877.303.3377
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Nov 21
2011
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Healthcare Technical Services Projects for November 20Posted by admin in Untagged |
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- Cardiology Reports Interface – Attended the kick off meeting to discuss first steps for this new reports interface.
- HIE Patient Consent Internal Meeting – Attended this meeting to with the Hospital team to define their strategy for meeting requirements associated with patient consent and sending highly confidential data to the HIE.
- HIE Patient Consent Meeting – Attended this meeting to discuss with other HIE early adopter Meditech organizations the plan for addressing legal and resulting technical requirements associated with patient consent and sending highly confidential data to HIE.
- HIE ADT Gap Analysis – Received a list of 10 questions from HIE that required extensive research, detailed responses and detailed updates to the Action Item List Document that I’ve been maintaining on this side to track work items identified and their status. Reviewed one final time the list of fields identified as requiring HL7 translations or Meditech mnemonic/description lookups with a focus on solution strategies and Meditech dictionary extract and consolidation tasks that will complete for the ADT items which are the most numerous. Took first stab at mapping (documented Excel spreadsheets) the facility Meditech to HL7 Table Value translations for Race, Marital Status, Ethnicity, Employment Status and Admission Priority and shared those mappings with Rich for review/approval.
- HIE ADT e*Gate Development and Testing – Completed e*Gate development and testing for several (based on availability of Meditech dictionary extracts for certain fields) HL7/Meditech code translations as well as for several miscellaneous changes per new issues reported by the HIE team.
- HIE LAB Gap Analysis – Completed mapping of LAB/MIC Department Prefix values to HIE Lab Test Categories and documented the mapping in an Excel spreadsheet. Subsequently, provided the documents for review and approval which I received the same afternoon. Completed detailed research on the structure and format of OBR.15 (Specimen Source) for the Meditech LAB Results feed identifying that it will not be possible to map these codes to HL7 Table values based on the complex nature of the task and their resources’ inability to engage the task due to their heavy workload. Communicate this to the team and let thim know that we would implement solution to provide description (in addition to mnemonic) for the 2 relevant Meditech dictionaries (Source Category and Specimen Description).
- HIE LAB e*Gate Development and Testing – Completed e*Gate development and testing for several items from the action item list with particular focus the transformation rules necessary to extract the LAB/MIC Department Prefix from the Specimen Number (OBR.19) followed by translation of that value to the HIE Lab Test Category values.
- HIE HC PHI Filtering (5 hours) – Pulled together notes and team feedback in order to create the first draft of the design/strategy for implementing HC PHI filters within e*Gate using dictionary item HC PHI lists for location, lab tests, diagnoses, etc. Provided this document to the rest of the team for review. The document will be used as a requirements document for the e*Gate implementation of the HC PHI filter rules.
- Reports Interface – Completed testing of the new port connection to Heartland for the new reports interface. The connection was not successful and subsequent research showed that the VPN tunnel required an update on the Medinformatix side. Requested that change and successfully connected once the change was complete. Also, tested first report message and currently looking for regarding the test. To create the report message, had to pull a report from production and manually edit the HL7 message to use the “TEST” patient for Heartland because Heartland does not have a separate “TEST” system.
- Go live occurred on November 5th and since then we have been working to trouble shoot an array of items uncovered at go live. Some process flows needed to be modified once implemented.
- There were and continue to be issues surrounding server uptime involving the integration engines that are being addressed by the IT infrastructure group.
- We have provided assistance to cover go live support for interfaces to covering 24 hours a day.
- Despite the issues uncovered, the entire system was brought on line and has had over 95% uptime in the previous 2 weeks.
- Preparations are now being made for phase 2 of the implementation, the second facility to be brought live.
- Testing timer trigger for batching Ftp interfaces between EPIC and Rhapsody.
- Testing ADT for GetWell Network and AtStaff from Meditech
- Performed local Rhapsody 4.1.1 IDE upgrade.
- Performed Rhapsody 4.1.1 IDE upgrade on Hospital laptop.
- Debugged Ftp File logging route.
- Completed message analysis on GE Muse messages
- Completed message analysis on Xcelera messages
- Performing message analysis on Apollo messages
- Providing mapping changes for GE MUSE and Xcelera
- Performed additional Epic DFT billing message testing.
- Corrected Epic Bridges errors.
- Commenced GE Muse functional testing
- Debugged GE Muse ECG hyperlink and login details
- Assisted in adding new Epic Resulting agencies Apollo, GE Muse, Phillips Xcelera
- Resolved remote VPN connectivity.
- Correspondence and calls regarding Epiphany cardiology project.
- Helped configure Media Viewer icon in SCM and tested URL results into SCM.
- ePI post activation correspondence and calls.
- Provided examples of summary report display to decision makers, incorporating requested changes to my extract program.
- Reviewed Epics list of patient dups during mpi backload. Plan on comparing to my list of dups from Practice Partner, to see if there are any outliers.
- Modified Immunization and Vitals extraction scripts per team suggestions.
- Met with Epic while onsite to review/resolve conversion related issues.
- Received access to Epic at the end of the week. Began unit testing visits conversion, tweaking messages along the way.
Orchestrate Healthcare assessed our immediate issues and proposed a training solution that met our needs as well as worked within our budget