1. MD24 Application of Health Information Exchange (HIE)
in Clinical Practice
Maricopa Community College

2. Key topics Why HIE? Terminology MD24 House Call HIE System
Our roadmap on future development with AzHEC (Arizona State HIE)
The Stack behind HIE
Q&A

3. “PATIENT'S VALUES FIRST”
Why HIE?
Our Mission Statement:
To bring the best medical care and value to patients through innovation and a highly qualified network of providers in the most cost-effective way
“PATIENT'S VALUES FIRST”
HIE Benefits:
Improve healthcare delivery and information gathering
Real-time integration between different EHR, EMR for an instantaneous patient care and improve patient’s safety
Support providers/caregivers with tools to provide patient with the best quality care

4. Terminology HIE: Health Information Exchange
HL7: Used in United States as a standard messaging protocol to transfer electronic data between different healthcare systems
ADT Alert: Admit-Discharge-Transfer Alert in HL7 format
ORU: Observation Results in HL7 format for lab results, imaging study reports, EKG, patient’s conditions, etc.
TCM: Transitional Care Management
CCM: Chronic Care Management

5. MD24 House Call HIE System

6. MD24 HIE Roadmap
HIE integration internally between our Telemedicine, Smart Lab, and EHR for our patients
Apply to our partners and vendors
Plan to growth together with state HIE (Colorado expansion)
Machine Learning Risk-Level Algorithms based on ICD-10, SNOMED, and patient’s conditions

7. The Stack HIE Project Machine Learning Risk Eval7
The Stack
HIE Project
PHP backend to get HL7 data from sftp site (AzHEC provides)
PHP parsing the HL7 data on Linux data warehouse
Call API from data warehouse to analyze in Intermediate database then display on BOX(Back-office system for automatic care plan (or other system)
Optional (use Mirth Tools) to setup channel and pull data back
Machine Learning Risk Eval
Host on H2O -
Machine learning will use R/Python
More Data means better outcome

8. MD24 House Call Current

9. HIT Or HIM EHR ADT EHR PVD Care Workgroup
Big Data Mining
In-house data
Patient CRM
ADT
ADT Alert Mining
Automation
Workflow
Tasks Managed by Gantt Chart
Start a Workflow
External resource
Referral from partners
EHR
Tasks Tracking
by Timer
Tasks Self-Managed
By Calendar
PVD Care Workgroup
Partner resource
Sales /
Internal Referral
Care Coordination Management System (BOX) 9

10. QUESTIONS? Please reach out to us directly if you have any question
Julie Bui
Chi Nguyen
Bobby Nguyen