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Orion Health
Connect Healthcare
Health Information Exchange
Agenda
I.
II.
III.
IV.
V.
VI.
Introductions
Company Overview
Technical Architecture
Demonstration
Questions & Answers
Wrap Up & Next Steps
Orion Health
INTRODUCTIONS
Orion Health
COMPANY OVERVIEW
Orion Health
Orion Health Overview
Orion Health:
Private Health Integration company founded 1993
Revenue:
$100M USD per annum
Employees:
600+
US Offices:
Santa Monica, CA (NA head office) and Boston, MA
Auckland, NZ (Development Center)
Customers:
1000+ customers, 5 continents, 30 countries
+25 large HIE deployments globally
Goal:
“Comprehensive, patient-centric, integrated healthcare”
Client Sites
Orion Health Flagship HIE Customers
Customers
Flagship HIE Customers in NA
Solution Offe
Solution Offerings
Rhapsody Integration Engine
for Data Exchange or Public Health Reporting
Secure Messaging Hub
Hospital for Enterprise Single View
Unified view of the patient record
Supporting clinical workflows
Built by physicians for physicians
Health Information Exchange
Enterprise or Public
Large regional deployment
Solution
Orion Health HIE Solution Summary
Standard HIE
Web-based access to the
longitudinal patient record (Clinical
Portal)
Clinical Messaging: HL7, CCD, XDS,
Web Services (Rhapsody™)
Add-on Modules
Case Management
Patient Portal
EMR Lite
User Subscribed Notifications
Diagnostic Orders
HIE Problem List
Clinical Documentation
Web-based Imaging
NwHIN DIRECT Secure Messaging
NwHIN Connect Gateway
Privacy & Consent
Reporting & Analytics
Semantic Interoperability
Public Health Reporting
Storage of clinical information
(CDR)
Enterprise Master Person Index
(EMPI)
"[Orion Health] is one of the more complete [HIE] solution on
offer” Chilmark Research HIE Report January 2011
HIE Stages
The Evolution of HIE
4. Advanced
HIE
Approximate 90 day delivery in SaaS
3. Information
Sharing
2. Data
Aggregation
1. Data
Exchange
CDR
Message exchange
(Rhapsody)
EMPI, RLS
Secure Messaging
(Direct)
Privacy & Consent
Semantic
Interoperability
Image Viewer
Unified,
longitudinal
patient record
(Clinical Portal)
Notifications
NHIN Gateway
Disease
Management
Population
Health
Analytics &
Reporting
Patient Portal
EMR Lite
Why Orion
Why Orion Health?
Independent and agnostic – only global, independently owned eHealth
software company
Worldwide customer base representing nascent and fully mature HIEs –
Customers in 30 countries across North America, Europe, Middle East, Asia
Pacific
Flexibility of technology, infrastructure, and services – Highly configurable
platform, proven interfacing technology, solution available as self-hosted
or fully managed SaaS, supports centralized, federated and hybrid
exchange models
Best of Breed mentality – Not only does the Orion Health platform enable
integration, but to better serve the needs of customers Orion Health has
integrated with leading EMPI (NextGate, #1 on KLAS) and Semantic
Normalization vendors.
Breadth of solutions and services – Extensible solution through
additional modules: Patient Portal, Case Management, Image Viewer,
EMR Lite; and additional services like Change Management
Proven results – 41% reduction in hospital admissions and 31% reduction in
ALOS at Alberta Health Services
Orion Health
TECHNICAL ARCHITECTURE
Technical Ar
Technical Architecture
MPI
Normalization
Demographics
Patients
Providers
Normalization
Semantics
Codeset Mapping
Data Repository
HIE Module
Demographics
Encounters
Labs, Rads
Allergies, Diagnosis
Documents
Medications
Problems, Procedures
CCD Exchange
Notifications
Privacy & Consent
Record Locator
Healthcare Service Bus
Parsing
Validation
Transformation
Routing
Acknowledgements
Privacy Filtering
Security Filtering
Index Lookups
Notification Routing
Clinical Portal
NwHIN Gateway
HL7
CCD
SSO
XDS
HL7
CCD
External Systems
NwHIN
HIEs
Medicare
Medicaid
Known Registries
Source Systems
EMRs
EHRs
Laboratory
Radiology
HIS
Patient Portal
Case Management
EMR Lite
Business Intelligence
Web based Imaging
Direct Secure
Messaging
HTTPS
Notifications &
Subscriptions
Secure
Inbox
E-Mail
Mobile
Clinical Summary
Secure Messaging
Health Library
Circle of Care
HTTPS
Orion Health HIE
HIE DEMONSTRATION
EHR Integrat
Seamless Integration With EHRs
Orion Health’s methods of delivering seamless clinical
workflow between HIE and EHR…
Notification and Subscriptions: Controlled seamless
flow of data into EHR from HIE (Automated
CCD/HL7 push)
Send to my EHR: When browsing the Clinical Portal
this provides Adhoc push into EHR (Manual
CCD/HL7 push)
HIE lookup from within EHR (XDS query/response)
HIE embedded inside the EHR: One click access to
HIE patient record (SSO)
Implementat
Implementation Models
Hosted (SaaS)
Services
User access through an annual
per-user subscription
24 x 7 monitoring and
maintenance
Hosted Environment
High-availability hosted hardware
Dedicated and isolated
environment
Disaster recovery: primary facility
in New Jersey, failover site is in
Santa Clara, CA
Security
SSAE 16 compliance
Scheduled security auditing
Self-Hosted
Scalable 3 tier architecture
Databases
MS SQL 2005/2008
Oracle 10g/11g/RAC
Operating Systems
AIX 5.x/6.x
HP-UX 11i+
Linux
Windows 2003/2008
Virtualization: VMWare and IBM
PowerVM
Platform Sup
Platform Support
Server Side
Databases
MS SQL 2005/2008
Oracle 10g/11g/RAC
Operating Systems
AIX 5.x/6.x
HP-UX 11i+
Linux (eg. RHEL)
Windows 2003/2008
Virtualization: VMWare and
IBM PowerVM
Client Side
Nothing to install
Browsers
IE 7, 8 and 9
Firefox 3 and above
Safari iOS (iPad)
Operating Systems
Windows (any)
Mac OS X
iPad
Optional multi-factor
authentication
Orion Health
QUESTIONS AND ANSWERS
www.orionhealth.com
Copyright © 2002-2011 Orion Health group of companies | All rights reserved
Orion Health
ADDITIONAL TECHNICAL MATERIAL
Technical Ar
Technical Architecture
MPI
Normalization
Demographics
Patients
Providers
Normalization
Semantics
Codeset Mapping
Data Repository
HIE Module
Demographics
Encounters
Labs, Rads
Allergies, Diagnosis
Documents
Medications
Problems, Procedures
CCD Exchange
Notifications
Privacy & Consent
Record Locator
Healthcare Service Bus
Parsing
Validation
Transformation
Routing
Acknowledgements
Privacy Filtering
Security Filtering
Index Lookups
Notification Routing
Clinical Portal
NwHIN Gateway
HL7
CCD
SSO
XDS
HL7
CCD
External Systems
NwHIN
HIEs
Medicare
Medicaid
Known Registries
Source Systems
EMRs
EHRs
Laboratory
Radiology
HIS
Patient Portal
Case Management
EMR Lite
Business Intelligence
Web based Imaging
Direct Secure
Messaging
HTTPS
Notifications &
Subscriptions
Secure
Inbox
E-Mail
Mobile
Clinical Summary
Secure Messaging
Health Library
Circle of Care
HTTPS
Architecture
Physical Architecture
Active-active dual firewalls, Intrusion detection
Redundancy
Production and Disaster Recovery