patient unified lookup system for...

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Patient Unified Lookup System for EmergenciesA FHIR® Demonstration by Eric Heflin, CTO/CIO

2018 © The Sequoia Project. All rights reserved.1

For more Information: www.https://sequoiaproject.org/pulse/

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http://www.https/sequoiaproject.org/pulse/

http://www.https/sequoiaproject.org/pulse/

mailto:[email protected]

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Business Context of FHIR at The Sequoia Project

2018 © The Sequoia Project. All rights reserved.2

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Sequoia FHIR Industry Activities

• The Sequoia Project– Member of the Argonaut Project; focused on Provider Directory– Co-author of IHE directory profiles– Member of Interoperability Standards Advisory ONC FACA– Member of USCDI ONC FACA– Member of ONC Healthcare Directory Technology and Use Cases Learning

Communities

• eHealth Exchange– Coordinating Committee approved FHIR pilot, seeking Participants– Live with pilot FHIR-based healthcare directory (as of Feb 7th 2017)

• Carequality– Live with The Sequoia Project® Healthcare Directory

3 2018 © The Sequoia Project. All rights reserved.

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Sequoia Implementation Overview/Use Cases

• Sequoia has deployed the Argonaut FHIR Provider Directory specification

• Sequoia Project advocated for key use cases:

– Endpoint discovery

– Relationships between orgs and orgs

– Relationships between people and orgs

– Attributes required by eHealth Exchange and Carequality were added as an extension (discussed next)

– Efficient retrieval of full directory contents

4 2018 © The Sequoia Project. All rights reserved.

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The Sequoia Project Healthcare Directory

What Is It?

• A national-level FHIR-driven healthcare provider directory

• Can support additional types of information beyond provider contact details

• Flexible and customizable for future interoperability initiatives

© 2018 The Sequoia Project. All Rights Reserved.5

Who Can Use It?

• Directory Access: Available now to eHealth Exchange participants, Carequality Implementers, and PULSE participants

• Implementation Guide: Available to Sequoia Project members and non-members

• Source Code: Will soon be available to the wider community at no cost

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Supporting a Nationwide Disaster Response Network


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What Does PULSE Do?

PULSE enables authorized disaster healthcare volunteers to access health records to treat people injured or displaced due to disasters

How Does PULSE Work?• Disaster Healthcare Volunteers

log into the PULSE portal and are authenticated against the state’s credentialed volunteer database

• Authorized volunteers in alternative care facilities, search for patient records from all connected providers and networks

• Volunteers retrieve view patient records while treating them at the alternative care facilities

8 © 2018 The Sequoia Project. All Rights Reserved.

Patient Unified Lookup Service for Emergencies

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Earthquake Disaster Scenario

• Magnitude 7.0 earthquake strikes Hayward Fault – 52 miles in San Francisco Bay area with 7 million people

• Main shock impacts 77,000 households

– 800 fatalities

– 18,000 nonfatal injuries

– > 2,500 rescued from collapsed buildings

– 22,000 rescued from stalled elevators

• Subsequent events (landslides, fires, aftershocks) impact 152,000 households / 411,000 people


https://escweb.wr.usgs.gov/content/learn/topics/shakingsimulations/hayward/HaywardM70_OaklandEp_mapview.mp4

https://escweb.wr.usgs.gov/content/learn/topics/shakingsimulations/hayward/HaywardM70_OaklandEp_mapview.mp4

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The 1st 72 hours

• Designated authorities declare disaster and activates command and disaster response

• Damage assessed

– Injuries greatly exceed available medical treatment resources

– Significant damage to existing care delivery facilities

– Loss of power and water supply for 7 days - 6 months

• Net impact

– Tens of thousands of people will need treatment outside of the regular care delivery system


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Disaster Healthcare Volunteers Deployed to Alternative Care Facilities

PULSE is activated and available for use

Volunteers use PULSE to request and access critical patient information to treat patients who are displaced or seeking care in Alternate Care Facilities

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PULSE in Use Today Supporting California Wildfires

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Q&A

For more info: sequoiaproject.org/pulseeheflin at sequoiaproject.org


patient unified lookup system for...

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