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MEDITECH • … • … • … Direct Messaging John Valutkevich Michael Henricksen Manager, EHR Initiatives at MEDITECH, Inc.a Director, Product Management & Marketing at Forward Advantage, Inc. • What is Direct Messaging? • How does it impact healthcare organizations? • How does MEDITECH help you comply with Meaningful Use Stage 2 requirements for Direct Messaging? • How does Forward Advantage enhance our Direct Messaging offering? Acronyms PHI MU CCD MIME SMTP HIE DNS CCDA IMAP CCD ONC S/MIME HISP NwHIN HIE What is Direct? Definition Direct: “A simple, affordable way to transport patients’ protected health information (PHI) to a known, trusted recipient via the internet” How did Direct come about? The Direct Project • National initiative (ONC/HHS) to benefit patients and providers • Improves transport of health information • Enables standards-based health information exchange to support MU1 and MU2 measures • Policy provided by National Health Information Network (NwHIN), Oversight by HIT standards Committee • Now managed by Healtheway which took over from ONC and now operationally supports the eHealth Exchange How does Direct work? Secure Message Sent [email protected] Secure Message Received [email protected] • • • • • Sender/Receiver each have a HISP HISP is your direct email provider HISP validates that parties keys are exchanged The email is sent to the recipient Validation of receipt is sent to the sender What is Direct’s Impact on my Organization ? • Present Day • Ability to exchange transitions of care documents (such as CCDs) are part of MU Stage 2 requirements Direct messaging is one way to satisfy this requirement Utilizing an existing Healtheway HIE Exchange is another option • Direct can support your HIE initiatives – no matter how big or small • Offers ability to exchange info with providers outside of an existing HIE or without an EHR 20 states, 40+ HIEs, 10 IDNs and 3 leading PHR providers are offering pathways to utilize Direct • Future State • Emerging requirements for MU Stage 3 point to increased importance for Direct MEDITECH • … • … • …How does Direct work with MEDITECH Platforms ? MEDITECH Direct is part of MEDITECH Product Releases: • MAGIC 5.66 • Client Server 5.66 • 6.07 • 6.13 Direct is either an add-on component to your existing CCD Interface Suite or is licensed as a new CCD Interface Suite The payload is a CCDA (Consolidated CDA – which contains a CCD) MEDITECH can be configured to connect to any HISP MEDITECH Workflows: • Stand Alone Routine for Medical Records and Clinicians • Bi-Directionally send and receive CCDAs • Incorporated into Discharge Routines • Available for patients via MEDITECH Portal MEDITECH • … • … • … Brief Demo of Workflows 12 Fast Facts • Founded – 1993 • Privately held • Serving over 1,000 MEDITECH hospital customers throughout North America and the EU • Locations – Corporate Office – Fresno, CA – Braintree, MA – Westborough, MA • 70+ employees overall Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL. 13 Forward Advantage HIE Solutions Community HIE Foundations (CHIEF) ◦ Documents (CCDs) Direct Module Data Express (DX) ◦ HL7 Discrete Data Communication Director (CDS) Module ◦ Automated Report Delivery Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL. 14 Forward Advantage Communication Director Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL. 15 Forward Advantage Direct Module Add-on to Communication Director Direct Module Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL. 16 Communication Director Direct Module Direct Message Sent Source HISP [email protected] Destination HISP Direct Message Acknowledgement (through MDN) Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL. [email protected] 17 Alignment with MEDITECH Two solutions that complement each other to support your HIE initiatives Exchanging CCD’s, On-Demand which will satisfy MU2 requirements Automated delivery of everything else via Communication Director Direct Module Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL. 18 What are the Benefits of CDS-Direct Module? Supports secure information exchange – regardless of where you are in your HIE strategy rollout Affordable – Optimizes your investment in Direct Low impact to organization Leverages your CDS platform Copyright © 2013, Forward Advantage, Inc. All rights reserved. CONFIDENTIAL. Direct Messaging • MEDITECH supports the exchange of CCDAs • Forward Advantage supports the exchange of additional documents via Communication Director • Interfaces must be licensed in 5.66/6.07/6.13 • HISP Agnostic Contacts John Valutkevich Manager EHR Initiatives MEDITECH, Inc. [email protected] (781) 774-1269 Michael Henricksen Director Product Management & Marketing Forward Advantage, Inc. [email protected] (559) 447-1777 ext. 1224