Presentation to the Governor\'s Office of Healthcare Reform in Harrisburg Pennsylvania.

1. Unified Medical Informatics

9. IBM Proved It... Unified Medical Informatics Pennsylvania Health Information Network Copyright 2005 IBM Healthcare & Life Sciences GOHCR

24. Architecture Concept Unified Medical Informatics Pennsylvania Health Information Network Western Node South-Western Nodes Northern Node North-Eastern Node South-Eastern Node Central Indexing Server Mirth Connected Clients GOHCR

26. ASTM - CCR Unified Medical Informatics Pennsylvania Health Information Network Continuity of Care Record (CCR) is a health record standard specification in XML developed jointly by ASTM International, the Massachusetts Medical Society (MMS), the HIMSS (HIMSS), the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), and other health informatics vendors. The CCR standard is a patient health summary standard. It is a way to create flexible documents that contain the most relevant and timely core health information about a patient, and to send these electronically from one care giver to another. It contains various sections such as patient demographics, insurance information, diagnosis and problem list, medications, allergies and care plan. These represent a "snapshot" of a patient's health data that can be useful or possibly lifesaving, if available at the time of clinical encounter. The ASTM CCR standard is designed to permit easy creation by a physician using an electronic health record (EHR) system at the end of an encounter. GOHCR

27. EMR - EHR - PHR - CCR Unified Medical Informatics Pennsylvania Health Information Network C ontinuity of C are R ecord P ersonal H ealth R ecord E lectronic M edical R ecord E lectronic H ealth R ecord Patient Clinician Ancillaries Technologist GOHCR

29. Advanced EMR Engine Unified Medical Informatics Pennsylvania Health Information Network Composition Engine GOHCR

39. Budget & Timeline Unified Medical Informatics Pennsylvania Health Information Network Phase 0 - Two Years Phase 1 - 8 mths Phase 2 - 10 mths Phase 3 - 14 mths Phase 4 - 14 mths Phase 1.5 - 8 mths 5 Year Grand Total: $65 Million Dollars GOHCR Phase/Year Price Result Pre-Operative Phase 0 $2.5M C.I.S & Medgnosis Year 1 - Phase 1 $875K 10 Clinics & 1 Hospital Year 2 - Phase 1.5 $2.75M 2 Counties Year 3 - Phase 2 $11.8M 10 Counties Year 4 - Phase 3 $47M PHIN Beta Year 5 - Phase 4 Self Sustaining PHIN Live Yr1 Yr2 Yr3 Yr4 Yr5