respiratory therapy department integration to ehr

Respiratory Therapy DepartmentIntegration to EHR

November 18, 2009

MMI – 405: HIT Integration, Interoperability, and StandardsSuzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson

Best Ever HospitalBest City, IL

Agenda

November 18, 2009 2

• Where We Left Off• Information Architecture Diagram• Origin of the Individual Data Elements• Flow of the Data Sets between Systems


Where We Left Off

November 18, 2009 3



The SolutionNow, RCMIS stands aloneIntegrate the RCMIS with • BEH’s EHR for patient

information (ADT), orders, results, and patient billing

• Appropriate ventilators and monitors

November 18, 2009 4


Information Architecture Diagram

November 18, 2009 5


Integration Architecture

November 18, 2009 6


Origin of Individual Data Elements

November 18, 2009 7


RCMIS Data Elements


ADT (PID) Data Elements

ADT HL7 PID Segment

From: Hospital EMR

To: RCMIS


Orders Data Elements

HL7 ORM Segment

From RCMIS and Hospital EMR


Observation Data ElementsFrom: RCMIS &

Hospital EMR


Medical Document Management - Results

HL7 MDM Message

From: RCMIS

To: Hospital EMR


Detail Financial Transaction (DFT)From: RCMIS

To: Hospital EMR


Ventilator InterfaceFrom: Vents and BS Monitors

To: RCMIS and Hospital EMR

Pictures from http://www.draeger.com/US/en_US/products/medical_monitoring/pods_modules_options/mon_device_connectivity.jsp

http://www.absolutemed.com/Medical-Equipment/miscellaneous/PURITAN-BENNETT-7200-Series-Ventilator


Flow of Data Between Systems

November 18, 2009 15


Respiratory Care Management Information

System

Best Ever Hospital Electronic

Medical Record

Bedside Monitoring Equipment

RCMISInterface

Engine

ADTADT

ResultsResults

OrdersOrders

Billing Billing

Medical Device Data

Medical Device Data

Integrated Interface Data Flow


Vent Photo - http://www.puritanbennett.com/prod/Product.aspx?S1=VEN&S2=VNT&id=320


Respiratory Care

Management Information

System


Medical Record


RCMISInterface

Engine

ADT

ResultsResults

OrdersOrders

Billing

Medical Device Data




Respiratory Care Management Information

System


Medical Record


RCMISInterface

Engine

ADTADT

ResultsResults

OrdersOrders

Billing Billing

Medical Device Data

Medical Device Data

Integrated Interface Data Flow




Thank You



References1. University of Connecticut Health Center. Respiratory Therapy Department. Retrieved October, 2009, from

http://nursing.uchc.edu/unit_manuals/respiratory/index.html.2. Johns Hopkins Medicine. Respiratory Care Services at Johns Hopkins. Retrieved October, 2009, from http://www.hopkinsmedicine.org/respcare. 3. Medical College of Georgia. Respiratory Therapy. Retrieved October, 2009 from http://www.mcg.edu/sah/respther/index.html. 4. Quality Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy of

Sciences; 2001:39-40,100.5. Aspden P, Wolcott JA, Bootman JL et al., eds. Preventing medication errors. Washington,DC: National Academies Press; 2007:4.6. Safe practices for better healthcare: a consensus report. Washington, DC: National Quality Forum; 2003.7. Joint Commission on the Accreditation of Healthcare Organizations. Proposed revisions to Standards MM.4.10 and MM.8.10. Retrieved October,

2009, from www.jointcommission.org.8. Williams, B. 1990. How to do an ROI (return on investment). Healthc Inform 7(2):30-2.9. Ford, Richard M. Respiratory Care Management Information Systems. RESPIRATORY CARE. (2004); 49(4): 367-377.10. Pullen, EE. Computers help provide better care. RESPIRATORY THERAPY. (1980); 10(4): 25-27.11. Nelson, Steven B. Conference Summary: Computers in Respiratory Care. RESPIRATORY CARE. (2004) 49(5): 531-536.12. Mussa, CC. Respiratory care informatics and the practice of respiratory care. RESPIRATORY CARE. (2008); 53(4): 488-499.13. Clinivision. Mobile Patient Charting System. Retrieved October 2009 from http://clinivision.com/products/.14. Unified Medical Language System (UMLS). United States National Library of Medicine National Institutes of Health. Referenced October 2009

from http://www.nlm.nih.gov/research/umls/knowledge_sources/metathesaurus/mapping_projects/loinc.html. 15. Vawdrey, David, et al. Assessing Data Quality in Manual Entry of Ventilator Settings. J Am Med Inform Assoc. 2007;14:295–303.16. ScienceDirect.com;

http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B75DF-4BVBRPC-B&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=1076766201&_rerunOrigin=google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=321a5b066da5c9b201c60fb32d8cb5ca

17. Theronix, Opus Respiratory Care, system documentation provided to authors by Theronix sales representative.18. CorePoint Health Web Site, HL& PID (Patient Identification) Segment,. Referenced November 2009 from

http://www.corepointhealth.com/resource-center/hl7-resources/hl7-pid-segment 19. CorePoint Health Website, HL7 ORM Message. Referenced November 2009 from

http://www.corepointhealth.com/resource-center/hl7-resources/hl7-orm-message 20. CorePoint Health Website, HL7 OBX Segment. Referenced November 2009 from

http://www.corepointhealth.com/resource-center/hl7-resources/hl7-obx-segment



References21. CorePoint Health Website, HL7 OBX Segment. Referenced November 2009 from

http://www.corepointhealth.com/resource-center/hl7-resources/hl7-obx-segment 22. CorePoint Health Web Site; HL7 MDM Message – Medical Document Management. Referenced November 2009 from

http://www.corepointhealth.com/resource-center/hl7-resources/hl7-mdm-message 23. CorePoint Health Website, Detail Financial Transaction (DFT). Referenced November 2009 from

http://www.corepointhealth.com/resource-center/hl7-resources/hl7-dft-detail-financial-transaction 24. Drager Corporate Website, Device Connectivity Option. Referenced November 2009 from

http://www.draeger.com/US/en_US/products/medical_monitoring/pods_modules_options/mon_device_connectivity.jsp 25. Absolute Medical Equipment website, Medical Equipment, Miscellaneous. Referenced November 2009 from http://www.absolutemed.com/Medical-

Equipment/miscellaneous/PURITAN-BENNETT-7200-Series-Ventilator 26. Puritan Bennett. Supportair™ Titration Platform Ventilator. Referenced October 2009 from http://www.puritanbennett.com/prod/Product.aspx?

S1=VEN&S2=VNT&id=320


respiratory therapy department integration to ehr

Documents

respiratory care services

data sets

flow of data

better care

quality health care

individual data elementsflow

hospital emrto

hospital emrpictures