Allscripts Open MU3 Stage 3 API Patient Engagement ... Health Technologies Medical Hub® Allscripts...

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Transcript of Allscripts Open MU3 Stage 3 API Patient Engagement ... Health Technologies Medical Hub® Allscripts...

  • Informed Health Technologies

    Medical Hub

    Allscripts Open MU3 Stage 3 API Patient Engagement Challenge

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 2

    Application Summary

    The Medical Hub is a secure health collaboration platform supporting a care team that includes patients, clinicians, family, and the patients social network, to ensure collaborative and complete care using shared data sources

    The patient controls access to data

    The Hub integrates data from digital sources, such as Allscripts EHRs, collecting patient requested data from the clinical record by date and category

    The Hub also supports data entry by patients and caregivers

    The Hub analyzes data from all sources and compares to the patients Care Plan, sending alerts to the appropriate members of the care network as deviations occur, optimizing health system utilization and improving clinical outcomes

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 3

    Anticipated benefits and value

    Improved care coordination and engagement of patients, families and clinicians encourages early intervention, decreased hospitalizations and improved outcomes

    Health information exchange reduces duplication of clinical services (e.g. labs)

    Ensures compliance with regulatory requirements and payer expectations

    Patient engagement for Meaningful Use

    HIPAA view, download, transmit (VDT)

    Monitoring and improving quality measures (e.g. hospital readmissions)

    Our initial target population is CHF patients, for whom outcomes are well-defined and relatively easy to measure

    Communication between care providers and patients about results improves patient compliance and is a secure component of the Medical Hub

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 4

    Specific MU3 Compliance - retrieval The Medical Hub connects with Allscripts EHRs (Sunrise, TouchWorks EHR, Professional), making it easy for patients to request and organize their health information

    Patients and their authorized representatives can create connection profiles for different

    providers and healthcare organizations; they can retrieve EHR data by date or clinical category.

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 5

    Specific MU3 Compliance auth & display

    Patients can authorize family, friends and caregivers to request and access their EHR and

    other clinical data on a granular level; the information is easy to understand and clinical

    entries are separated from user entries

    The Medical Hub permits a patients authorized representative to request and organize patients health information. The display of health information is easy to understand and accessible regardless of age, technical ability and/or disability

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 6

    Specific MU3 Compliance open API use The Medical Hub uses the Allscripts Open API to send data requests to

    providers / hospitals and allows them to respond.

    1. From the connection page, user selects an Allscripts provider / hospital

    2. From the retrieval page, user selects data (categories) to retrieve for a date or

    date range

    3. In the background, the Hub converts the user entered request to meet the

    Allscripts Open API specifications

    4. The user authorizes the Medical Hub to get a valid token

    5. In the background, the Medical Hub uses the token to submit a data request

    6. The response from the Allscripts provider / hospital is stored as a data object

    7. The data object is parsed for distribution of discrete information, such as

    allergies

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 7

    Specific MU3 Compliance data request The Medical Hub makes data requests that are compliant with the MU3 CCDS data category standards from the ONC, and enabes retrieval by specific date or date range

    1. The user completes their data request on

    the selection criteria screen identifying a

    date or date range and desired data

    categories

    2. The Hub translates the user request into a

    standard request following the MU CCDS

    standards, including the data or date range

    information requested by the user

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 8

    Specific MU3 Compliance all data The Medical Hub follows the CCD document template format, and the C-CDA format for both a specific date and specified date range

    The user can make a request for all

    available data from the retrieval page

    The Hub translates this request, transmits it

    to the Allscripts provider / hospital and can

    receive and parse the CCDA response

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 9

    Development Timeframes The security components, data platform and user interface are coded

    and in quality assurance testing

    The CCDA parsing is at late stage of development

    The EHR connectivity is ongoing

    The requirements of the challenge will be met

    and the product will be generally available by 1 September 2016

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 10

    Solution Architecture The Medical Hub interacts with Allscripts EHR and other solutions

    Patient creates or

    updates provider

    EHR profile

    Patient requests EHR

    data by date or date

    range and category

    Medical Hub

    sends authorization

    request

    Authorized? No

    Medical Hub

    requests patient

    data

    Yes

    Data received?

    No

    Three attempts?

    Medical Hub

    parses and stores

    data

    Error message

    explains problem

    No Yes

    Yes

    Note: to see downloaded data, the patient views that page of their record; downloaded data is shown in context

    Medical Hub

    displays data in

    context

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 11

    APIs Used The Medical Hub utilizes FHIR APIs

    AllergyIntolerance

    Assessment and Plan of

    Treatments

    CarePlans

    Conditions (Problem)

    Goal

    Health Concerns

    Immunization

    Implantable Devices / UDI

    Lab Result Observations

    Lab Result Reports

    MedicationOrder

    MedicationStatement

    Procedure

    SmokingStatus

    VitalSign

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 12

    Go to market plan Product features Technology Users Initial customer Economic model

    Meaningful Use

    and HIPAA support

    Medical Hub with

    Allscripts Open

    APIs

    Patient, friends,

    family, clinical care

    givers

    Hospital Distribution

    channel: EHR,

    device and payer

    companies initial

    partners

    Success metrics easily measured number of ED visits and readmissions within 30-

    days from discharge for patients with a given disease (e.g. CHF)

    Beta testing once development done (in discussion now)

    Conversion of beta clients to full customers

    Discussions with potential channel partners

    Sales plan with targeted initial accounts outside of channel partner customer base

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 13

    HIPAA

    The Medical Hub provides HIPAA compliant security

    Encrypts data in transit

    Employs data provenance and constancy

    Maintains audit trails and access logs

    Encrypts data at rest (by go live)

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 14

    Data analysis improving outcomes

    Detect

    Alert

    MEDICAL HUB Analyze

    Data Integration

    Collection and harmonization of data from

    electronic health records, wearables, devices

    and sensors

    Semantic meaning maintained

    Rules engine

    Simple clinical interface to configure rules

    reflecting clinical care plan

    Alert System

    Includes all members of the social circle

    Follows an alert tree until there is a response

    Can be performed according to recipient

    preference text, email, voice

  • Copyright 2016 Allscripts Healthcare Solutions, Inc. 15

    IHT Medical Hub meeting the Allscripts Challenge Meets patient engagement requirements of Meaningful Use

    Provides HIPAA view, download, transmit (VDT)

    Monitors quality measures

    PLUS

    Supports optimal patient care by utilizing the correct resources at the right time to improve patient outcomes and reduce costs

    Dr. Larry Ozeran, President

    www.informedht.com

    THANK YOU

    http://www.informedht.com/