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2 nd HIT Summit José E Piovanetti, MD PR State HIT Coordinator.

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Presentation on theme: "2 nd HIT Summit José E Piovanetti, MD PR State HIT Coordinator."— Presentation transcript:

1 2 nd HIT Summit José E Piovanetti, MD PR State HIT Coordinator

2 PR HITECH Progress HIE Strategic and Operational Plans (SOP) –Approved on May 10, 2011 PRHIN Legislation presented in PR Legislature on May 2011

3 PR HITECH Progress E-Prescribing –Law –Rule –Paper Copy of Prescription

4 PR HITECH Progress NHIN Direct Messaging –Infrastructure already in place –1 st HIE Mechanism –Awaiting MPI, ILPD, ELPD –Allow exchange via “push” Patient-care summaries, Discharges, Lab Results, …

5 PR HITECH Progress E-Labs –NHIN Direct –Meetings with Lab Owners –Meetings with Medical Technologists –Meetings with LIS Vendors –Proficiency-Tests Reporting

6 PR HITECH Progress PRHIN Outpatient CPOE to have “pool” capabilities –First in the nation –Certification difficulties

7 PR HITECH Progress Next in Pipeline –Master Patient Index (MPI) –Individual-level Provider Directory (ILPD) –Entity-level Provider Directory (ELPD) –Record Locator Service (RLS)

8 PR HITECH Progress Next in Pipeline –Public Health ELR Dengue and AH1N1 projects CDC Funding Future Epidemiology/Public Health Reporting to work as “by-product” of HIE

9 PR HITECH Progress Next in Pipeline –Digital Certificates Private Key Infrastructure (PKI) Controlled Substances e-Prescribing NHIN Direct Messaging

10 PR HITECH Progress Communication Workers of America Broadband Capabilities Report –2008 PR 52 of 53 –2009 PR 53 of 53 PRBI and other ARRA Broadband-projects Support –Low broadband-adoption in PR health sector –Need to support initiatives that improve broadband access and performance

11 PR HITECH Progress HIE Participation Costs –PRHIN Services $$$ TBD –All Inclusive pricing initially. PRHIN services will reduce changes in “aggregator service provider” PRHIN as SDE will require HIE across HIO’s

12 PR HITECH Progress Medicaid Incentives –Medicaid needs MMIS –PR needs SMHP

13 PR HITECH Progress Challenges –Language(s) for communicating with patients –HIT awareness and training –Misconception about HIT capabilities –Meaningful Use compliance information –PR fiscal realities –EHR “feeding frenzy”

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