WIRuralRx Jeannie Tichy Software Product Analyst Marshfield Clinic Planning a Rural Prescription Network.
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WIRuralRx
Jeannie TichySoftware Product AnalystMarshfield Clinic
Planning a Rural Prescription Network
WIRuralRx: Vision
The WIRuralRx partnership will develop a plan for implementing a point-of-care tool that will make accessible real-time, accurate patient-level prescription medication data for any patient receiving health care services at any one of the partnering institutions.
Copyright 2005 Marshfield Clinic
WIRuralRx: Partnership
• Initial planning was a collaboration between 3 facilities in a rural area– St. Joseph’s Hospital– UW Health Wausau Family Practice– Marshfield Clinic
• Implementation will add a fourth partner– Ministry Medical Group – Plover Family
Practice
Copyright 2005 Marshfield Clinic
Partner clinic without EHR: uses software from the Network
Partner clinic with EHR: send and views data via an electronic interface to the Network
Partner hospital with EHR: views network data for admissions/ER; at discharge, transfers meds to partner’s outpatient e-prescribing application
“Read-only subscribers: do not send data to the Network but can view Network information (e.g. a small hospital ER)
WIRuralRxMerge medication lists into one,
non-duplicative list with access to multiple types of Network
“subscribers”
At discharge, med information “cleaned up”
(reconciled) by outpatient e-prescribing application and then sent via interface to
Network
Copyright 2005 Marshfield Clinic
WIRuralRx: Specific Aims
• Aim 1: Creation of Network Infrastructure Components– Development of an Electronic Master Patient Index– Development of a Master Medication List– Development of an Inventory of Allergies and other
Adverse Drug Reactions (ADRs)
Copyright 2005 Marshfield Clinic
WIRuralRx: Specific Aims
• Aim 2: Establishment of Network Regulatory Elements and Membership– Network security– Patient consent– Provider agreements
Copyright 2005 Marshfield Clinic
WIRuralRx: Specific Aims
• Aim 3: Establish Essential Capabilities for Interaction with the Network– Data Transfer TO the Network– Data Viewing/Transferring FROM the Network
Copyright 2005 Marshfield Clinic
WIRuralRx: Specific Aims
• Aim 4: Decision Support– Basic decision support– Enhanced decision support
Copyright 2005 Marshfield Clinic
WIRuralRx: Specific Aims
• Aim 5: Evaluation of Network– Utilization– Contribution to Patient Safety– Effectiveness– Costs
Copyright 2005 Marshfield Clinic
Electronic Master Patient Index (EMPI) at Marshfield Clinic
• Definition: A system that maintains demographics and unique patient identifiers from different, independent institutions and maps them to a common identifier.
Copyright 2005 Marshfield Clinic
EMPI: History
• Marshfield Clinic developed its EMPI to accommodate for the Regional Early Childhood Immunization Network (RECIN)
• Software processes combined with timely Health Information Management (HIM) assistance constantly search for, sweep, and remove duplicates from the database, thereby storing the patient identifiers, and up-to-date demographics once and once only.
Copyright 2005 Marshfield Clinic
EMPI: Components
• Real-time Deduplicator
• Batch Patient Integrator (BPI)
• Batch Examiner
• Medical Record Data Integrator (MRDI)
Copyright 2005 Marshfield Clinic
Copyright 2005 Marshfield Clinic
EMPI and WIRuralRx• Where are we today?
– Effective system but will need changes to accommodate for the WIRuralRx
• Current system requires a significant amount of manual effort to be effective.
• Current system does not support demographic information exchange between disparate systems through an interface.
– We are utilizing available resources to address issues to produce an efficient and effective EMPI for the WIRuralRx
Copyright 2005 Marshfield Clinic
Questions?Thank You
Jeannie Tichy
Marshfield Clinic
tichy.jean@marshfieldclinic.org
Ryan Ketterer
Marshfield Clinic
ketterer.ryan@marshfieldclinic.org
Copyright 2005 Marshfield Clinic
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