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Integration in
the Age of
Value-Based Care
www.redoxengine.com
These slides were presented live at a Redox
webinar on April 14, 2016. You can find the
recorded broadcast here:
http://blog.redoxengine.com/integration-webinar-recap/
Agenda
• Adoption of EHRs
• Interoperability (i14y)
• Integration with EHRs
• A bit about Redox
• Discussion
TypicalTechnologyAdoption
EHRTechnologyAdoption
https://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives
EHR Landscape
http://dashboard.healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-Participating-Hospitals.php
EHR Vendors Reported by Hospitals Participating in theCMS EHR Incentive Programs
March 2015
http://dashboard.healthit.gov/quickstats/pages/FIG-Vendors-of-EHRs-to-Participating-Professionals.php
Health Care Professional EHRVendors
March 2015
Cloud-
based
Most EHRs are
NOT in the cloud
On-premise Architecture
EHR
LIS
INTERFACE	
ENGINE
(HL7)
HEALTH	SYSTEM	NETWORK
RIS
Other
On-premise Architecture
EHR
LIS
INTERFACE	
ENGINE
(HL7)
HEALTH	SYSTEM	NETWORK
RIS
Other
Reporting
WEB	
SERVER(S)
(CCD,	FHIR)
Value-based care
and the demand
for i14y
$765	Billion	in	waste
(31%	of	total	healthcare	spending)
http://economix.blogs.nytimes.com/2013/09/13/waste-vs-value-in-american-health-care/?_php=true&_type=blogs&_r=0
Classic i14y
Health	System	2Health	System	1
Health	System	3
Classic i14y with Health Information Exchanges
Health	System	2Health	System	1
Health	System	3
HIE
Applications
(data à information)
ApplicationInteroperability
EHR
OTHER	
SYSTEMS
WEB	
SERVER
INTERFACE	
ENGINE
GATEWAY
HEALTH	SYSTEM	NETWORK	2
FHIR
SERVER
Integration Architecture
One cloud-based application to two health system networks.
EHR
OTHER	
SYSTEMS
WEB	
SERVER
INTERFACE	
ENGINE
GATEWAY
HEALTH	SYSTEM	NETWORK	1
FHIR
SERVER
Your	Cloud-
based	
APPLICATION
• Establish connectivity to
health system networks
• Translation of various
standards to your schema
• Maintenance of
connectivity
The Modern API
for Healthcare
Consistent
JSON Models
EHR
OTHER	
SYSTEMS
WEB	
SERVER
INTERFACE	
ENGINE
GATEWAY
HEALTH	SYSTEM	NETWORK	2
AWS
REDOX	VPC
CORE	
REDOX	
SERVERS
CORE	
REDOX	
SERVERS
REDOX	
HEALTH	
SYSTEM	
LISTENER	1
REDIS	KUE	
IN
REDIS	KUE	
OUT
VPG
HTTPS
APPLICATION
REDOX	DB
FHIR
SERVER
Architecture
One cloud-based application to two health system networks.
EHR
OTHER	
SYSTEMS
WEB	
SERVER
INTERFACE	
ENGINE
GATEWAY
HEALTH	SYSTEM	NETWORK	1
FHIR
SERVER
REDOX	
HEALTH	
SYSTEM	
LISTENER	2
REDIS	KUE	
IN
REDIS	KUE	
OUT
CORE	
REDOX	
SERVERS
All	we	do	is	EHR	to	Cloud	integration
Integration	Engineers	with	Extensive	EHR	Knowledge
300+	Applications	Integrating	on	the	Redox	API
Create an account to
get started!
www.redoxengine.com

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