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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
20
11
Meanin
gfu
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se P
olic
y O
bje
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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
SMRT
NET
HIE
Billi
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ePre
scrib
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Secu
re
Mes
sagi
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erts
&
Rem
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Clin
ical
Hub
SMRTNETHub
Services
Consumer Services
Sche
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EMR
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Pers
onal
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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
918 931 9410
