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James R' Albert

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Masonicare: Long-Term Care, Assisted Living, Acute Care, ... Vitals. Labs. Medications. Problem List. Diagnoses. Allergies. Immunizations. Initial Data Elements ... – PowerPoint PPT presentation

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Title: James R' Albert


1
Proposed Meriden-Wallingford Health Information
Exchange
  • James R. Albert
  • VP for Information Services and
  • Chief Information Officer
  • Masonicare, Inc.
  • Wallingford, CT
  • jalbert_at_masonicare.org

2
Possible Participants
  • Masonicare Long-Term Care, Assisted Living,
    Acute Care, CCRC, Ambulatory, Primary Care,
    Rehab, etc.
  • Connecticut VNA Home Health, Hospice
  • Gaylord Hospital Rehab, Specialty Program
  • Miller Memorial Long-Term Care, Rehab, Assisted
    Livg
  • Mid-State Medical Center (Hart Health) Acute
    Care
  • Meriden-Wallingford Physicians Ambulatory,
    Primary Care, Specialty Practices, etc.
  • Others in M-W Alliance? LTC, Home Care, Rehab,
    etc.

3
Initial Data Elements
  • Demographics
  • Advance Directives
  • Vitals
  • Labs
  • Medications
  • Problem List
  • Diagnoses
  • Allergies
  • Immunizations

4
Issues/Hurdles
  • Technical Choose form of HIE (federated,
    repository, hybrid) and components/vendors
    based on cost, ease of use by participants with
    differing systems and levels of sophistication,
    future expansion/interoperability, etc.
  • Legalities Create separate LLC/not-for-profit
    and governance structure, build/sign BAAs between
    HIE participants and HIE LLC, modify HIPAA Notice
    of Privacy, set participant cost-sharing formula
    (read-only, vs. contributors institutional vs.
    small practice etc.)
  • Hosting and Hiring Host HIE repository and/or
    e-MPI, Registry, etc. with outside service hire
    one or two HIE support staff (as part of
    Alliance, or not)
  • Cost and Funding Trying to keep year start-up to
    200K or less and annual costs to lt150K (with
    staff hosting)

5
Next Steps
  • Vendor and Committee Demos Discussions
  • Develop alternatives/ federated, repository,
    hybrid
  • Propose to Alliance members (and Mid-State)
  • Setup legalities, governance, structure
  • Establish initial M-W HIE grow depth/breadth
  • Connect to e-health RHIO
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