CRISP Health Information Exchange Spring 2012 What is
CRISP Health Information Exchange Spring 2012 What is CRISP? CRISP (Chesapeake Regional Information System for our Patients) is Marylands statewide health information exchange (HIE) and Regional Extension Center (REC) Health information exchange (HIE) allows clinical information to move electronically among disparate health information systems. The goal of
HIE is to deliver the right health information to the right place at the right timeproviding safer, more timely, efficient, effective, equitable, patientcentered care. Regional Extension Center (REC) is a program created by the ONC that is funded through the stimulus bill. RECs will offer technical, implementation, and educational assistance to facilitate providers adoption and meaningful use of electronic medical records (EMRs). 2 Health Information Exchange
Company located in Silicon Valley, California Elysium exchange solutions are used by nearly 30,000 physicians, 100,000 healthcare professionals, over 200 hospitals, 20 RHIOs, 3 Statewide HIEs Demonstrated ability to facilitate a rapid roll-out of the core infrastructure Distributed, hybrid-federated architecture
Initiate: MPI Solution An IBM company Most sophisticated MPI solution on market Probabilistic matching proven in a range of geographies
4 Connectivity Progress to DateKey Numbers Progress Metric Result Live Hospitals
48 All Hospitals Live Labs and Radiology Centers (Non-Hospitals) 5 Live Hopital Clinical Data Feeds 61 (lab, rad, a clinical document feeds)
Identities in MPI ~3.3M Queries (past 30 days) 1500 ADT Available
~47M Lab Results Available ~11.7M Radiology Report Available ~ 3.3M
Clinical Documents Available ~ 1.5M As of May 31, 2012 5 Opt-Out and Protecting Privacy
CRISP will operate patient consent based on an opt-out model Opt-out will be controlled centrally by the HIE, not at the provider sites Opt-out will be available through website, mail, fax, and phone CRISP will provide hospital registrars with patient education materials, opt-out forms, and training sessions on how to talk about HIE with patients
6 Master Patient Indexing Challenge: accurately and consistently linking identities across multiple facilities to create a single view of a patient. A zero or near-zero tolerance of a false positive match with a low tolerance of a false negative
match. Approach: Get the best technology: Probabilistic vs. Deterministic Single threshold vs. dual threshold and managing the gap with constrained resources Portal Summary Page
8 Portal Lab Result 9 Portal Radiology Report 10
Portal Transcription Report 11 Portal Medication History 12 Direct
13 Technology Approach
Secure Exchange Solutions: Direct Secure Messaging Secure Point to Point Health Information Exchange Email Portal, Attachment to Folder, Services Enables Provider Directory PKI Certificate Infrastructure 14 CRISP Direct Login Page
15 CRISP Direct Care Manager 16 CRISP Direct Referral 17
CRISP Direct Cardiology Group 18 HealthVault Connection 19 HealthVault Message
Absence of the extra degrees of freedom at second order linear perturbation indicates that the theory is . highly nonlinear. Remark: Li . et al. already pointed out that extra degrees of freedom do not appear in linear perturbative analysis...
Outdoor tanning became popular and acceptable for women but this was not enough. In the early 1970's, Friedrich Wolff was studying how artificial UV light affected athletes and how they might benefit from more exposure to sunlight. From these studies,...
PathoLogic Pathway Predictor Inference of Metabolic Pathways PathoLogic Functionality Initialize schema for new PGDB Transform existing genome to PGDB form Infer metabolic pathways and store in PGDB Infer operons and store in PGDB Assemble Overview diagram Assist user with manual...
Artificial Tanning Salon Claims/Quotes: Did you know… Ultraviolet light is the body's only natural source of vitamin D. Adults who are not exposed to enough ultraviolet light and do not get enough vitamin D from their diet can develop osteoporosis....
Public Health Timeline. ... These were bought in partly due to the Boer War. They were very popular and won the Liberal Party a landslide election. The (which led to the National Insurance Bill), caused problems as the Conservative Lords...
What is Condover Hall?. A residential activity centre in Shropshire, specialising in Children's adventurous activities. The site is run by a group called JCA, who organise and train leaders to ensure the children get the most out of the residential.
Lecture # 16 Date _____ Chapter #35~ Plant Structure and Growth You must know… The function of xylem and phloem tissue. The specific functions of tracheids, vessels, sieve-tube elements, and companion cells.
Chicago exhibitors censor Jesse James films, 1908 and Jack Johnson fights, 1910 Film's Production Code Administration (1930, 1934) and other national censor boards threaten to ban films from theatres unless industry follows prevailing moral 'codes.'
Ready to download the document? Go ahead and hit continue!