OUI 2015 Why Transpl splant ant is is Sp Specia ial Last Night - - PowerPoint PPT Presentation

OTTR Integration

OUI 2015

 Last Night in the OR

by Bud Shaw, MD

 OTTR IS Tracking for Life  Integration is Key

Why Transpl splant ant is is Sp Specia ial

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 The original goals remain the same.

• Reduce duplicate data entry and increase data integrity.
• Provide the means by which a view of the comprehensive medical record is

possible.

 Beyond the basics.

• Optimizing user experience and workflow.

 Understanding the different user roles.  Creating a seamless and timely flow of data.

• Ensuring data exchange is secure.

 Why are interfaces so difficult…

Integr grat ation ion Go Goals ls

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Integr grat ation ion Chall llenges enges

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 Challenges

• Data without context is not meaningful data.
• Workflow considerations.
• Implementation roadblocks

 Environment considerations, hardware considerations, and people’s time.

• Transaction formats, standards, and nomenclature.

 Opportunities

• New methods/concepts/initiatives supporting data exchange are

emerging.

 CDA/CCD  FHIR – Fast Healthcare Interoperability Resources.  “Direct” Messaging  Regional HIEs - Data warehouses and repositories.  Commonwell – a huge push for an infrastructure to support nationwide interoperability.

OTTR In Integr grat ation ion

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 Partnership announced March 2014  Discovery

• Understanding Transplant
• Developing a common vision for workflow
• Making decisions about features and functions
• Evaluation of current customers
• Solidifying the integration roadmap

 Our Pilot Site Partners

• Indiana University Health
• St. John Medical Center
• USC Keck
• Florida Hospital

Partne nershi rship p wit ith Cerner er

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Cerner er Integr grat ation ion Roadma map

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Cerner er Integr grat ation ion

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Cerner er Integr grat ation ion

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Cerner er Integr grat ation ion

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Cerner er Integr grat ation ion

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Cerner er Integr grat ation ion

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Transplant specific Information displayed face up in the patient’s banner bar

Cerner er Integr grat ation ion

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Cerner er Integr grat ation ion Roadma map

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 What is Xyn Management

• Created in 2012
• Principals

 Dr David Axelrod, Transplant Surgeon – Chief Dartmouth  Jennifer Milton, Transplant Director – UT San Antonio  Mark Schnitzler, Professor – St. Louis University  Jay Milton, COO – XYN Management

• “Better Patient Care / Better Transplant Outcomes / Better Program

Performance”

Partne nershi rship p wit ith Xyn Manag agem emen ent

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 Products and Services

• XynPlot – Predicts future SRTR results, helping preserve Center of Excellence (COE)

status and reduce risk of regulatory sanctions.

• XynTrack – Compiles and summarizes outcomes, providing data that reveals patterns

and root causes.

• XynChart – Predicts the likelihood of success for each patient according to the

different transplantation option available.

• Wait List Management – Monitors patients and updates records through regular

telephone contact by trained waitlist managers.

 Integration with OTTR is primarily with the XynChart product

• 85% of all required data is already in OTTR
• 15% are also valuable and potentially has other uses in OTTR

Partne nershi rship p wit ith Xyn Manag agem emen ent

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Partne nershi rship p wit ith Xyn Manag agem emen ent

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 Ideal Workflow

• Create a patient.

 Complete demographics and referral.  Add Height and Weight + Key Lab Results.  Start Eval  Complete “Transplant Risk Factors” tab (New)

• Validate the Xyn Data (to ensure all required data is populated)
• Transmit the Xyn Data
• View Reports which are returned and posted as text documents.

 Items on the “Transplant Risk Factors” tab in the Eval

• Solid Organ Risk Factors
• Individual Comorbidities
• Charleston Co-morbidity Index
• Desensitization Procedures

Partne nershi rship p wit ith Xyn Manag agem emen ent

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Kid idne ney y Evalu luat ation ion – Transpl splant ant Ris isk Factors

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Xyn Object ct – Adult lt Kid idney ney

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Xyn – Lis istin ing g Evalu luat ation ion Report

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Xyn – Lis istin ing g Evalu luat ation ion Report

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 Status of this Integration Project

• Development began in Q4 of last year.
• Testing at Ottr and with our Pilot Customer Q2 and Q3 this year.
• Deployed to production in September 2015.

 Comments from Kim Barnett, Director of Transplant Services

for Pinnacle Health System

• Pinnacle has been using Xyn Products for almost two years.

 XynPlot and XynChart

• Same concept for validation and submission as RA which makes it

intuitively easy to work with.

• Staff is currently using the new tab in workflow.

 See Steve Williams for more info and/or to get this feature on

your OTTR Roadmap!

Partne nershi rship p wit ith Xyn Manag agme ment nt

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 Inbound CCD

• Integration with the Allscripts EHR - Sunrise Clinical Manager
• Pilot project now in the testing phase at University of Kentucky Medical
• Center. Deployment to prod scheduled for November.
• Currently Supports: Problems, Allergies, Medications, Immunizations, and

Vitals

 Outbound CCD

• Still in development.
• Currently Includes: Problems, Allergies, Medications
• Future deployment options:

 User initiated generation of a CCD on a single patient from Ottr7.  Scheduled trigger of a CCD on a single patient or subset of the entire patient population.  Generation of the electronic XML formatted file for automatic transmission to a target destination system.

CCD Devel elopm

• pment

ent Projec ects ts

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 Stem Lab Integration

• To support enhanced workflow for the OTTR BMT product.
• One vendor currently engaged in discussions to pilot the project – Stem

Soft.

• Key Elements:

 Clinical process takes place in OTTR.  Demographics and “collection order” sent to Lab  Lab does cell processing and inventory  Lab sends product detail back to OTTR, where needed for the permanent clinical record.  OTTR treats lab data as external data and does not allow edits  OTTR provides a display of the combined Clinical + Lab story.  Visual Integration (button) used to allow Clinical users to open Lab system for Display

St Stem Lab Integr grat ation ion

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 OTTRFeed Enhancements

• Support for inbound orders to actions.
• More configuration options for the storage of insurance.
• Configuration to support email when OTTRFeed encounters an error.

 Logging of Errors to the Database.

• More options for outbound interfaces:

 Outbound Documents in MDM format  Outbound ADT  Outbound Allergies  Outbound Discrete Labs

• Improved processing options for ICD-10.

Contin inuous uous Appli lica cation tion Improvem vements ents

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OTTR Integration

Questions?