Form
Non
-
Standard Transactions
Protocols used by HIE
•
XDS
–
cross enterprise document
sharing = real time query and response
–
SOAP and SAML on each message
–
Designed for repository systems
•
XDR
–
eXternal Data Representation =
data sharing between different systems
•
EBXML
-
E
lectronic
B
usiness E
x
tensible
M
arkup
L
anguage.
•
X12
–
traditional EDI (eligibility, claims)
OneHealthPort HIE
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Understanding Protocols
•
HIE experience to date
–
no two
trading partners are alike
•
Repository applications and HIEs
use ONLY newer xdr and xds
protocols
•
Vast majority of systems are still
capable of exchanging
documents using FTP and
traditional EDI
OneHealthPort HIE
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Protocol Translation
OneHealthPort HIE
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File System
XDR
XCA
XDS
“PUSH”
”
“PULL”
”
SFTP
Query/Response
“EDI”
FTP
HIE Translation Engine
OneHealthPort HIE
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Referral Form
Non
-
Standard Transactions
HIE Meaningful Use
Conformance Service
•
Test for conformance with
standards
•
Test statistical sampling to verify
Threshold Conformance for MU
•
Monthly reports on transactions
and trading partners
•
Standard reports for Medicaid EHR
Incentive program reporting
OneHealthPort HIE
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Meaningful Use Thresholds
EHR population in 2012
•
Problem Lists = 80%
•
Allergy list = 80%
•
Medication Lists = 80%
•
Advanced Directives = 50%
•
Patient demographics = 50%
•
Vital signs = 50%
•
Smoking status = 50%
•
Summary of Care = 50%
•
Lab results into EHR = 40%
•
E
-
Rx = 40%
•
OneHealthPort HIE
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Find out more by visiting
our website
http://www.onehealthport.com/hieindex.php
OneHealthPort HIE
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