Yesterday I joined several Massachusetts CIOs at a Meditech healthcare information exchange kickoff meeting.
Here are the slides we used.
Meditech has chosen to do the right thing - support the Direct protocol
without requiring a vendor specific HISP, an interoperability
"subscription" or transaction fees. Nationwide, any of Meditech's
Meaningful Use Stage 2 certified platforms - Magic 5.66, Client/Server
5.66, or 6.07 can support the Direct implementation guide (SMTP/SMIME)
and the SOAP/XDR addendum.
The Massachusetts HIE, the Mass HIWay, has been live since October 2012
and now transports thousands of transactions per day among providers,
payers, patients, and government. Our goal in 2013 is to add more
organizations and more use cases. Meditech provides about 70% of the
hospital information systems in the Commonwealth, so it is critically
important that Meditech integrates well into the state's cloud-based
HISP.
Over the next few months, a diverse array of hospitals will work closely
with Meditech and state government to implement production HIE
transactions.
Earlier adopters will include Jordan Hospital, Holyoke Hospital,
Winchester Hospital, Berkshire Health Systems, Harrington Hospital, and
Exeter Health (New Hampshire)
Use cases include transition of care summary exchange, public health
reporting. lab results reporting, admission notification, and ED arrival
notification.
Once these pilots are complete, we'll spread Meditech connectivity through the Commonwealth.
With other EHR vendors, which are requiring vendor specific HISPs, we're
still working through the trust issues (authentication is easy,
authorization is harder) that enable HISP to HISP communications among
those clinicians who have agreed to all our privacy policies. Once
this work is done the number of clinicians with HIE connectivity will
accelerate as network effects incentivize data exchange for care coordination, care management, and population health.
