MED VIRGINIA

Authorized release of Medical Information through integration with the Health Information Network (NHIN) - The Social Security Administration (SSA) disability program processes over 3 million disability applications per year and makes more than 15 million patient-authorized requests for medical information from health care providers at all levels of the disability adjudication process. Leveraging health information technology (HIT) to automate both the authorized request and receipt of data has significantly reduced the time it takes for processing of SSA disability claims and MedVirginia will leverage its production model of having a single gateway to the Nationwide Health Information Network (NHIN) and SSA, while enabling the MedVirginia HIE and the Centra Health System EHR (Electronic Health Record) to be queried. This will demonstrate the MedVirginia limited production model to be scalable and replicable for an even wider expansion nationwide in the future. MedVirginia has become widely recognized as a national leader in Health Information Exchange (HIE) through its successful participation in the NHIN Trial Implementation in 2008. Building on that success, in early 2009 MedVirginia became the first -- and remains the only -- HIE in live limited production on the NHIN, in conjunction with the Social Security Administration (SSA) via the open-source CONNECT gateway. Together, MedVirginia and SSA paved the way to this current project, and MedVirginia is ready to build on our early shared success and bring additional clinical data suppliers to SSA. MedVirginia will expand its service area significantly through a partnership with CENTRA, a highly-regarded healthcare provider based in Lynchburg, Virginia. CENTRA is a three-hospital system based in Lynchburg, VA. CENTRA?s EMR use is in the top 6% of hospitals in the nation according to the HIMSS Analytics EMR Adoption Model (stage 5.1) with the deployment of CPOE, clinical decision support, clinical documentation and closed loop medication administration. MedVirginia will use a technical model of having a single gateway to the NHIN and SSA, while enabling two separate HIEs to be queried. This offers a scalable and replicable model for even wider expansion nationwide. Value will be obtained from the MedVirginia SSA Limited Production Project by sharing the knowledge gained, or the ?Lessons Learned? and applying it to the SSA ? MedVirginia/Centra Project. In doing so, the knowledge is being catalogued for both immediate and long-term usage for similar projects. CENTRA?s McKesson Horizon Clinicals EHR was implemented in 2005 for the two hospitals in Lynchburg. In July 2009, this EHR was successfully installed in its third hospital located in Farmville, VA, Southside Community Hospital, a small, rural hospital. A single clinical data repository (CDR) exists for the three CENTRA hospitals. Applications currently implemented within CENTRA hospitals that provide a robust set of structured data include: ? Electronic Master Person Index consisting of 90% of primary care population ? 100% Physician Electronic Signature ? 95% Bedside Bar Coding of medication ? 92% of Nursing Documentation Electronic ? 57% of all orders entered online by a physician (CPOE) ? 72% of all medication orders are entered by physician (CPOE) ? 467 evidence based CPOE order sets and clinical protocols ? Fully implemented Radiology and Cardiology PACs, Laboratory, Radiology and Pharmacy systems Along with CENTRA, MedVirginia will, again, partner with Nationwide Health Information Technology (NHIT). NHIT participated in the original NHIN initiative by providing the engineering and architectural resources responsible for evaluation, selection, integration, and deployment of a production CONNECT NHIN Gateway.

Clarification of Codes