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GE HealthcareCentricity Health Information Exchange ServicesCHUG BO1: Meaningful Use and theHealth Information ExchangeMelissa Cummings, Marketing Director, Interoperability, GE HealthcareWilliam Howard, Director of eHealth Solutions Architecture, GE HealthcareMarch 19, 2010

DISCLAIMER ON POWER POINT PRESENTATIONS ON PRODUCT FUNCTIONALITY 2010 General Electric Company – All rights reservedThis does not constitute a representation or warranty or documentation regardingthe product or service featured. All illustrations are provided as fictional examplesonly. Your product features and configuration may be different than those shown.Information contained herein is proprietary to GE. No part of this publication maybe reproduced for any purpose without written permission of GE.DESCRIPTIONS OF FUTURE FUNCTIONALITY REFLECT CURRENTPRODUCT DIRECTION, ARE FOR INFORMATIONAL PURPOSES ONLY ANDDO NOT CONSTITUTE A COMMITMENT TO PROVIDE SPECIFICFUNCTIONALITY. TIMING AND AVAILABILITY REMAIN AT GE’S DISCRETIONAND ARE SUBJECT TO CHANGE AND APPLICABLE REGULATORYCLEARANCE.GE, GE Monogram and Centricity are trademarks of General Electric CompanyGeneral Electric Company, by and through its GE Healthcare division2/GE /

GE HealthcareObjectives and Outline3/GE /

BO1: Meaningful Use and the HIEGOAL:To present an understanding of HIE expectations within themeaningful use guidelines and to show how Centricity EMR issupporting these new requirements within our products.Objective 1:Understand meaningful use requirements as they relate to HIEObjective 2:Have reviewed real-world examples of current HIE use to shareclinical informationObjective 3:Receive an update on the national and state-level HIElandscape

Meaningful Use – EMR CapabilitiesPlease also attend:BO2: Meaningful Use Part 2:Using Centricity EMR to facilitate Meaningful UseDon Sepulveda, Senior Marketing Manager, GE HealthcareSecond of a 2-part series on Meaningful Use. Part twodelves into specific product features and ways in whichthe Centricity EMR suite is able to facilitate your practice'sgoal of meeting the meaningful use criteria.5/GE /

Evolution of Meaningful UseThe focus of this talk6/GE /

Evolution of Meaningful UseThe focus of this talk7/GE /

Meaningful Use Criteria and HIEHIECareCoordination Exchange key clinical information electronically Perform medication reconciliation for 80% of encounters Provide summary care record for 80% of care transitionsüPublish clinical infoEngagePatients Provide patients w/electronic copy of health information Provide timely electronic access w/in 96 hours Provide clinical summaries for each office visitüPublish clinical infoüPatient portalImproveQuality Leverage clinical decision support & interaction checking Send reminders to patients, outreach, reduce disparities Report ambulatory measures to CMS or statesüQuality reportsüSecure messagingPrivacy Protect electronic health information through technology Review security risks and implement security updatesüHighly secureüConsent managementüAudit trail Submit electronic data to immunization registries Electronically submit reportable lab results Provide syndromic surveillance data to public agenciesüRegistry submissionüQuality reportsPublic Health8/

Meaningful Use - Care Coordination9/

Meaningful Use - Care Coordination.Provide summary of carerecord for at least 80% oftransitions of care andreferrals .

About Boston Medical Center Private, not-for-profit, 626-licensed bed, academicmedical center Primary teaching affiliate for Boston University School ofMedicine Largest safety net hospital in New England– Serve the underserved– “Exceptional Care, Without Exception” Largest 24-hour Level I trauma center in New England 29,471 inpatient discharges 985,356 outpatient visits

CentricityEpicLMRNextGenEclipsysPicis

eReferral System Referral coordinator (RC)ReferŽ Specialist coordinator (SC)receives referral and communicateswith RC and retrieves furtherinformation from CIE.uses eReferral Portal toinitiate and manage referralprocess.CHCReportReportŒ Patient visits PCP at CHC and receives aSpecialist Referral. EMR sends ClinicalSummary and Order to CIE.BMC Patient sees Specialist. Completion of visit is flagged oneReferral Portal. Referring Clinicretrieves referral report from portal and/oradditional clinical data from CIE.RespondSpecialistwrites note. EMR submits Specialistnote into CIE.

BMC Demonstration http://www.technologyreview.com/video/?vid 428

BMC Results

Meaningful Use - Care Coordination16 /

Meaningful Use - Care Coordination.Perform medicationreconciliation for at least 80%of relevant encounters andtransitions of care.

Collaborative Charting “Many EMR Systems, One Chart”– Key clinical data Problems, Medications, Allergies Immunizations, Advance Directives Additional Chart Elements– Structured data, open standards Data conversion to open standards (RxNorm, SNOMED)– Clinically focused user interface No additional workflow No required direct visibility into the HIEAs people of Providence, we will provide a connected experience of care based on a foundation of clinical excellence.

Collaborative ChartingOutpatient:GE CentricityMed List 1EMRInpatient:McKessonHorizonClinicalsHealth InformationExchangeCCD w/ Med List 1Med List 1Med List 2BusinessLogicCCD w/ Med List 2Med List 2Med List 3CCD w/ Med List 3Med List 3

Collaborative ChartingShow Providence Movie HereAs people of Providence, we will provide a connected experience of care based on a foundation of clinical excellence.

Meaningful Use - Care Coordination21 /

Meaningful Use - Care Coordination.Capability to exchange key clinicalinformation (for example, problemlist, medication list, allergies,diagnostic test results), amongproviders of care and patientauthorized entities electronically.

DEMO: Kryptiq Secure Messenger w/ HIE23 /

Engage Patients24 /

Meaningful Use – Engage Patients.At least 80% of all patients whorequest an electronic copy of theirhealth information are provided itwithin 48 hours.

DEMO: Personal Health Record w/ HIE26 /

Public Health27 /

Meaningful Use – Public Health.Capability to submit electronic datato immunization registries and actualsubmission where required andaccepted.

Immunization Registry (Lost Creek)Health InformationExchangeGE CentricityEMRStateImmunizationRegistryIZ List 1RequestIZ List 1IZ List 2BusinessLogicResponseIZ List 2

Immunization Registry Integration (LostCreek)From EMRFrom IZ Registry30 /

CONCLUSION31 /

Meaningful Use Criteria and HIEHIECareCoordination Exchange key clinical information electronically Perform medication reconciliation for 80% of encounters Provide summary care record for 80% of care transitionsüPublish clinical infoEngagePatients Provide patients w/electronic copy of health information Provide timely electronic access w/in 96 hours Provide clinical summaries for each office visitüPublish clinical infoüPatient portalImproveQuality Leverage clinical decision support & interaction checking Send reminders to patients, outreach, reduce disparities Report ambulatory measures to CMS or statesüQuality reportsüSecure messagingPrivacy Protect electronic health information through technology Review security risks and implement security updatesüHighly secureüConsent managementüAudit trail Submit electronic data to immunization registries Electronically submit reportable lab results Provide syndromic surveillance data to public agenciesüRegistry submissionüQuality reportsPublic Health32 /

Questions?33 /

McKesson Horizon Clinicals Outpatient: GE Centricity EMR Med List 1 CCD w/ Med List 1 Med List 1 Med List 2 CCD w/ Med List 2 Med List 2 Business Logic Med List 3 CCD w/ Med List 3 Med List 3 Collaborative Charting. As people of Providence, we will provide a connected experie