Orion Health. Health Information Exchange

Transcription

1 Orion Health Health Information Exchange

2 rion Health Orion Health Overview Orion Health: Private Health Integration company founded 1993 Revenue: $100M annual revenue Employees: 500+ (200+ developers) US Offices: Santa Monica, CA Boston, MA Scottsdale, AZ Headquarters: Auckland, NZ (Development Center) Customers: customers, 5 continents, 30 countries 25 large Health Information Exchange deployments globally Comprehensive, patient-centric, integrated healthcare

3 lient Sites Orion Health Flagship HIE Customers

4 IE Stages The Evolution of HIEs 1. Data Exchange Message exchange (Rhapsody) EMPI, RLS Secure Messaging (DIRECT) Privacy & Consent 2. Data Aggregation CDR(s) Semantic Interoperability 3. Information Sharing Unified, longitudinal patient record (Clinical Portal) Notifications 4. Advanced HIE Image Viewer Disease Management Population Health Reporting & Analytics Patient Portal EMR Lite NwHIN Gateway Public Health Reporting

5 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 ) Storage of clinical information (CDR) User Subscribed Notifications DIRECT Secure Messaging Privacy & Consent Semantic Interoperability Enterprise Master Person Index (EMPI) Add-on Modules Case Management Patient Portal EMR Lite Diagnostic Orders HIE Problem List Clinical Documentation Web-based Imaging NwHIN Connect Gateway Reporting & Analytics Public Health Reporting

6 Technology Overview Gather Share

7 Semantic Interoperability 1. Up-to-date standardized terminologies: ICD-9, CPT-4, SNOMED CT, LOINC, HL7, RxNorm, etc 2. Maps between the terminologies: ICD-9 to SNOMED CT, SNOMED CT to CPT-4, RxNorm to Multum, etc. 3. Automated codification of non-standard data: specialized mapping algorithms for Dx, labs, meds, etc. 4. Processing of structured or unstructured data 5. Mapping tools review/processing, upload of local data 6. Mapping services for specialized or rush needs Sensitive codes Local lab catalogs 7. Reconciliation process for updates and maintenance

8 erminology Terminologies and Mappings Terminology Sets (partial list) SNOMED CT ICD-9-CM ICD-10-CM/PCS CPT-4 Medical necessity Age/gender edits HCPCS APC MS-DRG, AP-DRG LOINC DSM IV Medications: RXNorm, FDB, NDC, NDF-RT, Medi-Span, Multum HLI Consumer Friendly Terminology HLI Provider Friendly Terminology HLI Medical Specialty Subsets PQRS Subsets HLI Medical Specialty Subsets Nursing: NIC, NOC, NANDA HL7 CDT UCUM UNI HRG CCI CVX, MVX Rev codes Multiple languages Mappings (partial list) SNOMED CT to ICD-9-CM SNOMED CT to CPT SNOMED CT to MeSH SNOMED CT to ICD-10-CM/PCS ICD-9-CM to ICD-10-CM/PCS ICD-10-CM/PCS to ICD-9-CM ICD-9-CM to SNOMED CT ICD-10-CM to SNOMED CT CPT to SNOMED CT DSM IV to SNOMED CT RxNorm to NDF-RT CPT to CVX

9 Long Unified Longitudinal Patient Record

10 imeline View Complete Medical History at a glance

11 Architecture

12 eployment 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 SAS 70 Type II 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

13 100% Web-based Computer (Windows, Mac or ipad) Browsers IE 6, 7, 8 Firefox 3.5+ Safari ios (ipad) 512kbps broadband recommended Screen resolution at least 1024 x 768 Optional multi-factor authentication (outside of LAN/VPN)

14 Copyright Orion Health group of companies All rights reserved