Joyce Beck MHA CEO Thayer County Health Service, Southeast Nebraska Health Information Exchange Hebron, Nebraska
19 bed CAH in rural Nebraska 4 Physicians, 2 PA’s and one Nurse Practitioner One Rural Health Clinic with 5 satellites Heartland Home Health Tertiary hospital Saint Elizabeth Regional Medical Center in Lincoln, NE
Connectivity made to EMS in Thayer County Hospital electronic with e-mar, bar coding, CPOE Clinics electronic Connectivity to nursing homes, assisted living in Thayer County Connectivity to pharmacy through e-prescribing Connectivity to tertiary hospital Interoperability through use of CONNECT software on the Nationwide Health Information Network
Information Technology sa said d it would work Test data had only been sent on the NHIN between facilities There were doubts from other HIE’s in Nebraska about NHIN If NHIN was to be endorsed I had to see it myself If our actions do not help a patient than all is for nothing
Dr. Bryan Hubl ordered lab test in Hebron for wellness check Lab results obtained and placed in EHR in Hebron Lab results then made available to Redwood MedNet in California for actual wellness exam Information also available on USB to fulfill meaningful use
Wellness exam completed by Dr. Jeff Meckler at Alliance Medical Center, Healdsburg, California Lab results from Thayer County retrieved by Redwood MedNet via CONNECT gateway
Results of labs and x-ray of left hip taken in Healdsburg placed in Alliance Medical Center EHR Results could be placed on USB bracelet or card at patient request This product available through 911 Medical ID or Zaptag
Returned to Thayer County Health Services to be seen by Dr. Hubl Wellness exam as well as results of lab work was available to Dr. Hubl via the NHIN therefore no duplication of testing necessary Dr. Hubl was able to recommend treatment based on information gathered in both Hebron, Nebraska and Healdsburg, California
Nationwide effort is being made using the CONNECT software to accomplish nationwide interoperability. Use of CONNECT software is more affordable for smaller facilities Allows nationwide interoperability eliminating silos of information
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