Embed Size (px)
DESCRIPTION
E-Prescribe: Adopting Health Care Information Technology ADG associates presenting: Barbara Antuna Jessica Carpenter Patrick Esparza Brian Frazior. E-Prescribe Project Recap. Summary so far…. ADG has been asked to consult for a suburban 200 bed hospital to help them implement E-Prescribing. - PowerPoint PPT Presentation
Citation preview
E-Prescribe: Adopting Health Care Information Technology
ADG associates presenting:
Barbara AntunaJessica Carpenter
Patrick EsparzaBrian Frazior
Advance Development Group
Summary so far….Summary so far….
ADG has been asked to consult for a suburban 200 bed hospital to help them implement E-Prescribing
E-Prescribe Project Recap
Advance Development Group
So far we have examined…
• Stakeholders
• Business Case
• Common workflow scenarios
• Use of Standards
• Information system requirements
Advance Development Group
Presentation Overview
NOW we will look at:
Information Architecture
Origin of data elements
Flow of data sets between systems
Advance Development Group
Information Architecture
• Fundamental system properties– Databases– Applications– Standards– Procedures– Information use and confidentiality policies– Hardware– Software– Networks
Advance Development Group
System Architecture – Pharmacy Information Exchange
• Need to be able to integrate various data systems, such as medication distribution, billing, and inventory
• Pharmacy Information Exchange certifies software to connect to pharmacies– Provides behind the scenes network that makes the exchange of
new prescriptions and prescription renewals between prescriber and pharmacy possible.
• Works to improve the prescribing process through a focus on safety, efficiency, and quality
Advance Development Group
System Architecture: Overview
1. Patient Demographics
2. Medical History Data
2. Eligibility Data
3. Formulary and Benefits
4. Medication Data
5. Fill Status Data
6. Billing Data
Advance Development Group
System Architecture: Origins of Data
1.1. Patient Patient DemographicsDemographics
2. Medical History Data
2. Eligibility Data
3. Formulary and Benefits
4. Medication Data
5. Fill Status Data
6. Billing Data
Advance Development Group
System Architecture: Origins of Data
1. Patient Demographics
2.2. Medical History Medical History DataData
2. Eligibility Data
3. Formulary and Benefits
4. Medication Data
5. Fill Status Data
6. Billing Data
Advance Development Group
System Architecture: Origins of Data
1. Patient Demographics
2. Medical History Data
2. Eligibility Data2. Eligibility Data
3. Formulary and Benefits
4. Medication Data
5. Fill Status Data
6. Billing Data
Advance Development Group
System Architecture: Origins of Data
1. Patient Demographics
2. Medical History Data
2. Eligibility Data
3. Formulary and 3. Formulary and BenefitsBenefits
4. Medication Data
5. Fill Status Data
6. Billing Data
Advance Development Group
System Architecture: Origins of Data
1. Patient Demographics
2. Medical History Data
2. Eligibility Data
3. Formulary and Benefits
4. Medication Data4. Medication Data
5. Fill Status Data
6. Billing Data
Advance Development Group
System Architecture: Origins of Data
1. Patient Demographics
2. Medical History Data
2. Eligibility Data
3. Formulary and Benefits
4. Medication Data
5. Fill Status Data5. Fill Status Data
6. Billing Data
Advance Development Group
System Architecture: Origins of Data
1. Patient Demographics
2. Medical History Data
2. Eligibility Data
3. Formulary and Benefits
4. Medication Data
5. Fill Status Data
6. Billing Data6. Billing Data
Advance Development Group
Data Flow: Patient Eligibility
Eligibility Request Eligibility Request and Respsonseand Respsonse
PIE - Interface Engine PIE - Master Patient Index Database System
Patient
HospitalComputer Terminal
Billing Claim Interface
Pharmacy Information System
Pharmacy Information
System Database
Pharmacy Information System
Pharmacy Information
System Database
PBM Management Information System
PBM Management Information
System Database
PBM Management Information System
PBM Management Information
System Database
Hospital Management Information System CPOE
Hospital Management Information System Database
Eligibility Request / Response(ASC X12N
270/271)
Pharmacy Information Exchange
(PIE)
Advance Development Group
Data Flow: Medication Formulary and Benefits Information
Formulary & Benefit Formulary & Benefit Request and Request and
ResponseResponse
PIE - Interface Engine PIE - Master Patient Index Database System
Patient
HospitalComputer Terminal
Billing Claim Interface
Pharmacy Information System
Pharmacy Information
System Database
Pharmacy Information System
Pharmacy Information
System Database
PBM Management Information System
PBM Management Information
System Database
PBM Management Information System
PBM Management Information
System Database
Hospital Management Information System CPOE
Hospital Management Information System Database
Formula and Benefit
Request / Response
(NCPDP 1.0)
Pharmacy Information Exchange
(PIE)
Advance Development Group
Data Flow: Medication Request
Prescription Request Prescription Request and Responseand Response
PIE - Interface Engine PIE - Master Patient Index Database System
Patient
HospitalComputer Terminal
Billing Claim Interface
Pharmacy Information System
Pharmacy Information
System Database
Pharmacy Information System
Pharmacy Information
System Database
PBM Management Information System
PBM Management Information
System Database
PBM Management Information System
PBM Management Information
System Database
Hospital Management Information System CPOE
Hospital Management Information System Database
Prescription Request / Response(NCPDP SCRIPT)
Pharmacy Information Exchange
(PIE)
Advance Development Group
Data Flow: Medication History
PIE - Interface Engine PIE - Master Patient Index Database System
Patient
HospitalComputer Terminal
Pharmacy Information Exchange
(PIE)
Billing Claim Interface
Pharmacy Information System
Pharmacy Information
System Database
Pharmacy Information System
Pharmacy Information
System Database
PBM Management Information System
PBM Management Information
System Database
PBM Management Information System
PBM Management Information
System Database
Hospital Management Information System CPOE
Hospital Management Information System Database
Medication History(NCPDP
RXHREQ/RXHRES) Medication Medication
History Request History Request and Responseand Response
Advance Development Group
System Architecture Concerns
• Usability and Availability– EMR upgrade in order to connect to Pharmacy Information Exchange
– Current EMR system creates limited need for additional workstations
• Security– System functions will depend on prescriber level
– System will require HIPAA compliant secure login to access database
• Cost– Cost of system upgrades will be agreed upon in vendor contract in
advance of implementation
• Reliability– System will have frequent upgrades to keep it operational
– System will be functional for at least 95% of the time
• Data Integrity– System will back-up data frequently
– System will have data entry checks in place to prevent data error
Advance Development Group
System Architecture - Timeline
