Transcript MedVirginia Status - Southwestern VA Technology Council

Gerard P. Filicko, CMPE
Sr. Vice-President
Physician Services
Organizational Purpose
- Collaboration in HIT
- Clinical data exchange
- Practice automation
Vision: “…the most electronically integrated
medical community in the U.S.”
Physicians
Shared Services
300 Owners
900 Par
50%
501(c)3
50%
Nurse Call Center, Health Coaching, Disease
Management, CMS Demonstration,
Risk Management, Managed Care Contracting
MedAtlantic
20%
80%
Health Information Exchange
MedVirginia Advisory Council
•
Honorable Louis W. Sullivan, MD
•
Bon Secours Richmond Health System
•
SureScripts
•
VaLiance
•
Virginia Health Quality Center
•
Va Department of Health
•
CrossOver Health Center
•
Virginia Association of Free Clinics
•
REACH
•
VMGMA
•
Community Care Network of Virginia
•
Virginia Academy of Family Physicians
•
UVA Health System – Office of Telemedicine
•
Anthem WellPoint
•
VCU Dept. of Health Administration
•
Ukrops
•
Central Virginia Health Planning Agency
•
Virginia Hospital and Healthcare Assoc.
MedVirginia - Health Information Exchange
Physician View
• e-Chart
• Meds/Allergies List
• Ancillaries
• IP / OP
• Secure Messaging
Data Flowing to Solution
Clinical Results
from Hospitals
and Providers
Discharge
Summaries
Reference Lab Results
Physician
Suite of Services
Physician
e-Prescribing
Medications
Allergies
• PM Integration
• Practice Notes
• e- RX
• Electronic Health Record
• Interface with EMRs
Northern
Neck
Henrico
H
175 pharmacies
Thru SureScripts
H
H
Chesterfield
H
H
Richmond
H
Hanover
H
Development Timeline
Valueadded
Major
Milestones *
Prototype
Services
2001 2004
2004
Launch of
Solution
2005
Mar
05
Product
development begins
1Q06
Rural e-Health
Collaborative
NHIN II
1Q07
VA HIT
Council &
Free Clinic
integration
4Q07
1Q08
Ongoing
System
Enhancements
* 530,000 charts / 110 practices / 330 physicians / 1100 users
A Few Stats
•
•
•
•
530,000+ unique patients
3,000+ unique physicians
1M+ messages/month
Users:
– 110 practices
– 330 physicians
– 1100 distinct users
• Connectivity (via SureScripts) to
172 pharmacies
• Safety Net Providers
Safety Net Providers:
Governor’s HIT Council Grant
• 4 Richmond Free Clinics needed
access to an integrated data
platform
–
–
–
–
To receive hospital & clinic results
Document routine care
Labs & medications
Continuity among clinics
• Sought a common eligibility
screening process, to be shared
by all community providers
• Did not have capital and needed
to keep operating costs low
Reporting,
Grant Writing
Free
Clinic
Pharmacy
E-Scripts
Updated
Meds
Community
Pharmacy
MedVirginia
Health Information Exchange
Demographics
Schedule
MEDfx
Practice Management System
& Eligibility Screening Tool
Results
Discharge Meds
Hospitals
Referrals
Eligibility Data
Clinicals
Referral Back to
Medical Home
Care Coordination
Monitoring of Sentinel Events
Specialists
Features and Functions
• Current
– Clinical inbox &
messaging
– Community e-chart
– Demographic & clinical
patient summaries
– Consult/referrals
– Integrated practice
notes
– Practice Management
interfaces
• 3Q08
– e-Rx & Med Histories
– PACS interface
– EMR connectivity
– NHIN interoperability
NHIN II: Interoperability
Other
NHIN II
HIEs
Other Future Interoperability Partners
MedVirginia Expertise
Health
Information
Technology
Care
Coordination
Engaged
Physicians
MedVirginia
“Sweet Spot”