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• …• …• …
MEDITECH
Direct Messaging
John ValutkevichManager, EHR Initiatives at
MEDITECH, Inc.a
Michael HenricksenDirector, Product Management & Marketing at Forward Advantage, Inc.
• What is Direct Messaging?
• How does it impact healthcare organizations?
• How does MEDITECH help you comply with Meaningful Use Stage 2 requirements for Direct Messaging?
• How does Forward Advantage enhance our Direct Messaging offering?
• PHI• TLS• SMTP• MU• CCD• HIE• HISP
• MIME• S/MIME• XDM• MDN• LDAP• DNS• NwHIN
• ONC• POP• IMAP• CCDA• API
Acronyms
PHI
TLS
SMTP
MU
CCD
HIE
HISP
MIME
S/MIME
XDM
LDAP
DNS NwHIN
ONCPOP
API
IMAPCCDA
MUCCD
HIEHISP
What is Direct?Definition
Direct: “A simple, affordable way to transport patients’ protected health
information (PHI) to a known, trusted recipient via the internet”
How did Direct come about?The Direct Project
• National initiative (ONC/HHS) to benefit patients and providers
• Improves transport of health information
• Enables standards-based health information exchange to support MU1 and MU2 measures
• Policy provided by National Health Information Network (NwHIN), Oversight by HIT standards Committee
• Now managed by Healtheway which took over from ONC and now operationally supports the eHealth Exchange
• <insert Justin’s diagram>
How does Direct work?
Secure Message Sent Secure Message Received
Dr.A@PCPhisp.com Dr.B@PCPhisp.com
10010101101010
01000101100101
1001010110101001000101100101
100101011010100100010110010110010101101010
01000101100101
• Sender/Receiver each have a HISP
• HISP is your direct email provider• HISP validates that parties keys
are exchanged• The email is sent to the recipient• Validation of receipt is sent to the
sender
• Present Day• Ability to exchange transitions of care documents (such as CCDs) are part
of MU Stage 2 requirements Direct messaging is one way to satisfy this requirement Utilizing an existing Healtheway HIE Exchange is another option
• Direct can support your HIE initiatives – no matter how big or small
• Offers ability to exchange info with providers outside of an existing HIE or without an EHR 20 states, 40+ HIEs, 10 IDNs and 3 leading PHR providers are offering pathways to utilize Direct
• Future State• Emerging requirements for MU Stage 3 point to increased importance for
Direct
What is Direct’s Impact on my Organization ?
• …• …• …
MEDITECH
How does Direct work with MEDITECH Platforms ?
MEDITECH
Direct is part of MEDITECH Product Releases:• MAGIC 5.66• Client Server 5.66• 6.07• 6.13
Direct is either an add-on component to your existing CCD Interface Suite or is licensed as a new CCD Interface Suite
The payload is a CCDA (Consolidated CDA – which contains a CCD)
MEDITECH can be configured to connect to any HISP
MEDITECH
Workflows:• Stand Alone Routine for Medical Records and Clinicians
• Bi-Directionally send and receive CCDAs
• Incorporated into Discharge Routines
• Available for patients via MEDITECH Portal
• …• …• …
MEDITECH
Brief Demo of Workflows
Fast Facts
• Founded – 1993
• Privately held
• Serving over 1,000 MEDITECH hospital customers throughout North America and the EU
• Locations
– Corporate Office – Fresno, CA
– Braintree, MA
– Westborough, MA
• 70+ employees overall
12
Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL.
Communication Director (CDS) → Automated Report Delivery
Data Express (DX) → HL7 Discrete Data
Community HIE Foundations (CHIEF) → Documents (CCDs)
Forward Advantage HIE Solutions
Community HIE Foundations (CHIEF)
◦ Documents (CCDs)
Data Express (DX)◦ HL7 Discrete Data
Communication Director (CDS) Module◦ Automated Report Delivery
Direct Module
13
Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL.
Forward Advantage Communication Director
14
Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL.
Forward Advantage Direct Module Add-on to Communication Director
Direct Module
15
Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL.
• <insert Justin’s diagram>
Communication DirectorDirect Module
Direct Message Sent
Direct Message Acknowledgement (through MDN) Dr.B@PCPhisp.comDr.A@PCPhisp.com
SourceHISP
DestinationHISP
1001010110
0100010110
16
Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL.
Alignment with MEDITECH
Two solutions that complement each other to support
your HIE initiatives
Automated delivery of
everything else via
Communication Director Direct
Module
Exchanging CCD’s,
On-Demand which will
satisfy MU2 requirements
17
Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL.
Supports secure information exchange – regardless of where you are in your HIE strategy rollout
Affordable – Optimizes your investment in Direct
Low impact to organization
Leverages your CDS platform
What are the Benefits of CDS-Direct Module?
Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL.
18
Direct Messaging
• MEDITECH supports the exchange of CCDAs• Forward Advantage supports the exchange of
additional documents via Communication Director
• Interfaces must be licensed in 5.66/6.07/6.13• HISP Agnostic
John ValutkevichManager EHR Initiatives
MEDITECH, Inc.
jmvalutkevich@meditech.com
(781) 774-1269
Michael HenricksenDirector Product Management & Marketing
Forward Advantage, Inc.
Michael.Henricksen@forwardadvantage.com
(559) 447-1777 ext. 1224
Contacts
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