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Bidirectional Health Information Exchange (BHIE). 24 April 2007 1300 EDT IHS Briefing Mr. Greg W. Donham Draft. Interagency Briefing Agenda. Overview of BHIE Architectural Approach of BHIE BHIE Deployment and Statistics CHDR and the Future of Interoperability. - PowerPoint PPT Presentation
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Bidirectional Health Information Exchange (BHIE)
24 April 2007 1300 EDT
IHS Briefing
Mr. Greg W. Donham
Draft
DRAFT 2
Interagency Briefing Agenda
Overview of BHIE
Architectural Approach of BHIE
BHIE Deployment and Statistics
CHDR and the Future of Interoperability
DRAFT 3
Steps to interoperability
Federal Health Information Exchange (FHIE), provides clinicians at all Veterans Health Administration facilities with the capability to access DoD health information on separated and retired members of the Uniformed Services.
Bidirectional Health Information Exchange (BHIE): BHIE permits DoD military treatment facilities to share clinical data capable of computational actions with any VA medical center when a shared patient presents for care.
Clinical Data Repository/Health Data Repository (CHDR) enables the VA’s Health Data Repository (HDR) and the DoD’s Clinical Data Repository (CDR) to share outpatient pharmacy and drug allergy information for Active Dual Consumer (ADC) patients.
DRAFT 4
DoD/VA BHIE Project : NDAA Funded
The goal of BHIE is to improve the service to provide outstanding health care to our Veterans by:
Providing a more complete electronic text and image record of patient care over time Providing timely and accurate clinical information to the health care provider and patients Displaying and, if possible, avoiding the duplication of medical tests Providing a more complete record of external care for VA patients
DRAFT 5
Interoperability Goals
Provide the best healthcare possible to the U.S. Military and our veterans
Operate a joint system for initial one-way transfer of electronic health information from DoD to VA that contributes to veterans’ health
Provide on-demand electronic health information to assist in the compensation process
Ensure compliance with HIPAA regulations and security requirements with existing systems
Create an environment for storing very sensitive information
Use a patient-focused information technology familiar to authorized VA and DoD users
DRAFT 6
DoD
CHCSSharingFacility
CHCS CHCS
MHSData Repository
FHIE/BHIE Framework
FHIE/BHIEFramework
FHIE Repository
HL7
PDTS
SADR
K61
Pre/Post
PDHRA
VA MPI
VistA VA Host
(Station 200) VistA LocalVAMC
VA
-Correlation of Patient Identity
-Information Locator
-Security
-Optimization
-Adapter/Connector
CPRS
High-Level FHIE/BHIE Architectural ComponentsHigh-Level FHIE/BHIE Architectural Components
RDV & VistAWeb
Query Access
VistALink
PIDS/ Correlation
DoDWeb Server
DoD GUI
CACHE’
VitriaIE
HL7/ADTWS/XML
HL7/ADT
WS/XML
DMSS
CIS
DRAFT 7
BHIE Capabilities
BHIE delivers Patient Identification Correlation and real time bidirectional transmittal and display of:
Outpatient Pharmacy; Drug and Food Allergy; Surgical Pathology Reports; Cytology Results; Radiology Text Reports; Microbiology Results; Chemistry & Hematology Results; Laboratory Orders CliniComp/Essentris Emergency Department Notes and
Discharge Summaries Medical Images (as of 3 May 2007)
DRAFT 8
BHIE Implementations
Madigan AMC - Oct 04* William Beaumont AMC - Feb 05 Dwight D. Eisenhower AMC - Sep 05 Naval Hospital Great Lakes - 14 Sep 05 NMC, San Diego – Balboa - 21 Sep 05 National Capital Area - 14 Nov 05 Mike O'Callaghan Federal Hospital - 30 Nov 05 Landstuhl Regional MC, Germany - 20 Mar 06 Tripler Army Medical Center - 05 Apr 06* Womack Army Medical Center - 26 Apr 06* David Grant Medical Center - 18 Apr 06 Wilford Hall Medical Center - 10 May 06
* BHIE-CIS Implemented
Brooke Army Medical Center – 10 May 06 * Bassett Army Community Hospital - 26 May 06 NH Jacksonville – 7 Jul 06 NH Charleston – 1 Aug 06 NH Pensacola – 3 Aug 06 NH Camp Lejeune – 11 Sep 06 NACC Groton – 16 Sep 06 NH Lemoore – 27 Sep 06 NMC Portsmouth – 27 Sep 06 Leonard Wood ACH – 12 Mar 07 Darnall AMC – 27 Mar 07 Fox Army Health Clinic – 3 Apr 07 Martin Army Community Hospital – 4 Apr 07
Interagency installation and training completed at:
DRAFT 9
BHIE Sites: Current and Pending
BHIE operational
BHIE implementations planned during FY2007
NCA
LRMC
Mike O’Callaghan Federal Hospital
David Grant MC
Bassett ACH
Elmendorf AFB
Madigan AMC
NHC Great Lakes
Eisenhower AMC
NHC Charleston
25 DoD host sites = 15 DoD Medical Centers, 18 DoD Hospitals & over 190 DoD Clinics
(Access to over 2.1 Million correlated patients)
Tripler AMC
William Beaumont AMC
NMC San Diego
NH Camp Pendleton NH Camp Lejeune
Womack AMC
NH Pensacola
Darnall AMCMacDill AFB
NH Jacksonville
NACC Groton
NH Corpus Christi
Wright-Patterson AFB
Martin ACH
NH Lemoore
NMC Portsmouth
Minot AFB
BHIE-CIS operational
Leonard Wood ACH
Fox AHC
Kirtland AFB
Brooke AMCWilford Hall
Evans ACH
DRAFT 10
Questions