Patient Safety Institute

For Communities to Share Data, you need Partnerships Hospitals Labs Payor Patients

What’s Required? TRUST: need for a trusted National Medical Information Exchange (NMIE) that provides real time access to critical patient information (with patient consent) at the point of care. Who needs to be involved? physicians, hospitals, patients and support of consumer advocates. Someone has to provide an over arching, representative structure to facilitate an NMIE. Need structure for NMIE that complements existing national, state and local information sharing capabilities. Patient Safety Institute Is the healthcare industry's response to the need for a trusted, National Medical Information Exchange (NMIE) that provides real time access to critical patient information (with patient consent) at the point of care .  The PSI NMIE operates similar to the way that VISA® does. Both provide a representative governance structure and a communications network that provides real time access to data which resides in disparate information stores. PSI focuses on providing access to information banks of existing medical information to healthcare providers (with patient consent) at the point of treatment. a non-profit organization governed by leading physician, hospital and consumer advocates. PSI was created solely to provide an over-arching, representative, structure to facilitate a NMIE. In addition to creating a comprehensive governance and organizational structure that supports local community efforts, PSI provides a communications infrastructure that can support inter-community connectivity and missing intra-community connectivity as well as single source access to national data sources (e.g. laboratory results, medication history, diagnoses and immunizations).  a structure for NMIE that complements existing national, state and local information sharing capabilities. PSI is not a vendor of services which requires wholesale change to a participant’s technology strategy; but rather a collaborative organization which simply facilitates NMIE in a way that removes many of the existing barriers, including patient privacy concerns, inter-community competitive pressures and the need for significant infrastructure investments by participants.

Requirements for National Medical Information Exchange "Trusted" cross-industry representative governance Better if Non-profit Core mission of patient privacy, security and choice Open, non-proprietary, scalable infrastructure architecture National design while community driven Connectivity to national data sources Single membership model rather than peer to peer contract model Single focus on healthcare network access for all (like VISA® for financial information) State-wide collaboration and direction 

Sample National/State Community Approach Meds & Allergies PBMs & Pharmacies State Z Model National Diagnosis Meds, Immunizations & Enrollment Regional Hub* Insurers National Labs Lab Co’s National Patient Verification & Supplemental Data Patient Portals State Y Model Claims Data & Enrollment Medicare & Employers Immunizations & Other State Registries Medicaid, SCHIP State-Funded Indigent Care Head Start WIC Community Health Centers Workers’ Compensation EMS Correction Facilities Food Stamps Etc. State X Model State Programs Physician Data Integrators Physician Portals, ASPs and large clinics* State Public Policy & Academic Research* Hospitals & Other Providers Individual Physicians Via State Designee (State Medical Society or Licensing Board)* Basic Safety Data* * w/Patient Permission

How PSI Works – Technical Overview Physician Patient Hosp./Clinic A 1 3 The PSI Hub sends a request/response message to retrieve the critical patient information 2 PSI Switch Physician requests information using a PDA or Browser. The request is transmitted to the PSI Hub 1 3 2 Community Labs Hosp./Clinic B PSI Hub PSI Switch PSI Switch The PSI Hub gathers and formats the critical patient information. This information is then transmitted to the requestor, formatted to the appropriate device footprint 3 PSI Switch Community Pharmacies Pharmacist Patient

Research, Treatment & Clinical Trial Information PSI – Patient Connectivity Patient Caregiver Review Append Contribute Communicate Patient Portal (of patient’s choice) Research, Treatment & Clinical Trial Information Physicians Services Community Labs PSI Hub Hosp./Clinic Physician Patient Pharmacist Patient Community Pharmacies