lacie presentation - kanhit.org
TRANSCRIPT
LACIE Presentation 2-17-14
Mike Dittemore RN, BS, eMBAExecutive Director
LACIE Collaborative
• As of April 1, 2013 LACIE is an independent 501 (c)(3) with no owner, governed by a perpetual and collaborative Board of Directors
• LACIE has no debt – viable and sustainable
• Information from contributing sources aggregated into a single document for viewing
• Operations are based in Kansas City
• Make every attempt to purchase all of the goods and services we utilize from the Greater Kansas City Area
• Cerner is our technology partner
• LACIE is vendor agnostic and access to the HIO can be embedded*into numerous certified EMRs.
*Access to LACIE directly from electronic medical record without having to enter any additional patient information before preforming query
What Can The Data In The Exchange Be Used For
• LACIE only allows data in the exchange to be used for Treatment, Payment and Healthcare Operations (TPO) as defined by HIPAA
• There is currently no third party use allowed by LACIE of data entrusted to us e.g. selling data for research/ marketing
• LACIE does not alter, redefine, normalize data or determine what “normal” parameters are. Normal ranges are provided from the contributing members
• Should LACIE or another member discover what they believe to be a documentation error the contributing member is notified of the possible discrepancy and it is their decision to modify the information.
LACIE Governance
• Executive Committee • Dr. Greg Ator – University of Kansas Hospital, Chair
• Dr. Laura Fitzmaurice – Children’s Mercy, Vice Chair
• Jack Wagner – Shawnee Mission, Treasurer
• Dr. Joe Boyce – Heartland Health, Secretary
• Mitzi Cardenas – Truman, Exec. Comm. Member at Large
LACIE Governance cont.
• Current Board Members• Dr. David Nill – Cerner (Large Employer)
• Ben Ernst– CEO Northwest Health Services (FQHC)
• Jill Watson – CEO KCMPA (Independent Providers)
• Cathy Weins – VP Olathe Health System ( Community Hosp.)
• Jennifer Kozinn – VP NKCH (Community Hospital)
• Harold Johnson – Consumer Advocate
• Open
• Open
ParticipationLewis And Clark Information Exchange Membership
Organization Hospitals Clinics Providers
University of Kansas Medical Center 2 67 900+
Children’s Mercy Hospitals and Clinics 2 36 300
Truman Medical Centers 2 51 538
Shawnee Mission Medical Center 1 24 700
Olathe Health System 2 37 300
Anthony Medical Center 1 3 8
Hiawatha Community Hospital 1 2 14
Heartland Health/ MOSAIC Life Care 1 51 236
North Kansas City Hospital 1 19 106
St. Francis Hospital and Health Services 1 5 30
Kansas City Metropolitan Physician Association 0 39 265
Turner House Children’s Clinic 0 1 8
Saint Joe Orthopedics 0 1 5
Social Welfare Board 0 1 8
Samuel U Rodgers Health Center 0 6 19
Albany Chiropractic 0 1 2
Johnson County EMS 0 0 3
Bethany Medical Clinic 0 1 3
Platte County Health Department 0 2 5
Kansas City Care Clinic 0 1 8
Poirier Pharmacy 0 1 1
Northwest Health Services 0 15 27
Cerner Clinics 0 3 10
Total 14 367 3,496+
Participation Update Cont. Contracts Being Reviewed
Lewis And Clark Information Exchange Membership
Organization Hospitals Clinics Providers
Additional Hospitals Currently Reviewing Agreement – Verbally Committed 8 - -
Clinics Associated with Above Hospitals - 25 -
Independent Clinics/ Non-acute Facilities - 38 -
Estimated Number of Additional Providers - - 550
Total 8 63 550
• LACIE Connected to Tiger Institute – University of Missouri Columbia HIO January 2014 for bidirectional exchange
• LACIE and KTRACS have connected and testing is wrapping up in test environment, developing processes to onboard providers in order to query KTRACS directly through LACIE
• Contract signed with Vitalz to provide Patient Portal services on 2-11-14, MU Stage 2 Certified
Monthly LACIE Queries 4-1-13_1-31-14
2,1083,800
6,4895,399 5,601 5,791
10,499
13,668
18,069
39,088
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
April May June July August September October November December January
Patient Queries Through LACIE
Patient Queries
Speed Of Data To The Exchange (Centralized Model)
Role Based Views in the Portal:
o Demographics = R/T
o Problem List = N/E
o Diagnosis = N/E
o Allergies = N/E
o Medications = N/E
o Provider Reports = R/T
o Lab Orders/ Results = R/T
o Radiology Reports = R/T
o Vital Signs = R/T
o Clinic Visits = R/T
*Viewable data in LACIE is dependent
on submitting EMRs capabilities and
organizations determination of what to
share.
Example of a Participants Data SubmissionR/T = Real Time – once verified/ signed offN/E = Nightly Extract
Vendor Neutral: Sampling of Interfaces
Allscripts iMed Corp
Amazing Charts Ingenious Med
AthenaHealth Ingenix
CommChart Integritas
CPSI InterComponentWare
eClinicalWorks Meditech
EHS Misys
e-MDs NextGen
Encite Praxis
Epic Prognosis
GE Centricity Sage
Glostream Sage Intergy
gMed Siemens
Greenway SOAPware, Inc.
HealthVision SuccessEHS
*View inside eClinicalworks Green = embedded into native EMR
MPI – For All Centralized Connections to LACIE
Matching Points:Demographics fields :
· First Name Middle Name Last Name
· SSN** DOB Gender
· Address* Phone
*Address is actually broken up into smaller elements to evaluate
separately:
· Street address
· City
· State
· Zip
Records that are not a 99.21% or higher match from different organizations is kicked into a work queue and contributing sources are contacted to verify. 100% match required from same source.
The Early Use Actual Case (Names have been changed)
Allison MaryJane Smith vs. Allison MaryJune Smith
Matching Points:Demographics fields :
· First Name Middle Name Last Name
· SSN** DOB Gender
· Address* Phone
*Address is actually broken up into smaller chunks to evaluate
separately:
· Street address
· City
· State
· Zip
Match or not Match?
The Answer
Twins, one with a congenital heart problem the other no significant medical problems.
