1. Alabama’s One Health Record®
Technology & Telehealth - Partnerships in Motion
Alabama Broadband & Telehealth Summit
October 2012
October 18, 2012
Presenter: Gary D. Parker

2. Agenda
• Technology & Partnerships: Ultimate Goal
• What is One Health Record®
• Next Steps: Getting Connected to One Health
Record®
• Contact us.

3. • Technology is the making, usage, and knowledge of
tools, machines, techniques, crafts, systems or
methods of organization in order to solve a problem
or perform a specific function…………..to the
collection of such tools, machinery, and procedures.
• Greek (techologia) techne meaning “craft, art, skill”
and logia meaning “the study of”.

4. The One Health Record
Partnership
• Alabama HIE Advisory Commission – 22-
Stakeholder groups.
• Domain workgroups: Legal, Business Operations,
Technology, Finance, Governance,
Communications/Marketing
• Outreach: REC, Tuskegee University, ASU
• Events: MASA, HIMSS, Symposiums, Conferences,
PCN’s, Summits, Meetings, etc.
• HIE Implementation Teams ( S&I, Data, Steering,
Workflow/Policy)
• Medicaid HIE and HIT Offices

5. Alabama’s One Health Record?
• Health Information Exchange (HIE) is:
a. Noun – One Health Record® – The Alabama
State-wide network that provides a set of core
service components that enables……
b. Verb – the sharing(publishing) and reporting of
electronically captured and stored health
information across various connected networks so
providers can improve their patient’s quality of
care.

7. One Health Record® is the
infrastructure that provides:
• Publishing of Continuity of Care Documents (CCD)
• Public Health Reporting (IMZ’s, Labs, Bio-
surveillance)
• Monitor encounter/episodes (what are we not telling
our Docs)
• Make referrals (via DIRECT or publish notification)
• Queries (Patient and/or Provider)
• Meaningful Use
• Additional Skills Set development (Analytics, HIM)

8. Partnership in motion:
Telehealth and One Health Record®
The utilization of Video conferencing, an HER, and the HIE to find, update, or create a clinical
summary(CCD) and push it out for use by the care providers:
• Jane Testinsky arrives for an annual check-up . While performing an EKG, the PCP notes an
irregularity in the results. The PCP then consults with the Jane and refers the him to a
Cardiologist, Dr Heart. The PCP opens and updates the patient’s medical data using the
Electronic Health Record, and then discharges the patient.
• Upon discharge, the PCP generates a CCD and publishes the CCD to the HIE (One Health
Record®). Jane is instructed to go to Rural County hospital on the day of the appointment.
Jane is told that her consultation with Dr. Heart will be handled via a video conference
because the Dr. Heart actually located in Big town 90 miles. away. Rural County is 20 minutes
from Jane’s home. Dr. Heart also has 6 other appointments among 4 other facilities outside
the 90 mile radius of Big Town. This is Dr. Heart’s “travel” day.
• On the appointed day, The Jane goes to Rural County Hospital for her appointment with Dr.
Heart. Prior to the appointment, the attending nurse at Rural opens up Jane’s EHR at the
Hospital record and the nurse for Dr. Heart does likewise. A search for the patient has been
done and the CCD publish by the PCP is retrieved with all the latest medical information,
including the EKG results. Upon discharge, Dr. Heart updates the patient EHR, generates a
CCD and publishes an updated CCD to One Health Record®.

9. HIE Documents
automatically
requested at check-
in, display here

10. Information received
(CCD/Continuity of Care
Document or other) is viewed
with 1 click.

11. Partnership in motion:
Telehealth and One Health Record®
The utilization of Video conferencing, an HER, and the HIE to find, update, or create a
clinical summary(CCD) and push it out for use by the care providers
• Two days later the Jane returns to his PCP as instructed, PCP opens the
EHR, the HIE query is done, and the PCP has the latest update of the
patient’s CCD, including Dr. Heart comments and diagnosis. (In this case
an overdose of 5-hour Energy drink).
• This same scenario is repeated for Dr. Heart’s 6 other patients. The
partnership provides access to care without ever leaving the office and
serves the rural residents that might otherwise never get care.

13. THE ULTIMATE GOAL: QUALITY …
REQUIRES INTEROPERABLE DATA
Improved Coordination of Care
Have access to
longitudinal
patient history
before clinical
decisions are Improved Reduced
Reduced
made Outcomes Fragmentation Costs
FHIN Finalist Presentation 13

14. “Next Steps: Getting Connected”
• One Health Record® Participants
1. Participation Agreement
2. One Health Record® Policies and Procedures
3. Business Associate Agreement
4. Qualified Service Org. Agreement (QSOA). Meets
42 CFR part II requirements for sensitive Info.

15. “Next Steps: Getting Connected”
• HIE-EHR (Hospitals & Provider Practices)
1. One Health Record® on-ramping. (6 – 8 weeks)
2. Workflow (BPM) Integration
• Web Accounts (Open to all providers)
1. Account Registration – Details at the website:
www.onehealthrecord.alabama.gov.
2. Account set-up and Direct address assigned.
3. Log-in and initial Password distributed
4. Confirmation via a Direct message. Why?

16. QUESTIONS?
Contact Information
Gary D. Parker
E-mail: gary.parker@medicaid.alabama.gov
Phone: (334) 242-5011
One Health Record® Office
E-mail: info@onehealthrecord.alabama.gov.
Phone: (334) 353-4121
Dr. Dan Roach, III
Alabama HIT Coordinator
E-mail: danroachmd@gmail.com