LACIE Presentation
2-17-14
Mike Dittemore RN, BS, eMBA
Executive Director
LACIE Collaborative
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As of April 1, 2013 LACIE is an independent 501 (c)(3) with no owner,
governed by a perpetual and collaborative Board of Directors
LACIE has no debt – viable and sustainable
Information from contributing sources aggregated into a single
document for viewing
Operations are based in Kansas City
Make every attempt to purchase all of the goods and services we
utilize from the Greater Kansas City Area
Cerner is our technology partner
LACIE is vendor agnostic and access to the HIO can be embedded*
into numerous certified EMRs.
*Access to LACIE directly from electronic medical record without having to enter any
additional patient information before preforming query
What Can The Data In The Exchange Be Used For
• LACIE only allows data in the exchange to be used for
Treatment, Payment and Healthcare Operations (TPO) as defined
by HIPAA
• There is currently no third party use allowed by LACIE of data
entrusted to us e.g. selling data for research/ marketing
• LACIE does not alter, redefine, normalize data or determine
what “normal” parameters are. Normal ranges are provided from
the contributing members
• Should LACIE or another member discover what they believe
to be a documentation error the contributing member is notified
of the possible discrepancy and it is their decision to modify the
information.
LACIE Governance
• Executive Committee
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Dr. Greg Ator – University of Kansas Hospital, Chair
Dr. Laura Fitzmaurice – Children’s Mercy, Vice Chair
Jack Wagner – Shawnee Mission, Treasurer
Dr. Joe Boyce – Heartland Health, Secretary
Mitzi Cardenas – Truman, Exec. Comm. Member at Large
LACIE Governance cont.
• Current Board Members
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Dr. David Nill – Cerner (Large Employer)
Ben Ernst– CEO Northwest Health Services (FQHC)
Jill Watson – CEO KCMPA (Independent Providers)
Cathy Weins – VP Olathe Health System ( Community Hosp.)
Jennifer Kozinn – VP NKCH (Community Hospital)
Harold Johnson – Consumer Advocate
Open
Open
Participation
Lewis And Clark Information Exchange Membership
Organization
Hospitals
Clinics
Providers
University of Kansas Medical Center
2
67
900+
Children’s Mercy Hospitals and Clinics
Truman Medical Centers
Shawnee Mission Medical Center
2
2
1
36
51
24
300
538
700
Olathe Health System
2
37
300
Anthony Medical Center
1
3
8
Hiawatha Community Hospital
1
2
14
Heartland Health/ MOSAIC Life Care
1
51
236
North Kansas City Hospital
1
19
106
St. Francis Hospital and Health Services
Kansas City Metropolitan Physician Association
Turner House Children’s Clinic
1
0
0
5
39
1
30
265
8
Saint Joe Orthopedics
0
1
5
Social Welfare Board
0
1
8
Samuel U Rodgers Health Center
0
6
19
Albany Chiropractic
0
1
2
Johnson County EMS
Bethany Medical Clinic
0
0
0
1
3
3
Platte County Health Department
Kansas City Care Clinic
Poirier Pharmacy
Northwest Health Services
Cerner Clinics
Total
0
0
0
0
0
14
2
1
1
15
3
367
5
8
1
27
10
3,496+
Participation Update Cont. Contracts Being Reviewed
Lewis And Clark Information Exchange Membership
Organization
Additional Hospitals Currently Reviewing Agreement – Verbally Committed
Clinics Associated with Above Hospitals
Independent Clinics/ Non-acute Facilities
Estimated Number of Additional Providers
Total
Hospitals
Clinics
Providers
8
8
25
38
63
550
550
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LACIE Connected to Tiger Institute – University of Missouri
Columbia HIO January 2014 for bidirectional exchange
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LACIE and KTRACS have connected and testing is wrapping up in
test environment, developing processes to onboard providers in
order to query KTRACS directly through LACIE
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Contract signed with Vitalz to provide Patient Portal services on
2-11-14, MU Stage 2 Certified
Monthly LACIE Queries 4-1-13_1-31-14
Patient Queries Through LACIE
45,000
40,000
39,088
35,000
30,000
25,000
Patient Queries
20,000
18,069
15,000
13,668
10,499
10,000
6,489
5,000
5,399
5,601
5,791
3,800
2,108
0
April
May
June
July
August
September
October
November
December
January
Speed Of Data To The Exchange (Centralized Model)
Role Based Views in the Portal:
o Demographics = R/T
o Problem List = N/E
o Diagnosis = N/E
o Allergies = N/E
o Medications = N/E
o Provider Reports = R/T
o Lab Orders/ Results = R/T
o Radiology Reports = R/T
o Vital Signs = R/T
o Clinic Visits = R/T
*Viewable data in LACIE is dependent
on submitting EMRs capabilities and
organizations determination of what to
share.
Example of a Participants Data Submission
R/T = Real Time – once verified/ signed off
N/E = Nightly Extract
Vendor Neutral: Sampling of Interfaces
Allscripts
iMed Corp
Amazing Charts Ingenious Med
AthenaHealth Ingenix
CommChart
Integritas
CPSI
InterComponentWare
eClinicalWorks Meditech
EHS
Misys
e-MDs
NextGen
Encite
Praxis
Epic
Prognosis
GE Centricity
Sage
Glostream
Sage Intergy
gMed
Siemens
Greenway
SOAPware, Inc.
HealthVision
SuccessEHS
*View inside eClinicalworks
Green = embedded into native EMR
MPI – For All Centralized Connections to LACIE
Matching Points:
Demographics fields :
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First Name
Middle Name
Last Name
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SSN**
DOB
Gender
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Address*
Phone
*Address is actually broken up into smaller elements to evaluate
separately:
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Street address
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City
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State
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Zip
Records that are not a 99.21% or higher match from different
organizations is kicked into a work queue and contributing sources
are contacted to verify. 100% match required from same source.
The Early Use Actual Case (Names have been changed)
Allison MaryJane Smith vs. Allison MaryJune Smith
Matching Points:
Demographics fields :
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First Name
Middle Name
Last Name
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SSN**
DOB
Gender
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Address*
Phone
*Address is actually broken up into smaller chunks to evaluate
separately:
·
Street address
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City
·
State
·
Zip
Match or not Match?
The Answer
Twins, one with a congenital heart problem the other no significant medical problems.
[email protected]
Office: 816-214-6894