Making Information

Exchange Meaningful Arizona Rural & Critical Access Hospitals HIT/Quality Workshop

Jim Karolewicz

Vice President

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 2

Objectives

Provide overview of Cerner’s approach to two aspects of

stage 2 meaningful use requirements

View/download/transmit

Information exchange

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 3

Information Exchange

“We don’t believe any information that aides in a person

receiving the best, most efficient care,

should ever be left behind.”

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 4

Objectives

Reduce reliance on inefficient, unsecure

communication methods

Facilitate patient self-management and

exchange of information among providers to

ensure continuity of care

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 5

View online, download, and transmit information

about a hospital admission/physician office visit

Addressed through a combination of Cerner Patient Portal

and use of Cerner Direct

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 6

View online, download, and transmit information

about a hospital admission/physician office visit

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 7

View online, download, and transmit information

about a hospital admission/physician office visit

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 8

View online, download, and transmit information

about a hospital admission/physician office visit

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 9

View online, download, and transmit information

about a hospital admission/physician office visit

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 10

View online, download, and transmit information

about a hospital admission/physician office visit

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 11

View online, download, and transmit information

about a hospital admission/physician office visit

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 12

View online, download, and transmit information

about a hospital admission/physician office visit

PDF format XML format

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 13

Cerner Direct : Directed Exchange

“Uninterrupted”

Direct Email

Exchange

Policy Technology

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 14

Directed Exchange 123’s

Health Information Service Provider

[HISP]

Registration Authority

[RA]

Certificate Authority

[CA]

HISP – Entity

responsible for issuing

Direct email addresses

and processing

messages to and from

those addresses.

CA – Entity vouching for

identities behind the

digital certificates it

issues.

RA – Conducts the

identity verification

activities required by

the CA.

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 15

Cerner Direct HISP

The Cerner Direct Health Information Service Provider

(HISP) is …

a full-service HISP - provide HISP, CA and RA services

In compliance with the DirectTrust.org Certificate Policy

issues organization level Direct certificates

the sole HISP for Cerner solutions

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 16

Who is Participating in Direct Trust?

Electronic Health Network Accreditation Commission (EHNAC)

http://www.ehnac.org/status

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 17

Solutions Connected to the HISP

Cerner Millennium Remote Report Distribution

Enables delivery of reports to a Direct email address vs. fax.

Cerner Millennium Message Center

Enables ad-hoc Directed exchange from within the EMR inbox.

Cerner Direct Inbox

Enables Directed exchange for non-Millennium community providers

with little-to-no EMR.

Cerner Direct Referrals

Enables closed-loop referrals with real-time statuses

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 18

Remote Report Distribution (RRD)

Creates a Direct Message

with the report as an

attachment

Passive to end users

Supports both traditional

report delivery and via

Direct based on capability

of the recipient

Remote Report Distribution

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 19

Message Center

Send and receive secure

messages with trusted

external recipients

Free text recipient or

select from organizational

address book

Attach a CCD, clinical note,

etc….

Message Center

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 20

Cerner Direct Inbox

Allows non-Millennium

community partners to

communicate via Directed

exchange

Send and receive secure

messages with

attachments

Accessible via internet

and recent web browser

Cerner Direct Inbox

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 21

What is CernerResonance?

CernerResonance enables real time, secure discovery and

exchange of clinical information using industry adopted,

open standards between providers.

CernerResonance consists of two major components:

CernerResonance Services- Cerner hosted multi-tenant services

utilized to facilitate connections, provide orchestration of messaging

and storage of documents;

CernerResonance Network- The network of all participating

communities.

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 22

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 23

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 24

© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 25

Questions?

Thank You for the opportunity to present today!