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Healthcare Technical Services Projects for October 16 |
- HIE Patient Consent for PHI Meetings – Attended two meetings with management to discuss HIE requirements for opt-in / opt-out and also patient consent for highly confidential patient heath information (HC PHI) on Friday 10/14.
- Integration Team Support – Completed synchronization of all components and associated collaboration rules that I’ve deployed for the Physician Integration schema. Completed this work with 5.6 Upgrade parallel testing preparation.
- HIE LAB Gap Analysis Work – Documented in detail each HIE Issue/Question that was discussed at the LAB Gap Analysis meeting with HIE team. Subsequently, received list of question/items from the HIE team for those items that we were not able to discuss on the conference call. Completed detailed review and research for each item. Added updates for each item with proposed research and solution paths including detailed documentation for identifying the culture, organisms and antibiotic susceptibilities within a given Meditech HL7 ORU Microbiology Result message with comments and bolded data pieces embedded. Shared this response document with the team looking for feedback and to finalize the document contents and proposed solutions. Currently, still waiting on that feedback from the team. In between, have responded to a couple requests from the team. One request was to research the EICU processing for “D” status result OBR/OBX groups, so completed that research by isolating a production example of the “D” status and shared the input and EICU output with Jan. The second request was to pull together “complete” HL7 messages based on the 13 LAB question/issues posted by HIE, completed that request and shared the messages with Jan.
- HIE ADT Gap Analysis Work – Completed updates to the ADT Gap Analysis Response document with detailed field name and usage information gathered for the UB2 segment data fields, based on researched of production messages for the A34 and A35 message issue where the associated MRG segment is empty/null and also pulled together the HL7 Tables (from the HL7 v2.5 Standard documentation) for Race, Religion and Relationship based on the HIE report that they require HL7 Standard Table values for the these 3 fields. Shared the document with the MCHIE team and notified Rich of the issues that still require some research and possible testing (5 total) with an ADM/ABS subject matter expert from the IT clinical team.
- HIE Patient Data Security Research/Discussion – Worked at length directly with Rich and separately to complete research to agree on our interpretations of the HIE requirements language for the “Opt-In / Opt-Out” level requirements and the “HC PHI” level requirements associated with Patient Consent. Also agreed that Rich’s idea to support a “Confidential” flag within all ADT, Lab Results and Radiology/Department Reports messages would be the ideal solution if it is possible, research of the solution is pending. This “Confidential” flag is already supported within the ADM workflow at the site and is present in the HL7 ADT messages, so looking to extend that for LAB and Reports.
- LAB Results Interface – Completed development, unit testing and integrated testing for the LAB Results interface from Meditech to client’s remote location based on the detailed specifications for constructing OBX segments for ORU messages to Standing Stone. Completed series for successful tests for INR results using production messages with patient information updated to point to test patients already in Standing Stone from ADT interface testing.
- Continued provisioning of Practice Nodes on Hospital Node.
- Continued deployment & support of DropBox for independent ambulatory practices.
- ProAccess: Org & User Maintenance for Emergency Departments (GVCH, SYCH, SBCH).
- DropBox: Installed iNexx Platform; additional research with SMEs on configuration for routing by facility
- ProAccess 5.3 Upgrade: Controlling Phase with validation of Medicity PM and the fixes in last CERT deployment: lab data displays, updated logo for storefront/login page, PA Reports Upgrade (display of Result comments), HCS Composer, MHCW Interface Routing & Workqueues; tracking & escalation of testing issues with Medicity.
- Advance Directives Interface: Controlling Phase and continued testing with vendors; tracking & escalation of testing issues.
- Greenway Gateway: Executing Phase – status call with Medicity HL7 Interface resource; escalated Phase 1 project risk of contracts issue with Cottage; continued completion of Practice Planners for eHP practices for Phase 1 HL7 interfaces.
- Sansum-PDL Orders Interface: Controlling Phase – continued integration testing & validation by PDL & Sansum; continued monitoring of project status and tracking of deliverables.
- SB Cardio-PDL Interface: Controlling Phase – Cottage & PDL performing validation with Prime Clinical & SB Cardio; continued monitoring of project status and tracking of deliverables.
- Medicity Training: Continued training of facility staff & PDL staff on DropBox, EHR Interfaces, and ProAccess; DropBox training for external practices.
- Project Management: PM related correspondence with Medicity, other vendors as well as medical facilities.
- Provided onsite ePI activation support
- Began work on Objects Plus development to view EKGs in SCM
- Completed HL7Encrypt2Lvl specification.
- Completed HL7Decrypt2Lvl specification.
- Review of Practice Partner database set up and Epic backload specifications
- Worked on parsing and concatenating RTF files
- Assisted in the finalization of Hospital Codesets for preparation of ProAccess.
- Contacted EMR vendors negotiating “best price” for interfaces for results delivery balancing EMR responses with historical best pricing with Medicity.
- Testing phase with Allscripts PRO Vendor to align MSH segment values and patient matching. Clean processing with no issues.
- Assisted physician with troubleshooting specific results flow to his practice though the Medicity Grid. The discovery phase found specific messages were being held up in the EMR and not delivered to his folder. Contacted EMR and discussed the issue and our findings. EMR corrected issue with no further problems by the physician.
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