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22nd Annual Midas+ User Symposium • June 2–5, 2013 • Tucson, Arizona

Midas+ Interfaces –The Sky’s the Limit!

Monday, June 3, 2:30 pm

This session will offer a comprehensive look at interfacing capabilitieswithin several Midas+ products, including Care Management,DataVision, and CPMS. Attendees will learn what possibilities exist tominimize manual data entry. Discussion topics will include a high-leveloverview of HL7 standards, supported formats and interface types,supported data elements and documents, inbound and outboundmessaging, available interfaces, and much more!

Presented By:

Travis Baker, Manager, Midas+ Integration Services

Mary Joan Hitch, Midas+ Implementation Consultant

Copyright ©2013 MidasPlus, Inc. All Rights Reserved.

Contact us at:Midas+ Solutions4801 East Broadway, Suite 335Tucson, Arizona 85711(800) 737 8835

Visit our Web site at: http://www.midasplus.com/

Midas+ Interfaces

The Sky’s The Limit!

Travis BakerManager, Midas+ Integration Services

Mary Joan HitchMidas+ Implementation Consultant

OverviewGoal for this Session

• HL7 Review

• Supported Formats and Interface Types

• Communication Protocols

• Supported Data Elements (and Documents)

• Inbound/Outbound Messaging

• Project Assessment

• Interface Offeringso Standard Interface Offeringso New Interface Offerings! Examples and Testimonials

o Future Interface Offerings!

• Questions

2013 Midas+ User Symposium - 2 -

Midas+ Interfaces - The Sky's The Limit!

22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 1

Goal

• To push the limits of data integration

• To get you excited for improving the capabilities of Health Information Exchanges within your organization

• To arm you with just enough information to make your IT shops fear you!


HL7 ReviewWhat is HL7?• Health Level Seven International (HL7) is a not-for-profit, ANSI-

accredited standards developing organization

HL7 (version 2.x) Formatting• Human-readable (ASCII), encoding syntax based on segments (lines)

and one-character delimiters.

Example Transaction

MSH|^~\&|ADM|M|||200901012359||ADT^A01|12345|P|2.2|||AL|NE{13}EVN|A04|200901012359|||MPSMITHDM{13}PID|1||M01234||SMITH^JANE^M||20030206|F|||||||||00123456{13}PV1|1|E|EMR^^|ER||||DOEJ^Doe^John^Q^^^MD|{13}IN1|1|MCD||MEDICAID|1 E 1ST^^TUCSON^AZ^85715||(800)555-5555|{13}{28}{13}



2 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

HL7 ReviewMessage Type• Unique identifier for the purpose of a message• (e.g., ADT = Patient Administration, ORU = Observation Result)

Message Event• Identifier to the context in which the message was generated• (e.g., A01 = Admit a Patient)

Segments• Contains one specific category of information• (e.g., PID = Patient Identifier)

Composites (“sequences” or “pieces”)• Individual data fields found within associated segments • (e.g., PID:18 = Patient Account Number)


Supported Formats / Interface Types

Any predictable string of data!• HL7

• Delimited Texto Text Files, Excel Spreadsheets (saved as Text), etc.

• XMLo Contact Midas+ for Assessment

o Schema Definition (.xsd) required!o Example: Patient Satisfaction Survey for United Surgical Partners International

• Documentso Attachments or Embedded




Communication Protocols

TCP/IP• Real Time

• Preferred method for transmitting HL7 messages

FTP/SFTP: (Secure) File Transfer Protocol• Data Files

• Midas+ does not provide custom FTP/SFTP services at this time. It is expected that data files be transmitted to Midas+ server using locally approved/supported resources

• Midas+ can process files as soon as file is available on the server (preferred) or at a specific time of day


Supported Data Elements

Any and ALL Data Elements• All Midas+ Care Management Modules

• Focus Study and User Form Definitions

• Document Attachmentso Reference = File on server and location referenced in message

o Encoded = File content within message

Inbound vs. Outbound (Directionality)• Inbound = To Midas+

• Outbound = From Midas+




Project Assessment

Who Should I Contact?• Midas+ Account Manager

• Midas+ Solutions Consultant

What Information Should I Provide?• Format of data (HL7, Custom Delimited, XML, etc.)

• Communication protocol (TCP/IP, File, etc.)

• Fields and module you intend to interface to/from

• Directionality (Inbound to Midas+, Outbound from Midas+)

Where Can I Get More Information?• Interface Specifications Available at www.midasplus.com


Standard Interface Offerings

• ADT/DAB & Financial (Cost Center & Total Charges)

• APR-DRG

• Laboratoryo Microbiology, General Lab, Blood Bank

• Pharmacy

• Surgery

• Orders

• Employee Health

• Discharge Planning & Support Services (outbound)

• … and more




New Interface Offerings

CPMS / DataVision• Custom Core Measure Focus Studies (Data Files, HL7, or XML)

• Cost of Care Analytics (COCA)

Care Management• ReporTrack Document Conversion

• Worksheet Template Definition

• SmarTrack Indicator/Profile


CPMS / DataVision Interfaces

Core Measure Focus Studies• Auto-populate Core Measure data elements• May incorporate User Fields in Core Focus Studies

Formats• Custom Flat File or HL7• XML (from CMS standards within NHQM manual)

Client Testimonial“The custom core focus interface Midas wrote for us has allowed us to interface emergency room times into our Core HOP ED and Core Emergency focus studies eliminating the need for an additional FTE to handle abstractions. Relieving the burden of abstraction of process time values has allowed us to focus more on improvement efforts and less time on the ‘grunt’ work of core measures.”

- Linda Justice, Manager Clinical Analytics – Spartanburg Regional Health Services





Core Measure Focus Studies (continued)

Client Testimonial“St. Luke’s Cornwall Hospital was able to develop an interface/file load with the help of the excellent team at Midas+ that captures 100% of the data elements in the focus studies for Core ED; Core HOP ED and Core Immunization. The information is pulled from user define fields created in our EMR and is very easy to capture in a flat file. The process was simple and the outcomes were exactly what we had hoped to accomplish. The amount of manual abstraction time that we saved greatly outweighs the cost of the custom interface. We are extremely confident with the results that are being populated in the Core Focus Studies and still have all the functionality available to identify cases with OFIs and Data Quality Alerts. Without this interface, we would have needed to budget for additional Quality Management staff.”

- Trish Stephenson, QM Midas+ System Coordinator – St. Luke’s Cornwall Hospital



Cost of Care Analytics (COCA) • Outlined in CDSS Quarterly Letter for Q3 2012

• Distributed Patient Cost Data Focus Study

• Marries clinical and financial data to support the future of data analytics

• For each clinical population, Geometric Costs will be calculated for defined Midas+ cost categories

Data Elements Required

Account Number Facility Code

Cost Center Department Code Date of Service

Charge Code Revenue Code

Total Units Reimbursement Amount Per Unit

Cost Per Unit




Care Management Interfaces

ReporTrack Document Conversion• Sends custom ReporTrack documents in Rich Text Files

• Documents are attached at episode level via “Documents” button

• Allows for retaining original document formatting

• Report can be changed without contacting Midas+

Client Testimonial“This is something everyone should know about because it has allowed us to keep our documentation in Midas+, which allows the flexibility we need, and immediately share that information via the interface with users in Epic. So COOL!!!”

- Donna Brinsfield – Moses Cone Health System



ReporTrack Document Conversion (example)





Worksheet Template Definition

• Hospital Case Management – Support Services



Worksheet Template Definition (continued)

• Executed upon ‘save’ within given Midas+ module

• Screen scrape results from file on server

• Format as necessary within HL7 Observation Results

Client Testimonial“This tool allows us the flexibility to modify the documentation process as regulatory requirements change. This ability requires less coding resources to develop/modify and maintain the transmission of the case management documentation to our electronic medical record.”

- Representative from Large Multi-Facility Hospital Organization





SmarTrack Indicator/Profile• Based on population of desired SmarTrack indicators and/or profiles

• Counts and Rates only (e.g., no sums)

• For given population, interface desired data across any and all Midas+ modules


Future Interface Offerings

You Tell Us!

Client-requested Applications

• Stockamp ONTRAC ™ - (Insurance Verification)

• Caraflow Vac-Seen ™ (Employee Health)

• McKesson HPF ™ - Horizon Patient Folder (Documents)

• Many Others!




Thank you for attending.

Questions?

Travis BakerManager, Midas+ Integration Services

[email protected]

Mary Joan HitchMidas+ Implementation Consultant

[email protected]


