THE IT&S 2015 ANNUAL REPORT

Other applications tap into the most current patient information
to obtain a full list of medical records associated with a single
patient. Applications such as CareLink and MyHealthOne rely on
HIE’s patient index as its source of data, and other applications
continue to be integrated, taking advantage of the over 37 million
patient records available since 2012. The Patient Index receives
about 1.5 million update records daily and processes over 2
million Web Services requests daily. Key HIE accomplishments in
2015 include:
• ACCESSING MORE PATIENT • SHARING DATA. We piloted
RECORDS. We implemented
Electronic Patient Record
the HIE Clinical Viewer as a
Transfer from a non-HCA
one-click, integrated workflow hospital into an HCA hospital
to all of MEDITECH and eCW
using ONC approved direct
providers, which provides
messaging.
access to patient records in
• SUPPORTING MEANINGFUL
the HIE that are outside of
USE. We provided patient
their EMR.
records for the MyHealthOne
• VIEWING IMAGES. We
patient portal to achieve
deployed PACS radiology
patient portal Meaningful
image viewing from within
Use certification and go-live
the HIE Clinical Viewer to the
for TriStar and Continental
TriStar Division.
Divisions.
• EXPANDING TECHNOLOGY.
We piloted Smart Agent as
an enhanced HIE viewer
for one transfer center and
one practice using the next
generation EMR system.
Optimized Reporting
Advancements were made to centralize the source of truth
for our data and expose that to the enterprise. We expanded
our Clinical Data Management (CDM) product to include lab,
encounter, and perinatal data with more expansion slated for
2016. And we introduced data preparation and prototyping
enhancements for a new tool that accesses and presents data
from our CDM. From the Operating Room to the Emergency
Department, we’re collecting the meaningful data providers need
and getting it to them when they need it.
Data Monitoring
Other technologies are helping us ensure data integrity for
patient care decisions. For instance, the Transaction Lifecycle
Management application monitors HCA’s data flows, ensuring
that data is flowing accurately and timely for initiatives like
HCA’s Blood Sepsis project which is designed to use data to
identify sepsis. This product means we can see data exchanges
between systems every step of the way, and we can diagnose data
issues in minutes rather than days. Every day, the Transaction
Lifecycle Management platform monitors over 6.5 million unique
clinical messages in real-time as they traverse over 150 disparate
systems.
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