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SMRTNET Secure Medical Records Transfer Network. Records Needed in the ED. Physician(s) Hospital(s) Specialist(s) Pharmacies (local, chain, mail-in) Laboratories (local, state and national) Native American facility (Indian Health Service) Tribal health Veterans Administration
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Records Needed in the ED • Physician(s) • Hospital(s) • Specialist(s) • Pharmacies (local, chain, mail-in) • Laboratories (local, state and national) • Native American facility (Indian Health Service) • Tribal health • Veterans Administration • Mental health • Public health • Community Health Centers • Clinics
SMRTNET brings them together Diagnosed With Arthritis 2-9-05 Prescribed medication for Cholesterol 12-22-05 Diagnosed Asthma 5-27-99 Diagnosed With Arthritis 4-29-06 Foot Surgery Bone Spur removal 1-15-02 Diagnosed with IBS 9-30-02
SMRTNET Defined • A non profit public “utility” company that helps connect health care providers individually or through their own self governed repeatable networks • Planning reduces planning time by 80% • Data set enhances value (currently 37 million records on 2.7 million lives) • Technology quickly connects providers and institutions saving nearly 70% • Common legal and infrastructure • Vendor neutral • Board for Network of Networks
Benefits of HIE Networking to Hospital • Improved coordination and quality of patient care • More cost-effective care • Improved integration of patient data with physicians • Help qualify for Stimulus payments ($ 2-11 million) • Member of network with over 14 hospitals, and growing • Access to 37 million records, e-prescribing, Dynamed, Surescripts and all future growth • Opportunities high ROI per hospital based on % uninsured costs and ED staff-time savings • 30 quality improvements
Benefits of HIE Networking to Physician • Improved medical history of patient • Required for access to stimulus money • Prescription refills • Access from home to track patients • Improve chronic disease management • Can be integrated into EHR with vendor participation • Physicians without an EHR can participate • Dynamed (continuing education credit) • Access to 37 million records
SMRTNET Northeast Oklahoma • Founding Members • 7 unique participants • Tahlequah City Hospital • Cherokee Nation • Oklahoma State Dept of Health • Hastings Hospital • Northeastern State University • Bill Willis Community Mental Health • NEO Community Health (FQHC)
GOCHC Network • GOCHC in Oklahoma City • OU Medical Center • Unity Health Center • Edmond Medical Center • INTEGRIS Baptist Medical Center • INTEGRIS Canadian Valley Regional Hospital • INTEGRIS Southwest Medical Center • Mercy Health Center • Midwest Regional Medical Center • Norman Regional Hospital • St. Anthony’s Hospital • Oklahoma Heart Hospital • Moore Medical Center • OK City County Health Dept. (OCCHD) has applied
Tulsa Regional Hospital Planning • St John Medical Center • Saint Francis Hospital • Hillcrest Medical Center • Parkside Hospital • St John Owasso • Regional Medical Laboratory
Summary of Clinical Fields 10/22/2014 11
Quality Improvement • MI National Quality Measures-4 • Heart failure-3 • Pneumococcal National Quality Measures -6 • Surgical Care-9 • Medication safety-1 • Medication reconciliation-2 • Risk of Influenza and Pneumonia-3 • Ulcer preventive care-1 • Safety-suicide-1
Other SMRTNET Assisted Networks • 16 statewide community health centers • EMSA • GTHAN • 15 Health Alliance for the Uninsured • Norman Physician Hospital Organization • Duncan • Canadian County Health Access Network • Tulsa Health Access Network • OSMA • Indian Health Service
Ambulatory Interfaces Underway • Allscripts • Centricity • eClinicalWorks • Powerworks • EpicCare • Greenway • NextGen
Connected Communities • Current SMRTNET networks have been built with no need for stimulus money, and should be self-sustaining. This is especially key in rural communities where the hospital is the medical and data hub for physicians and the community. • Hospitals that are a part of SMRTNET: • Free access to SMRTNET for all community physicians • Free access to SMRTNET for dentists and optometrists • Contribute to community health improvement program • Can connect a physician’s EMR for $ 20 per month, thus helping to qualify for stimulus incentive funds • Are positioned to qualify for stimulus money • Help contribute to a statewide data system