MEDfx Connected Healthcare V6 20101014

Connected Healthcare

14 October 2010Canadian Version 6

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Agenda

Canada Health Infoway Conceptual Architecture

Products

OnboardingOnboarding

Operational Support Considerations

Cross Border and Cross Jurisdictional Support

Strategic Partners

Additional Information

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Canada Health Infoway

EHR Infostructure: Conceptual Architecture

JURISDICTIONAL INFOSTRUCTURE

Ancillary Data& Services

Registries Data& Services

EHR Data& Services

DataWarehouse

OutbreakManagement

PHSReporting

SharedHealth Record

DrugInformation

DiagnosticImaging

LaboratoryHealth

Information

BusinessRules

EHRIndex

MessageStructures

NormalizationRules

Longitudinal Record Services

ClientRegistry

ProviderRegistry

LocationRegistry

TerminologyRegistry

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POINT OF SERVICE

Hospital, LTC,CCC, EPR

PhysicianOffice EMR

EHR Viewer

Physician/Provider

Security MgmtData

Privacy Data Configuration

Physician/Provider

Physician/Provider

Lab System(LIS)

Lab Clinician

RadiologyCenter

PACS/RIS

Radiologist

PharmacySystem

Pharmacist

Public HealthServices

Public Health

Provider

HIALCommunication Bus

Common Services

Product Overview

interchange

Reusable internal service façade supporting interactions based on open standards and defined by customer requirements

connectfxconnectfx

External service façade for

standardized cross-organization

interactions

lifescape

Best-in-class user experience for

display of clinical information5

Product Mapping to

CHI Conceptual Architecture

JURISDICTIONAL INFOSTRUCTURE

Ancillary Data& Services

Registries Data& Services

EHR Data& Services

DataWarehouse

OutbreakManagement

PHSReporting

SharedHealth Record

DrugInformation

DiagnosticImaging

LaboratoryHealth

Information

BusinessRules

EHRIndex

MessageStructures

NormalizationRules

Longitudinal Record Services

ClientRegistry

ProviderRegistry

LocationRegistry

TerminologyRegistry

INTERCHANGE

ORACLE

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POINT OF SERVICE

Hospital, LTC,CCC, EPR

PhysicianOffice EMR

EHR Viewer

Physician/Provider

Security MgmtData

Privacy Data Configuration

Physician/Provider

Physician/Provider

Lab System(LIS)

Lab Clinician

RadiologyCenter

PACS/RIS

Radiologist

PharmacySystem

Pharmacist

Public HealthServices

Public Health

Provider

HIALCommunication Bus

Common Services

CONNECTFX

INTERCHANGE

LIFESCAPE

EDGE APPLIANCE

Principles

Design for Change

Loose Coupling

Platform Independent, Open Standards

Reusable, Shared ServicesReusable, Shared Services

Minimize manual labour for Operational Support

Best-in-Class User Experience

Simplicity

Transparency

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interchange

Reusable internal Service Façade supporting interactions based on open standards and defined by customer standards and defined by customer requirements

Core Services

Internal Interactions

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interchange

Representational State Transfer (REST) Services

Integration with Oracle Health Transaction Integration with Oracle Health Transaction Base (HTB) and Oracle Health Master Person Index (OHMPI)

Value

Low datacenter footprint

Consistent processing of requests across service façade, user interfaces and other entry points

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interchange

architecture

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connectfx

External service façade for standardized cross organization interactions

United States Nationwide Health United States Nationwide Health Information Network (NHIN) Accomplishments

First on the NHIN with Social Security Administration

SSA Case Study (Using the Nationwide Health

Information Network to Deliver Value to Disability

Claimants) documents annual cost savings of over $2.2M for four hospitals

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connectfx

First participant in the Virtual Lifetime Electronic Record (VLER) on the NHIN (August 31, 2010) able to share Patient Demographics and Clinical InformationDemographics and Clinical Information

VLER CommunityMedVirginia (powered by MEDfx)

Veterans Affairs (VA)

Department of Defense (DoD)

Kaiser Permanente (KP)

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connectfx

One of three data providers sending information to Center of Medicare and Medicaid Services (CMS) over the NHIN

CMS Health Information Exchange PilotCMS Health Information Exchange Pilot

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connectfx

Extendable to support Transport Layer Interoperability (TLI) SpecificationSpecification

Based on HL7v3 and CDA

Separates Web Service Interface Contract from localized implementation

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connectfx

architecture

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lifescape

Best in class User experience for display of clinical information

Event Driven (Asynchronous)Event Driven (Asynchronous)

Able to dynamically populate events for in-context patient

Extendable

Support Consent (break-the-glass) functionality

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lifescape

Information Requests

Broadcast (based on configuration)

TargetedTargeted

Shreds HL7v3 and CDA content into viewer

MVP Architecture

Administrative Viewer

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lifescape

architecture

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Onboarding Process

Standardized and Repeatable

Partial List of Deliverables:

Data Provider Interfaces and Content identified and categorizedidentified and categorized

Determination for Edge Appliance

Assist in Adoption

Translate Data

Translate messages into Provincial Standard

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Operational Support

Considerations

Operational support has been considered from day one

Provide interface and workflow for Provide interface and workflow for data stewards

Interaction with helpdesk software (e.g., Remedy)

Asynchronous notification supported

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Cross-Border and

Jurisdictional Support

Canada-wide view of a patient

Support for jurisdictional implementation differences supported across the architecturearchitecture

Technology supports cross-border interactions

HIAL to NHIN, NHIN to HIAL

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Strategic Partners

MedVirginia

Level 7 Health Information ExchangeLike an established HIAL in a Province with a number of data providers

VerizonVerizon

Reseller

Hosting

Oracle

Health Transaction Base

Oracle Health Master Patient Index22

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Additional Information

Website:

www.medfx.com

Kathy Aubin (Sales)

508.237.0618 mobile508.237.0618 mobile

Kathy.Aubin@medfx.com

Colin Fletcher (Technical)

403.613.7051 mobile

Colin.Fletcher@medfx.com

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