Analysis Worksheet
The Problem:
To create an HL7 based Healthcare ecosystem that
will connect to the State HIE's Connect system. This
system has to be an open source system that is
capable of being implemented to existing Epic based
systems, for State HIE member Hospitals, mid/small
sized Clinics and single Doctor's practices. System
must interface with SHARPS and Consent2Share
systems. Integrate Patient and Data/Segmentation
Security and Privacy Protocols with SAMAHS and
create searchable Audit Trails.
The Solution:
A healthcare ecosystem that is made up of
applications from healthcare vendors who have
created systems; that have been used in healthcare
systems and have proven that their systems can work
with the Epic HL7 systems; and open source to work
with ILHIE and future HIE's around the country.
Specific to the ILHIE, the healthcare ecosystems
must address the following requirements:
How difficult is the approach to implement and
administer?
What is the current consumer experience?
What is the governance process?
Is it practical?
What is the impact on clinical workflow?
What capacity do EMR and HIE partners have to
implement?
Possibility of phases / iterative process?
Healthcare Systems Connections
I have identified three companies that can work
together to create an ecosystem that can work with Epic
systems, who has been tapped to create the ILHIE Master
Patient Index, and that will link Illinois healthcare
systems together through a system called ILHIE
Connect.
Company Backgrounds:
7 Medical Systems, LLC.
Founded in 2003 as a small, privately-funded
start-up, 7 Medical spent several years executing on
a cloud computing based strategy and business model
for small and medium healthcare organizations. At
the time, cloud computing in healthcare was in its
infancy, and 7 Medical offered one of the first
cloud-based, on-demand solutions for picture
archiving and communication systems (PACS) and
electronic medical records (EMR). PACS and EMR
systems were hosted in 7 Medical's data center and
delivered to hospitals, imaging centers and clinics
as a service over the Internet for an affordable
monthly service fee. Now 7 Medical Systems is a
leading, nation-wide provider of on-demand software,
technology and IT services to the healthcare
industry. 7 Medical delivers a unique blend of
hands-on clinical and technical expertise to enable
healthcare organizations that do not have the
capital, time, technical know-how or wherewithal to
deploy cost-effective, productivity-enhancing
technology services for critical business
applications. 7medical.com
AuthentaScripts, Inc
With the advancements in technology and
proliferation of mobile, customers are increasingly
demanding access to all their data anytime and
anywhere. Across the country, hospitals and health
systems are recognizing the importance of connecting
disparate systems together in real time. Some have
managed to create combinations of personnel and home
grown systems to bring their data together, while
others are looking at alternate paths to assimilate
different EMRs and other clinical IT systems.
AuthentaScripts Integrator enables interoperability
between any numbers of disparate systems by
implementing a published subscribed pattern on any
application irrespective of the architecture or
technology. Integrator not only enables secure
communication between the connected systems, but
also implements a high scalable and robust layer on
top of any application. AuthentaScripts.com
WHOSPOPPIN ENTERPRISES, INC.
whosPOPpin has been successful with the Media POP
and the Retail POP since 2012. As
of 2013, whosPOPpin is at work with IBM Business
Partners to upgrade the HealthCare POP with Watson
powered apps for doctors, patients, and pharmacies. Now,
the HealthCare POP is enterprise ready for the
Health Industry. The
cost is relatively minimal when compared to the
advantages this mobile technology will bring to
doctor –patient relations. The seamless integration
and user friendly experience can transform the
archaic landscape of old, by disrupting outdated
methods and creating new efficiency based healthcare
products that may help save lives. HealthCarePOP.org
System Workflow
How difficult is the approach to implement and
administer?
7 Medical systems is based on the HL7 standards and
can integrate with existing EMR with or without HL7
system. Since 7 Medical can integrate with HL7
standards, it can be used with ILHIE Connect
interface requirements. 7 Medical also integrates
with Epic systems software that is the basis of the
ILHIE Master Patient Index system.
AuthentaScripts is
an open
source node system that can work with existing EMR
systems and has interoperability with e-prescription
systems. These nodes are then sent to a system of
Broadcasters that can integrate with Doctors,
Pharmacies, and Insurance Providers. Since
AuthentaScripts is an open node system it can
integrate with ILHIE Connect IT requirements.
What is the current consumer experience?
7 Medical is a web-based system that can be accessed
by a doctor or staff. 7 Medical has a patient portal
that can be set up in the future to allow patient
access to their medical records via desktop or
mobile devices. ILHIE
Connect users can integrate ILHIE web based
messaging systems to 7 Medial portal systems.
whosPOPpin is a web-based system that does not
require users to download an app to a mobile device.
The system can be easily integrated into any EMR
doctor or patient portal with minimal training. The
system can also integrate with Skype and can be used
in telehealth systems. ILHIE Connect users can use
whosPOPpin systems to integrate into the ILHIE
messaging systems and future ILHIE Connect Patient
Portal system.
What is the governance process?
7 Medical
Independent auditor verification that 7 Medical has
internal HIPAA privacy and security controls in
place. The
examination was performed by applying HIPAA
Administration Simplification, Part 164 Security and
Privacy Standards and, without exception, 7
Medical's internal privacy policies and controls
comply with these HIPAA standards. These security
standards are also part of the ILHIE Master Patient
Index and ILHIE Connect requirements.
AuthentaScripts
1. A Node (node #n) is installed and initialized for
the first time. It sends a ping
request to Broadcaster.
2. Broadcaster receives an anonymous request to
authorize from an unidentified
Node and logs the request for approval by
Administrator.
3. Administrator reviews the Node details and
approves or denies the request.
4. If denied, Broadcaster ignores any new future
requests from that particular
Node.
5. If approved, a unique API key (API Key #n) is
issued to the requesting node (node #n).
6. Node #n uses the ‘API Key #n’ to authenticate
itself.
7. The broadcaster validates the login request and
provides a set of rules for that particular node.
These rules contain access policies, polling &
communication rules, triggers and data to capture
from the target system.
8. Node receives the rules and starts processing
them and communicates the output back to the
Broadcaster. The AuthentaScripts systems can be
installed behind the Firewall of the ILHIE Connect systems
and be used to security ping the database and send
an audit of any request made to the data base.
whosPOPpin
Web-based system sits within the Firewall and, as
bi-directional security that connects with target
system, with a secure certificate that send a
password API to the systems administrator. The
system then checks the request against system
policy. Once certificate is authenticated the user
is allowed access. When
the session is over the certificate is disconnected
with no information left on the web connected
device. This complies with the ILHIE Connect
Integrated Data/Patient Segmentation system.
Is it practical?
7 Medical
7 Medical systems EMR systems can be designed to
create specific patient information from lab
reports, pharmacy, examinations, scheduling , etc. 7
Medical also prevents duplication of data and only
gets the patient data needed based on specialty. 7
Medical also uses HL7 protocols that can integrate
between two different systems and using policy
subsets to redact information from that subset,
meaning that 7 Medical could be used in the Data
Segmentation and Privacy requirements currently
being developed by the ILHIE.
What is the impact on clinical workflow?
7 Medical
This system can be setup to work with all types of
clinical workflow from patient diagnosis,
scheduling, e-prescribing, and network with existing
legacy systems. 7 Medical systems works with the
Epic system and can integrate with the ILHIE Patient
Data/Segmentation systems and is flexible enough to
be updated based on legal policy that restricts
sharing of subsets of patient data.
AuthentaScripts
Broadcaster and node systems can be configured to
work with legacy systems or set up new systems even
if healthcare provider does not have an EMR. AuthentaScripts
can set up to send only patient sub set information
about the patient prescription based on ILHIE
Patient Data/Segmentation systems.
What capacity do EMR and HIE partners have to
implement?
7 Medical
EMR systems can be deployed based on the providers
specialty and can be secured via a Firewall or
secure cloud system. 7 Medical has SAS 70 and ONC
certification and conforms with Meaningful Use 2+
policies. ILHIE partners can use 7 Medical to create
a new network or integrate with their existing
policy and create restricted data flows based on
these policies.
AuthentaScripts
Broadcaster and Node system can be deployed to send
and receive requests from a doctor to the pharmacies
with restricted data to the pharmacies that only
have the patient data needed to fill that
prescription. AuthentaScripts can be integrated with
existing e-prescriptions systems to follow and send
alerts to the doctor when someone pings the patient
information and sends alerts according to the policy
set up by the EMR system.
Possibility of phases / iterative process?
7 Medical and AuthentaScripts can create SQL based data-bases that can then be used to set up to the proposed ILHIE Master Patient Index that is scheduled to be set up in the future.