wiruralrx jeannie tichy software product analyst marshfield clinic planning a rural prescription...
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WIRuralRx
Jeannie TichySoftware Product AnalystMarshfield Clinic
Planning a Rural Prescription Network
WIRuralRx: Vision
The WIRuralRx partnership will develop a plan for implementing a point-of-care tool that will make accessible real-time, accurate patient-level prescription medication data for any patient receiving health care services at any one of the partnering institutions.
Copyright 2005 Marshfield Clinic
WIRuralRx: Partnership
• Initial planning was a collaboration between 3 facilities in a rural area– St. Joseph’s Hospital– UW Health Wausau Family Practice– Marshfield Clinic
• Implementation will add a fourth partner– Ministry Medical Group – Plover Family
Practice
Copyright 2005 Marshfield Clinic
Partner clinic without EHR: uses software from the Network
Partner clinic with EHR: send and views data via an electronic interface to the Network
Partner hospital with EHR: views network data for admissions/ER; at discharge, transfers meds to partner’s outpatient e-prescribing application
“Read-only subscribers: do not send data to the Network but can view Network information (e.g. a small hospital ER)
WIRuralRxMerge medication lists into one,
non-duplicative list with access to multiple types of Network
“subscribers”
At discharge, med information “cleaned up”
(reconciled) by outpatient e-prescribing application and then sent via interface to
Network
Copyright 2005 Marshfield Clinic
WIRuralRx: Specific Aims
• Aim 1: Creation of Network Infrastructure Components– Development of an Electronic Master Patient Index– Development of a Master Medication List– Development of an Inventory of Allergies and other
Adverse Drug Reactions (ADRs)
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WIRuralRx: Specific Aims
• Aim 2: Establishment of Network Regulatory Elements and Membership– Network security– Patient consent– Provider agreements
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WIRuralRx: Specific Aims
• Aim 3: Establish Essential Capabilities for Interaction with the Network– Data Transfer TO the Network– Data Viewing/Transferring FROM the Network
Copyright 2005 Marshfield Clinic
WIRuralRx: Specific Aims
• Aim 4: Decision Support– Basic decision support– Enhanced decision support
Copyright 2005 Marshfield Clinic
WIRuralRx: Specific Aims
• Aim 5: Evaluation of Network– Utilization– Contribution to Patient Safety– Effectiveness– Costs
Copyright 2005 Marshfield Clinic
Electronic Master Patient Index (EMPI) at Marshfield Clinic
• Definition: A system that maintains demographics and unique patient identifiers from different, independent institutions and maps them to a common identifier.
Copyright 2005 Marshfield Clinic
EMPI: History
• Marshfield Clinic developed its EMPI to accommodate for the Regional Early Childhood Immunization Network (RECIN)
• Software processes combined with timely Health Information Management (HIM) assistance constantly search for, sweep, and remove duplicates from the database, thereby storing the patient identifiers, and up-to-date demographics once and once only.
Copyright 2005 Marshfield Clinic
EMPI: Components
• Real-time Deduplicator
• Batch Patient Integrator (BPI)
• Batch Examiner
• Medical Record Data Integrator (MRDI)
Copyright 2005 Marshfield Clinic
Copyright 2005 Marshfield Clinic
EMPI and WIRuralRx• Where are we today?
– Effective system but will need changes to accommodate for the WIRuralRx
• Current system requires a significant amount of manual effort to be effective.
• Current system does not support demographic information exchange between disparate systems through an interface.
– We are utilizing available resources to address issues to produce an efficient and effective EMPI for the WIRuralRx
Copyright 2005 Marshfield Clinic
Questions?Thank You
Jeannie Tichy
Marshfield Clinic
Ryan Ketterer
Marshfield Clinic
Copyright 2005 Marshfield Clinic