| Date post: | 20-Jan-2016 |
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PRIMARY CARE PHYSICIANS• Practice Management
• EMR
How Do We Connect Silos of Data?
PATIENT• Personal Health Records
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History SPECIALTY
PRACTICE• Practice Management
• EMR
HOSPITAL 1• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
Patient ID Manager
Document Registry
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
HITSP/IHE Standards-based HIEKey Components
Document RepositoriesDocument
Repositories
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History SPECIALTY
PRACTICE• Practice Management
• EMR
HOSPITAL 1• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
Patient Identity FeedIHE PIX
Patient ID ManagerJohn Doe PCP 111
99John Doe Specialty 22299
Name Site MRN %
MRN 111MRN 111
MRN 222MRN 222
MRN 333MRN 333
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History SPECIALTY
PRACTICE• Practice Management
• EMR
HOSPITAL 1• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
HOSPITAL 2• EMR/PM’s
• Lab
• PACS ArchiveSPECIALTYPRACTICE• Practice Management
• EMR
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
LAB• Results
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
Patient Identity Cross-ReferenceIHE PIX
PIX QUERY: MRN 111
PIX QUERY: MRN 111
Patient ID ManagerJohn Doe PCP 111
99John Doe Specialty 22299
Name Site MRN %
PIX RESPONSE: MRN 222PIX RESPONSE: MRN 222
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History SPECIALTY
PRACTICE• Practice Management
• EMR
HOSPITAL 1• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
SPECIALTYPRACTICE• Practice Management
• EMR
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
Publish DocumentsIHE XDS
PUBLISHPUBLISH
REGISTER DOCUMENTREGISTER
DOCUMENT
Patient ID Manager
Document Registry
SPECIALTYPRACTICE• Practice Management
• EMR
HOSPITAL 1• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
LAB• Results
PHARMACY/PBMs• RX History
PUBLIC HEALTH• Registries
CCD• Allergies• Problems• Meds• Etc, Etc.
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
Query for DocumentsIHE XDS
REQUEST DOCUMENT 1
REQUEST DOCUMENT 1
Patient ID Manager
Document Registry
RETRIEVE DOCUMENT 1
RETRIEVE DOCUMENT 1
RETRIEVERETRIEVE
REQUESTREQUEST
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History SPECIALTY
PRACTICE• Practice Management
• EMR
HOSPITAL 1• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
SPECIALTYPRACTICE• Practice Management
• EMR
CCD• Allergies• Problems• Meds• Etc, Etc.
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
Engage Patients
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PATIENT• Personal Health Records
Patient ID Manager
Document Registry
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History HOSPITAL 1
• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PATIENT RETURNS HOME
PATIENT RETURNS HOME
PATIENT VISITS PCP
PATIENT VISITS PCP
PCP PUBLISHPCP PUBLISHPHR REQUEST /
SUBSCRIBEPHR REQUEST /
SUBSCRIBE
PHR RETRIEVED DATAPHR RETRIEVED DATA
SPECIALTYPRACTICE• Practice Management
• EMR
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
Care Coordination
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PATIENT• Personal Health Records
Patient ID Manager
Document Registry
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History HOSPITAL 1
• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PATIENT VISITS PCP
PATIENT VISITS PCP
Patient Prescribed Meds
Patient Prescribed Meds
Rx
SPECIALTYPRACTICE• Practice Management
• EMR
Care Coordination
SPECIALTYPRACTICE• Practice Management
• EMR
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PATIENT• Personal Health Records
Patient ID Manager
Document Registry
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History HOSPITAL 1
• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PCP PUBLISHPCP PUBLISH
Patient Prescribed Meds
Patient Prescribed Meds
Rx
REQUEST DATA
REQUEST DATA
RETRIEVE DATARETRIEVE DATA
HOSPITAL 1• EMR/PM’s
• Lab
• PACS Archive
Patient Prescribed Meds
Patient Prescribed Meds
Rx
PATIENT VISITS HOSPITAL
PATIENT VISITS HOSPITAL
Care Coordination
SPECIALTYPRACTICE• Practice Management
• EMR
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PATIENT• Personal Health Records
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History HOSPITAL 1
• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PUBLISHPUBLISH
HOSPITAL 1• EMR/PM’s
• Lab
• PACS Archive
PATIENT RETURNS TO PCP
PATIENT RETURNS TO PCP
PCP REQUEST DATA
PCP REQUEST DATA
Patient ID Manager
Document Registry
DATA RETRIEVEDDATA RETRIEVED
Patient Prescribed Additional Meds
Patient Prescribed Additional Meds
Rx
Rx
Patient Prescribed Meds
Patient Prescribed Meds
Rx
Patient Prescribed Additional Meds
Patient Prescribed Additional Meds
Rx
Rx
Care Coordination
PCP REQUESTS EKG
PCP REQUESTS EKG
PCP PUBLISHES DATA
PCP PUBLISHES DATA
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PATIENT• Personal Health Records
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History HOSPITAL 1
• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PATIENT VISITS PCP
PATIENT VISITS PCP
SPECIALTYPRACTICE• Practice Management
• EMR
SPECIALTYPRACTICE• Practice Management
• EMR
SPECIALISTS NOTESPECIALISTS NOTE
EKG DELIVERED
EKG DELIVERED
REFERRAL TO SPECIALIST
REFERRAL TO SPECIALIST EKG
DOCUMENTEKG
DOCUMENT
Patient ID Manager
Document Registry
Care Coordination
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PATIENT• Personal Health Records
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History HOSPITAL 1
• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PATIENT VISITS PCP
PATIENT VISITS PCP
SPECIALTYPRACTICE• Practice Management
• EMR
PCP ORDERS LAB
PCP ORDERS LAB
LAB• Results
LAB RESULTS
LAB RESULTS
Patient ID Manager
Document Registry
Public Health
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PATIENT• Personal Health Records
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History HOSPITAL 1
• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PATIENT VISITS PCP
PATIENT VISITS PCP
SPECIALTYPRACTICE• Practice Management
• EMR
IMMUNIZATION RECORD
IMMUNIZATION RECORD
Patient ID Manager
Document Registry
PUBLIC HEALTH• Registries
IMMUNIZATION REQUESTED
IMMUNIZATION REQUESTEDIMMUNIZATION
RECORDIMMUNIZATION
RECORD
Improve Quality
PATIENT• Personal Health Records
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PRIMARY CARE PHYSICIANS• Practice Management
• EMR
PATIENT• Personal Health Records
LAB• Results
PUBLIC HEALTH• Registries
PHARMACY/PBMs• RX History HOSPITAL 1
• EMR/PM’s
• Lab
• PACS Archive
HOSPITAL 2• EMR/PM’s
• Lab
• PACS Archive
PAYERS• Claim Data
PATIENT VISITS PCP
PATIENT VISITS PCP
SPECIALTYPRACTICE• Practice Management
• EMR
QUALITY DATA
QUALITY DATA
Patient ID Manager
Document Registry
PAYERS• Claim Data
QUALITY DATA
QUALITY DATA
