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fishnibblersspongyDéveloppement de logiciels

14 déc. 2013 (il y a 3 années et 7 mois)

52 vue(s)

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


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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

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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

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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)

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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

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Protocol Translation

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File System

XDR

XCA

XDS

“PUSH”


“PULL”


SFTP

Query/Response

“EDI”

FTP

HIE Translation Engine




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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

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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%





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Find out more by visiting
our website

http://www.onehealthport.com/hieindex.php

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