A compilation of live questions from our webinar answered by Founder and Chief Strategy Officer, Troy Bannister.
Quality Reporting is a huge opportunity that National Networks have not yet supported. These organizations typically use fax, state HIEs or literally picking up the phone to make calls in order to gather the data required to create quality reports today.
Regional HIEs will have a place in the world as they offer more customized solutioning for their local community of providers. Sometimes this could be contracted research, it could be custom operational evaluations, etc. Having a strong local HIE creates bubbles of high quality data that can feed into the larger HIN and QHIN ecosystem.
This is the most basic metric we can measure, essentially defined as 1 = we found at least one record and 0 = we found nothing. We can go a layer deeper, however, every Particle partner has a different datapoint they find most crucial. In our presentation, we measured A1c, GFR and BUN for ESRD partners where our ‘hit rate’ = 95% and of those records found, 98% had those key metrics.
They should be able to today via payor portals. Companies like Flexpa are working on this. Billing/payment data should also begin appearing in EMR data as well, this will depend on the USCDI expansion timelines.
DICOM will be really difficult because the file sizes are very large & will likely need a different type of network build for this. Simplified images, like JPEG, do flow through the national networks today. There is actually a live working group trying to roll this out today.
This is what our FOCUS product is meant for!
Particle will receive an incoming query, match against our MPI and send back all the data we have on the patient. We have several options (FHIR, CCD, etc.) and adhere to each networks rules accordingly.
There are some things we can account for and some things we cannot. In your example, you say some machines have different reference ranges - this is not something we can account for. The best we can do is consolidate, flag and serve data up using the information we have at hand. All data has provenance back to its origin systems, making it easy to reference where it came from.
Hard to say, but this is indeed a long-tail of small specialty EMRs that have not come up the interop curve quite yet. You can probably think of this similarly to the HITECH Act that required providers move from paper to electronic… it took awhile, but today almost every provider in the US is on an EMR.
Quest, LabCorp and other labs send data back-and-forth from the EMR. Orders are sent, and results are received. Particle can pull all that data from the EMRs we’re connected into.
Yes! That is what we do :)
There are 3 buckets of healthcare orgs out there: (1) those not on FHIR - this is the most common, (2) those making the transition to FHIR - second most common, (3) those fully up-and-running on FHIR - this is the least common. Particle can ‘speak’ CCDA and FHIR interchangeably so it doesn't really matter where your org is today.
With this limited amount of info, this seems like it would likely fit the Treatment PoU, but there are a few other qualifying questions we’d need to understand.
Treatment mostly today.
No, we do not today. Perhaps as the interoperability rules mature, this could be a reality.
Yes! If you missed our webinar Interop 101: How HINs Work, reach out to us at email@example.com!
More details to come: https://www.outofpocket.health/course-library
A high-level overview of the two common formats for exchanging medical records.
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