Redwood MedNet :: Health Information Exchange

HIE Services

BASIC HIE SERVICES
Directed Exchange
Community Gateway
Population Health Tools
Patient Portal

PREMIUM HIE SERVICES
Secure HIE Appliance
HIPAA Secure Messaging
Hosted eRx / EHR

Directed Exchange [ Included in basic HIE services ]
Sometimes called push messaging, directed exchange is the secure point-to-point electronic delivery of clinical data between two trading partners who were already exchanging data via fax or courier (or in some cases, via a web portal). Redwood MedNet helps our participants replace printed reports previously sent by fax or portal with a secure electronic delivery service. Making health data and clinical messages arrive where they are needed in newly installed EHRs helps simplify patient care workflow and reduces the creation of new data entry errors. Examples:

Directed exchange is a key feature of the basic health data delivery service provided by Redwood MedNet, and includes a portal for sites with no EHR, or for sites whose EHR lacks appropriate interfaces for unsolicited electronic clinical messages. The directed exchange service is especially useful for hospitals or eligible providers who need to route test results or care transition summaries to external trading partners.

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Community Gateway [ Included in basic HIE services ]
Sometimes called query-response messaging, the Redwood MedNet community exchange gateway provisions two-way messaging services that integrate with site-level EHR software. For example:

Redwood MedNet can provide this type of bidirectional gateway service to healthcare facilities with EHR solutions that are able to support bidirectional exchange services.* The Redwood MedNet exchange service also includes the CONNECT federal gateway, as well as master patient indexing (MPI) services. Community echange gateway services may include longitudinal patient records, site or community registries, clinical trials integration, or other advanced EHR features or community care coordination options. The success of community exchange gateway services is dependent upon robust patient consent management at each participating healthcare facility.

* Not all certified EHRs are able to manage fully informed patient consent. Even with robust consent management, some EHRs are not able to support fully bidirectional services. Some EHRs have no outbound ordering capability, and some EHRs that support outbound orders have no ability to import an unsolicited clinical result. Bidirectionality of clinical data traffic is an ad hoc process, and ranges from easy to prohibitively expensive to impossible.

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Population Health [ Included in basic HIE services ]
There are three population health data services in development by Redwood MedNet.

Patient Portal [ Included in basic HIE services ]
Redwood MedNet can exchange* data with a patient's HealthVault personal health record (PHR) account. Activating HealthVault as a patient portal is contingent upon affirmative consent and patient identity authentication. Once activated, HealthVault allows a patient to organize their own health records, and to control who sees and uses the records.

*Shown by Redwood MedNet in the Federal Health Architecture (FHA) demonstration of the Direct Project at HIMSS 2011 in Orlando.

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Secure HIE Appliance [ Premium service, extra charge ]
Approximately half of the health care facilities participating in Redwood MedNet require a hardware device to secure the HIE communication circuit. There is an extra cost for installation and maintenance of the secure HIE appliance. An appliance is typically needed in solo or small practices, or at independent hospitals.

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HIPAA Secure Messaging [ Premium service, extra charge ]
Certificate secured SMPT clinical messaging (aka the "Direct Project") is an emerging solution for health care trading partners to exchange patient data. The Direct Project, sponsored by ONC, establishes standards to support simple scenarios to push data from where it is to where it's needed in a way that also supports more sophisticated interoperability in the future. In 2011 Redwood MedNet received a grant from Cal eConnect to test secure messaging in production healthcare environments.

NOTE: In 2012 most certified EHRs will release Direct Messaging mailboxes that are integrated with the clinician workflow in the EHR. Redwood MedNet offers a HIPAA secure messaging service for sites without an updated implementation of a certified EHR, or for non-standard sites (e.g., long term care, laboratories, etc.) that do not have a secure Direct Messaging mailbox integrated with their EHR.

SEE PRICING MATRIX

Hosted eRx / EHR [ Premium service, extra charge ]
Redwood MedNet has full integration with RxNT, an ONC-ATCB certified EHR. RxNT can be configured as a simple stand-alone ePrescribing (eRx) system, or as a full EHR.

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	Health Information Exchange Interoperability for Meaningful Use HIE Services HIE Services Pricing Request a Quote for HIE Services HIE Expansion HIE Document Archive HIE Services BASIC HIE SERVICES Directed Exchange Community Gateway Population Health Tools Patient Portal PREMIUM HIE SERVICES Secure HIE Appliance HIPAA Secure Messaging Hosted eRx / EHR Directed Exchange [ Included in basic HIE services ] Sometimes called push messaging, directed exchange is the secure point-to-point electronic delivery of clinical data between two trading partners who were already exchanging data via fax or courier (or in some cases, via a web portal). Redwood MedNet helps our participants replace printed reports previously sent by fax or portal with a secure electronic delivery service. Making health data and clinical messages arrive where they are needed in newly installed EHRs helps simplify patient care workflow and reduces the creation of new data entry errors. Examples: Send laboratory test results as structured data to the ordering clinician, either via the Redwood MedNet portal or directly into the clinician's EHR Send narrative transcription as electronic text from one health care site to another (assuming that the receiving EHR is capable of accepting unsolicited clinical text files) Send admitting documents for a long term care resident to a hospital, or send discharge documents from a hospital to accompany a patient's admission to a long term care facility Directed exchange is a key feature of the basic health data delivery service provided by Redwood MedNet, and includes a portal for sites with no EHR, or for sites whose EHR lacks appropriate interfaces for unsolicited electronic clinical messages. The directed exchange service is especially useful for hospitals or eligible providers who need to route test results or care transition summaries to external trading partners. SEE PRICING MATRIX Top of Page Community Gateway [ Included in basic HIE services ] Sometimes called query-response messaging, the Redwood MedNet community exchange gateway provisions two-way messaging services that integrate with site-level EHR software. For example: Order a test from an EHR, and receive the result in the EHR as structured data When a patient presents in the ER retrieve a care summary from the patient's primary care provider Allow a patient's HealthVault account to query an outpatient practice or hospital for a copy of a recent visit. Redwood MedNet can provide this type of bidirectional gateway service to healthcare facilities with EHR solutions that are able to support bidirectional exchange services.* The Redwood MedNet exchange service also includes the CONNECT federal gateway, as well as master patient indexing (MPI) services. Community echange gateway services may include longitudinal patient records, site or community registries, clinical trials integration, or other advanced EHR features or community care coordination options. The success of community exchange gateway services is dependent upon robust patient consent management at each participating healthcare facility. * Not all certified EHRs are able to manage fully informed patient consent. Even with robust consent management, some EHRs are not able to support fully bidirectional services. Some EHRs have no outbound ordering capability, and some EHRs that support outbound orders have no ability to import an unsolicited clinical result. Bidirectionality of clinical data traffic is an ad hoc process, and ranges from easy to prohibitively expensive to impossible. SEE PRICING MATRIX Top of Page Population Health [ Included in basic HIE services ] There are three population health data services in development by Redwood MedNet. Push electronic immunization reports from an EHR to the California Immunization Registry (CAIR). Launched in August 2011. Publish daily syndromic surveillance signals for influena-like illness to local, state and national public health agencies. Scheduled for pilot testing in mid-2012. User configurable patient registry builder. In development. Commercial availability anticipated in 2012. SEE PRICING MATRIX Top of Page Patient Portal [ Included in basic HIE services ] Redwood MedNet can exchange* data with a patient's HealthVault personal health record (PHR) account. Activating HealthVault as a patient portal is contingent upon affirmative consent and patient identity authentication. Once activated, HealthVault allows a patient to organize their own health records, and to control who sees and uses the records. Shown by Redwood MedNet in the Federal Health Architecture (FHA) demonstration of the Direct Project at HIMSS 2011 in Orlando. SEE PRICING MATRIX Top of Page Secure HIE Appliance* [ Premium service, extra charge ] Approximately half of the health care facilities participating in Redwood MedNet require a hardware device to secure the HIE communication circuit. There is an extra cost for installation and maintenance of the secure HIE appliance. An appliance is typically needed in solo or small practices, or at independent hospitals. SEE PRICING MATRIX Top of Page HIPAA Secure Messaging [ Premium service, extra charge ] Certificate secured SMPT clinical messaging (aka the "Direct Project") is an emerging solution for health care trading partners to exchange patient data. The Direct Project, sponsored by ONC, establishes standards to support simple scenarios to push data from where it is to where it's needed in a way that also supports more sophisticated interoperability in the future. In 2011 Redwood MedNet received a grant from Cal eConnect to test secure messaging in production healthcare environments. NOTE: In 2012 most certified EHRs will release Direct Messaging mailboxes that are integrated with the clinician workflow in the EHR. Redwood MedNet offers a HIPAA secure messaging service for sites without an updated implementation of a certified EHR, or for non-standard sites (e.g., long term care, laboratories, etc.) that do not have a secure Direct Messaging mailbox integrated with their EHR. SEE PRICING MATRIX Top of Page Hosted eRx / EHR [ Premium service, extra charge ] Redwood MedNet has full integration with RxNT, an ONC-ATCB certified EHR. RxNT can be configured as a simple stand-alone ePrescribing (eRx) system, or as a full EHR. SEE PRICING MATRIX

	Top of Page This cumulative work from 2005 - 2012 is licensed by Redwood MedNet under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 United States License. Some rights reserved. Redwood MedNet 216 W. Perkins St., #206, Ukiah, California 95482 707.462.6369 (v) 707.462.5015 (f) Last Update: 6 April 2012