Meridian Physician Summit
Building and Connecting the
Medical Neighborhood
June 7, 2014
Topics
Topic
Presenter
Time
Jersey Health Connect
 Membership
 Phase 1 Meridian Connection
Bob
Radvanski
20 minutes
RelayHealth Demonstration
 Overview
 Provider Portal
 Patient Portal
Alex Kesler
40 minutes
Integrating Clinical Information
Steve
Sakovits
15 minutes
Questions & Answers
15 minutes
Jersey Health Connect (JHC)
• Non profit NJ Health Information Organization
(HIO) established in 2010
• Largest HIO in the state
– 4th Largest transactional volume in the Nation
• Powered by technology from RelayHealth
• Provides access to both physicians and patients
• Meridian signed as a member - Feb 2014
A Shared Vision for New
Jersey…
Electronic access to aggregated health information available
whenever and wherever it is needed at the point of care.
•
Improve care coordination, access,
outcomes and efficiencies through the
use of technologies facilitating to realtime clinical exchange
•
Comply with national standards related
to privacy and security considerations
•
Allow organizations to maintain
individual technology strategies
•
Provide consumers a consolidated view
of their health information to encourage
active and informed participation
Jersey Health Connect (JHC)
Hospitals Contributing Data
2012
Overlook
2013
2014
Morristown Newton
Hamilton
Clara Maass
Saint Barnabas
Medical Center
New Brunswick
Rahway
Jersey Health Connect
By The Numbers
(serves 6 million patients in 10 counties)
State HIE Grantee
Monthly Transactions
Indiana
Colorado
New York
JERSEY HEALTH
CONNECT
Minnesota
Vermont
Delaware
Washington
Michigan
Maryland
Ohio
Rhode Island
California
Alaska
Utah
14,532,368
5,011,816
3,322,812
2,295,636
1,680,124
889,700
827,483
138,422
98,976
48,655
35,359
29,627
28,429
3,701
2,482
4th Largest
Directed
Transactions
In The Country
Benefits to JHC Membership
• Collaborative model to improve patient
care
• Opportunity for patient
engagement with Personal
Health Record
• Ability to share and retrieve patient care
data across healthcare systems and
electronic records platforms
What are JHC members contributing?
•
•
•
•
•
Patient demographics/Visit History
Lab results
Radiology results
Transcribed documents
CCD/CCDAs
What is a CCD?
CCD stands for Continuity of Care Document
 Contains a summary of the patient’s health status
from an episode of care. May include
 Allergies
 Problems
 Medications
 Results
 Procedures
 Vital Signs
 Past Medical Hx, Family Hx, Social Hx
 Advance Directives
 Insurance
 Structured format
www.jerseyhealthconnect.org
Jersey Health Connect (JHC)
Meridian Affiliation Network
Connection
Phase 1
Implementation Underway – Phase 1
Meridian Affiliation Network
Acute Facilities & Emergency Depts
JSUMC
BCH
SOMC
RMC
Post Acute Facilities
OMC
Home
Health
LTC
Jersey Health Connect ….. powered by RelayHealth
Physician
Practices
eClinicalWorks
Allscripts Pro
GE Centricity
Greenway
Practice
Fusion
Vitera
Meridian Affiliation Network
Phase 1 Connections Timeline
JAN
Joined JHC
Planning &
Vendor
Alignment
Acute Care
Patient (PHR)
Ambulatory
EMRs & Home
Health
Provider Portal
Long Term Care
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
Jersey Health Connect
……………Powered by RelayHealth
RelayHealth Clinical Platform Footprint
48M+
patient records managed
720k
patient messages
sent/month
48k+
providers accessing data
DOD
100+ MTFs
10K+ physicians
800K enrolled patients
267
health systems &
partners participating
85+
HIEs nationwide
powered by
RelayHealth
3M+
patients enrolled online
30M+
clinical transactions
sent/month
125+
healthcare IT vendors
integrated
JHC
30 hospitals
1800 physicians
140K enrolled patients
Key Capabilities of RelayHealth
• Secure Messaging
– Provider to provider
– Provider to patient
•
•
•
•
•
ED Notification
Results Delivery to EMR
Exchange data between EMRs
Provider Portal
Embedded Personal Health Record (PHR)
RELAYHEALTH
DEMONSTRATION
Questions
&
Answers
Meridian Physician Summit
Integrating Clinical Information
June 7, 2014
Meridian / Physician EMR Connectivity Update
• Connectivity progress over the last 6 months
• Hard at work on Cardiology Results
Meridian’s Integrated Health Care Delivery System
Meridian’s Connected
Continuum
Meridian’s Continuum Challenge
Today data does not always
flow between the systems that
support our continuum of care
– Each service uses a system from a
different IT vendor
– Inpatient data does not reside in the
same database as Ambulatory data
– Limited ability for advanced data
analytics
– Patient data from across the
continuum is not easily available to
physicians
– Patients have often have identifiers
that are unique to each computer
system making it difficult to merge
patient data across the continuum
Integrating Clinical Information
Meridian has launched an initiative to evaluate the use of an Enterprise Data
Warehouse (eDW) to integrate data from across the continuum of services to
support the Clinically Integrated Network and Population Health Management.
An enterprise data warehouse (eDW), is a database used for reporting and data
analysis. Integrating data from one or more disparate sources creates a central
repository of data.
4
3
Our Process
1
Built a Cross
Functional Team
2
Spoke to dozens
of vendors,
consultants and
hospital systems
and published our
requirements
Conducted
numerous system
demonstrations
and technical
reviews
Down to two
finalists used by
leading health
systems
Meridian Enterprise Data Warehouse - Future State
-Disease Registry
-Misc. Analytical Systems
-Etc.
Analytical
Systems
Care
Registries
MedSeek
CRM
Predictive
Modeling
Contact
Management
P.H.
Analytics
(TBD)
Physician
Access
Crimson
CMS &
Payer
Data
Meridian Enterprise Data Warehouse
ETL, Data
Warehousing
& DSS
Relay
Health
HIE
ETL Engine
-Physician EMR CCD’s
-Soarian CCD’s
-Ext. Lab
-Etc.
Siemens Data Warehouse
Core
Operational
Systems
Soarian
Invision
Lawson
Centricity
Cerner
Sigma
Care
-Siemens Pharmacy
-Sunquest Lab
-Etc.
-AllScripts
-ECHO
-Planning
-Palliative Care
-Etc.
Enterprise Data Warehouse
Benefits
• Aggregate, transform and reconcile data
from cross the continuum of care
• Identify, score and project the risks of
individual patients
• Disease Registries
• Physician scorecards
• Physician access to information on their
population
Population Health Analytics - Registries
• Disease Registries
– Identify high risk patients
– Identify patients with care gaps
– Provide consistent measurement of quality
1. Chronic Disease
1. Diabetes, Hypertension, Heart Failure, etc
2. Wellness
1. Pediatric, Adult, Senior & Maternity
3. Medications
1. Generic Dispense Rates
2. Medication Utilization
– Support reporting requirements (ACO, HCQA, CMS, HEDIS, etc)
Specific to
attributed
Population
Attributed
Population
Autosegmented
into defined
clinical
Registries
Specific to attributed Population
Support PCMH, value based purchasing & visibility into care gaps
Real-time
view of
current
performance
Real-time,
summary
performance
score calculated
by the system
Scorecard reflects clinical, financial,
and other performance metrics.
Drill-down to patient-centric view and
performance against defined
measures
Connecting with Community Physicians
eDW vendors & HIE’s like Relay
Health are developing their solutions
for exchanging data with each other,
but the capabilities are still evolving
– We have had extensive conversations
with Relay Health and the eDW vendors
– Over 40 EMR’s in use by Meridian
Physicians
eDW
In Patient
EMR
HIE
Lab
Results
Physician
EMR
Connecting with Community Physicians
eDW connectivity with community
physicians is predicated on use of
EMR’s & EMR CCD connectivity
with an HIE
– Meridian IT is working to connect
physician EMR’s with the current HIE
– We have connected 155 Physicians
to the HIE for CCD’s
– Many physicians do not use an EMR
today
Your Logo
Mobile Apps
Looking to roll out a Pilot this summer and
enterprise wide deployment if successful
HIPAA-Secure Messaging
•
Receive admit & discharge notifications, critical
values, exchange critical patient information
including X-rays, EKGs & images with
colleagues
Easy-Access Member Directory
•
Locate regional physicians by last or first
name or by specialty
Care Team Directory
•
Physician created Care Team
Pharmacy Search
•
Find and map a local pharmacy, search by
zip code, city, street name
Physician Groups
•
Search physicians by facility privileges or
groups of which they are a member
The Connectivity Challenge & The Road Ahead
2016
2015
Mobile Apps
with Admission,
Discharge and
Results
2014
2014
2013
Enterprise
Data
Warehousing
and
Advanced
Analytics
Lab,
Radiology &
CCD
connections
Jersey Health
Connect HIE
2014
ACO Analytics
2012
ICA HIE
2011
Your Logo
Thank You