Centricity Physician Office
Document Sample


Centricity Physician Office
2005 User Summit
EMR General Session
Dave Henriksen
General Manager, CPO
Agenda
GE Healthcare Introduction
- David Henriksen, General Manager
Clinical Content Update
- Susan Thomas, MD, Medical Director
Government and Industry Initiatives Update
- Marianne Braunstein, Marketing
Manager
Centricity Physician Office Roadmap Update
- Kathleen Brooks, EMR Product Manager
1/
GE /
Business Brief
Agenda
• Centricity Physician Office Organization Update
• Clinical Leadership
• EMR 2005 – Early Adopter Program
• Digital Communities
2/
GE /
Physician Office Organization
Functional Summary
• Engineering 134
• Support 75
• Implementation 46 + 33 contracted
• Sales/Marketing 53
• RTS 14
Total 332
3/
GE /
Significant Investment
Focus on Development Revenue Growth
Development FTE’s $ Million
120 120
14%
100 100
80 80
60
134 54% 60
40 87 Increase! 40
73
64
20 20
0 0
2004 2005 2004 2005
Integrated Financials
User Interface
Clinical Content and Workflows
Decision Support
Interoperability
eRX
Clinical Leadership
4/
GE /
NCQA Certification:
•FIRST EMR in the
Industry!
•Diabetes Physician
Recognition Program
•Commitment to Quality
•Pay for Performance
Medical Quality Improvement Consortium
Membership = 50% Growth in ‘05 Database = 60 % Growth in ‘05
87 Members 4.4 Million Patients
3,288 Physicians 30 Million Office Visits
35 States 326,580,576 Observations
8 Big Birds (100+ MDs)
QI Reports (June ’05) 66% Clinical Studies
Growth
30 sponsored studies/year
Sessions: 100
9 Academic Studies/year
Hours: 50
$3.5M commercial grants
in 2005
5/
GE /
Introducing the Newly Released
Centricity Physician Office Primary Care
Kit (PCK)
• Six-Sigma project by our
ITPS and Engineering
New teams
in 2005 ! • Dozens of forms, letters,
handouts, clinical lists
• Created over the years with
input from Clinicians
• Embedded intelligence
• Free to new users and IB
EMR 2005 and EAP
Early Adopter Program
6/
GE /
EMR 2005
Images, Illustrations, & Annotations
Medications
Growth Charts
Problems
•Enhanced Allergies & Adverse
Reactions
•Desktop Document Management
•Clinical Accuracy
•CPO PM/EMR Integration
The Value of EAP (Early Adopter
Program)
Our 2005 EAP Sites: • Goal of EAP is to ensure
readiness of new release
• Carilion Health System
• Validation feedback provided
• Central Maine Healthcare on new and changed features
• Children’s Health System – UAB* • Usability and performance of
application verified
• Community Health Network
• Accuracy and completeness
• Erickson Retirement* of documentation improved
• Evans Medical Group* • Upgrade process verified first
on test servers, then in
• Joseph Perkinson* production
• Wake Internal Medicine • 3 sites now live on EMR 2005
Pilot Version*
7/
GE /
Digital Communities
Province of Ontario
Ontario Only
24,000 Physicians
8,000 subsidy eligible
13 vendors
1 ASP provider – Aliant
$150 million $60+$20 million
8/
GE /
Thank You!
Clinical Content
9/
GE /
Centricity Physician Office
2005 User Summit
Clinical Content Roadmap
Susan Thomas, MD, FAAFP
Medical Director
Centricity Physician Office
10 /
GE /
Providing Clinical Content
For the EMR
Paths to Richer Clinical Content
Encounter
Quality Forms Decision
Reporting Support
Clinical EMR
Systems
Knowledge
Links
Links
Instrument
Interfaces
11 /
GE /
Paths to Richer Clinical Content
GE Encounter Forms
• Creative and flexible
encounter forms, letters,
handouts, clinical lists
Forms! • Backbone of standard
forms
• Build on these with
disease management
and specialty content
• Embedded intelligence
Paths to Richer Clinical Content
When
was last Labs
eye Decision Support
are Tools
exam? Due!!
Decision
Support • Enhanced Protocol
Kits
• Evidence Based
Reminders
• Intelligent Forms
12 /
GE /
Paths to Richer Clinical Content
WEB BASED CONTENT
LINKS
• MedscapeTM from WebMD
• iConsultTM from Elsevier
Knowledge • PIERTM from ACP
• Clinical Evidence TM from BMJ
Links! • UpToDateTM Inc
• ZynxTM Health Inc
• eMedicineTM Clinical
Knowledge Base
• Joslin Diabetes Center
• Bright FuturesTM from AAP
Paths to Richer Clinical Content
Centricity Centricity
Perinatal Laboratory
Clinical Interfaces
• Inpatient Perinatal
• Cardiac
ClinicalEchocardiography
• PACS Imaging
Systems!
• Laboratory Order
Interfaces
• OB Ultrasound
• Intellidose
Chemotherapy
Administration
13 /
GE /
Paths to Richer Clinical Content
Post-MI Patients on Beta Blocker
85%
Adherence R ate
80%
75%
70%
65%
MQIC Benchmark Clinic
Encounter Protocols &
Quality
Disease Production MQIC/Quality
Inquiries
Forms Guidelines
Reporting! Registries Reports Improvement
Tools to Improve Quality & Outcomes
Individual Provider Broader
Patient Panel Populations
First step on the
Clinical Content
Roadmap
14 /
GE /
Introducing the
Centricity Physician Office Primary
Care Kit
• Six-Sigma project by GE’s
Field Support and
Engineering teams
Free to • 49 Encounter Forms,
• Letters, handouts, clinical
All users! lists
• Created over the years with
the help of Clinicians
• Embedded intelligence
• Free to all users through the
KnoweldgeBank
PCK: Well Child Form Series
15 /
GE /
PCK: Adult Comprehensive
PCK: Lab Result Letter Form
16 /
GE /
PCK: Childhood Immunizations
PCK: Flexible Sigmoidoscopy
17 /
GE /
PCK: Phone Notes and Refills
Let’s work together
*****
Susan.Thomas.MD@ge.com
18 /
GE /
Government and Industry
Initiatives
NHIN: The Framework
In July 2004, Dr. Brailer delivers,
“The Decade of Health Information Technology: Framework for Strategic
Action”
Goal 1: Inform Clinical Practice (“get EHRs adopted”)
• Strategy 1. Incentivize EHR adoption Key Actions
• Strategy 2. Reduce risk of EHR investment • Establish a Health Information
• Strategy 3. Promote EHR diffusion in rural/underserved Technology Leadership Panel
areas • Support private sector certification
Goal 2: Interconnect Clinicians
of HIT products
• Strategy 1. Foster regional collaborations
• Strategy 2. Develop a national health information • Fund community health
network information exchange
• Strategy 3. Coordinate federal health information demonstrations
systems • Plan the formation of a private
Goal 3: Personalize Care interoperability consortium
• Strategy 1. Encourage use of Personal Health Records • Require standards to facilitate
• Strategy 2. Enhance informed consumer choice
electronic prescribing
• Strategy 3. Promote use of telehealth systems
Goal 4: Improve Population Health • Establish a Medicare beneficiary
• Strategy 1. Unify public health surveillance architectures portal
• Strategy 2. Streamline quality and health status • Share clinical research data
monitoring through a secure infrastructure
• Strategy 3. Accelerate research and dissemination of • Make a commitment to standards
evidence
19 /
GE /
Govt & Ind Initiatives: Most
Americans
“The Community” have their
medical
informatio
n in an
Jun ‘05 Jul ‘05 Aug ‘05 Sept ‘05 Oct ‘05 Nov ‘05 Dec ‘05 Jan ‘06 Feb ‘06 Mar ‘06 2009EHR
2014
AHIC “The Community” Members
• In response to Brailer’s “Framework for Strategic Action” Framework call-to-
action “Establish a Health Information Technology Leadership Panel” with the
objective to help achieve the 2014 goal
• Total of 17 members including the chair, Sec. Leavitt:
– 8 federal
– 8 private
– 1 position open for an IT vendor to Intel
• Breakthroughs identified:
– Consumer empowerment (e.g., PHRs)
– Health improvement (e.g., eRx, chronic disease management)
– Public health protection (e.g., biosurveillance)
Govt & Ind Initiatives:
ONC RFPs
Jun ‘05 Jul ‘05 Aug ‘05 Sept ‘05 Oct ‘05 Nov ‘05 Dec ‘05 Jan ‘06 Feb ‘06 Mar ‘06 2009 2014
3 of the 4 ONC RFP Awards: Stds, Cert, Sec/Priv
Oct 6, 2005
Oct 6, 2005
For a total of $17.5m
For a total of $17.5m
•• Standards Harmonization
Standards Harmonization
ANSI to form Health Information Technology Standards Panel (HITSP)
ANSI to form Health Information Technology Standards Panel (HITSP)
$3.3m
$3.3m
•• Certification (of EHRs)
Certification (of EHRs)
CCHIT
CCHIT
$2.7m
$2.7m
“Production” certification of EHRs in March 2006
“Production” certification of EHRs in March 2006
•• Security & Privacy (federal or state laws precedence)
Security & Privacy (federal or state laws precedence)
Research Triangle Institute to form The Health Information Security and Privacy
Research Triangle Institute to form The Health Information Security and Privacy
Collaboration
Collaboration
$11.5m
$11.5m
20 /
GE /
Govt & Ind Initiatives:
ONC RFPs
Jun ‘05 Jul ‘05 Aug ‘05 Sept ‘05 Oct ‘05 Nov ‘05 Dec ‘05 Jan ‘06 Feb ‘06 Mar ‘06 2009 2014
Last of the 4 ONC RFPs: NHIN Real World Demos
Govt & Ind Initiatives:
NHIN Demo’s
Nov 10, 2005
Nov 10, 2005
For a total of $18.6m
For a total of $18.6m
• • Accenture (Apelon, Cisco, CGI-AMS, Creative Computing Solutions, eTech Security Pro, Intellithought,
Accenture (Apelon, Cisco, CGI-AMS, Creative Computing Solutions, eTech Security Pro, Intellithought,
Lucent Glow, Oakland Consulting Group, Oracle, and Quovadx)
Lucent Glow, Oakland Consulting Group, Oracle, and Quovadx)
–– Eastern Kentucky Regional Health Community (Kentucky)
Eastern Kentucky Regional Health Community (Kentucky)
–– CareSpark (Tennessee)
CareSpark (Tennessee)
–– West Virginia eHealth Initiative (West Virginia)
West Virginia eHealth Initiative (West Virginia)
• • CSC (Browsersoft, Business Networks International, Center for Information Technology Leadership,
CSC (Browsersoft, Business Networks International, Center for Information Technology Leadership,
Connecting for Health, DB Consulting Group, eHealth Initiative, Electronic Health Record Vendors
Connecting for Health, DB Consulting Group, eHealth Initiative, Electronic Health Record Vendors
Association, Microsfot, Regenstrief Institute, SiloSmashers, and Sun Microsystems)
Association, Microsfot, Regenstrief Institute, SiloSmashers, and Sun Microsystems)
–– Indiana Health Information Exchange (Indiana)
Indiana Health Information Exchange (Indiana)
–– MA-SHARE (Massachusetts)
MA-SHARE (Massachusetts)
–– Mendocino HRE (California)
Mendocino HRE (California)
• • IBM (Argosy, Business Innovation, Cisco, HMS Technologies, IDL Solutions, Ingenium, and VICCS)
IBM (Argosy, Business Innovation, Cisco, HMS Technologies, IDL Solutions, Ingenium, and VICCS)
–– Taconic Health Information Network and Community (New York)
Taconic Health Information Network and Community (New York)
–– North Carolina Healthcare Information and Communications Alliance (Research Triangle,
North Carolina Healthcare Information and Communications Alliance (Research Triangle,
North Carolina)
North Carolina)
–– North Carolina Healthcare Information and Communications Alliance (Rockingham County,
North Carolina Healthcare Information and Communications Alliance (Rockingham County,
North Carolina)
North Carolina)
• • Northrop Grumman (Air Commander, Axolotl, Client/Server Software Solutions, First Consulting Group,
Northrop Grumman (Air Commander, Axolotl, Client/Server Software Solutions, First Consulting Group,
SphereCom Enterprises, WebMD)
SphereCom Enterprises, WebMD)
–– Santa Cruz RHIO (California)
Santa Cruz RHIO (California)
–– HealthBridge (Cincinnati, OH)
HealthBridge (Cincinnati, OH)
–– University Hospitals Health System (Cleveland, OH)
University Hospitals Health System (Cleveland, OH)
21 /
GE /
AHRQ State Demos in HIT ($25M
AK Sample of RHIOs eHI 2005 HIEs (+$2M)
Hurricane affected Gulf states
NHIN Demos
WA ME
MT
ND VT
MN MI
NH
OR
WI NY MA
SD CT RI
ID MI
WY
PA NJ
IA
NE OH MD
NV DE
IL IN
WV
CA UT CO VA
KS MO KY
NC
TN
OK SC
AR
AZ NM
MS GA
AL
LA
TX
HI
FL
Govt & Ind Initiatives:
DOQ-IT
Jun ‘05 Jul ‘05 Aug ‘05 Sept ‘05 Oct ‘05 Nov ‘05 Dec ‘05 Jan ‘06 Feb ‘06 Mar ‘06 2009 2014
DOQ-IT: CMS 8th SOW
•• Going national with the 7th Scope of Work, DOQ-IT special studies
Going national with the 7th Scope of Work, DOQ-IT special studies
program limited to AR, CA, MA, UT
program limited to AR, CA, MA, UT
•• 5911 practices (5% of “primary care”) in each state
5911 practices (5% of “primary care”) in each state
•• Final goal is to support quality
Final goal is to support quality
•• Export of key measures on chronic diseases to a data warehouse
Export of key measures on chronic diseases to a data warehouse
•• Marketing to and working with QIOs (DOQ-IT University)
Marketing to and working with QIOs (DOQ-IT University)
22 /
GE /
Govt & Ind Initiatives: Most
Americans
Stark / AKS have their
medical
information
in an EHR
Jun ‘05 Jul ‘05 Aug ‘05 Sept ‘05 Oct ‘05 Nov ‘05 Dec ‘05 Jan ‘06 Feb ‘06 Mar ‘06 2009 2014
2003: MMA Rx Drug eRx uniform
eRx: Stark & AKS Relaxtion Program
effective
stds
compliance
Govt & Ind Initiatives:
eRx Proposed Stark / AKS
Available to:
Relaxation staffs
• hospitals for their medical
• group practices to physician members
• PDP sponsors and MA organizations
1) eRx exception / safe harbor
• MMA of 2003 mandate for HHS
2) EHR exception / safe harbor “pre-interoperability”
• Authority given to HHS in Stark and AKS for additional exceptions / safe
harbor
3) EHR exception / safe harbor “post-interoperability”
• May include billing and scheduling software as long as core functionality
includes EHR
• All must comply with the eRx standards
• Necessary and used solely
• Cannot donate IT technology already exists (donatee must certify)
• Donatee cannot divest existing technology
• Value caps
• Without regard for volume and value
23 /
GE /
Govt & Ind Initiatives: Most
Americans
eRx have their
medical
information
in an EHR
Jun ‘05 Jul ‘05 Aug ‘05 Sept ‘05 Oct ‘05 Nov ‘05 Dec ‘05 Jan ‘06 Feb ‘06 Mar ‘06 2009 2014
2003: MMA Rx Drug eRx uniform
Stark &
AKS NPRM
eRx Program
effective
stds
compliance
Foundation standards:
•NCPDP SCRIPT Version 5.0 for transactions between prescribers and dispensers for new
prescriptions, refill requests and response, prescription change request and response,
prescription cancellation request and response, and related messaging and administrative
transactions.
•ASC X12N 270/271, Version 4010 and addenda, for eligibility and benefits queries and
responses between prescribers and Part D sponsors.
•NCPDP Telecommunication Standard, Version 5.1, and supporting NCPDP Batch
Standard, Version 1.1, for eligibility queries between dispensers and Part D sponsors
Initial standards:
•Formulary and benefits, patient instructions, prior authorization messages and clinical drug
terminology (RxNorm), medication history, NPI
GE’s Involvement
John Schaeffler GEHC’s representative to U.S. Congress and govt
agencies
Jackie Studer GEHC’s counsel for legislative activities (e.g., Stark)
Francois de Brantes Bridges to Excellence, The Leapfrog Group, eHealth Initiative
Charles Parisot HITSP, IHE, HL7, ASTM
John Moehrke CCHIT, IHE, HL7, ASTM
Hugh Zettel EHRVA, HIMSS, ONC CSC NHIN Demo RFP,
CCHIT, Katrina Relief, Legislation
Tom Ricciardi Outcomes research, P4P, RHIOs
Susan Thomas, HIMSS, CCR Acceleration Group, CCHIT, AAFP
MD
Marianne Braunstein eHI, HIMSS, CCHIT, RHIOs, DOQ-IT, Legistlation, Katrina efforts
24 /
GE /
Road Map
Market Drivers &
Priorities
25 /
GE /
Dynamic & Complex Environment…
EMR Product Roadmap Drivers…
Customer Enhancement
Requests
Interfaces
Certification
Interoperability DOQ-IT
Clinical Centricity Pay for
Content Performance
EMR
Decision Support NHIN Support
ePrescribing Integrated Financials
Outcomes System
Architecture
User Interface Refresh
Centricity Physician Office Priorities
Interoperability
Clinical Leadership
Integrated Financials
26 /
GE /
CPO-EMR Initiatives for 2006/2007
Customer Requests – Better reporting, Alerts, FH/SH tab on Chart
Summary, Medical necessity checking w/ABN, Clinical Update “icon”
Interoperability – Support RHIO initiatives, Inpatient connectivity,
Interfaces, CCR/CDA Support
ePrescribing – New Rx, Refills, Formulary and eligibility support, RX
Hub, Sure Scripts
Clinical Content and Decision Support – moving beyond the paper
chart to providing decision support
Federal Initiatives – RHIO(NHIN), CCHIT Certification, AHRQ, QIO,
DOQ-IT, P4P
User Interface and System Architecture – update screens and
tools, on going product development goals
Current Programs – 2005 & 2006
27 /
GE /
2005/2006 – New Product Introductions
Mobile EMR 2005 CPO-2006
Handheld Charge Capture EMR Release Integrate PM and EMR
Fully Integrated Images Illustrations & Unified SQL Database for
Centricity Schedule on annotations both PM and EMR
PDA Medications Enhancements Platform rationalizations
Patient Demographics on Growth Charts Unified Scheduling and
PDA Problems Administration
Mobile Charge Capture Enhanced Allergies & adverse Collection enhancements
CPT and ICD-9 Codes reactions for PM
available n drop down list Desktop Document Updated User Interface
Sync with Centricity Management
Import External Charges Clinical Accuracy
Confirmation of Imported Preparation for PM-EMR
Charges integration
Support of multiple DB
instances on a single server
November 2005 December 2005 3rd Quarter 2006
Save time, automate the billing
process, and recapture lost revenue
• Centricity Mobile is Fully Integrated with the
Centricity Physician Office Practice Management
System
• Provides Access to Patient Lists,
Demographics & Schedules on the PDA
• Increase Revenue
• Eliminating Lost and/or Never Recorded
Charges
• Reduce Lag Time
• Real-time Code Edits
28 /
GE /
Fully Integrated
Patient Lists, Demographics, & Schedules on the
PDA
EMR 2005 Features / Functionality
Images, Illustrations, & Annotations Enhanced Allergies & Adverse
Workflow designed for capturing Reactions
digital images
Images saved into database Desktop Document Management
Ability to add illustration templates Views
Simple annotation on images or Teams
illustrations Out-of-office support
Multi-document routing
Medications
Medication monographs Clinical Accuracy
Drug dosing calculator Required fields on encounter forms
Drug interaction checking earlier Redesigned panic high/low
Brand medically necessary (by indicators
state) Custom flowsheet observation
Monthly medication updates labels
Pediatric age improvements
Growth Charts Units support JCAHO’s “Do Not
Use List”
Problems
Problem list views with dimming CPO PM/EMR Integration
Problem reactivation MIK error handling
Duplicate problem notice Insurance & contact management
End date improvements (i.e., minor Appt matching
diagnoses)
29 /
GE /
CPO 2006
Description Target Market
EMR Port to MS SQL 2005 Combined EMR/PM Customers
Small – Medium Size Doctor
Integration of office
SQL Database – lower cost
User Model/SSO
Appeals to office with minimal IT
Installation support
Patient Information
Administration & Set-up
Scheduling & Appointments
Application Look & Feel
Billing and orders
Collections Enhancements
CPO Roadmap
The future…
30 /
GE /
Clinical Content
Next Step Building the Future
Foundation
Enhanced Decision Support
Evidence Based Guidelines Embedded Knowledge
Charting Excellence Knowledge Base Links
Primary Care Kit Collect and Implement Best
Instrument Interfaces Practices
Patient Education
GE Six Sigma Content GE Clinical Content Quality & Efficiency
Primary Care Kit “Backbone” content – Commitment to further
New Encounter Form Sets elements of a SOAP note development & excellence
Flex Sig Form, EKG Form, Chronic Disease Mgmt Continue to Enhance
more Web Enabled Knowledge Decision Support tools
Vaccine management Building Blocks for the 3rd party clinical interfaces
New Letters and Handouts future
Completed November 2005 2006 2007
Interoperability… the key to the
future Today
The future…
• Multiple versions of
HL7 v2.3
•HL7 and ASTM,
Interfaces
NCDPD, DICOM, X12
•• 130 different
Faster Interface
Link development
interfaces have
Logi
New Interface
Engine
been written
• ASP Support
•• Has been a great
More flexibility
c tool
• Ability to support
EMR Tool •RHIO
Limited for future
growth
• In-patient/Out-patient
•interoperability HL7
Limited to one
format Integration
• Device
IHE Profiles
•• Ready for a
• DOQ-IT support
change tomeasures
new Standards
31 /
GE /
CCHIT Certification for EMR
What is it?
CCHIT (The Certification Commission for Health Information Technology) is a industry
group formed to develop certification standards for the many EMR vendors. The
mission of CCHIT is to accelerate the adoption of robust, interoperable HIT throughout
the US healthcare system, by creating an efficient, credible, sustainable mechanism for
the certification of HIT products.
As a leader in EMR…
GE Commitment • Commit to unmet requirements:
We will support…
Documentation of Medication Administration
Track Chronicity Levels
Orders Updates – view by like types (all
Radiology, all labs, etc)
Record Advanced Directive Reviews
Centricity EMR Support Structured documentation of Medication,
dose, time,route, site, lot #, Manufacture and User
ID
Electronic Transmission of prescriptions and
renewals
Track state license, DEA, UPIN & NPI numbers
ePrescribing Transmissions via Sure Scripts for
Retail Pharmacies
• Kryptiq will offer in 1st quarter 2006
• Ability to electronically transmit to
participating pharmacies in EMR Meds
window for new and renewal Rx
• Error management provided
• Implementation only
Transmissions via RX HUB for Mail
Order Pharmacies
Centricity EMR • GE will develop interface to RX HUB
for 2007 availability
• Ability to electronically transmit to
Meeting customer participating pharmacies in EMR Meds
needs window
Support MMA & CCHIT
requirements • Will support Formularies and
Eligibility
• New Renewals workflow and tab
Will id M d hi t
32 /
GE /
You asked…
All future EMR releases will contain
enhancement requests provided by
the Users!
2007
Customer Enhancement Requests from
“Speaking with a Single Voice” session at
2004 Summit
• Add new patient chart tab for Family History/Social History
• Medication Export
• Care Alerts/Reminders
• Enhance Refill Form – part of ePrescribing
Updating Tools… staying current
Refreshing the User Interface
• Work flow improvements
Updating the
• Seamless Clinical Content
Architecture
Financial
• Service oriented Architecture
Financial Desktop
Transaction Mgmt Desktop Chart
Chart
Transaction Mgmt Documents Chart Review
Billing, A/R,
Licensing & Security Framework
Billing, A/R,
Licensing & Security Framework
Messaging & Update
Collections
Collections
Hosted Scheduling Documentation
Balance Forward
Balance Forward (Text & Forms)
Decision Support
Patient
Patient
Payment Entry
Payment Entry (Protocols,
Information
Information Int Checking,
EDI Management
EDI Management Scheduling
Scheduling E&M Advisor)
Application & Server Installers
Application & Server Installers
(Single Common installer for all)
(Single Common installer for all)
Orders
EDI Plug-Ins
EDI Plug-Ins Reports
Reports (Charges)
Administration
Administration
Common UI Shell
Service Wrappers Service Wrappers Service Wrappers HL7 (Integration)
HL7 (Integration)
Service Wrappers Service Wrappers Service Wrappers Engine
Engine
Business Logic
Business Logic Business Logic
Business Logic Business Logic
Business Logic
ADO.NET Data Access Layer
ADO.NET Data Access Layer Insite II
Insite II
Internet Information Server
Terminology
(Monitoring &
Terminology
(Monitoring &
(Web/Application Server) Supportability)
Legend Supportability)
PM Specific
PM Specific
Clinical Tools
Shared
Shared CPO Database CPO Users (Formulary Editor,
EMR Specific
EMR Specific
PM Data Shared Data EMR Data (CPO SSO) Form Editor)
Active Directory
(Single Shared Database Server) (User Database)
33 /
GE /
Mobile Roadmap Vision
TODAY FUTURE
• Integration with • Integration with
Centricity PM Centricity EMR
• Patient List • Clinical Summary
and Clinical Results on
• Demographics
PDA
• Schedule
• ePrescribing
• Charge Capture
• Dictation
EMR Roadmap
2005 2006 2007
Interoperability
New Interface Engine
CPO Standards
2006 Clinical Content
EMR Decision Support EMR ePrescribing
Form Development Electronic
2005 RX-Hub
Enhancements
User requests
GE Clinical Content User Interface
Architecture update
Primary Care
Kit
CPO 2007/EMR 2007
SureScripts
ePrescribing
Mobile
Charge Capture Mobile – EMR for Clinical Summary and results &
ePrescribing
34 /
GE /
Thank You!
35 /
GE /
Related docs
Get documents about "