Transcription
Putting the Qvera InterfaceEngine to WorkVaughan MacKenzieClinical Applications Managerfenwayhealth.org
About Fenway Health FQHC in Boston, MA Founded 1971 3 clinic locations Specializing in LGBT Health 25,000 patients annually 135,000 annual visitsfenwayhealth.org
Fenway Services Medical Primary Care Specialties Dermatology, OB/GYN, Podiatry, AI,Endocrinology Behavioral Health Optometry Radiology Pharmacy Dental The Fenway Institutefenwayhealth.org
Fenway and QveraFirst purchased Qvera in August of 2013LinkLogic/Cloverleaf unable to meet theneeds of our new Radiology DepartmentQuickly identified other areas where QIEcould help with data capturefenwayhealth.org
Problem: ORM MissingSubscriber Info**Problem has since been corrected**Use 3rd party biller to combine our technicalcharges with hospital’s professional chargesUnable to bill without subscriber data inorder messagefenwayhealth.org
fenwayhealth.org
Fix: Use QIE to Query DBQIE intercepts message between CPS and3rd party billerIf Subscriber (IN1-17) is anything otherthan Self, query database for subscribername, DOB, address, SSN and employerInsert data into correct HL7 fieldsDeliver message to 3rd partyfenwayhealth.org
fenwayhealth.org
Problem: PACS SendsUnformatted DataRequired by hospital to use specific PACSvenderPACS unable to send BI-RADS and DEXAT/Z Scores in a way that can go toflowsheetNeed formatted data for reporting andfollow-up trackingfenwayhealth.org
fenwayhealth.org
Fix: Break out BI-RADSUse QIE to search OBX-5 Segment for ‘BIRADS’Set OBX-5 to BI-RADS #Put report into NTE Note Fieldfenwayhealth.org
fenwayhealth.org
Other Radiology MessagesAll come from same PACS systemX-Rays do not have a result we wantpulled outDEXA has 4 results we want to parse2 T Scores2 Z ScoresBuilt in conditions to handle each file typeappropriatelyfenwayhealth.org
fenwayhealth.org
fenwayhealth.org
Problem: Lab Sends Result inNote FieldOur lab cannot put nonnumeric values inresult field for Paps and culturesUse * or ‘SEE NOTE’ as placeholderResult in NTE Note fieldRelying on user to enter valuesMultiple tests/results per messagefenwayhealth.org
fenwayhealth.org
fenwayhealth.org
Fix: Find Result and Move toOBX-5Run through all OBR segments in messageand look for specific testIf a Pap or culture is found, check OBX-5for a resultIf no result, look to associated NTE andcopy to OBX-5fenwayhealth.org
fenwayhealth.org
fenwayhealth.org
Problem: Providers NeedAccess to Hospital EMRProviders have access through portalMultiple steps to log inOnce logged in must search for patient’schartOften required to toggle between systemsfenwayhealth.org
Fix: Implement ‘Magic Button’Not actually magicWorks as a single sign-on1-click accessUses CPS Commands and Qvera FormsSends provider username and patientidentifiers to log in and find correct chartfenwayhealth.org
DEMO MAGIC BUTTONfenwayhealth.org
Problem: Need to AutomateACO ReportingNeed to report to ACO for each encounterWanted seamless user experience and nomanual interventionNeeded CCD/CCDAHL7 would not workfenwayhealth.org
Fix: QIE Package for CCD(A)ExportQIE already had standard package to exportCCD on clinical list changeUser workflow not affected at allWorked with us to add additional data tomessageExport option allowed us to share configchanges with other Centricity clinics in ACOQIE able to upgrade channel to CCDA whenthat became availablefenwayhealth.org
Problem: Need to Connect toMass HIwayCPS cannot connect directly to HIwayMassachusetts is an ‘Opt-In’ stateNeed to correctly direct incomingmessages to correct userfenwayhealth.org
Fix: QIE HIE PackageQIE worked with state agencies toestablish connectionState provided certificate and web serviceconnectionQvera dropped in Mass HIway packageand we were connectedEnsured that messages do not send if noconsent on filefenwayhealth.org
In The WorksImmunization Registry PackageMass HIway is a prerequisiteConverting tab-delimited file to individualHL7 filesManipulating messages to fit newer HL7versionfenwayhealth.org
Questions?Vaughan rg
Putting the Qvera Interface Engine to Work . Vaughan MacKenzie . . LinkLogic/Cloverleaf unable to meet the needs of our new Radiology Department . Quickly identified other areas where QIE could help with data captur
