NV RHIO Infrastructure Committee Report

1
NV RHIO Infrastructure Committee Report

• July 20, 2007

2
Outline

• Infrastructure Committee
• Committee Activities
• Infrastructure Update
• Issues and Next Steps

3
Top Level RHIO Infrastructure Components
Personal Health Record (PHR) or Personal EHR
Healthcare Provider or Clinical EHRs
Payer Records or Payer EHRs
Glue
Other Healthcare System Records
4
Infrastructure Committee Member Organizations
System Integration (Glue)
Patient Advocate (PHR)
Bearing Point
Healthcare Provider (and Clinical EHRs)
CGI
CSC
HCA
E. Smith Consulting
SFC Health Policy Assoc.
INOVA
Payer (Claims Records)
Health Care Information Consultants
Quest Diagnostics
Health eShare Technologies
Rocky Run Family Medicine
IBM
Virginia Hospital Center
Other Healthcare System Elements
Medicity
Northrop Grumman
Potomac Hospital
Quadramed
Siemens
5
Infrastructure Committee Members
Health IT (Glue)
Healthcare Provider (and Clinical EHRs)
Patient Advocate (PHR)
Chris Voight
Rim Cothren
Geoff Brown
Angela Falletti
David Crutchfield
John George
John Eichensehr
Raymond Henry
Payer (Claims Records)
Dr. Kenneth Geoly
Rebecca Little
Jim Oakes
David Hollins
Terri Raley
Bryan Majors
Bruce Savage
Sharon Martin
Elizabeth Smith
Other Healthcare System Elements
Salvi Mugol
David Stewart
Frankie Picard
Helayne Sweet
Lauren White
Sharon Canner
Jim Dirmeyer
6
Committee Activities

• National Health Information Infrastructure (NHIN)
  Trial Implementation Contract Discussion and
  Proposal Preparation
• Reston Community Focus Group Presentation
• Vendor Presentations

7
NHIN Contracts

• March June Review pre-RFP materials, prepare
  proposal abstract
• June 5 RFP release and invitation to committee
  members to participate
• June 5 July 12 Form team and prepare proposal
  response
• July 12 NoVa RHIO board decides not to proceed
  with a proposal
• Some elements of the draft proposal may guide
  future infrastructure committee activities

8
Infrastructure Update

• Draft Year 1 NoVa RHIO Architecture and
  Participants
• CareEntrust (Kansas City) RHIO Model Architecture
• Draft Statement of Objectives for the NoVa RHIO

9
NoVa RHIO Base Year
File-for-Life User Portal
HIPNHIE
Community Health and Mental Health Clinic Portal
(6)
3rd Party PHR
Employee User Portal
NoVa RHIO
Physician EMR
INOVA Hospital System
Group Practice Portal (3)
Physician Portal
NoVa RHIO CHR
Independent Physician Portal
HCA Hospital System
Physician Portals
Physician Portals
Physician Portal
Virginia Hospital Center (New EMR in 2008)
Potomac Hospital (New EMR in 2008)
10
CareEntrust Infrastructure Model
11
Hospitals
12
Other Outpatient Facilities
13
PBMs/Pharmacies
14
Laboratories
15
Consumers
16
Issues and Next Steps

• The Infrastructure Committee is made up of
  volunteers, many of whom are interested in
  participating as contractors or potentially
  employees with the RHIO
• The RHIO needs to determine how it will acquire
  infrastructure the process, the employees, etc.
• The RHIO needs an ability to respond to
  opportunities such as grants and RFPs for
  contracts
• As soon as possible, the RHIO needs a minimal
  staff that is trusted to make some decisions