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

What Are We Going to Do Now?

SMRTNETSecure Medical Records Transfer Network

Today’s Connectivity World

Foot Surgery Bone Spur removal

1-15-02

Diagnosed Asthma5-27-99

Diagnosed With Arthritis

2-9-05

Diagnosed With Arthritis 4-29-06

Diagnosed with IBS

9-30-02

Prescribed medication for Cholesterol

12-22-05

SMRTNET brings them together

What is an HIE Network?

Members onlyShare data on common patients for treatmentVarious EHRs and data sourcesCommon governance (policies and rules)Common data sharing agreementCommon privacy policies

Rural Hospital Benefits

Meaningful UseRetention of physiciansRecruitment of physiciansEncourages use of local hospitalImprove key reportable quality indicatorsEfficiency and friction reductionCommunication with specialists and urban areasDecrease drug seekingReduce cost of uninsuredNo EHR requiredMakes a small office big

Public HIE Utility Company

Non profit operated by membersMultiple self-governed networks that can share dataComprehensive member agreement (3 years and $ 125,000)Planning ProcessPrivacy policiesData and connections (51 institutions)Proven technology that fits with OklahomaEconomic stability without grant fundsOpen access incubator network for all

Development Network

Hospital Tahlequah City HospitalUniversity Northeastern State UniversityPublic Health OSDH/Cherokee CountyFederal Hastings Medical CenterTribal Cherokee NationMental Health Bill Willis Community MHCCommunity Health Ctr NEO Community Health Centers

Networks in OklahomaNetwork 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 Operational

GTHAN-Tulsa Yes GTHAN Assessing bids

SoonerVerse Yes OKPCA Awaiting Funding

OSMA Yes Oklahoma State Medical Association

Planning

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CPOE Drug interaction checks

Problem listsePrescribing

Maintain medication listsMaintain allergy lists

Record demographicsRecord advance directives*

Record vital signsRecord smoking status

Lab test resultsGenerate patient lists

Reporting on measuresPatient reminders

Decision support rulesProgress notes*

Eligibility checksElectronic claims

Electronic copy of recordElectronic access to health information

Patient-specific education resourcesClinical summaries at each encounter

Exchange key clinical informationMedication reconciliation

Electronically submit data immunization dataElectronically submit reportable lab results

Electronic syndromic surveillance dataCompliance with HIPAA privacy and security

rulesCompliance with fair data sharing practices

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-Improve quality, safety, efficiency and health

disparities

-Engage patients and families

-Improve care coordination

-Improve population and public health

-Ensure adequate privacy and security protections

Health Outcomes Policy Priorities

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SMRTNET Meaningful Use

Data set

DemographicsAllergies and reactionsDiagnosisProcedure codeProviderMedicationsLaboratory resultsImmunizationsHistory and physicalReportsDischarge summary

SMRTNET Clinical Encounters in Oklahoma

SMRTNET Distribution

Current Data

Over 37 million encountersOver 11,500 contributing providersOver 3 million patients16 million diagnoses

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

SMRTNET Community “The Experience”

No Historical

Data in EMR

SMRTNET Community

SMRTNET Community Data

SMRTNET Community “The Experience”

SMRTNET HIE

View

Who Prescribed

these?

What was

Observed?

SMRTNET Community DataSMRTNET Community Data

SMRTNET Community “The Experience”

SMRTNET Community DataSMRTNET Community Data

SMRTNET Community “The Experience”

Details from

Encounter

SMRTNET Community DataSMRTNET Community Data

Security

William Braithwaite, MD, PH.D, author of HIPAARegenstrief Institute and Chris SearsOver 20 Oklahoma attorneysOver 15 privacy officers27 privacy policiesOperational for four years without any incidents

Northeast Oklahoma

Adair County Health Dept (Stilwell)AMO Health Center (Salina)Bartlesville Health Center (Bartlesville)Tahlequah City Hospital (Tahlequah)Northeastern Oklahoma University (Tahlequah)Three Rivers Health Center (Muskogee)Vinita Health Center (Vinita)NEO Community Health Center (Tahlequah-Hulbert-Westville)WW Hastings Hospital (Tahlequah)Baptist Memorial (Miami)Grove General (Grove)Wilma Mankiller Health Center (Stilwell)Mayes County Medical Center (Pryor)Mayes County Health Department (Pryor)Redbird Smith Health Center (Sallisaw)Sam Hider Health Center (Jay)Will Rogers Health Center (Nowata

SMRTNET-OKC (GOCHC)

Greater Oklahoma City Hospital CouncilOU Medical CenterUnity Health CenterCancer Institute of OklahomaDeaconess Hospital (pending)Edmond Medical CenterOklahoma Heart Hospital NorthOklahoma Heart Hospital SouthINTEGRIS Baptist Medical CenterINTEGRIS Canadian Valley Regional HospitalINTEGRIS Southwest Medical CenterMercy Health CenterMidwest Regional Medical CenterNorman Regional HospitalNorman HealthPlexOU Medical Center (Edmond)St. Anthony’s HospitalOklahoma Heart HospitalMoore Medical CenterOklahoma City-County Health Dept (pending)

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)

Norman PHO

Very unique group of 300 physicians all using the same electronic record systemNPHO will develop their own networkIntegrate to SMRTNET networkObject of AHRQ research contract and Beacon grantLeverage OKPRN Prevention Science Algorithm’s

Ambulatory Interfaces Underway

eClinicalWorksAllscripts CernerGreenwayNextGenCarescope

OKC Uninsured Clinics

Baptist Community ClinicBaptist Mission CenterCity Rescue Mission and Dental ClinicCross and Crown ClinicCommunity Charity Eye ClinicCrossings Community ClinicGood Samaritan Free Clinic of EdmondGood Shepherd MinistriesIn Gods’ CareKing's KlinicLighthouse Medical ClinicLittle Flower ClinicManus Juntas ClinicMid-Del Community ClinicMinistries of JesusOpen Arms ClinicReaching Our City Medical CenterSt. Charles Clinic

Native American Services

Cherokee Nation possibly the only truly interoperable tribe in the countrySMRTNET member agreement used as national template for Indian Health ServiceActive discussions with other tribes

Physician Roll-out

1,400 physicians with medical privileges at 24 hospitals at no chargeDo not have to have an EHR1,500 Oklahoma Medical Association (in planning)Norman Physician Hospital Organization 300 physiciansAll other providers through incubator network and do not need to be in a network

Contacts

Mark JonesChief Operating Officer and Principal

Investigatormarkjones@smrtnet.org

918 931 9410