# Presentation: 830410

## Presented by: 

**Craig A. Mathews, Executive Director**
**AHRQ Annual Grantee Meeting – October 27, 2007**

**Bayou Teche Community Health Network**

**Transforming Quality Through Health Information Technology in St. Mary and Surrounding Parishes**
***“******Building a Rural Health Information Exchange – Opportunities and Challenges” ***

## PRESENTATION OUTLINE

- ORGANIZATIONAL HISTORY
- GOVERNANCE FORMATION
- HIT TECHNICAL DESIGN
- PROJECT EVALUATION

## ORGANIZATIONAL HISTORY

- 501c(3), not for profit rural health network,
- Incorporated in 1998 with a mission to improve access to healthcare for residents of St. Mary and surrounding parishes.

## ORGANIZATIONAL HISTORY

**NETWORK MEMBERS INCLUDE:**

**ORGANIZATIONAL HISTORY**

## GOVERNANCE FORMATION

- Network began with the enactment of a Memorandum of Agreement
- HIT implementation identified early on as a need (single point of patient entry)
- HIT Governance Committee emerged
- Developed operating guidelines and established protocols for system access

## HIE TECHNICAL DESIGN

**IT Vendor Selection **
**Browsersoft is current IT design firm**

## ByNet’s Original Design

- Proposed Design at the start of Year 1
- 2-3 servers
- Clinics attached to severs
- Secure connection through certificates (same connection as banks)

## HIE TECHNICAL DESIGN

**HIE TECHNICAL DESIGN**

## HIE TECHNICAL DESIGN

***The OpenHRE Community*** is a consortium of communities and organizations throughout America, that are working together to achieve secure and sustainable health information exchange.  Established in 2004, this growing  community contributes to the continuing design, development, and distribution of the world’s first open source software dedicated to health information exchange - the OpenHRETM toolkit, developed by Browsersoft, Inc.

## HIE TECHNICAL DESIGN

**The OpenHRETM Toolkit **consists of three NHIN compliant services _that address the needs of health stakeholders_ participating in Health Record Exchanges.
- These services are **“configured”** by a community to meet their exchange needs:
- Electronic Health Record
- Clinical Data Repository
- Summary Patient Record
- Clinical Messaging
- Disease Management Outcomes
- Registry
- Reporting
- On-line Analytical Process (OLAP)

## The OpenHRETM toolkit includes:

The Authentication and Access Control Service (AACS) - Maintains and enforces the individual access control and data ownership requirements of stakeholders participating in Health Record Exchanges.

The Record Locator Service (RLS) - Locates where health  records exist - within an enterprise – within a Health Record Exchange - or among multiple Health Record Exchanges.

The Record Exchange Service (RES) – Queries, retrieves, and caches data from located sources, and assembles the data into usable information displayed via web browser. 

**The Authentication and Access Control Service (AACS)** - Maintains and enforces the individual access control and data ownership requirements of stakeholders participating in Health Record Exchanges.
**The Record Locator Service (RLS) **- Locates where health  records exist - within an enterprise – within a Health Record Exchange - or among multiple Health Record Exchanges.
**The Record Exchange Service (RES)** – Queries, retrieves, and caches data from located sources, and assembles the data into usable information displayed via web browser.

**HIE TECHNICAL DESIGN**

## PROJECT EVALUATION

- Normative
- Data Sharing – Governance Agreements
- Project Environment – LaHIE and LSU
- Vendor
- Formative
- Identification of Known Common Patients
- Identification of Unknown Common Patients (MPI and RLS analyses )
- Estimation of potential reduction in duplication and increased coordination of care.

## Common Identified Customers that are Care Coordinated (TAC View)

| Month | Leonard Chabert Hospital
(75 Miles) | Iberia Comp. (FQHC)
(25 Miles) | Franklin Foundation (CAC-local) |
| --- | --- | --- | --- |
| May 2006 | 46 | 12 | 19 |
| June 2006 | 32 | 6 | 12 |
| July 2006 | 38 | 9 | 18 |
| August 2006  | 36 | 5 | 22 |
| September 2006 | 45 | 7 | 26 |
| October 2006 | 21 | 3 | 17 |
| November 2006 | 28 | 5 | 26 |
| December 2006  | 31 | 3 | 15 |
| January 2007 | 29 | 6 | 18 |
| February 2007 | 19 | 5 | 22 |
| March 2007 | 76 | 4 | 19 |
| April 2007  | 52 | 9 | 16 |
| May 2007 | 46 | 2 | 11 |
| June 2007 | 31 | 6 | 17 |

## AGENCY CONTACT

- <date/time>

**AGENCY CONTACT**

**Rev. Craig A. Mathews**
- Executive Director
- 1111 Weber Street
- Franklin, LA
- 70538
- (337) 828-5638
- (337) 828-3793 Fax
- _[cmathews@bynet-la.org](mailto:cmathews@bynet-la.org)_
- _[www.bynet-la.org](http://www.bynet-la.org/)__ _