RURAL HEALTH CARE

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WESTERN WASHINGTON
RURAL HEALTH CARE
COLLABORATIVE
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CRITICAL ACCESS
AND
HEALTH INFORMATION EXCHANGE
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THE MISSION
INTEGRATE DISPARATE HEALTH INFORMATION SYSTEMS
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MAKE INFORMATION ACCESSIBLE
TO TRANSFER SITES
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CREATE A TELEPHARMACY PROCESS
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THE TEAM
INITIAL DISPARATE SITES-
WHIDBEY ISLAND-TOM TOMISINO
OCEAN BEACH- DAVID LITTLE
MORTON GENERAL- STEPHEN MORTON
BENCH PLAYERS -
ROGER HARRISON- JHC
ANDREA PERKINS-FCH
CHUCK GARNER - UGH
TOM HORNBURG- MASON
MANAGER- ELIZABETH FLOERSHIEM
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VENDOR SELECTION
Common Electronic Master Patient Index (EMPI)
Common Clinical Data Repository (CDR)
Physicians Web Portal (Concerto)
Interface Engine (Rhapsody)
HEALTH
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TEAM SUBSTITUTIONS
DISPARATE SITES-
WHIDBEY ISLAND-TOM TOMISINO
OCEAN BEACH- DAVID LITTLE
MORTON GENERAL- STEPHEN MORTON
BENCH PLAYERS -
ROGER HARRISON- JHC
ANDREA PERKINS-FCH
CHUCK GARNER - UGH
TOM HORNBURG- MASON
MANAGER- ELIZABETH FLOERSHIEM
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WWRHCC NETWORKVPN Build
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TEAM SUBSTITUTIONS
DISPARATE SITES-
ROGER HARRISON- JHC
ANDREA PERKINS-FCH
STEPHEN MORTON- MGH
BENCH PLAYERS -
CHUCK GARNER - UGH
MEDIATOR - ELIZABETH FLOERSHIEM
MANAGER- ELIZABETH FLOERSHIEM
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PREP WORK
GET INTERFACES
MSH\LABFOO200812151629ORUR01RESULT-OU
T.1.2D2.3 PID1123456-2PERKINSCARLORION
PERKINS19810822MPERKINSCARLCA585 SURF
STREETFORKSWA98331CCCC(360)374-5555M
223-66-5555 ORCRE1215SO00001Rl142L142LAB
1215SO00001RN200812151629SHIJOShimaJohn
OBR11215SO00001Rl142L142LABLITH20
0812151628200812151628SHIJOShimaJohn
OBX1STLITHLITHIUMSEE SEPARATE
REPORTNF200812151629 NTETHIS TEST
HAS BEEN SENT OUT TO A REFERRAL LAB.
GATHER INFO FROM OWN HEALTH INFORMATION SYSTEM
DISSECT HL7 MESSAGES TO CREATE MAPPING TABLES
CREATE SCENARIOS IN HIS TO BUILD HL7 MESSAGE
PATH
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INTERFACES
Capture data via HL7 messages
Four interfaces per Hospital
ADT-demographics
Lab Results
Radiology Reports
Transcribed Reports
One Interface Engine per Hospital(3)
Captures data from each H.I.S.
Meditech CS, Meditech Magic Healthland
Feeds the Central Interface Engine (WWRHCC)
One Central Interface Engine (WWRHCC)
Feeds normalized data to Database servers And to
any other Hospital specific destinations
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Data Flow
Morton ADT, LAB, RAD, TRANS
Jefferson ADT, LAB, RAD, TRANS
Forks ADT, LAB, RAD, TRANS
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TRAINING
CONCERTO TRAINING-
BUILDING USERS AND VIEWS
RHAPSODY TRAINING-
INTERFACE ENGINE / HL7 MAPPING
CONCERTO / RHAPSODY/ EMPI
PUTTING IT ALL TOGETHER
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TEAM SUBSTITUTIONS
DISPARATE SITES-
ROGER HARRISON- JHC
ANDREA PERKINS-FCH
STEPHEN MORTON- MGH
SPENCER FAHERTY - MGH
BENCH PLAYERS -
MEDIATOR - ELIZABETH FLOERSHIEM
NEGOTIATOR- ELIZABETH FLOERSHIEM
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TESTING
PATIENT DATA REVIEWED AND VERIFIED WITH FACILITY
HIS
HL7 MESSAGES MANIPULATED TO MEET STANDARDS
SINGLE SIGN ON FUNCTIONALITY TESTED
ADMINISTRATIVE FUNCTIONALITY TESTED
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PRODUCTION
DIRECT INTERFACES TO PRODUCTION ENVIRONMENT
MONITOR RHAPSODY --LOCAL AND CENTRAL
VERIFY DATA INTEGRITY
ADDRESS PERFORMANCE ISSUES
DETERMINE TEAM RESPONSIBILITIES
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PHASE ONE
MISSION ACCOMPLISHED!!