Informed Health Technologies Medical Hub ® Allscripts Open MU3 Stage 3 API Patient Engagement Challenge
Informed Health Technologies
Medical Hub®
Allscripts Open MU3 Stage 3 API Patient Engagement Challenge
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
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
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.
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
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
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
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" />
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
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
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
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
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)
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
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