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Informed Health Technologies Medical Hub ® Allscripts Open MU3 Stage 3 API Patient Engagement Challenge
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Allscripts Open MU3 Stage 3 API Patient Engagement ... Health Technologies Medical Hub® Allscripts Open MU3 Stage 3 API Patient Engagement Challenge . ... other clinical data on a

Mar 27, 2018

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Page 1: Allscripts Open MU3 Stage 3 API Patient Engagement ... Health Technologies Medical Hub® Allscripts Open MU3 Stage 3 API Patient Engagement Challenge . ... other clinical data on a

Informed Health Technologies

Medical Hub®

Allscripts Open MU3 Stage 3 API Patient Engagement Challenge

Page 2: Allscripts Open MU3 Stage 3 API Patient Engagement ... Health Technologies Medical Hub® Allscripts Open MU3 Stage 3 API Patient Engagement Challenge . ... other clinical data on a

Copyright © 2016 Allscripts Healthcare Solutions, Inc. 2

Application Summary

• The Medical Hub® is a secure health collaboration platform supporting a care team that includes patients, clinicians, family, and the patient’s social network, to ensure collaborative and complete care using shared data sources

– The patient controls access to data

– The Hub integrates data from digital sources, such as Allscripts’ EHRs, collecting patient requested data from the clinical record by date and category

– The Hub also supports data entry by patients and caregivers

• The Hub analyzes data from all sources and compares to the patient’s Care Plan, sending alerts to the appropriate members of the care network as deviations occur, optimizing health system utilization and improving clinical outcomes

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 3

Anticipated benefits and value

• Improved care coordination and engagement of patients, families and clinicians encourages early intervention, decreased hospitalizations and improved outcomes

• Health information exchange reduces duplication of clinical services (e.g. labs)

• Ensures compliance with regulatory requirements and payer expectations

– Patient engagement for Meaningful Use

– HIPAA view, download, transmit (VDT)

– Monitoring and improving quality measures (e.g. hospital readmissions)

• Our initial target population is CHF patients, for whom outcomes are well-defined and relatively easy to measure

• Communication between care providers and patients about results improves patient compliance and is a secure component of the Medical Hub

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 4

Specific MU3 Compliance - retrieval The Medical Hub® connects with Allscripts EHRs (Sunrise, TouchWorks EHR®, Professional), making it easy for patients to request and organize their health information

Patients and their authorized representatives can create connection profiles for different

providers and healthcare organizations; they can retrieve EHR data by date or clinical category.

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 5

Specific MU3 Compliance – auth & display

Patients can authorize family, friends and caregivers to request and access their EHR and

other clinical data on a granular level; the information is easy to understand and clinical

entries are separated from user entries

The Medical Hub® permits a patient’s authorized representative to request and organize patient’s health information. The display of health information is easy to understand and accessible regardless of age, technical ability and/or disability

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 6

Specific MU3 Compliance – open API use The Medical Hub® uses the Allscripts Open API to send data requests to

providers / hospitals and allows them to respond.

1. From the connection page, user selects an Allscripts provider / hospital

2. From the retrieval page, user selects data (categories) to retrieve for a date or

date range

3. In the background, the Hub converts the user entered request to meet the

Allscripts Open API specifications

4. The user authorizes the Medical Hub® to get a valid token

5. In the background, the Medical Hub® uses the token to submit a data request

6. The response from the Allscripts provider / hospital is stored as a data object

7. The data object is parsed for distribution of discrete information, such as

allergies

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 7

Specific MU3 Compliance – data request The Medical Hub® makes data requests that are compliant with the MU3 CCDS data category standards from the ONC, and enabes retrieval by specific date or date range

1. The user completes their data request on

the selection criteria screen – identifying a

date or date range and desired data

categories

2. The Hub translates the user request into a

standard request following the MU CCDS

standards, including the data or date range

information requested by the user

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 8

Specific MU3 Compliance – all data The Medical Hub® follows the CCD document template format, and the C-CDA format for both a specific date and specified date range

The user can make a request for all

available data from the retrieval page

The Hub translates this request, transmits it

to the Allscripts provider / hospital and can

receive and parse the CCDA response

<?xml-stylesheet type='text/xsl' href='http://www.ihe.allscriptscloud.com/CED/

<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001

<realmCode code="US" />

<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3" />

<templateId extension="IMPL_CDAR2_LEVEL1" root="2.16.840.1.113883.10

<templateId root="2.16.840.1.113883.10.20.22.1.1" />

<templateId root="2.16.840.1.113883.10.20.22.1.2" />

<id root="47c724fb-7ae1-402d-8d86-2cafd14e9c52" />

<code code="34133-9" codeSystem="2.16.840.1.113883.6.1" codeSystemNa

displayName="SUMMARIZATION OF EPISODE NOTE" />

<title>Summary of Care</title>

<effectiveTime value="20130718111836-0400" />

<confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" />

<languageCode code="en-US" />

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 9

Development Timeframes • The security components, data platform and user interface are coded

and in quality assurance testing

• The CCDA parsing is at late stage of development

• The EHR connectivity is ongoing

• The requirements of the challenge will be met

and the product will be generally available by 1 September 2016

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 10

Solution Architecture The Medical Hub® interacts with Allscripts EHR and other solutions

Patient creates or

updates provider

EHR profile

Patient requests EHR

data by date or date

range and category

Medical Hub®

sends authorization

request

Authorized? No

Medical Hub®

requests patient

data

Yes

Data received?

No

Three attempts?

Medical Hub®

parses and stores

data

Error message

explains problem

No Yes

Yes

Note: to see downloaded data, the patient views that page of their record; downloaded data is shown in context

Medical Hub®

displays data in

context

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 11

APIs Used • The Medical Hub® utilizes FHIR APIs

AllergyIntolerance

Assessment and Plan of

Treatments

CarePlans

Conditions (Problem)

Goal

Health Concerns

Immunization

Implantable Devices / UDI

Lab Result Observations

Lab Result Reports

MedicationOrder

MedicationStatement

Procedure

SmokingStatus

VitalSign

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 12

Go to market plan Product features Technology Users Initial customer Economic model

Meaningful Use

and HIPAA support

Medical Hub® with

Allscripts Open

APIs

Patient, friends,

family, clinical care

givers

Hospital Distribution

channel: EHR,

device and payer

companies initial

partners

• Success metrics easily measured – number of ED visits and readmissions within 30-

days from discharge for patients with a given disease (e.g. CHF)

• Beta testing once development done (in discussion now)

• Conversion of beta clients to full customers

• Discussions with potential channel partners

• Sales plan with targeted initial accounts outside of channel partner customer base

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 13

HIPAA

The Medical Hub® provides HIPAA compliant security

• Encrypts data in transit

• Employs data provenance and constancy

• Maintains audit trails and access logs

• Encrypts data at rest (by go live)

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 14

Data analysis improving outcomes

Detect

Alert

MEDICAL HUB® Analyze

Data Integration

Collection and harmonization of data from

electronic health records, wearables, devices

and sensors

Semantic meaning maintained

Rules engine

Simple clinical interface to configure rules

reflecting clinical care plan

Alert System

Includes all members of the social circle

Follows an alert tree until there is a response

Can be performed according to recipient

preference – text, email, voice

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Copyright © 2016 Allscripts Healthcare Solutions, Inc. 15

IHT Medical Hub® – meeting the Allscripts Challenge • Meets patient engagement requirements of Meaningful Use

• Provides HIPAA view, download, transmit (VDT)

• Monitors quality measures

PLUS

• Supports optimal patient care by utilizing the correct resources at the right time to improve patient outcomes and reduce costs

Dr. Larry Ozeran, President

www.informedht.com

THANK YOU