VIEWS: 15 PAGES: 27 POSTED ON: 9/20/2012
Interfaces Quoting/Order Process & Product Info Conference Line 877-388-9625; Entry Code 388842 Sean Delaney VAR Program Manager May, 2010 Agenda Interface Definition and HL7 Types of interfaces What is a Standard Spec Document? How does McKesson price interfaces? How do I order an interface? How to be an “Interface Detective” Device integration What is an interface? An HL7 interface engine is an interface or integration engine built specifically for the healthcare industry. It connects legacy systems by using a standard messaging protocol. Because hospitals and other healthcare providers usually have different systems for different aspects of services, they are often unable to communicate with each other. HL7 gets around that problem by providing the framework for the exchange, integration, sharing and retrieval of electronic health information. These standards and the most commonly used throughout the world. What is HL7? Health Level Seven (HL7), is an all-volunteer, non-profit organization involved in development of international founded in 1987 to produce a standard for hospital information systems. HL7, Inc. is a standards organization that was accredited in 1994 by the American National Standards Institute (ANSI) healthcare standards. HL7 and its members provide a framework (and related standards) for the exchange, integration, sharing, and retrieval of electronic health information. v2.x of the standards, which support clinical practice and the management, delivery, and evaluation of health services, are the most commonly used in the world. [Source: Wikipedia] Interface Direction Always in relation to EMR (PP patient records) Inbound Outbound HL7 Data EM HL7 Data R Types of interfaces Lab Results - generated from an LIS system Inbound Lab Results (~$3,500) ─ Discrete, Quantitative information (i.e. numbers or positive / negative values etc.) that have patient identifiers built into results. Examples: • Urinalysis • Cholesterol Results Satisfies No. 10 on MU criteria “Incorporate clinical lab-test results into EHR as structured data” Types of interfaces Text Results Text Results (~$3,500) ─ Textual reports of Lab results and/or patient information that have patient identifiers built into results. Examples: • Pathology reports Skin tab pathology report • Hospital Discharge Summaries OB Discharge Summary Types of interfaces X-Ray or imaging results – generated from an RIS system Imaging or Radiology reports (~$3,500 - $5,000) ─ Textual X ray Reports Example: Broken Ankle imaging report *Usually identical as “Text Results” lab configuration Imaging or Radiology Images (less common) ─ EMR Can not support DiCom Images in their original format ─ Images must be converted to a supported file (i.e. .BMP, .GIF, .JPEG) Types of interfaces Demographics Bridge Demographics Bridge (~$3,500) ─ A one way, outbound, interface that transfers new and/or updated patient demographics from Practice Partner into a 3rd party system. This is an HL7 interface. Standard (GA’d) Demographics Bridges ─ Quest 360 Bridge (~$1,250) This interface provides demographic information from Practice Partner Patient Records/Appointment Scheduler (Version 7.5+) or Medical Billing Windows to Quest Care360 laboratory ordering modules. ─ LabCorp Bridge (~$1,250) This interface provides demographic and insurance information from Practice Partner Patient Records and Medical Billing (Version 8.1.1+) to the Labcorp web based order management system. Types of interfaces Outbound Lab Orders Interface Outbound Lab Orders interface (~$5,500) ─ Outbound HL7 interface from Practice Partner Lab Order Entry system (CPOE) to 3rd party or in-house LIS system. *(It sends the lab orders directly to Labcorp)* • Difficult to Implement • Very Few GA’s interfaces • Eliminates the need for Demographics Bridge • Must be used with EMR Order Entry (CPOE) module • Totally awesome. Types of interfaces Outbound Clinical Repository Immunization Registry Interface (~$2,000) ─ Outbound immunization registry from Practice Partner EMR to State-run immunization programs ─ Huge benefit for Pediatricians • New York • Washington state • Georgia • Florida Other Clinical Repository Interfaces are available through a custom quote (~$10,000) Commonly Asked… General Availability (GA’d) Interfaces: HL-7 Lab Inbound Results Outbound Orders Demographics (to Practice Partner) (from Practice Partner) Bridge •Dyna-Care •Labcorp Orders •Labcorp •Fletcher Flora Demographics •Labone •Labdaq Orders Bridge •LabCorp •LabDaq •Labpak Orders •Quest •Memphis Pathology Demographics •American Esoteric Labs Bridge •OML •PAML •Quest •Tricore •Unilab 12 Standard Spec Documents From McKesson Services The Standard Spec Document is a word document specifying our HL7 segments and requirements for specific interfaces. *Required and used with McKesson Services for Non-GA’d interfaces.* ─ Eliminates “Scoping call” ─ Eliminates Questions of compatibility. ─ Puts Interface responsibility on practice / physician. ─ Eliminates “Can you interface with my *BLANK* ?” question. Standard Documents Outbound Billing INT-CHG-OUT-RT-3P Inbound Lab or Rad Text INT-TXT-IN-RT-3P Inbound Demo INT-DEM-IN-NA-PP Inbound Scheduling INT-SCH-IN-RT-PP Outbound Demo INT-DEM-OUT-RT-3P Inbound Transcription Outbound Orders INT-TXT-IN-RT-3P INT-LAB-OUT-RT-XRAY 14 Interface Pricing Example 3 Elements on a price quote when using McKesson Services (Including Interface implementation Shadowing) 1st Element ─ Item: McKesson Implementation Services ─ Example: Standard Results (Lab/Rad/Text) ─ Cost: $2,088 2nd Element ─ Item: Software (Also known as PP Connect) ─ Example: Standard Results (Lab/Rad/Text) ─ Cost: $1,400 3rd Element ─ Item: Annual Maintenance ─ Example: Standard Results (Lab/Rad/Text) ─ Price: $210 ─ Total: $3,698 Interface Pricing Example 2 Elements on a price quote WITHOUT using McKesson Services 1st Element ─ Item: McKesson Implementation Services ─ Example: Standard Results (Lab/Rad/Text) ─ Cost: $2,088 2nd Element ─ Item: Software (Also known as PP Connect) ─ Example: Standard Results (Lab/Rad/Text) ─ Cost: $1,400 3rd Element ─ Item: Annual Maintenance ─ Example: (Lab/Rad/Text) ─ Price: $210 ─ Total: $1,610 Interface Quoting Process Without Using McKesson Services Interface Quoting Process Using McKesson Services 18 Interface Detective! Process Map for interface sleuthing Types of interfaces 3rd Party Practice Management System interfaces Can be done with Practice Partner EMR (Patient records) Only ─ Must be Full Service Total Practice Partner dealer Necessary Interfaces / Bridges ─ Demographics Inbound interface (~$3,500) • Sends patient Information from PM to EMR ─ Scheduling Inbound (~$3,500) • Sends daily Scheduling from PM to EMR ─ Billing codes outbound (~$3,500) • Sends Billing Codes from EMR to PM *All Prices Contingent upon receipt of McK standard Spec Documents for each * Total is $10,500+ from McKesson alone McKesson PM system priced $2,000 – $5,000. Commonly Asked… Available Interfaces – 3rd Party Devices Welch Allyn MidMark ECG Vital Spot Device 420 & 520 *NOTE: Vitals Glucometer • Spot version 2.18-102 • VSM2 versions 5-16 and 5-17 • CVSM version 3.11 ECG CardioPerfect Suite version 1.2.3 w PP 9.3.x 21 “Can you interface with my *BLANK* ? Answer: “Sure – Just have your *BLANK* sign this document and we can interface with them for the retail pricing provided they can sign this document with no scoping call. If you can not sign this document without speaking with one of my interface analysts, then I can not guarantee we can implement this interface in a reasonable amount of time and with in the confines of our retail pricing.” Can you interface with my *BLANK* Device? Device Integration Answer: ─ Not really. ─ Why? • Expensive • Time consuming (long, wait list) • High risk ─ Who can? • Ellkay inc. Michael Fishweicher, VP Business Development Ellkay.com tel. 1.201.791.0606 MichaelF@ellkay.com Relay Health and Practice Partner Connectivity Results Distribution Services (RDS): Results delivery include external labs, hospital lab, pathology and radiology results and transcription reports. Demographics: Patient demographic information includes patient name, address, age, sex, phone, marital status, SSN, PP site identifier and email address (if included). Patient Online Indicator: ADT message from RH to PP representing that the patient has enrolled to use the Patient Portal. This indicator is stored in patient’s medical record. Proprietary & Confidential/ For Internal Use Only 24 Where can I find Information? The greatest place on earth http://www.medisoft.com/download/training/project process/EHRImplementationFlow.pdf Next Session! Every Tuesday & Thursday barring Natural Disaster, Travel and/or my wife Specialties with the Practice Partner EMR Tuesday, May 25th & Thursday, May 27th ─ Where to concentrate time and Why? “What do I ask with an Ophthalmologist interested in my system?” “What is an Ambulatory Surgery Center (ASC) and do we fit?” “What features is a Pediatric group interested in?” And More!!!!! Template Creation in our EMR Tuesday June 1st & Thursday June 3rd. ─ Dot Codes, insert Codes and Letter Codes ─ Tips and tricks Coming soon – ─ Health information Exchanges (H.I.E’s) ! ─ Competition! ─ Competing with hospital employed groups! Questions?
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