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Achieving Interconnected Healthcare through HITSP Real-Life Scenarios
Date:1/26/2009

ering sites," said Joel L. Vengco, director, ambulatory practice systems, Boston Medical Center. Vengco explained that the Safety Network has four different types of EMRs with BMC and the 12 community healthcare centers positioning themselves to electronically exchanging health information for patients they share. "HITSP has been the foundation for the interoperability architecture of our health information exchange initiative. Our HIE work will be the cornerstone for at least the next two to three years of our EMR roadmap."

Vengco noted that the multi-vendor EMR environment has created silos, preventing an interoperable state. Now, with an HIE founded on HITSP Interoperability Specifications, BMC and its partners are implementing the exchange of fairly comprehensive medical summaries that include problems, medications and lab results. "The use of HITSP assures the creation of interoperability by serving as a blue print that addresses the 'container-content' problem by providing the guidelines for the message standard and the terminology standard."

Vermont Information Technology Leaders Inc. (VITL)
Vermont Information Technology Leaders Inc. (VITL) is supporting, with the use of HITSP standards, the Vermont Department of Health's Blueprint for Health chronic care management initiative. From several communities, providers send data, which is exported in the Continuity of Care document, or HITSP C 32, format, from their EHR systems to the health information exchange. The HIE then sends the data to a registry supplied by the Vermont Department of Health, where clinicians can use the registry application to track age and gender-appropriate health maintenance and chronic disease care; analyze care provided; and develop more effective interventions.

"VITL has provided grants to independent primary care practices that agree to implement one of six EHR products on VITL's pre-screened EHR product list," sai
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