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Patient records shared electronically
MedPlus® Successfully Demonstrates Data Exchange Between Multiple Regional HIEs
September 26, 2008
by Barbara Kram, Editor
CINCINNATI - MedPlus®, the healthcare information technology subsidiary of Quest Diagnostics® Incorporated (NYSE:DGX), has successfully demonstrated HIE-to-HIE (Health Information Exchange) patient data sharing as part of the Nationwide Health Information Network's (NHIN) Trial Implementations Core Content Testing Event. The August 2008 event represented the largest such demonstration of NHIN capabilities to date. Sponsored by the U.S. government's Office of the National Coordinator for Health Information Technology, the NHIN seeks to establish a secure, nationwide, interoperable health information infrastructure to connect providers, consumers and others involved in supporting health and healthcare.
MedPlus is currently providing technology and support to one third of the original nine NHIN contractors across three states. The company's technology serves more hospitals, physicians and patients than any other software provider involved in the initiative.
Data exchange tests were performed between MedPlus' regional HIE clients and other NHIN Trial Implementation program participants. Preliminary testing successfully demonstrated interoperability between them, proving that one HIE could identify a common patient with another HIE, and then request and receive a patient summary from the second HIE. Once the common patient had been identified, the sending HIE needed to return a continuity of care document (CCD), otherwise known as an HITSP C32 transaction.
"MedPlus is committed to both promoting the success of the NHIN initiative and helping its clients participate in this important national endeavor," explains Richard Mahoney, MedPlus president and vice president of Healthcare Information Solutions for Quest Diagnostics. "That's why we've been providing expert counsel in guiding development of the architecture since the very beginning as part of the NHIN working group. The NHIN Core Content Testing Event was the largest such demonstration to date, and the outcome has shown that the NHIN goals can, and will, be met."
Within the NHIN, MedPlus is providing HIE infrastructure for the New York Clinical Information Exchange (NYCLIX, Inc.) under the umbrella of the NY eHealth Collaborative (NYeC); the Long Beach Network for Health (LBNH) in Southern California; and the New Mexico Health Information Collaborative (NMHIC), created, staffed and operated by the Lovelace Clinic Foundation (LCF).
"The success of the Testing Event is an important step toward establishing a national health network, which holds great potential benefit for American patients and practitioners alike," says Gilad J. Kuperman, MD, PhD, chairman of the NYCLIX board. "MedPlus has proven to be proactive, quickly delivering these solutions despite their incredible complexity. I can't overstate the importance of this event. In an era when implementation of an HIE is still considered a major accomplishment, thanks to MedPlus, NYCLIX has already demonstrated inter-HIE data exchange according to national standards."
Understanding that the ultimate objective of NHIN-contracted HIEs is to foster better patient care at the local level, MedPlus has also been working to help its clients leverage this effort to create value and support their local health community. The company has taken a particularly active role in driving expansion of the NMHIC to create value, both clinically and operationally, at the local level.
"Our partnership with MedPlus has allowed us to not only meet NHIN technological and functionality requirements, but also to begin branching out to serve the needs of other NMHIC stakeholders," says Jeff Blair, director of Health Informatics at Lovelace Clinic Foundation and lead for LCF/NMHIC's NHIN Project. "We are now planning the expansion of the network services of our HIE to support several large medical practices in Albuquerque and eReporting to the state Department of Health in Santa Fe, as well as connecting the Health Department's ambulatory clinics throughout the state. MedPlus has been instrumental in helping us broaden the reach and value of NMHIC to better serve the patients of our state."
While establishing connectivity and successful data sharing between HIEs is a critical component of the success of the NHIN, there is still a great deal of work to be done before the initiative can go live nationwide. To that end, MedPlus is already in active development for further, specific-use case testing set to begin in Q4 2008. These will assess the NHIN infrastructure in a real-world environment, with use cases on lab reporting, quality, emergency responder and medication management data sharing.
"The fact that all of our clients have passed preliminary testing with flying colors has us very optimistic for the future of the NHIN," adds Mahoney. "As a company, we're proud to successfully demonstrate HIE-to-HIE data passage and get the NHIN connectivity ball rolling. This has huge potential to change the American healthcare system for the better and MedPlus is honored to be playing its part."
About the New York Clinical Information Exchange (NYCLIX, Inc.)
NYCLIX, Inc. is a New York State not-for-profit corporation whose mission is to create a clinical data exchange capability to improve patient care in the New York City region. NYCLIX's vision is a health care system in which innovative models of care enabled by interoperability facilitate patients' access to care, lead to improved quality, safety and efficiency of care, and increase consumer empowerment though improved access to information, all while preserving patient privacy. Incorporated in 2005, NYCLIX has received both Federal and New York State grants to support its work. NYCLIX's current membership includes 11 hospitals (8 of which are in Manhattan), the Visiting Nurse Service of New York, a federally qualified heath center, and a faculty practice organization. NYCLIX leadership includes clinical, technical, and informatics representatives from the largest provider organizations in New York City, as well as representatives from the region's businesses, public health departments, policy-making organizations, and consumer advocacy groups. More information about NYCLIX can be found at www.nyclix.org.
About Long Beach Network for Health (LBNH)
LBNH is a non-profit organization created in 2003 as a Health Information Exchange in the Los Angeles metropolitan area. The LBNH mission is to promote enhanced health for the greater Long Beach community by enabling a secure, patient-centric, and information-rich health information exchange. The LBNH goals include: building public health capacity, improving the quality and efficiency of healthcare delivery, improving physician and patient access to health information, and enhancing disease management.
LBNH includes major healthcare providers, community representatives, and public health professionals. Participants are the City of Long Beach Department of Health and Human Services, COPE Health Solutions, HealthCare Partners Medical Group, Institute of Community Pharmacy, L.A. Care Health Plan, Long Beach Diabetes Collaborative, Los Angeles County Department of Health Services (Harbor-UCLA Medical Center), Los Angeles County Department of Public Health, Los Angeles County Medical Association (Long Beach Chapter), MemorialCare Medical Centers (Long Beach Memorial Medical Center, Miller Children's Hospital), Memorial HealthCare IPA, Molina Health Care, Public Health Foundation Enterprises, SCAN Health Plan, Talbert Medical Group and The Children's Clinic: Serving Children and Their Families.
The planned pilot project will initially link Long Beach Memorial Medical Center, Miller Children's Hospital, Harbor-UCLA Medical Center, Community Hospital of Long Beach, Health Care Partners, and Talbert Medical Group to provide clinical information for use in emergent care settings. Once the pilot is built the network should expand.
About Lovelace Clinic Foundation/New Mexico Health Information Collaborative
The New Mexico Health Information Collaborative (NMHIC) is the name of New Mexico's rapidly growing health information exchange (HIE) network, as well as the community collaborative that has supported its development with time and funding. The collaborative includes important New Mexico stakeholders representing the largest health care providers, payers, employers, state agencies and consumers. NMHIC was created in 2004, and continues to be fully staffed and operated by the Lovelace Clinic Foundation. LCF is a non-profit applied health research organization founded in 1990.
NMHIC Stakeholders Participating in NHIN Trial Implementations:
· Presbyterian Healthcare Services: the largest health system in the state of New Mexico with seven hospitals.
· TriCore Reference Laboratory: the largest reference laboratory in the state of New Mexico.
· Department of Health, State of New Mexico
· Holy Cross Hospital: a high quality and innovative rural hospital in Taos, New Mexico.
· Albuquerque Ambulance: the largest provider of emergency medical services in the state of New Mexico.
About MedPlus®
MedPlus, based in Cincinnati, is the healthcare information technology subsidiary of Quest Diagnostics®. MedPlus is a leading developer and integrator of clinical connectivity and healthcare information exchange solutions that foster better patient care and improve business performance for healthcare institutions, physicians and patients. The company's Clinical Portal & Data Exchange Engine, ChartMaxx® and Care360™ Physician Portal solutions efficiently and securely collect, store, manage and integrate clinical information within an organization, enterprise, practice or community. The Care360 Physician Portal is a patient-centric physician portal providing more than 100,000 physicians with tools to improve patient care and overall office efficiency. ChartMaxx, the award-winning electronic patient record system, has been implemented in more than 100 hospitals and integrated healthcare delivery networks and has more than 300,000 users. In September 2007, MedPlus acquired FirstGateways, a health information exchange system comprised of innovative technologies that enable healthcare providers to access and manage a range of patient data at the point of care. For more information, visit www.medplus.com.
About Quest Diagnostics®
Quest Diagnostics is the leading provider of diagnostic testing, information and services that patients and doctors need to make better healthcare decisions. The company offers the broadest access to diagnostic testing services through its national network of laboratories and patient service centers, and provides interpretive consultation through its extensive medical and scientific staff. Quest Diagnostics is a pioneer in developing innovative new diagnostic tests and advanced healthcare information technology solutions that help improve patient care. Additional company information is available at www.questdiagnostics.comwww.questdiagnostics.com.
MedPlus is currently providing technology and support to one third of the original nine NHIN contractors across three states. The company's technology serves more hospitals, physicians and patients than any other software provider involved in the initiative.
Data exchange tests were performed between MedPlus' regional HIE clients and other NHIN Trial Implementation program participants. Preliminary testing successfully demonstrated interoperability between them, proving that one HIE could identify a common patient with another HIE, and then request and receive a patient summary from the second HIE. Once the common patient had been identified, the sending HIE needed to return a continuity of care document (CCD), otherwise known as an HITSP C32 transaction.
"MedPlus is committed to both promoting the success of the NHIN initiative and helping its clients participate in this important national endeavor," explains Richard Mahoney, MedPlus president and vice president of Healthcare Information Solutions for Quest Diagnostics. "That's why we've been providing expert counsel in guiding development of the architecture since the very beginning as part of the NHIN working group. The NHIN Core Content Testing Event was the largest such demonstration to date, and the outcome has shown that the NHIN goals can, and will, be met."
Within the NHIN, MedPlus is providing HIE infrastructure for the New York Clinical Information Exchange (NYCLIX, Inc.) under the umbrella of the NY eHealth Collaborative (NYeC); the Long Beach Network for Health (LBNH) in Southern California; and the New Mexico Health Information Collaborative (NMHIC), created, staffed and operated by the Lovelace Clinic Foundation (LCF).
"The success of the Testing Event is an important step toward establishing a national health network, which holds great potential benefit for American patients and practitioners alike," says Gilad J. Kuperman, MD, PhD, chairman of the NYCLIX board. "MedPlus has proven to be proactive, quickly delivering these solutions despite their incredible complexity. I can't overstate the importance of this event. In an era when implementation of an HIE is still considered a major accomplishment, thanks to MedPlus, NYCLIX has already demonstrated inter-HIE data exchange according to national standards."
Understanding that the ultimate objective of NHIN-contracted HIEs is to foster better patient care at the local level, MedPlus has also been working to help its clients leverage this effort to create value and support their local health community. The company has taken a particularly active role in driving expansion of the NMHIC to create value, both clinically and operationally, at the local level.
"Our partnership with MedPlus has allowed us to not only meet NHIN technological and functionality requirements, but also to begin branching out to serve the needs of other NMHIC stakeholders," says Jeff Blair, director of Health Informatics at Lovelace Clinic Foundation and lead for LCF/NMHIC's NHIN Project. "We are now planning the expansion of the network services of our HIE to support several large medical practices in Albuquerque and eReporting to the state Department of Health in Santa Fe, as well as connecting the Health Department's ambulatory clinics throughout the state. MedPlus has been instrumental in helping us broaden the reach and value of NMHIC to better serve the patients of our state."
While establishing connectivity and successful data sharing between HIEs is a critical component of the success of the NHIN, there is still a great deal of work to be done before the initiative can go live nationwide. To that end, MedPlus is already in active development for further, specific-use case testing set to begin in Q4 2008. These will assess the NHIN infrastructure in a real-world environment, with use cases on lab reporting, quality, emergency responder and medication management data sharing.
"The fact that all of our clients have passed preliminary testing with flying colors has us very optimistic for the future of the NHIN," adds Mahoney. "As a company, we're proud to successfully demonstrate HIE-to-HIE data passage and get the NHIN connectivity ball rolling. This has huge potential to change the American healthcare system for the better and MedPlus is honored to be playing its part."
About the New York Clinical Information Exchange (NYCLIX, Inc.)
NYCLIX, Inc. is a New York State not-for-profit corporation whose mission is to create a clinical data exchange capability to improve patient care in the New York City region. NYCLIX's vision is a health care system in which innovative models of care enabled by interoperability facilitate patients' access to care, lead to improved quality, safety and efficiency of care, and increase consumer empowerment though improved access to information, all while preserving patient privacy. Incorporated in 2005, NYCLIX has received both Federal and New York State grants to support its work. NYCLIX's current membership includes 11 hospitals (8 of which are in Manhattan), the Visiting Nurse Service of New York, a federally qualified heath center, and a faculty practice organization. NYCLIX leadership includes clinical, technical, and informatics representatives from the largest provider organizations in New York City, as well as representatives from the region's businesses, public health departments, policy-making organizations, and consumer advocacy groups. More information about NYCLIX can be found at www.nyclix.org.
About Long Beach Network for Health (LBNH)
LBNH is a non-profit organization created in 2003 as a Health Information Exchange in the Los Angeles metropolitan area. The LBNH mission is to promote enhanced health for the greater Long Beach community by enabling a secure, patient-centric, and information-rich health information exchange. The LBNH goals include: building public health capacity, improving the quality and efficiency of healthcare delivery, improving physician and patient access to health information, and enhancing disease management.
LBNH includes major healthcare providers, community representatives, and public health professionals. Participants are the City of Long Beach Department of Health and Human Services, COPE Health Solutions, HealthCare Partners Medical Group, Institute of Community Pharmacy, L.A. Care Health Plan, Long Beach Diabetes Collaborative, Los Angeles County Department of Health Services (Harbor-UCLA Medical Center), Los Angeles County Department of Public Health, Los Angeles County Medical Association (Long Beach Chapter), MemorialCare Medical Centers (Long Beach Memorial Medical Center, Miller Children's Hospital), Memorial HealthCare IPA, Molina Health Care, Public Health Foundation Enterprises, SCAN Health Plan, Talbert Medical Group and The Children's Clinic: Serving Children and Their Families.
The planned pilot project will initially link Long Beach Memorial Medical Center, Miller Children's Hospital, Harbor-UCLA Medical Center, Community Hospital of Long Beach, Health Care Partners, and Talbert Medical Group to provide clinical information for use in emergent care settings. Once the pilot is built the network should expand.
About Lovelace Clinic Foundation/New Mexico Health Information Collaborative
The New Mexico Health Information Collaborative (NMHIC) is the name of New Mexico's rapidly growing health information exchange (HIE) network, as well as the community collaborative that has supported its development with time and funding. The collaborative includes important New Mexico stakeholders representing the largest health care providers, payers, employers, state agencies and consumers. NMHIC was created in 2004, and continues to be fully staffed and operated by the Lovelace Clinic Foundation. LCF is a non-profit applied health research organization founded in 1990.
NMHIC Stakeholders Participating in NHIN Trial Implementations:
· Presbyterian Healthcare Services: the largest health system in the state of New Mexico with seven hospitals.
· TriCore Reference Laboratory: the largest reference laboratory in the state of New Mexico.
· Department of Health, State of New Mexico
· Holy Cross Hospital: a high quality and innovative rural hospital in Taos, New Mexico.
· Albuquerque Ambulance: the largest provider of emergency medical services in the state of New Mexico.
About MedPlus®
MedPlus, based in Cincinnati, is the healthcare information technology subsidiary of Quest Diagnostics®. MedPlus is a leading developer and integrator of clinical connectivity and healthcare information exchange solutions that foster better patient care and improve business performance for healthcare institutions, physicians and patients. The company's Clinical Portal & Data Exchange Engine, ChartMaxx® and Care360™ Physician Portal solutions efficiently and securely collect, store, manage and integrate clinical information within an organization, enterprise, practice or community. The Care360 Physician Portal is a patient-centric physician portal providing more than 100,000 physicians with tools to improve patient care and overall office efficiency. ChartMaxx, the award-winning electronic patient record system, has been implemented in more than 100 hospitals and integrated healthcare delivery networks and has more than 300,000 users. In September 2007, MedPlus acquired FirstGateways, a health information exchange system comprised of innovative technologies that enable healthcare providers to access and manage a range of patient data at the point of care. For more information, visit www.medplus.com.
About Quest Diagnostics®
Quest Diagnostics is the leading provider of diagnostic testing, information and services that patients and doctors need to make better healthcare decisions. The company offers the broadest access to diagnostic testing services through its national network of laboratories and patient service centers, and provides interpretive consultation through its extensive medical and scientific staff. Quest Diagnostics is a pioneer in developing innovative new diagnostic tests and advanced healthcare information technology solutions that help improve patient care. Additional company information is available at www.questdiagnostics.comwww.questdiagnostics.com.
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