Orion Health Connect Healthcare Health Information Exchange Agenda I. II. III. IV. V. VI. Introductions Company Overview Technical Architecture Demonstration Questions & Answers Wrap Up & Next Steps Orion Health INTRODUCTIONS Orion Health COMPANY OVERVIEW Orion Health Orion Health Overview Orion Health: Private Health Integration company founded 1993 Revenue: $100M USD per annum Employees: 600+ US Offices: Santa Monica, CA (NA head office) and Boston, MA Auckland, NZ (Development Center) Customers: 1000+ customers, 5 continents, 30 countries +25 large HIE deployments globally Goal: “Comprehensive, patient-centric, integrated healthcare” Client Sites Orion Health Flagship HIE Customers Customers Flagship HIE Customers in NA Solution Offe Solution Offerings Rhapsody Integration Engine for Data Exchange or Public Health Reporting Secure Messaging Hub Hospital for Enterprise Single View Unified view of the patient record Supporting clinical workflows Built by physicians for physicians Health Information Exchange Enterprise or Public Large regional deployment Solution Orion Health HIE Solution Summary Standard HIE Web-based access to the longitudinal patient record (Clinical Portal) Clinical Messaging: HL7, CCD, XDS, Web Services (Rhapsody™) Add-on Modules Case Management Patient Portal EMR Lite User Subscribed Notifications Diagnostic Orders HIE Problem List Clinical Documentation Web-based Imaging NwHIN DIRECT Secure Messaging NwHIN Connect Gateway Privacy & Consent Reporting & Analytics Semantic Interoperability Public Health Reporting Storage of clinical information (CDR) Enterprise Master Person Index (EMPI) "[Orion Health] is one of the more complete [HIE] solution on offer” Chilmark Research HIE Report January 2011 HIE Stages The Evolution of HIE 4. Advanced HIE Approximate 90 day delivery in SaaS 3. Information Sharing 2. Data Aggregation 1. Data Exchange CDR Message exchange (Rhapsody) EMPI, RLS Secure Messaging (Direct) Privacy & Consent Semantic Interoperability Image Viewer Unified, longitudinal patient record (Clinical Portal) Notifications NHIN Gateway Disease Management Population Health Analytics & Reporting Patient Portal EMR Lite Why Orion Why Orion Health? Independent and agnostic – only global, independently owned eHealth software company Worldwide customer base representing nascent and fully mature HIEs – Customers in 30 countries across North America, Europe, Middle East, Asia Pacific Flexibility of technology, infrastructure, and services – Highly configurable platform, proven interfacing technology, solution available as self-hosted or fully managed SaaS, supports centralized, federated and hybrid exchange models Best of Breed mentality – Not only does the Orion Health platform enable integration, but to better serve the needs of customers Orion Health has integrated with leading EMPI (NextGate, #1 on KLAS) and Semantic Normalization vendors. Breadth of solutions and services – Extensible solution through additional modules: Patient Portal, Case Management, Image Viewer, EMR Lite; and additional services like Change Management Proven results – 41% reduction in hospital admissions and 31% reduction in ALOS at Alberta Health Services Orion Health TECHNICAL ARCHITECTURE Technical Ar Technical Architecture MPI Normalization Demographics Patients Providers Normalization Semantics Codeset Mapping Data Repository HIE Module Demographics Encounters Labs, Rads Allergies, Diagnosis Documents Medications Problems, Procedures CCD Exchange Notifications Privacy & Consent Record Locator Healthcare Service Bus Parsing Validation Transformation Routing Acknowledgements Privacy Filtering Security Filtering Index Lookups Notification Routing Clinical Portal NwHIN Gateway HL7 CCD SSO XDS HL7 CCD External Systems NwHIN HIEs Medicare Medicaid Known Registries Source Systems EMRs EHRs Laboratory Radiology HIS Patient Portal Case Management EMR Lite Business Intelligence Web based Imaging Direct Secure Messaging HTTPS Notifications & Subscriptions Secure Inbox E-Mail Mobile Clinical Summary Secure Messaging Health Library Circle of Care HTTPS Orion Health HIE HIE DEMONSTRATION EHR Integrat Seamless Integration With EHRs Orion Health’s methods of delivering seamless clinical workflow between HIE and EHR… Notification and Subscriptions: Controlled seamless flow of data into EHR from HIE (Automated CCD/HL7 push) Send to my EHR: When browsing the Clinical Portal this provides Adhoc push into EHR (Manual CCD/HL7 push) HIE lookup from within EHR (XDS query/response) HIE embedded inside the EHR: One click access to HIE patient record (SSO) Implementat Implementation Models Hosted (SaaS) Services User access through an annual per-user subscription 24 x 7 monitoring and maintenance Hosted Environment High-availability hosted hardware Dedicated and isolated environment Disaster recovery: primary facility in New Jersey, failover site is in Santa Clara, CA Security SSAE 16 compliance Scheduled security auditing Self-Hosted Scalable 3 tier architecture Databases MS SQL 2005/2008 Oracle 10g/11g/RAC Operating Systems AIX 5.x/6.x HP-UX 11i+ Linux Windows 2003/2008 Virtualization: VMWare and IBM PowerVM Platform Sup Platform Support Server Side Databases MS SQL 2005/2008 Oracle 10g/11g/RAC Operating Systems AIX 5.x/6.x HP-UX 11i+ Linux (eg. RHEL) Windows 2003/2008 Virtualization: VMWare and IBM PowerVM Client Side Nothing to install Browsers IE 7, 8 and 9 Firefox 3 and above Safari iOS (iPad) Operating Systems Windows (any) Mac OS X iPad Optional multi-factor authentication Orion Health QUESTIONS AND ANSWERS www.orionhealth.com Copyright © 2002-2011 Orion Health group of companies | All rights reserved Orion Health ADDITIONAL TECHNICAL MATERIAL Technical Ar Technical Architecture MPI Normalization Demographics Patients Providers Normalization Semantics Codeset Mapping Data Repository HIE Module Demographics Encounters Labs, Rads Allergies, Diagnosis Documents Medications Problems, Procedures CCD Exchange Notifications Privacy & Consent Record Locator Healthcare Service Bus Parsing Validation Transformation Routing Acknowledgements Privacy Filtering Security Filtering Index Lookups Notification Routing Clinical Portal NwHIN Gateway HL7 CCD SSO XDS HL7 CCD External Systems NwHIN HIEs Medicare Medicaid Known Registries Source Systems EMRs EHRs Laboratory Radiology HIS Patient Portal Case Management EMR Lite Business Intelligence Web based Imaging Direct Secure Messaging HTTPS Notifications & Subscriptions Secure Inbox E-Mail Mobile Clinical Summary Secure Messaging Health Library Circle of Care HTTPS Architecture Physical Architecture Active-active dual firewalls, Intrusion detection Redundancy Production and Disaster Recovery