Secure Patient Communications Get Connected Knowledge Forum Health Group Health Group Secure Patient Communications Get Connected Knowledge Forum June 28th, 2005 Drew Miller version 3.6 9/19/2018

Secure Patient Communications Health Group    Structured Communications: System generated, and often automated communications using interoperable applications delivering information directly to the patients and providers from a medical device or healthcare system. Ad Hoc Communications: Enabling patients, medical personnel, insurers, employers, and other caregivers to securely communicate with each other, potentially in an informal manner, at any time. 9/19/2018 3:07 PM 9/19/2018

Secured through delivery Structured Communications Health Group Portal System Securely deliver patient results from portal Enable secure communications between providers and patients EMR record delivery between medical facilities, formatted using IHE XDS, HL7, XML for automatic system updates Secured through delivery Email and Attachment Application Patient/Provider 9/19/2018 3:07 PM 9/19/2018

Need for Ad Hoc Communications Health Group Communications with new people People not part of formal network Sending info to people at other locations (home, vacation) Sending info to people helping patients (e.g. caregivers, etc.) Communicating new information Clinical data not yet in applications Information between departments not yet part of served by automated interfaces Data that augments data part of applications EMR integration: Delivers full picture of patients’ health Reduces delays to gather charts and reports for various facilities Enables access from open EMRs; packaged or custom Based on standards such as CCOW for logon, patient ID, and context Wireless devices: Deliver real-time data to physicians at point-of-care Enable efficient handling of physician orders Provide on-call physicians with data access from any location Increase productivity through caregiver mobility 9/19/2018 3:07 PM 9/19/2018

Kodak SES Email Security Center Kodak SES Concept Health Group Universal connectivity regardless of email system used Kodak SES Email Security Center Patient (AOL Account) Hospital LAN Users (Exchange) Referring Physician (Hotmail) Physician Association Members (GroupWise) Firewall Referring Physician (POP3 Account with Outlook) Patient (Thunderbird Email) HMO LAN Users (Lotus Notes) 9/19/2018 3:07 PM 9/19/2018

Community Secure e-Mail Project Health Group Rochester, NY SECP established in January 2005 Weekly meetings to coordinate activities and customer approach Group agreed to Kodak acting as facilitator for SECP Membership and status of installations: UnityHealth First Rochester installation (June 2004) – fully operational MCMS Endorsed SES for its membership Preferred Care Fully operational URMC Contractual phase Excellus Interoperability achieved between SES and Excellus system ViaHealth System operational IPAs & Docs Various phases of implementation or inquiry Rochester Health Commission (consultants) Step one in formation of fully functioning RHIO 9/19/2018 3:07 PM 9/19/2018

Secure Email Community Program - Interoperability Other health or non-health partners Unity Health Preferred Care All communications between SECP members automatically encrypted and protected Ability to send secure messages to any other correspondent inside or outside SECP Internet Physicians Excellus Kodak Email Security Center URMC ViaHealth 9/19/2018 3:07 PM

Hyperlinked email address Web Mail Health Group Hyperlinked email address 9/19/2018 3:07 PM 9/19/2018

Web Mail Health Group Dr’s email address 9/19/2018 3:07 PM 9/19/2018

Secure e-Mail for a Community Health Group Delivers community-wide secure communications with minimal logons, encryption modes, interfaces Hospital to hospital, physician, insurance Physician to physician, patient, insurance Insurance to providers, employers, payer Establishes secure link to: Home health care and long term care School nurses and childcare centers County and city health emergency services Distinct Advantages of Kodak Solution: Highly configurable by user, content, recipient ASP model, low cost for small practices Send e-mail to persons not on network Includes protection from malware, content EMR integration: Delivers full picture of patients’ health Reduces delays to gather charts and reports for various facilities Enables access from open EMRs; packaged or custom Based on standards such as CCOW for logon, patient ID, and context Wireless devices: Deliver real-time data to physicians at point-of-care Enable efficient handling of physician orders Provide on-call physicians with data access from any location Increase productivity through caregiver mobility 9/19/2018 3:07 PM 9/19/2018