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Orion Health

Orion Health. Connect Healthcare Health Information Exchange. Agenda. Introductions Company Overview Technical Architecture Demonstration Questions & Answers Wrap Up & Next Steps. Orion Health. Introductions. Orion Health. Company Overview. Orion Health.

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Orion Health

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  1. Orion Health Connect Healthcare Health Information Exchange

  2. Agenda • Introductions • Company Overview • Technical Architecture • Demonstration • Questions & Answers • Wrap Up & Next Steps

  3. Orion Health Introductions

  4. Orion Health Company Overview

  5. Orion Health Orion Health: Private Health Integration company founded 1993 Revenue: $100M USD per annum Employees: 600+ US Offices: Santa Monica, CA (NA head office) and Boston, MA Auckland, NZ (Development Center) Customers: 1000+ customers, 5 continents, 30 countries +25 large HIE deployments globally Goal: “Comprehensive, patient-centric, integrated healthcare” Orion Health Overview

  6. Client Sites Orion Health Flagship HIE Customers

  7. Customers Flagship HIE Customers in NA

  8. Solution Offer Solution Offerings Rhapsody Integration Engine for Data Exchange or Public Health Reporting Secure Messaging Hub Hospital for Enterprise Single View Unified view of the patient record Supporting clinical workflows Built by physicians for physicians Health Information Exchange Enterprise or Public Large regional deployment

  9. Solution Standard HIE Add-on Modules Case Management Patient Portal EMR Lite Diagnostic Orders HIE Problem List Clinical Documentation Web-based Imaging NwHIN Connect Gateway Reporting & Analytics Public Health Reporting Orion Health HIE Solution Summary • Web-based access to the longitudinal patient record (Clinical Portal) • Clinical Messaging: HL7, CCD, XDS, Web Services (Rhapsody™) • Storage of clinical information (CDR) • User Subscribed Notifications • NwHIN DIRECT Secure Messaging • Privacy & Consent • Semantic Interoperability • Enterprise Master Person Index (EMPI) "[Orion Health] is one of the more complete [HIE] solution on offer” Chilmark Research HIE Report January 2011

  10. HIE Stages The Evolution of HIE Approximate 90 day delivery in SaaS • Image Viewer • Disease Management • Population Health • Analytics & Reporting • Patient Portal • EMR Lite • Unified, longitudinal patient record (Clinical Portal) • Notifications • NHIN Gateway • CDR • Semantic Interoperability • Message exchange (Rhapsody) • EMPI, RLS • Secure Messaging (Direct) • Privacy & Consent

  11. Why Orion Independent and agnostic – only global, independently owned eHealth software company Worldwide customer base representing nascent and fully mature HIEs – Customers in 30 countries across North America, Europe, Middle East, Asia Pacific Flexibility of technology, infrastructure, and services – Highly configurable platform, proven interfacing technology, solution available as self-hosted or fully managed SaaS, supports centralized, federated and hybrid exchange models Best of Breed mentality – Not only does the Orion Health platform enable integration, but to better serve the needs of customers Orion Health has integrated with leading EMPI (NextGate, #1 on KLAS) and Semantic Normalization vendors. Breadth of solutions and services – Extensible solution through additional modules: Patient Portal, Case Management, Image Viewer, EMR Lite; and additional services like Change Management Proven results – 41% reduction in hospital admissions and 31% reduction in ALOS at Alberta Health Services Why Orion Health?

  12. Orion Health Technical Architecture

  13. Technical Ar Technical Architecture MPI Normalization Data Repository HIE Module Demographics Encounters Labs, Rads Allergies, Diagnosis Documents Medications Problems, Procedures CCD Exchange Notifications Privacy & Consent Record Locator Demographics Patients Providers Normalization Semantics Codeset Mapping Healthcare Service Bus Parsing Validation Transformation Routing Acknowledgements Privacy Filtering Security Filtering Index Lookups Notification Routing Patient Portal Clinical Portal HL7 CCD SSO XDS Case Management EMR Lite Business Intelligence Web based Imaging Direct Secure Messaging Clinical Summary Secure Messaging Health Library Circle of Care NwHIN Gateway HL7 CCD Notifications & Subscriptions HTTPS HTTPS External Systems Source Systems NwHIN HIEs Medicare Medicaid Known Registries EMRs EHRs Laboratory Radiology HIS Secure Inbox E-Mail Mobile

  14. Orion Health HIE HIE Demonstration

  15. EHR Integrat Orion Health’s methods of delivering seamless clinical workflow between HIE and EHR… Notification and Subscriptions: Controlled seamless flow of data into EHR from HIE (Automated CCD/HL7 push) Send to my EHR: When browsing the Clinical Portal this provides Adhoc push into EHR (Manual CCD/HL7 push) HIE lookup from within EHR (XDS query/response) HIE embedded inside the EHR: One click access to HIE patient record (SSO) Seamless Integration With EHRs

  16. Implementation Hosted (SaaS) Self-Hosted Scalable 3 tier architecture Databases MS SQL 2005/2008 Oracle 10g/11g/RAC Operating Systems AIX 5.x/6.x HP-UX 11i+ Linux Windows 2003/2008 Virtualization: VMWare and IBM PowerVM Implementation Models • Services • User access through an annual per-user subscription • 24 x 7 monitoring and maintenance • Hosted Environment • High-availability hosted hardware • Dedicated and isolated environment • Disaster recovery: primary facility in New Jersey, failover site is in Santa Clara, CA • Security • SSAE 16 compliance • Scheduled security auditing

  17. Platform Supp Server Side Client Side Nothing to install Browsers IE 7, 8 and 9 Firefox 3 and above Safari iOS (iPad) Operating Systems Windows (any) Mac OS X iPad Optional multi-factor authentication Platform Support • Databases • MS SQL 2005/2008 • Oracle 10g/11g/RAC • Operating Systems • AIX 5.x/6.x • HP-UX 11i+ • Linux (eg. RHEL) • Windows 2003/2008 • Virtualization: VMWare and IBM PowerVM

  18. Orion Health Questions and answers

  19. Orion Health Additional technical material

  20. Technical Ar Technical Architecture MPI Normalization Data Repository HIE Module Demographics Encounters Labs, Rads Allergies, Diagnosis Documents Medications Problems, Procedures CCD Exchange Notifications Privacy & Consent Record Locator Demographics Patients Providers Normalization Semantics Codeset Mapping Healthcare Service Bus Parsing Validation Transformation Routing Acknowledgements Privacy Filtering Security Filtering Index Lookups Notification Routing Patient Portal Clinical Portal HL7 CCD SSO XDS Case Management EMR Lite Business Intelligence Web based Imaging Direct Secure Messaging Clinical Summary Secure Messaging Health Library Circle of Care NwHIN Gateway HL7 CCD Notifications & Subscriptions HTTPS HTTPS External Systems Source Systems NwHIN HIEs Medicare Medicaid Known Registries EMRs EHRs Laboratory Radiology HIS Secure Inbox E-Mail Mobile

  21. Architecture Physical Architecture Active-active dual firewalls, Intrusion detection

  22. Redundancy Production and Disaster Recovery

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