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June 5, 2008. 750,000 patients in multi-state region. 2/3 of patients live in Tennessee 1 /3 live in Virginia 5% in other states. CareSpark’s Mission. Regional Population Has High Disparities of:. CareSpark’s mission is to improve the health - PowerPoint PPT Presentation
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June 5, 2008
750,000 patients in multi-state region
2/3 of patients live in Tennessee
1/3 live in Virginia
5% in other states
CareSpark’s Mission
CareSpark’s mission is to improve the health
of people in NE Tennessee and SW Virginia
through the collaborative use
of health information
Regional Population Has High Disparities of:
• Diabetes
• Cardiovascular Disease
• Hypertension
• Lung Disease
• Cancer
• Premature Mortality
CareSpark region has $2,400 higher per capita patient care coststhan other regions of the country
What Will CareSpark Do?
Outcomes Improvement •Individual health outcomes Population health status
Decision Support(real-time, at point of care, across all systems)
Patient-specific info (Rx, Dx, Hx)
Clinical Best Practices
PHR / EMR / CCR
Cost-Efficient Use of Resources
Reduced duplication, errors, administrative costs
Source: SBCCDE, CITL, Gordian Project analysis
Redundancy
Treatment
Errors
Diagnostic
Electronic Medical Record
Clinical Data Sharing
Decision Support
Value is Derived from Better Medical Decisions
Patient Data
CareSpark’s Strategic Outcomes
Population Health ClinicalPremature Mortality Adult Diabetics, Rx filled, vision / foot, HBA1C<7
New Diabetes CasesLipid Panel LDL < 100Flu Vaccines for 65+ Pneumo Vax for ages 65+, <2ER Visits for Health Attack Stroke TherapyPost- MI followup Cancer Screenings (PAP, Mammogram, colorectal)
Financial Savings -- ROI• Patient• Clinician• Facilities• Purchaser (health plan, employer, taxpayer, individual)
CareSpark RHIO Consortium Partners
National / International: Local / Regional:ActiveHealth the Creative
Trust AllScripts DeliberareAnakam Holston
TechnologyCisco IntellithoughtCGI LucentGlowDell OnePartnerGE HealthcareHealthvision / Quovadx State:Initiate Systems TennesseeIntel Virginia MisysOracle Federal:Siemens DHHS / ONCWellogic
Market / thought leaders committed to interoperability, collaboration and results
CareSpark IHE Architecture
Data P
articipan
ts
CareSpark Data StoreCareSpark Data Store
XDSDocumentRegistry
XDSDocumentRegistry
XDS PatientIdentitySource(MPI)
XDS PatientIdentitySource(MPI)
PortalPortal
Hospital 1 Phys PortalHospital 1 Phys Portal
IHE DocConsumer
IHE DocConsumer
Hospital 1Hospital 1
IHE DocSource/ DocConsumer
IHE DocSource/ DocConsumer
Physician Practice 1Physician Practice 1
IHE DocSource/ DocConsumer
IHE DocSource/ DocConsumer
Document RepositoryDocument Repository
Document RepositoryDocument Repository
FILTERFILTER
Clinical DataRepository
Clinical DataRepository
Public HealthData Mart
Public HealthData Mart
De-IdentifiedData Mart
De-IdentifiedData Mart
Car
eSp
ark
XD
S D
ata
Sto
re
-
F
or P
atie
nt C
are
Cli
nic
al D
ata
R
epo
sito
ry
-
F
or
Pub
lic H
ealth
Im
prov
emen
t
XDS PIXServiceXDS PIXService
CT TimeServiceCT TimeService
XDS PDQService
XDS PDQService
ATNA AuditRepositoryATNA AuditRepository
XDSDocumentRepository
XDSDocumentRepository
XDSKey Store
XDSKey Store
Public Health Department 1Public Health Department 1
Additional Providers and other data participantsAdditional Providers and other data participants
IHE DocSource/ DocConsumer
IHE DocSource/ DocConsumer
IHE DocSource/ DocConsumer
IHE DocSource/ DocConsumer
Document RepositoryDocument Repository
Data
Transformation
Data
Transformation
CareSpark NHIN Architecture
CareSpark(Hosted at CGI)CareSpark(Hosted at CGI)
OracleOracle
XDS PatientIdentitySource(MPI)
XDS PatientIdentitySource(MPI)
PortalWellogic
PortalWellogic
CloverleafCloverleaf
XDS PIXServiceXDS PIXService
CT TimeClient
CT TimeClient
ATNA AuditRepositoryATNA AuditRepository
XDSDocumentRepository
XDSDocumentRepository
XDSKey Store
XDSKey Store
XDS PDQService
XDS PDQService
XDS RegService
XDS RegService
XDS RepService
XDS RepService
Two FactorAnakam
Two FactorAnakam
EMPIInitiate
EMPIInitiate
PostGreSqlPostGreSql
XDSDocumentRegistry
XDSDocumentRegistry
XDSRegistry
NIST
XDSRegistry
NIST
ATNAWinSysLog
ATNAWinSysLog
ADTService
ADTService
Web Server
DB Server
VersionControl
Subversion
VersionControl
Subversion
MPOPMPOP
MPOPConsentMPOP
ConsentCustom
InterfacesCustom
Interfaces
Anakam
ESBESB
NHIN request/response
Providers
Any other inbound/outbound end point
Socket TCP
SOAP/HTTP
Flat File
Data
Transformation
Data
Transformation
Protocol
Transformation
Protocol
Transformation
Message
Enhancement
Message
Enhancement
Security
Validation
Security
Validation
RoutingRouting
OrchestrationOrchestration
Anakam
Two FactorAnakam
Two FactorAnakam
Web Server
PHRActiveHealth
PHRActiveHealth
Web Server
e-PrescriptionAllScripts
e-PrescriptionAllScripts
Convergence of Data
Administrative
Billing & Claims
Clinical
Personal Health Record
Research
Best Practices
Patient-Centered
Care
Participation in Nationwide Health Information Network
NHIN Prototype Demonstration 2006-07
partner with Accenture consortium
CareSpark, West Virginia, Kentucky
NHIN Trial Implementation 2008
Secure exchange
Standardized interfaces
Consumer access
* Emergency use case:
summary medical record
* Medication Management
eRx, med history, decision
support
* Consumer Empowerment
personal health record, registration
and medication history
Better Health for Central Appalachia
www.carespark.com
Liesa Jenkins, Executive Director423-963-4970