Physician Office Integration

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Physician Office Integration

• Electronic Delivery of LAB Results and RAD/Health
  Record Reports to Physicians Office

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What is Physician Office Integration?

• Electronic delivery of LAB, RAD and Health
  Records results from Interior Health to
  physician office electronic medical record (EMR)
  systems
• Currently there has been 1.6 million
  results/reports delivered to over 200 Physicians
  across 80 clinics through out the IHA service
  area
• Option to halt printing of paper results
  reports for LAB and RAD only

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How will this benefit the Physician?

• Future
• Immediate delivery of clinic data to EMR
• Chart, Trend and use HL7 standards formatting
• This will save as much as 2-3 hours of filing
  every day. Our MOAs can then focus this valuable
  time on improving patient care and education.
  Finally, the power of a paperless EHR is being
  leveraged.
• Dr. Adrian Bak, Gastroenterologist

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What type of results are being delivered?
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What are the requirements for participation?

• Physician must have EMR software and have access
  to the Internet
• Configuration is required by the vendor
• Interior Health will work with all EMR vendors

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What is the cost to physicians?

• Interior Health does not charge physicians for
  this interface.

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What if I dont have an EMR?

• Physician Information Technology Office (PITO)
  will contribute up to 70 towards the cost of an
  EMR system, implementation and training.
• The successful PITO vendors are listed, however
  Interior Health will interface with all EMR
  vendors.
• EMIS Inc.
• Intrahealth Canada Ltd.
• Med Access Inc.
• Wolf Medical Systems
• Osler Systems Management

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Who are we working with?
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Is the system secure?

• All data is secured using 128bit SSL encryption.
  This is the same encryption used in banking,
  credit processing, government and military
  systems.

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How do physicians participate?

• Contact your EMR vendor and ask them when they
  will have the Interior Health Electronic Lab, RAD
  and Health Record Reports interfaces ready for
  implementation.
• If they have it, let them know you would like to
  start receiving the results/reports
  electronically.
• Visit http//www.interiorhealth.ca/poi to
  activate

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How it works..

• The Iatrics interface listens for results from
  Meditech and constructs an HL7 message.
• LAB Trigger LAB message has results entered
  this is the triggering event
• RAD Trigger RAD when a report is filed signed
• OE Trigger When a report is filed signed
• If a report is amended then a new message is
  triggered once the report is signed again

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How it works.

• Mirth (an open source, HL7 Integration Engine)
  listens for messages from Iatrics.
• The incoming Mirth channel picks up the message
  as HL7 and then routes it to the file destination
  channel in encapsulated xml format.  
• The file destination channel then routes the xml
  file to the clinic directory. The xml file is now
  available on an IHA web server.
• The EMR software queries the IHA Web Server using
  a secure channel (https). Once the LAB/RAD and
  Health Records reports are downloaded, the vendor
  verifies, acknowledges and imports the results
  into the EMR.

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How it works.

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Contact Information

• For more information contact
• Chris Diehl, POI Project Lead
• [phone]
• poi_at_interiorhealth.ca
• Visit the website
• http//www.interiorhealth.ca/poi