1. HIMSS13 Interoperability Showcase Docent Training Tuesday February 12 th and Wednesday February 20 th, 2013

3. Docent Management Workgroup Ricardo CrosbyMatt JohnsonJohn Paganini Chad Hiner Danae Kaemingk Elizabeth Peters

4. Agenda IHE USA Interoperability Showcase Overview of the Docents Detailed Logistics Scheduling Floor Plan Use Cases Medical Banking Community Q&A

5. IHE USA IHE USA (www.iheusa.org) is a not for profit organization founded in 2010 that operates as a national deployment committee of IHE International™www.iheusa.org IHE USA is the sponsor of the IHE North American Connectathon – Cross-Vendor, live, supervised, structured testing of real-world clinical scenarios using IHE Integration Profiles IHE USA conducts activities in three main areas: – Testing and Test Tool Development – Education, Training, and Outreach Opportunities – Deployment of IHE Profiles in the US – Supporting the development, adoption and use of standards based interoperable health IT solutions

6. Interoperability Showcase  A live action demonstration of practical solutions to standards-based interoperable health IT  Over 6,000 attendees at HIMSS Conference alone  Real-Time data health exchange  Over 100 participants  Over 200 systems  International  Real World Case Studies  EHR’s, PHR’s, Radiology PACS Systems, Public Health Registries, and more  Medical Banking Community  ICD-10, Patient Payment Experience, Payment Hub

7. Overview of Docents Thank You for your Time!!! – (no the training isn’t over) Integral part of the Interoperability Showcase Facilitate groups through Use Cases General knowledge of the IHE and Use Cases Professional Appearance

8. Expectations Arrive. Arrive Early. Plan to commit 100% to the shift. – Arrange phone meetings and business meetings for time outside your shift – Silence phones – Stay engaged with your group We all know emergencies occur, please communicate those to us as EARLY as possible

9. Specific Roles Docents Super Docents Back-up Docents VIP Tour Docents Help Desk Staff Welcome Desk Staff

10. Scheduling Sunday – Live training starts at 12pm on the Showcase Floor – Lunch Provided (Lunch served at 11:30am) – Plan on being available to run through Use Cases with vendors Monday, Tuesday, & Wednesday – 1 st shift 9:30am-2:00pm2 nd shift 1:30-6:00pm

11. Scheduling Please arrive 15 minutes early for your shift Plan for the end of your tour to run a few minutes past your shift VIP Tours run just before, just after, or during lunch at the Showcase Everything is subject to change

12. Detailed Logistics Tours start at the Welcome Theatre – Guests receive about a 10 minute presentation – Docents will line up to form 6 groups – Guests will be divided among the groups Docents will lead tour to first stop on Use Case Docents will remain with group until tour officially ends Docents do not need to remain with group after the last stop Docents will return to Welcome Theatre for next group

13. Detailed Logistics Tours run every 15 minutes and will last approximately 30 minutes Tour Time Frame – Group A takes first group at 1:15pm and tour lasts 30 minutes – Group B takes second group at 1:30pm and tour lasts 30 minutes – Repeat This builds in some break time between tours

14. Matt and Danae Schedule Content

15. Floor Plan and Use Cases Each Use Case (UC) is associated with ONE Pod. Each Pod is made up of a group of vendors who each play a role in the UC. For example; if you are the docent for UC 10 you will go to the UC 10 Pod and lead the group through the Use Case, step by step.

16. Showcase Floor Plan

17. USE CASE AREA

18. INFORMATION DESKS

19. WELCOME THEATER

20. USE CASE PODS

21. Use Cases HIMSS12 1. Delivery Coordination with Closed-loop OB-Gyn and Hospital Interaction 2. Delivery Event Requiring NICU Showing Vital Records Update and Hearing Screening with Quality Monitoring to Aid Early Pediatric Care 3. Biosurveillance Monitoring, Detection and Alerting 4. Immunizations Registry Updating and Utilization 5. Pulmonologist Referral with Lab and Imaging Interchange Across Communities 6. EMS & ED Encounter Supporting Patient Preferences 7. Cancer Care Coordination and Registry Updating 8. ED Encounter with Follow-up Care by PCP 9. Surgical Defibrillator Implant with Remote Monitoring and Follow-up by EP 10. Supporting the Medical Home Model of Primary Care 11. Integrated Reporting for Clinical Research Participation and Drug Safety 12. HIE Core Services

22. StepCompany/VendorCommunity 10.0 Florida_Blue (Availity) AA 10.1 eClinical Works AA 10.2 CareEvolution BB 10.3 Florida_Blue (Availity) AA 10.4 eClinical Works AA 10.5 CareEvolution BB Care Theme: C. Transitions of Care UC#10

23. Step UC #10 Supporting the Medical Home Model of Primary Care 1 Patient is being seen by their PCP and is found to be non-compliant with their home medical management and is referred to the Emergency Room (ER) for emergency medical treatment of Hyperglycemia. The physician office note is registered with the community HIE 2 The ER physician retrieves the PCP office visit from the community HIE. Patient is evaluated and treated in the ER. Patient is anticipated to be discharged home and it is determined that discharge planning is required because the patient has been non-compliant with their established plan of care. The ER case manager coordinates the immediate discharge plan. The medical summary for this encounter is registered with the community HIE is available for retrieval. The ER sends Florida Blue the Discharge Summary electronically. The patient is discharged home. 3 Florida Blue receives the electronic discharge summary and continues ongoing care coordination with the PCP and patient/member. 4 Prior to the patients 10 day follow-up appointment the PCP retrieves the prior office visit and discharge summary for review. The patient sees their PCP and the PCP updates the plan of care to help achieve the patients care goals. The PCP shares the office visit/care plan, which includes education regarding diet and exercise with the patient and sends it to the HIE which updates the patients PHR for mutual progress tracking and reporting. 5 Patient data is available on the patient’s portal. Care Theme: C. Transitions of Care UC#10

24. Place Holder Business Use Case ICD-10

25. Questions?