June 5, 2008. 750,000 patients in multi-state region 2/3 of patients live in Tennessee 1/3 live in Virginia 5% in other states.

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Presentation transcript:

June 5, 2008

750,000 patients in multi-state region 2/3 of patients live in Tennessee 1/3 live in Virginia 5% in other states

CareSpark’s Mission CareSpark’s mission is to improve the health of people in NE Tennessee and SW Virginia through the collaborative use of health information Regional Population Has High Disparities of: Diabetes Cardiovascular Disease Hypertension Lung Disease Cancer Premature Mortality CareSpark region has $2,400 higher per capita patient care costs than other regions of the country

What Will CareSpark Do? Outcomes Improvement Individual health outcomes Population health status Decision Support (real-time, at point of care, across all systems) Patient-specific info (Rx, Dx, Hx) Clinical Best Practices PHR / EMR / CCR Cost-Efficient Use of Resources Reduced duplication, errors, administrative costs

Source: SBCCDE, CITL, Gordian Project analysis Redundancy Treatment Errors Diagnostic Electronic Medical Record Clinical Data Sharing Decision Support Value is Derived from Better Medical Decisions Patient Data

CareSpark’s Strategic Outcomes Population HealthClinical Premature Mortality Adult Diabetics, Rx filled, vision / foot, HBA1C<7 New Diabetes Cases Lipid PanelLDL < 100 Flu Vaccines for 65+Pneumo Vax for ages 65+, <2 ER Visits for Health AttackStroke Therapy Post- MI followupCancer Screenings (PAP, Mammogram, colorectal) Financial Savings -- ROI Patient Clinician Facilities Purchaser (health plan, employer, taxpayer, individual)

CareSpark RHIO Consortium Partners National / International: Local / Regional: ActiveHealththe Creative Trust AllScriptsDeliberare AnakamHolston Technology CiscoIntellithought CGILucentGlow DellOnePartner GE Healthcare Healthvision / QuovadxState: Initiate SystemsTennessee IntelVirginia Misys OracleFederal: SiemensDHHS / ONC Wellogic Market / thought leaders committed to interoperability, collaboration and results

CareSpark IHE Architecture Data Participants CareSpark Data Store XDS Document Registry XDS Document Registry XDS Patient Identity Source (MPI) XDS Patient Identity Source (MPI) Portal Hospital 1 Phys Portal IHE DocConsumer Hospital 1 IHE DocSource/ DocConsumer Physician Practice 1 IHE DocSource/ DocConsumer Document Repository FILTER Clinical Data Repository Public Health Data Mart De-Identified Data Mart CareSpark XDS Data Store - For Patient Care Clinical Data Repository - For Public Health Improvement XDS PIX Service CT Time Service XDS PDQ Service ATNA Audit Repository ATNA Audit Repository XDS Document Repository XDS Document Repository XDS Key Store XDS Key Store Public Health Department 1 Additional Providers and other data participants IHE DocSource/ DocConsumer Document Repository Data Transformation Data Transformation

CareSpark NHIN Architecture CareSpark (Hosted at CGI) CareSpark (Hosted at CGI) Oracle XDS Patient Identity Source (MPI) XDS Patient Identity Source (MPI) Portal Wellogic Cloverleaf XDS PIX Service CT Time Client ATNA Audit Repository XDS Document Repository XDS Document Repository XDS Key Store XDS Key Store XDS PDQ Service XDS Reg Service XDS Rep Service Two Factor Anakam EMPI Initiate PostGreSql XDS Document Registry XDS Document Registry XDS Registry NIST ATNA WinSysLog ADT Service Web Server DB Server Version Control Subversion MPOP MPOP Consent Custom Interfaces Anakam ESB NHIN request/response Providers Any other inbound/out bound end point Socket TCP SOAP/HTTP Flat File Data Transformation Data Transformation Protocol Transformation Protocol Transformation Message Enhancement Message Enhancement Security Validation Security Validation Routing Orchestration Anakam Two Factor Anakam Web Server PHR ActiveHealth Web Server e-Prescription AllScripts

Convergence of Data Administrative Billing & Claims Clinical Personal Health Record Research Best Practices Patient- Centered Care

Participation in Nationwide Health Information Network NHIN Prototype Demonstration partner with Accenture consortium CareSpark, West Virginia, Kentucky NHIN Trial Implementation 2008 Secure exchange Standardized interfaces Consumer access * Emergency use case: summary medical record * Medication Management eRx, med history, decision support * Consumer Empowerment personal health record, registration and medication history

Better Health for Central Appalachia Liesa Jenkins, Executive Director