5/18/2017. A Leading Provider of Clinical Data Exchange Solutions 5/8/2017. Who are we?

Transcription

1 A Leading Provider of Clinical Data Exchange Solutions 5/8/2017 Who are we? 1

2 Company Background Founded in 2000 Headquartered near Philadelphia 4 th Generation cloud based Technology Platform Over 200 Clients Nationwide and thousands of physician practices/clinics 3 Growing & Innovative Company Finalist for Emerging Technology CEO in 2014 & 2016 Finalist for Emerging Life Sciences Company in 2013 & 2015 Gartner acknowledges Halfpenny Technologies as a representative vendor for Clinical Data Integration in the Hype Cycle for U.S Healthcare Payers for 2015 &

3 Overview of Halfpenny Technologies We Serve Halfpenny Technologies is a leading digital health provider of healthcare interoperability solutions that enable meaningful clinical data exchange. 5 Enterprise Wide Utilization of Real Time Clinical Data Quality Improved HEDIS scores Attain targeted Star Ratings Reduction in manual chart reviews Reconciliation of discharge instructions Risk Management Increased Risk Adjustment Factors Identification and closure of gaps in care via bidirectional clinical data exchange Member retention Network/Payment Management Support development of value based contracting Provide leading indicator data in support of financial recovery Support Quality Payment Programs (MIPS) Clinical Management Maximize member clinical outcomes through quality and coordination of care Real time identification of new diagnoses and exacerbation of existing conditions Reduction in avoidable utilization 6 3

4 What is our solution? Product & Solution Portfolio Business Intelligence & Notification Transaction Monitoring Dashboard ClinScope Hospital Utilization Notification Solution Clinical Data Exchange Orders Management Clinical Medical Record Lab orders Lab results Radiology orders Radiology results ADT Clinical Data Services LOINC mapping SNOMED mapping Test Dictionary mapping Combined Directory of Services (CDOS) Portal Registration interface Scheduling interface PSC hold Split requisition Reference lab interface 8 4

5 Health Plan, Population Health and Analytics Single Source of Clinical Data Exchange Acquire real time medical record, lab or ADT data in native format from provider systems Manage triggering of data, patient matching, and normalization Rules based engine apply filters to identify specific data Map data into a standard format client can consume Send data in velocity defined by client (real time or batch) 9 Halfpenny Technologies LIS/HIS Adapters Abraxas Medical Solutions Inc. Antrim Commercial Lab Antrim/Cache AP Easy Apollo LIMS CCA Cerner Millenium Cerner Classic Cerner CoPath Cerner Millennium Pathnet Clinical Information Systems (CIS) Clinical Software Solutions (CSS) ClinLab CLS 2000 Copath Plus Cortex CPSI CyberLab Elincs Epic Fletcher Flora GE (formerly Triple G)) GE Viewpoint HBOC Horizon HBOC Star HMS Impac Intellilab Intellipath Keane Keane Lab Fusion LabCorp LabCorp LIS LabDaq LabGem McKesson Horizon Lab MDS Medical Applied Solutions (MAS) Over 75 Reusable Adapters Medical Applied Systems MediLab Meditech Meditech (Magic 5.64) Meditech CS Meditech Magic Multi Tech NetLMS Novopath Opus Orchard Copia Orchard Harvest PMSI PowerLab PowerPath Psyche Psyche Systems LabWeb Quest QLS Quest Q Suite Quest Lab QuikLab Relay Health Safetrace SCC Soft Schulyer House SeaCoast SMS Novius Softlab Spectrum Sunquest Sunquest AP Sunquest Commercial (Antrim) Sunquest CoPath Sunquest FlexiLab Sunquest PowerPath Sysmex Molis Sysware PowerLab Zotec 10 5

6 EHR Vendor Experience AdvancedMD Allscripts Arete Athenahealth BestNotes CareCloud Caretracker Change Healthcare ChartLogic ClinixMD Core Solutions CureMD Digichart Dr. First eclinicalworks Elation EMRge GE Centricity Greenway Healthfusion Healthland Informedika Intellidox Intivia Lifepoint Medcentrix Medisoft Medisys MedTech MD Suite MicroMD NetSmart Nextgen NueMD Optum Insight Orchard Soft PatientNow PowerSoftMD PhyGeneSYS Practice Fusion PracticeSuite PrognoCIS Simplify SOAPware TriMed Versasuite VitalAxis XIFIN Zipchart 11 Complete Medical Record Data Structured XML Body (C CDA templates) Templates: CCD Discharge Summary History & Physical Progress note Etc. Reusable sections: Allergies Meds Immunizations Encounters Problem List Results Vitals Etc.. Plan of Care Doctors comments Clinical narrative, etc. Structured Free form narrative text Unstructured nonxml Body (Text or image) Complete Vitals History of Present Illness Review of Symptoms Pathology Reports Discharge Summary Care Plans Assessments 12 6

7 Workflow Overview Lab & Radiology Workflow Hospital Labs Commercial Labs HL7 Filter by location, insurance plan and product Health Plan Southwest DX Imaging 14 7

8 ADT Workflow Hospital (HIS) ADT HL7 Message Filter by hospital, ADT type, etc. Health Plan Log onto HIS Hospital/PCMH Text Message Notification (non PHI data) Filter by hospital, ADT type, etc. HTI Mobile Notification HL7 message structure Real time Transmission Filter by Location (hospital) and Message type Event determination for mobile notification 15 Clinical Medical Record Bidirectional Workflow Push/pull structured and unstructured EHR data Request pull of data from EHR Select message segments Initial history and updates Health Plan Push/pull structured and unstructured EHR data PCMH EHR Care Management EHR Agnostic Push/Pull Capability Configurable filters Quality Management 16 8

9 ClinScope Overview Functionality Query tool into clinical data warehouse Configurable dashboard & queries driven by user roles Report/query scheduling Provides real time tracking of patient population clinical data Provides snapshot views of quality compliance measures such as HEDIS & STAR ratings Provides real time patient utilization dashboards by hospital Value Proposition Enables improved management of frequent utilizers & at risk patient populations Earlier view into quality compliance measures Enables risk adjustment factor documentation for chronic disease states Earlier identification of patients for disease management Segmentation of patients by disease state 17 Hospital Utilization Reports Service date & time range Hospital location filter Utilization type filter Patient selection to view Care detail 18 9

10 Services Overview Implementation Responsibilities What you do? What hospital/physician does? Initiate request with provider and obtain business case yes to provide data Specify health plan format for receiving data Select preferred connectivity method between Health Choice Arizona and Halfpenny Specify data to be secured and frequency of sending data to your data warehouse Validate provider files received from Halfpenny Disclose any specific security/ connectivity requirements Provide description of data format for requested data Agree upon strategy for member identification Send test data Transmission begins Ongoing data transmission begins 20 10

11 Implementation Responsibilities What we do? Work with the provider to determine how to identify members Identify best connectivity method with provider Accept data in any format preferred by provider Implement and QA interface with provider Normalize the inbound data, LOINC Map if required Store and forward data in batch delivery Format data in Health Choice Arizona requested format and deliver as specified 21 Benefits of a Single Source Clinical Data Exchange Partner One vendor interacting with your various network facilities and physician offices One contract, pricing model, and contact for support Your IT team will only need to support one interface for all incoming clinical data Data will be delivered in one consistent and normalized format No additional IT resources required to normalize or reformat data Requirements Any changes in data specifications are communicated to one entity if provider communication is required, Halfpenny manages on your organization s behalf 22 11

12 Halfpenny Technologies Team Linda Groff VP and GM of Health Plan Market Thank you! 23 12