NextGen Interoperability – Leading the ChargePresenter – David Venier

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

Housekeeping Items

Answering your questions Please hold all questions

until the end of the presentation.

Cell phones Please silence all electronic

devices for the presentation.

Agenda Key terminology and IHE profile support. The current status of NextGen Interoperability

Supported features and technologies What industry initiatives is NextGen participating in What NextGen is doing to differentiate itself from its

competition Reduced total cost of ownership for clients Hub based models for Meaningful Use interfaces. Rapid deployment, install and update methodologies.

Q & A

Key Terms

NextGen Supported IHE Profiles:HPD+ Health Provider DirectoryPIX/PDQ Patient demographic and cross reference queriesXDS Cross enterprise document sharing, NwHIN Exchange pull mechanismXDR Cross enterprise document sharing for reliable exchange, NwHIN Direct

push mechanism

Other terms:HIE Health Information ExchangeCCDA Consolidated Clinical Document ArchitectureNwHIN Direct National standards where HIE infrastructure is not available.

Uses SMTP (email) or XDR (web services)HISP Health Information Service Provider, use for XDR /NwHIN Direct - 3rd

party (Not NG), acts as translator for SMTP to XDR (and vice versa)SMTP Simple Mail Transfer Protocol – a.k.a. sending secure email MDN Message Disposition Notification

Where are we today?

Interoperability Capabilities

Functional capabilities for C-CDA Export:Save a C-CDA to a local file

Functional capabilities for C-CDA Exchange with an External Vendor:Export a C-CDA to another a 3rd party (HL7)Receive a C-CDA from a 3rd party (HL7)

Functional capabilities for C-CDA Exchange with an HIE:Query and retrieve a C-CDA from an HIE (XDS.b)Provide and register a C-CDA with an HIE (XDS.b)External system query and retrieve C-CDA from NextGen. (XDS.b)

Functional capabilities for Direct Secure Messaging: (Referrals)NextGen Share

NextGen’s free messaging service using our own HISP. HISP is powered by Mirth Mail.

Direct message exchange with a 3rd party HISP.Online provider directory lookup (HPD+)Message delivery confirmation (MDN)

Interoperability Capabilities - 2

Functional capabilities for other clinical information exchange:ImmunizationsCancer Registry ReportingSyndromic SurveillanceOrders and ResultsEHR generated documentation.NextGen open API’s for third party consumption.

What are we working on?

Interoperability Plans within the Industry

New technologies, standards and workgroups:Adoption of FHIR standardsAdoption of SMART technologiesArgonaut ProjectOpen API standardsData ProvenanceesMD - Electronic provider submission.S&I Frameworks.Blue Button Plus

NextGen - ConfidentialNextGen EHR Connect

Interoperability Plans Outside of the IndustryReducing the total cost of ownership to clients:Less client time spent on installation, updating and troubleshooting

our current interoperability offerings.Meaningful use interfaces a priorityPayer based initiatives (C-CDA exchange with payers)RIS based initiatives (Radiology system integration)

Implementation of a central interface routing solution:Public Health Registries building on NextGen Share Technology

ImmunizationsSyndromic SurveillanceCancer Registry ReportingReference labs (future phase)

Centralized Public Health Routing

Providers

Centralized Routing Benefits

Centralized administration: Reduced costs to NextGen and their clients Automated deployment Automated installation Automated updates

Centralized routing: Manage a single point of connectivity to each registry Onboard clients more rapidly Ease of administration for development

Q&A