Presented by: Craig A. Mathews, Executive DirectorAHRQ Annual Grantee Meeting – October 27, 2007
Transforming Quality Through Health Information Technology in St. Mary and
Surrounding Parishes“Building a Rural Health Information Exchange – Opportunities and Challenges”
PRESENTATION OUTLINE
I. ORGANIZATIONAL HISTORYII. GOVERNANCE FORMATION
III. HIT TECHNICAL DESIGNIV. PROJECT EVALUATION
ORGANIZATIONAL HISTORY
501c(3), not for profit rural health network,Incorporated in 1998 with a mission to improve access to healthcare for residents of St. Mary and surrounding parishes.
GOVERNANCE FORMATION Network began with the enactment of a
Memorandum of Agreement HIT implementation identified early on as a
need (single point of patient entry) HIT Governance Committee emerged Developed operating guidelines and
established protocols for system access
HIE TECHNICAL DESIGN IT Vendor Selection Browsersoft is current IT design firm
ByNet’s Original Design Proposed Design at the start of Year 1
2-3 servers Clinics attached to severs Secure connection through certificates (same connection as banks)
ByNet Server Clinic A
Clinic B
Access by medical personnel
outside ByNet Network
Fall Out ServerMirror of original
Clinic C
Current Approach
HL 7 Software
Clinic a
Clinic B
Clinic C
OSS Software
Database
HIE TECHNICAL DESIGN
HIE TECHNICAL DESIGN
The OpenHRE Community is a consortium of communities and organizations throughout America, that are working together to achieve secure and sustainable health information exchange. Established in 2004, this growing community contributes to the continuing design, development, and distribution of the world’s first open source software dedicated to health information exchange - the OpenHRE™ toolkit, developed by Browsersoft, Inc.
HIE TECHNICAL DESIGN The OpenHRE™ Toolkit consists of three NHIN
compliant services that address the needs of health stakeholders participating in Health Record Exchanges.
These services are “configured” by a community to meet their exchange needs:
Electronic Health Record Clinical Data Repository Summary Patient Record Clinical Messaging
Disease Management Outcomes Registry Reporting On-line Analytical Process (OLAP)
The OpenHRE™ toolkit includes:
The Authentication and Access Control Service (AACS) - Maintains and enforces the individual access control and data ownership requirements of stakeholders participating in Health Record Exchanges.
The Record Locator Service (RLS) - Locates where health records exist - within an enterprise – within a Health Record Exchange - or among multiple Health Record Exchanges.
The Record Exchange Service (RES) – Queries, retrieves, and caches data from located sources, and assembles the data into usable information displayed via web browser.
HIE TECHNICAL DESIGN
PROJECT EVALUATION Normative
Data Sharing – Governance Agreements Project Environment – LaHIE and LSU Vendor
Formative Identification of Known Common Patients Identification of Unknown Common Patients (MPI and
RLS analyses ) Estimation of potential reduction in duplication and
increased coordination of care.
Common Identified Customers that are Care Coordinated (TAC View)
Month Leonard Chabert Hospital(75 Miles)
Iberia Comp. (FQHC)(25 Miles)
Franklin Foundation (CAC-local)
May 2006 46 12 19
June 2006 32 6 12
July 2006 38 9 18
August 2006 36 5 22
September 2006 45 7 26
October 2006 21 3 17
November 2006 28 5 26
December 2006 31 3 15
January 2007 29 6 18
February 2007 19 5 22
March 2007 76 4 19
April 2007 52 9 16
May 2007 46 2 11
June 2007 31 6 17
AGENCY CONTACT
Rev. Craig A. MathewsExecutive Director
1111 Weber StreetFranklin, LA
70538
(337) 828-5638(337) 828-3793 Fax
