NEPAHIE www.nepahie.org 570-504-9693 [email protected] Page 1
About NEPA HIE
Our Mission
The Northeastern Pennsylvania Health Information Exchange (NEPA HIE) will promote
value based care delivery to Northeastern Pennsylvania by being a conduit for optimal
use of health care resources, making secure and appropriate health information
available at the point of care, thus fostering an optimum learning and care environment
to facilitate and enhance the development of medical education in Northeastern PA.
Our Goals
•
To improve provider-patient communication and coordination of care
•
To enable ease, accuracy and efficiency of care
•
To be characterized by inclusiveness and transparency
•
To empower providers, patients and payers by utilizing information captured from
across the region
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To enhance the collection of data for clinical research
•
To enhance healthcare education across the region
•
To connect to the broader state and national HIEs
Typically, an individual’s health records are scattered throughout the community among
different health care providers whose computer systems can’t communicate with each
other. Information essential to making complete, informed, and timely medical decisions
is often not readily available, particularly in an emergency. Patients are at risk.
A secure health information exchange system is required to be able to access patient
information when and where it is needed. That’s where the Northeastern Pennsylvania
Health Information Exchange or NEPA HIE comes in. NEPA HIE is a collaborative
effort to incrementally build the structure and capabilities necessary for a
secure regional data exchange system that enables Northeastern Pennsylvania’s health
care providers and patients to access vital patient information at the time and place it is
needed.
NEPA HIE brings together health plans, providers, hospitals, medical students and
educators, consumers, public agencies, researchers, policy leaders, and others around
a common vision: the use of information technology to make health care safer and
more efficient throughout Northeastern Pennsylvania. The Northeastern
Pennsylvania region has a long standing interest in increasing the quality of healthcare
in the region. A positive impact can be made to quality by creating the ability to bring
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comprehensive health information regarding a patient to the point of care. Past efforts
have attempted to address all or part of the challenge, but have not resulted in desired
levels of success. The establishment of The Commonwealth Medical College, which
has an inherent NEPA focus, combined with major provider interest makes this an
opportune time to grow and expand a solution in the area. The concept utilizes an
incremental approach which delivers value-adding components at defined milestones
which in turn contribute toward the over-arching goal of a NEPA Health Information
Exchange.
NEPAHIE is a Consortium. Members join by way of a memorandum of understanding
(MOU), and each entity represents a single vote with respect to decisions. The
consortium uses the Commonwealth Medical College as its contracting agent and as a
channel to pursue grant opportunities. Like most consortia, it also uses task forces,
member collaboration, and in-kind contributions for specific initiatives, and to keep costs
low.
NEPA HIE utilizes a hosted solution for its technology platform (see Technology
Platform below). This eliminates costly local facilities and staff, and enables rapid
growth regardless of geography. It also allows for incremental use of features and
functionality as they are needed, ensuring that costs grow only as value grows.
Technology Platform - Covisint
Key Covisint ExchangeLink™ HIE Strengths
Fast
Covisint ExchangeLink™ HIE is already built and operated as a service, which allows for faster implementation. We provide an impressive array of pre-integrated applications, as well as existing integration to most major healthcare applications. When new integrations are called for, Covisint has vast experience establishing interfaces – no other organization can provide the level of integration experience Covisint provides. We have over 45,000 end points active worldwide, and we are confident we can enable full interoperability in record time. you will be able to enable the sharing of health-related information in a matter of weeks not months.
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Secure
Covisint ExchangeLink™ HIE includes Industry leading identity and access management technologies including Single Sign-On with patient context management. Covisint’s access management solution is unique: from inception it was designed for managing access across a community of multiple organizations and individuals, not morphed from a product designed to manage a single organization’s employees. This design empowers all Covisint
ExchangeLink™ HIE customers to request and approve data exchange capabilities across the community.
Flexible
Covisint ExchangeLink™ HIE is scalable, flexible, and adaptable to the myriad of existing technologies and standards in use in and across the nation. The various participants in the statewide HIE will be able to readily exchange data regardless of their level of
technical sophistication. Covisint’s solutions are designed to minimize disruption to existing processes and to leverage existing investments. We connect to whatever systems the physicians are using today. The end result is that the physicians spend their time in productive ways – resulting in improved outcomes and reduced cost of care. Disruption is minimized and attention is focused on improving processes and care delivery.
Economic
Covisint ExchangeLink™ HIE is offered as a Platform as a Service (PaaS) model, which includes a wealth of pre-integrated applications, plus our already established,
comprehensive HIE solution. Your stakeholders only pay for the services needed, not for the installation, infrastructure and support staff necessary to deploy a new solution. Covisint ExchangeLink™ HIE offers the ability to leverage existing infrastructure and workflows, including existing networks of physicians and hospitals.
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Key Partnerships
Covisint recently announced our acquisition of DocSite and our partnership for delivering solutions in Healthcare. We are exploring ways to leverage a broader relationship between the two companies. Given the DocSite team’s involvement, we are excited about these relationships coming together to the benefit of all involved in this project, particularly .
Established
Covisint is a division of Compuware Corporation (NASDAQ: CPWR), a Global, U.S.-based company founded in 1973 and headquartered in Detroit, Michigan. We are built to last.
Covisint Initiatives
• Beacon Grants – Our technology was included or has been selected to be a part of approximately 25% of the Beacon Grant Communities. We worked with all of our eligible clients to support their Beacon Grant applications.
• Certified Modular EHR Pilot – Conducted a comprehensive pilot to create a bundle of software applications that meet the Stage 1 objectives and criteria for Meaningful Use. • Stage 2 & 3 Meaningful Use – Covisint is working to anticipate and incorporate the Stage 2
& 3 Meaningful Use criteria
• HealthVault integration – Covisint has the most comprehensive HealthVault integration in the industry, and in addition, we have plans to significantly expand the scope of this integration.
• NHIN Direct – Covisint is actively involved in the development and demonstration of NHIN (Nationwide Health Information Network) Direct Standards. We are currently engaged as an NHIN Direct pilot. We currently offer comprehensive NHIN Connect functionality
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Covisint Functionality
Community based virtual health record –the core infrastructure provides methods for community
participants to integrate and respond to patient data request or request data on a patient from the HIE.
Base Core Infrastructure includes:
• Branded portal
• Community-based Virtual Health Record: Users can view patient data across the connected participants within the community (community data)
NEPAHIE www.nepahie.org 570-504-9693 [email protected] Page 6 • Record Locator Service (RLS): Real-time request and response to patient data across the
connected participants of the community • Master Patient Index (eMPI)
• Patient Authorization: Opt-out, Opt-in, encounter-based, emergency override • NHIN Connect
• Audit/Security/User Identity Management • Level (2) Help Desk and 24x7 Monitoring
Supported Modules (based on data availability):
• Patient Demographics/Patient Registry/MPI Feed • Patient Summary (Continuity of Care Document - CCD) • Laboratory Results
• Medications
• Immunization (Historical and Recommended) • Eligibility
• Claims Status
Practiced based virtual health record – incorporates the branded portal and provides a patient and
practice view of information from a physician’s practice. Users can view patient data within their office using AppCloud applications. With PMS integration, no double-keying of information is
required and information can be organized based on the practice schedule as recorded in the PMS.
Base Core Infrastructure includes:
• Content Management
• Inbox: on-line to on-line communications
• Eligibility (requires integration of participating payers) • Claims Status (requires integration of participating payers)
Supported Modules:
• Demographics (from Patient Synch, not a MPI solution) • Medication History
• Laboratory Results • Radiology Results
NEPAHIE www.nepahie.org 570-504-9693 [email protected] Page 7 • Disease Management Alerts
• Patient Summary (e.g. CCD) • Allergies List
• On-line forms (PSO can create forms for their practices)
ProviderLink - provides hospitals and HIEs a foundation for connecting to their community of
providers for the purpose of delivering specific documentation about a patient to facilitate the coordination of care.
Base Core Infrastructure includes:
• Secure Messaging between multiple endpoints: • Fax integration
• Clinical Inbox
• Provider Directory / Provider Based Routing
Supported Data Types (based on data availability and modules integrated):
• Laboratory Orders and Results • Radiology Orders and Results • Admission Notice
• Discharge Summary • ED Visit Notice • ED Treatment Notice • History and Physical • Operative Report • Procedure Note • Progress Note • Transfer Summary
• Other Transcribed Documents (e.g. PDF or RTF within HL7 MDM)
Covisint ExchangeLink™ HIE supports the IHE PIX, IHE PDQ, and portions of the IHE PCC (Patient Care Coordination) profiles as currently required by our HIE clients. Covisint has the ability to rapidly add other profiles as needed in support of customers.
NEPAHIE www.nepahie.org 570-504-9693 [email protected] Page 8 Other popular formats supported by Covisint ExchangeLink™ HIE include:
• NCPDP Script for Med History • HL7 v2.x
• HL7 v3 CCD, (also referred to as HITSP C32)
• ASTM CCR, (Used by Allscripts for Med History and Allergies) • IHE PIX
• IHE PDQ • IHE PCC
• HIPAA X12 for Eligibility, Claims, Claims Status, etc. • CAQH CORE 2 for administrative web services
• HL7 v2.3.1 – for immunizations, in conformance to CDC Guidelines, as required by HITSP C70 and C72.
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Members
Blue Cross of Northeastern Pennsylvania
Moses Taylor Healthcare System
Pocono Health System
Susquehanna Health
Prime Med P.C.
Wright Center Medical Group
University of Scranton Leahy Clinic
Rural Health Network
Maternal and Family Health Services
Wayne Memorial Health Centers
Wright Center Medical Group Practices
Scranton Primary Health Center
NEPA Community Health Centers
Northeast Region AHEC
Pennsylvania Association of Community Health Centers
Pocono Alliance
The Commonwealth Medical College
Wyoming Valley Health Care System
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