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Georgia Department of Community Health
Georgia Health Information Exchange NetworkHomeTown Health Event
September 25, 2012
Georgia HIE Network
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Georgia HIE Network
• Who we are• What we do• What it matters
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Who we are…
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Georgia HIE Network: Who are we?
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Public-Private Collaborative• Organizations in the collaborative
– Georgia Health Information Exchange, Inc. (GHIE, Inc.)
– Department of Community Health (DCH)– Georgia Health Information Technology
Regional Extension Center (GA-HITREC)
• Work together to produce the Georgia HIE network through – Governance, project management, policy
development, business and finance planning, technology deployment , marketing, and stakeholder engagement.
Georgia HIE Network: Who are we?
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GHIE, Inc. Board of Directors and Committees• 28 member Board extending all across Georgia• 3 advisory committees
– Service Area HIEs Committee—operational experience– Clinical Committee— quality measures and provider participation in e-
Prescribing, lab exchange, and use of clinical care summaries – Secondary Use Committee—public health and biosurveillance
• 3 policy committees– Technology Committee—use cases architecture, standards, and interoperability– Legal and Privacy Committee—policies and privacy and security processes and
procedures– Financial Committee—business operations and financial sustainability
Georgia HIE Network: Mission & Vision
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Mission• Georgia’s mission is to facilitate a Georgia HIE network for Georgia
that is trusted and valued by all stakeholders in order to improve health care coordination, reduce costs, and establish a solid foundation for long-term financial sustainability.
Vision of Coordinated Care• Georgia’s vision is to foster a healthier Georgia through the use and
exchange of electronic health information by improving patient-centered health care, increasing efficiency, and promoting the health status of the entire state population.
What we do…
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Georgia statewide HIE network is being developed to offer statewide health information exchange services to hospitals and clinicians…
… improving the quality, safety, and efficiency of health care by connecting clinicians, consumers, and authorized stakeholders
through a secure information exchange.
Georgia Health Information Exchange Network
Georgia HIE Network Product and Services
GeorgiaDirect
Rome Challenge Grant
In pilot phase
Available in 2013
2012-2013 Demonstration project in Rome, GA
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PatientFinder
GeorgiaDirect Secure Messaging
Provides a secure way for health care providers to send authenticated, encrypted health information directly to known,
trusted recipients over the Internet.
[email protected] [email protected]
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PatientFinder Service
• Allows authorized clinicians to query and retrieve clinical records from participating sources for patient care.
• Enables retrieval of records from multiple data sources. – All patient data is stored at its original location,
within the provider's local system rather than in a centralized database.
– All transactions involving the Georgia HIE network are logged in the Georgia HIE audit log.
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Why it matters…
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Georgia HIE Network
Why it matters?• Enables providers the opportunity to securely and
efficiently exchange patient health information.
• Keeps patient data with the treating provider and only access it when there is authorization and a demonstrated clinical need.
• Permits visibility into patient records across providers – presenting them with the right information, at the right time to offer their patients the right care.
• Gives consumers tools to know their health information so they can improve their health.
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Georgia HIE Network
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GeorgiaDirect Secure Messaging
Benefits of GeorgiaDirect – rely less on FAX, telephone, & mail• Referral
– A General Practitioner sends an email with a referral along with any necessary patient information and lab results to a Specialist
• Transition of care– A Family Physician sends an email with a Treatment Summary of a patient to a
Hospital or Long-Term care facility when the patient is admitted.
• Satisfy Meaningful Use Criteria– Send patient referral via Direct Secure Messaging to an authorized recipient.
Forward CCDs with referrals or at transition of care. Transmit required reports to Public Health (when available). Satisfy patient-focused MU measures.
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PatientFinder Service
Benefits of PatientFinder• Patient Information
– Presents authorized providers with accurate, timely and reliable patient data at the point of care.
• Interoperability– Enables connectivity services to providers within and outside of Georgia
through the Nationwide Health Information Network.
• Satisfy Meaningful Use Criteria– Hospitals are required under MU to report to public health agencies and share
data with other providers who are treating the patient. HIE simplifies the connectivity landscape so that hospitals only have one connection to make.
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Getting Connected to the Georgia HIE Network
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Network of Networks Strategy
The Georgia HIE network connects local/regional HIEs and other Qualified Entities
•Qualified Entities– Have permission to access, consume and make available HIE services on the
statewide health information exchange network.
– Must meet a set of established criteria, successfully completed the approval process, and signed agreements to abide by HIE Statewide Privacy & Security Policy Framework.
– Must ensure that participants and vendors with which they have contracts meet the requirements to carry out statewide policies.
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Network of Networks Strategy
The Georgia HIE network connects local/regional HIEs and other Qualified Entities
•Role of Qualified Entities– Help organize and manage HIE Participants in the Georgia healthcare ecosystem.
– Participants can be hospitals, physician practices, long-term care centers, laboratories, public health entities, and/or many other diverse members of the healthcare industry.
– Participants have authorization to access the Georgia HIE network services through a Qualified Entity.
– In addition to providing a conduit for the Georgia HIE services, a QE organization may choose to provide unique services to the members of their community as well.
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Network of Networks Strategy
The Georgia HIE network connects local/regional HIEs and other Qualified Entities
•Strategic Benefits– Leverages health information networks in existence and provides a means of
making set of core and value-added services available to benefit the entirety of the Georgia healthcare ecosystem.
– Operations are manageable and costs remain low.
– Supports Georgia HIE and stakeholder sustainability models. GHIE supports local/regional HIEs and other QEs – it does not compete with them.
– Allows the State to provide guidance on complex issues and leverage federal funding to strengthen and advance the exchange.
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Business and Operations
Foundation for Georgia’s HIE Business and Operations
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Financial SustainabilityDrafted the Georgia HIE Business and Financial Sustainability Plan for GHIE, Inc. which includes seed funding estimates, potential pricing and revenue models, approach to leveraging public funding and private investment.
Statewide Privacy & Security Policy FrameworkDeveloped the statewide privacy and security policy framework, including the HIE network (GeorgiaDirect) Participation Agreement, Terms and Conditions, and a set of policies to assure trust, effectiveness of security procedures, and enable rapid progress.
Technology & Policy AssessmentConducted technical and policy assessment of key stakeholder organizations, local/regional HIEs, and state agencies – the basis to connect Qualified Entities for statewide interoperability.
Become part of the Georgia HIE Network
Georgia HIE Getting Connected Guide (in development)
• Help organizations better understand the requirements and choices available to them when electing to participate in the Georgia HIE network.
• The guide will be a high level planning tool – Defines characteristics and responsibilities of Qualified Entities:
community, business model, governance, and technology.– Overview of legal and technical requirements; minimum standards
for each organization participating in the Georgia HIE network.
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Current Progress
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Pilot in Progress
Developing the GeorgiaDirect Pilot Program
Challenge Grant (Rome and Savannah)25
Urban Hospital
SAHIE
Rural Hospital
Georgia Medicaid
FloridaInterstate Pilot
SAHIE
Powerful Exchange
By December 2012
more than 25,000 Georgia providers will have the ability to securely exchange electronic data using
GeorgiaDirect
Georgia HIE will be the most advanced Directed Exchange in the country
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Get Engagedand Stay Informed
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GHIE, Inc. www.georgia-hie.orgDCH: http://dch.georgia.gov/
GA-HITREC: www.ga-hitrec.org
Get Engaged & Stay Informed
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insertKelly Gonzalez
Director, Division of Health ITState Health IT Coordinator
Department of Community [email protected]
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Appendix
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Patient MatchingPatient
MatchingProvider DirectoryProvider Directory
TerminologyServices
TerminologyServices
Security ServicesSecurity Services
Authorization Layer: Transport, Orchestration, Audit, ReportingAuthorization Layer: Transport, Orchestration, Audit, Reporting
Immunization Registry
Immunization Registry
Lab Translation
Lab Translation
Medication ManagementMedication
ManagementQuality
ReportingQuality
Reporting
Lab Order & Results Routing
Lab Order & Results Routing
CCD Translation
CCD Translation
Procedures Results Delivery
Procedures Results Delivery
Disease Surveillance
Disease Surveillance
Radiology Image
Delivery
Radiology Image
DeliveryEHR/EMREHR/EMR
Clinical Decision Support
Clinical Decision Support
Personal Health Record
Personal Health Record
GeorgiaDirect Secure Messaging Services
Secure MessageSecure
Message HISPHISP Certificate Authority
Certificate Authority
The Georgia HIE network menu of services is standards based and is being developed to support a variety of health information exchange needs. The HIE network services will be offered in 3 set of core services:
• GeorgiaDirect Secure Messaging• PatientFinder (Query-Based Exchange Core Services)• Advanced Exchange (Value-Added Services)
This overall technology solution consists of a set of core service elements that provide the foundation for the secure exchange of information between authorized providers.
Georgia HIE Network Technology Solution and Potential HIE Services
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PatientFinder (Query-Based Exchange Core Services)
Lab Normalizatio
n
Lab Normalizatio
n
CCD Summary
CCD Summary
NwHIN GatewayNwHIN
Gateway Public HealthPublic Health
Advanced Exchange (Value-Added Services)
Patient visits primary care provider; provider needs to refer patient to a specialist
1. Provider uses EHR to initiate referral message and locate specialists
Provider’s EHR system looks up specialist practices in GA’S HIE provider directory
3. GA HIE Network documents access to system in audit log
4. Specialist receives referral request and sends response to referring physician through the GA HIE Network
5. Specialist sees patient
2. Referring provider sends referral and reference clinical documents to the specialist system
Provider DirectoryProvider DirectorySecurity Services &
Authorization Framework
Security Services & Authorization Framework
Secure Message Exchange
via Direct Project
Secure Message Exchange
via Direct Project
Transaction Audit Log & Reporting
Transaction Audit Log & Reporting
Georgia Statewide Health Information Exchange Network
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GeorgiaDirect (Secure Messaging)Referral to Specialist Use Case
At the Point of Care
A patient visits their primary care provider. The provider needs to locate patient’s health information.
1. Provider uses their EHR (or GHIE web portal) to locate patient records. The provider’s system queries the Georgia HIE network.
4. Provider conducts patient examination. 5. Aggregated patient health information is returned to provider and information is incorporated into the provider’s EHR.
2. Georgia HIE uses RLS to locate and retrieve information on identified patient and returns available clinical documents from within the network.
Security Services & Authorization Framework
Record Locator Service
Transaction Audit Log & Reporting
3. Georgia HIE documents access to Network in audit log.
Master Patient Index
Provider Directory Terminology Services NwHIN Gateway
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Georgia Statewide HIE Network
PatientFinder (Query-Based Exchange)Patient Search Use Case