Transcript Document
NextGen Interoperability – Leading the Charge
Presenter – 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 Directory
PIX/PDQ Patient demographic and cross reference queries
XDS Cross enterprise document sharing, NwHIN Exchange pull mechanism
XDR Cross enterprise document sharing for reliable exchange, NwHIN Direct push
mechanism
Other terms:
HIE Health Information Exchange
CCDA Consolidated Clinical Document Architecture
NwHIN 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:
Immunizations
Cancer Registry Reporting
Syndromic Surveillance
Orders and Results
EHR 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 standards
Adoption of SMART technologies
Argonaut Project
Open API standards
Data Provenance
esMD - Electronic provider submission.
S&I Frameworks.
Blue Button Plus
NextGen EHR
- Confidential
Interoperability Plans Outside of the Industry
Reducing the total cost of ownership to clients:
Less client time spent on installation, updating and troubleshooting our
current interoperability offerings.
Meaningful use interfaces a priority
Payer 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
Immunizations
Syndromic Surveillance
Cancer Registry Reporting
Reference 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