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LCF/NMHIC

NHIN Trial Implementation Contract

New Mexico Telehealth Alliance

November 1, 2007

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Telehealth and Health Telehealth and Health Information Exchanges Information Exchanges Can Be Complementary Can Be Complementary Networks to Improve Networks to Improve Health Care for Rural Health Care for Rural and Underserved and Underserved Populations Populations

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Health Information Health Information Exchange NetworkExchange Network

NHIN

Clinician

HIE Network

Allergist

Dermatologist

Lab

EmergencyRoom

Locatesthe Patient’s

Records

Gathers andAssembles the Patient’s

Records

State Public Health Depts.

PRIVACY PROTECTED

Patient

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Nationwide Health Nationwide Health Information Network (NHIN)Information Network (NHIN)

The NHIN is a network of networks

All HIE networks that adopt national standards for interoperability with other networks can be designated NHIE networks

The NHIN is comprised of NHIE networks

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NHIN Trial ImplementationNHIN Trial Implementation

NHIN test/demonstration Contracts awarded to nine

states/communities Contract base year: October 2007

though September 2008Plus two optional years

Objective is to test/demonstrate interoperability between NHIE networks

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Methods to Achieve Methods to Achieve InteroperabilityInteroperability

Common network services (use cases) developed by AHIC

Implement a set of standards, defined by HITSP, to enable use cases to be interoperable

Local testing of interoperability of use cases

Nationwide testing of interoperability of use cases

Report areas where standards need to be enhanced or established

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NHIN Use CasesNHIN Use Cases

Emergency Responder

EHR - Lab Results

Consumer Empowerment: Patient Registration and Medication History

Consumer Empowerment: Consumer Access to Clinical Information (CACI)

Medication Management

Biosurveillance

Quality

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Base year activitiesBase year activities

1st Quarter – Planning, staffing, and organization

2nd Quarter – Develop detailed specifications, implementation, and test scenarios

3rd Quarter – Local testing of interoperability and development of business plan

4th Quarter – Nationwide testing and demonstration of interoperability

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Benefits to New MexicoBenefits to New Mexico

NHIN contract will cover the costs for: Core network infrastructure

Implementation of selected network services (use cases)

The ability to interoperate with other NHIE networks

Development of management and staff to operate and expand HIE network

Creation of a comprehensive business plan to help NMHIC become self-sufficient after the contract concludes

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tiveNext StepsNext Steps

Complete Network Subscription Agreements

Define Technical/Interface Requirements NHIN Core Functionality – CCD patient

summary record

Use case and CDC Biosurveillance data sets

Build Interfaces (by March 2008)

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LargeContributing Enterprise

SmallContributing Enterprise

Clinician Access

Web Server

PatientIndex

XML

Pointers & Physicians

FacilityInterface and

DatabaseEdge

Server

FacilityData Store

Point of ServiceSystem

HL7, XML orBatch

FacilityInterface and

DatabaseEdge

Server

FaciltiyData Store

HL7

HealthView Portal

SSLXML

Or HTTPSRequest

HTTPS

HL7

TranscriptionService

HL7

LDAPPolicy Server

Firewall

App ServerCentral Service Interface Engine

Vlink Back OfficeDatabase Server

Point of ServiceSystem(s)

XML

Clinic APoint of Service

System

Multi-SiteInterface and

DatabaseEdge

Server

ContributingClinic/Group Practices

HL7, XML orBatch

Practice BPoint of Service

System

HL7, XML orBatch

FacilityData Stores

Clinic A

Practice B

FirstGatewaysBack Office

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Complementary HIT Complementary HIT NetworksNetworks

Telehealth provides high resolution image, video, and audio to remote locations

HIE networks can provide interoperable health records from multiple facilities to remote locations

Telehealth and NHIE networks can be complementary to provide better health care to rural/underserved populations