1. Course 5: IHS NHIE Overview and Patient Data Viewer February 1, 2011

2. Introduction

3. 3 Course Outline Course Objective IHS NHIE Overview CONNECT Overview Universal Client GUI Consumer Preferences Profile GUI Documentation Demonstration Questions

4. 4 Course Objective Gain a thorough understanding usage of the Universal Client GUI and the Consumer Preferences Profile GUI. These have been installed and maintained at the central IHS headquarters location.

5. 5 IHS NHIE Overview - Goals Enable IHS Cross-Facility health data exchange as well as health data exchange with external organizations over the Nationwide Health Information Network (NHIN) Enable each IHS Facility to maintain ownership and control over their patient data

6. 6 Key Terms NHIE – “Nationwide Health Information Network” Health Information Exchange GUI – Graphic User Interface

7. 7 The Big Picture

8. CONNECT Overview

9. 9 CONNECT Open Source Software gateway that facilitates Health Information Exchange over the Nationwide Health Information Network Implements Core Services to Product Specifications laid out by the Nationwide Health Information Network Initiative

10. CONNECT A few examples of the core services are –Document Query - to obtain patient document references –Document Retrieve– to obtain patient document –Patient Discovery – to correlate enterprise patient identities across the Nationwide Health Information Network Every Agency/Private Health Institution that uses CONNECT/equivalent gateway is termed a NHIE 10

11. CONNECT GUIs CONNECT includes two GUIs as a part of its distribution Both have been customized for IHS usage The two GUIs are –Universal Client GUI- to view patient documents from IHS’ NHIE and from across the Nationwide Health Information Network –Consumer Preferences Profile GUI– to manage patient consent at IHS’ NHIE 11

12. Universal Client GUI

13. 13 Universal Client GUI Used by Healthcare Providers Facilitates viewing of Patient Documents within IHS’ HIE and/or the Nationwide Health information Network A typical workflow entails –Login to the GUI –Search for a Patient –Query for Documents –Retrieve Patient Document –Patient Discovery (Optional)

14. Universal Client GUI – Provider Login Provider logs in with D1 Credentials Username format is “D1\ ” Provider clicks “Login” button 14 Alpha - https://ditdev2.d1.na.ihs.gov:7171/CONNECTUniversalClientGUI BETA - https://ditdev4.d1.na.ihs.gov:7171/CONNECTUniversalClientGUI

15. Universal Client GUI – Patient Search Provider enters search criteria, Patient Demographics, and clicks “Search” button First and Last name are required criteria Search results are probabilistic – Best match is the first entry in the table Provider selects required patient from table 15

16. Probabilistic Matching Patient search using Demographics is probabilistic and not exact Weights are assigned to different search criteria. Ex: First Name, Last Name, DOB etc. MPI uses this and determines best possible match, in addition to variants. Pros: Useful during search for a patient if incomplete search information is provided. Cons: Patient Search could return exact match and much more (Ex: Next-Of-Kin). The best match is the first record returned. 16

17. Probabilistic Matching 17

18. Universal Client GUI – Document Query Only required criteria is the “Creation Date Range”, defaulted to one year. “Search IHS HIE using HIEOS XCA” check box is checked by default – searches only IHS HIE Provider clicks “Document Query” 18

19. Universal Client GUI – Document Retrieve Table contains patient document references Document Style-sheet can be selected to render document content, default – “IHS Standard Template” Provider selects required Document from the table 19

20. Universal Client GUI – Retrieved Document 20 Rendered using “IHS Standard Template”

21. Universal Client GUI – Patient Discovery Not a part of a typical workflow Preliminary step to be performed if subsequent “Document Queries” need to access the NHIN. Provider clicks “Discovery Patient” on the NHIN Table is populated with correlated enterprise patient ids from the NHIN 21

22. Consumer Preferences Profile GUI

23. Used by Administrators Facilitates establishment of Patient Consent at the IHS HIE Patient consent determines if Patient Documents are shared with External Agencies or Private Healthcare institutions on the Nationwide Health Information Network Patient Documents will always be shared for “Treatment” and “Emergency” purposes. Consent affects other purposes of use such as “Public Health” IHS has adopted the “Opt-In with “Purpose-of-use” model. Patient is “Opted-out” by default. 23

24. Consumer Preferences Profile GUI A typical workflow entails Log in to the GUI Search for a Patient Establish Patient Consent 24

25. 25 Consumer Preferences Profile GUI – Login Administrator logs in with D1 Credentials Username format is “D1\ ” Administrator clicks “Login” button Alpha - https://ditdev2.d1.na.ihs.gov:7171/CONNECTConsumerPreferencesProfileGUI BETA - https://ditdev4.d1.na.ihs.gov:7171/CONNECTConsumerPreferencesProfileGUI

26. Consumer Preferences Profile GUI – Patient Search Administrator enters search criteria, Patient Demographics, and clicks “Search” button First and Last name are required criteria Administrator selects required patient from table 26

27. Consumer Preferences Profile GUI – Default Patient Consent By Default, patient is “Opted-out” Administrator could choose to select “NHIN Opt-In Limited” 27

28. Consumer Preferences Profile GUI – Opt-In Limited Administrator moves “Purpose- of-Use” between Deny and Permit Lists Administrator clicks “Save Preferences” button 28

29. 29 Documentation User Guides –Connect GUIs User Guide

30. 30 Demonstration

31. 31 Questions?