Transcript How Cerner enables the sharing of data across a Healthcare

How Cerner enables the sharing of data across a
Healthcare Community
Cerner Network
Current State - The Chaotic Middle
Interaction
Communication
Partial Communication
Paper Chart
Friction
Error
Superbill
Variance
EDI
Waste
Coder
Delay
EOB
Payer edits
CPT
Clipboard
837/835
ICD-9
Scrubber
Modifier
Clearinghouse
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The ABCs of Systemic Healthcare Reform (2/26/09)
The opportunity for a “New
Middle”
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Cerner State - The New Middle
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What is the Cerner Network…
The Cerner Network is a suite of connectivity services that
makes electronic data exchange simple, fast, affordable
and meaningful.
Supports information exchange between providers
Makes it easier for providers to stay in touch with their patients
Helps providers qualify for meaning use incentives
Improves quality of patient care
Lays foundation for future (Accountable Care Organization)
The Cerner Network suite includes services for:
Providers with an EHR/Hospitals and Health Systems
Providers without an EHR
Health Information Exchanges
Patient Engagement
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What it does…
Cerner Network Key Drivers
Improve Physician Relationships
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Deliver clinical results in real-time to a physician office
Eliminate unnecessary faxing and mailing
Streamline communication
Improve Quality of Care Through Better Care Coordination
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Enable delivery of patient discharge summaries to Physician Office upon patient
discharge; Visit summaries from Physician Office to Hospital
Provider to provider secure messaging to address referral management needs
Retain and build key service lines (i.e. Lab Outreach, etc…)
Improve patient relationships
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Enable delivery of patient discharge summaries to patients upon patient discharge
Provide convenient patient services online (provider to patient secure messaging, etc)
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Support for Existing & Emerging Standards
HITSP & IHE Federal Standards: Consolidation of HL7 v3 CDA and ASTM CCR
into the HITSP CCD
Nomenclature standardization such as LOINC, SNOMED , CPT & ICD9
Laboratory result delivery specific messages XD*
Many other specific message formats for specific purposes such as
Biosurveilance, Consumer Empowerment, EMR results delivery, inter-HIE
patient identifier notifications
HITSP covers messaging standards based on SOAP with x.509
Authentication and authorization assertions through SAML
Detailed audit requirements through ATNA logging and query
NHIN: NHIN is providing a mechanism to translate the proposed and ratified
standards into achievable standards for existing systems
NHIN-certified HIEs are expected to normalize varying existing intra-HIE
standards communication to the NHIN standard so they can provide a
standards based facade for inter-HIE communication
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Provider Connectivity
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Connectivity Strategy - Friends & Family
Non-Cerner EMR
Health Dock
(AllScripts, eCw,
Centricity, Vista, etc)
PWx Clinic
Health Dock
not required
Paper-Based Clinic
Health Dock
Or
WebConnect
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Cerner Hub - Provider Connectivity
Facilitate connectivity with employed and affiliated physicians regardless of
EMR or lack thereof
“Plug/Play” connectivity in physician offices with HealthDock™ appliance, providing flexibility to;
Seamlessly connect and integrate data into 3rd party EMR’s
 Print to network printer
 Email
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Ability to facilitate Laboratory and Radiology order conversations back into Hospital
Major components
Orders and Results transaction routing
Discharge Summary, Continuity of Care Document(CCD),
Clinical Note Distribution
Connection to SureScripts/RxHub Services
Cerner
Hub
Key Use Cases
Laboratory and Radiology Outreach Services
Referral Management
Improve Affiliated Physician Satisfaction
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Cerner Hub- HealthDock
Our Technology
Push technology, versus look up
Built from the ground up in Physician office
The way we deploy
Smart appliance based solution (HealthDock) in the physician’s office
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No software to load
Little to no IT knowledge required
Distributed MPI (dMPI)
Full audit trail and data reporting tool
EMR message normalization and exception handling
Supports all CCHIT EMRs
Enterprise class Gateway in hospital datacenter or cloud
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Enables rapid deployment to thousands of physicians
with minimal IT effort
Automatically normalizes and cleanses messages
Dashboard view of clinics
Supports the complete set of clinical data
Discharge Summaries, Results, Orders, Clinical Notes
XML Data such as CCDs
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Distributed MPI Matching View
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Audit Trail View – Hospital
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Audit Trail View – Physician Office
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Cerner Hub\HealthDock – Current Connections
Allscripts
AthenaHealth
Amazing Charts
SOAPware, Inc.
CommChart
Encite
Misys
e-MDs
Epic
Praxis
SRS Soft
eClinicalWorks
Glostream
meridianEMR
Ingenix
GE Centricity
Greenway
NextGen
Sage
iMed Corp
Sage Intergy
HealthVision
Prognosis
gMed
Atlas
InterComponentWare
Integritas
Ingenious Med
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Provider Office- Cost Analysis
Physician Office
Cost involved from their EMR vendor to connect
Vendor fees range from $5000 – $15,000
If Health Dock is in place the physician offices would be
eligible for negotiated rates- cost savings up to 50%
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Note: One Health Dock is needed for each domain connected.
© 2010 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Cerner WebConnect
Cerner WebConnectTM
Is a comprehensive, easy-to-use, Web based solution that supports
laboratory outreach order entry, specimen management and result
reporting, while connecting to a physician EMR.
Maintains and improves client satisfaction by making it easier for
outreach customers to request services and receive results
 Service providers can increase collections and cash flow by ensuring
compliance with regulations and common billing practices
 Ideal for physicians looking for a unique, easy-to-use solutions for
managing orders and results
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WebConnect- Patient Search
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WebConnect- Order History
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WebConnect- Tests
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WebConnect- New Results
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WebConnect- Results Detail
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Secure Messaging- “NHIN Direct”
National email-like network for secure point-to-point
messaging
Platform to provide simple ad-hoc connectivity between
physicians, organizations, and persons
Open APIs consumable by any clinical system
Print Driver tool for systems that can’t/won’t incorporate
APIs
Easy registration and management
Supports workflow associated with:
Provider to Provider Communications
Consultations
Referrals
© 2010 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Community Connectivity
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Cerner Exchange Platform-Key Principles
Connectivity must be Vendor Agnostic
HIE must leverage common standards so as to allow any EMR adherent to
those standards to connect
HIE is broader than any one Vendor
HIE engagement must happen in Provider Workflow
HIE Access should driven through a provider’s EMR
The HIE acts an aggregator, the EMR should act as the engagement
mechanism
The HIE is “Plumbing” – Don’t make it more complicated
than it should be
Focus the HIE on connectivity not re-creating EMR functionality
© 2010 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner.
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Cerner Exchange Platform-(HIE)
Provides data aggregation service across Regions(small or large)
Leveraging IHE profiles and HL7 standards
Customizable web portal access
Population analytics/analysis
Centralized or Federated model
Core Services
Master Person Index
Record Locator Service
Terminology
Aggregated Continuity of Care Document (CCD)
Demographics
Allergies and Alert
Problems
Conditions or
Problems
Medications
Advance directives
Immunizations
Vital Signs
Results
Encounters
Procedures
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2011 Meaningful Use – Cerner Network Alignment
Cerner HUB & Clinical Exchange
ePrescribing
Provide Summary of care record for transitions of care (referrals)
Incorporate clinical lab results into HER as structured data (50%)
Report Hospital quality measures to CMS or the respective state
(attestation/electronic)
Capability to provide electronic submission of reportable lab result (1 test)
Capability to provider electronic syndrome surveillance data (1 test)
Capability to submit electronic data to immunization registries (1 test)
Cerner Health Record and Patient Services
Provide patients with an electronic copy of their discharge instructions (80%)
Provide Patients with an electronic copy of their health information (80%)
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“A Success Story”
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Success Story- Oklahoma (SMRTNet)
300SMRTNET
Users NE
Oklahoma
750 SMRTNET
Users
OKC MSA
State Population
3.6 Million
SMRTNet Population
4 Million
SMRTNet Users
2750
SMRTNet EMR’s Interfaced
Epic
Meditech
McKesson
Cerner
CPSI
eClinical
Greenway
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SMRTNET Community “The Experience”
First Visit??
SMRTNET Community
Data
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SMRTNET Community “The Experience”
No Historical
Data in EMR
SMRTNET Community
SMRTNET Community Data
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SMRTNET Community “The Experience”
SMRTNET HIE
View
Who Prescribed
these?
What was
Observed?
SMRTNET Community Data
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SMRTNET Community “The Experience”
SMRTNET Community Data
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SMRTNET Community “The Experience”
Details from
Encounter
SMRTNET Community Data
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Future: Pull Data From SMRTNET Into Chart
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How Cerner enables the sharing of data across a
Healthcare Community
Grady Cason
[email protected]
(816) 885-5537