Healthcare Provider Directory High-Level Overview January 4,

Healthcare Provider Directory High-Level Overview January 4, 2017 [email protected]

Agenda CRISP Website – RFP Information Overview of CRISP CRISP Architecture What is a Healthcare Provider Directory? RFP Expectations Healthcare Provider Directory Architectural Landscape Review Supporting Material Q&A 2

CRISP Website https://crisphealth.org/ https://crisphealth.org/healt hcare-provider-directory-rfp/ 3

Who We Are CRISP is a regional health information exchange (HIE) serving Maryland and the District of Columbia. We are independent not-for-profit membership corporation advised by a wide range of stakeholders who are responsible for healthcare throughout the region. CRISP has been formally designated as Maryland's statewide health information exchange by the Maryland Health Care Commission. 4

Our Mission We will enable and support the healthcare community of Maryland and our region to appropriately and securely share data in order to facilitate care, reduce costs, and improve health outcomes. 5

Our Vision To advance health and wellness by deploying health information technology solutions adopted through cooperation and collaboration. 6

Our Guiding Principles 1. Begin with a manageable scope and remain incremental. 2. Create opportunities to cooperate even while participating healthcare organizations still compete in other ways. 3. Affirm that competition and marketmechanisms spur innovation and improvement. 4. Promote and enable consumers’ control over their own health information. 5. Use best practices and standards. 6. Serve our region’s entire healthcare community. 7

What is a Healthcare Provider Directory? John Doe A Healthcare Provider Directory accept information from multiple data streams and combines into a single record of a Provider. John Doe Jon Doe 8

Why build one? To provide a foundation upon which to satisfy future use cases The Master Patient Index has established CRISP in the marketplace; it’s time to do the same for Healthcare Providers 9

Use Case Consumer Provider Lookup Benefits Exchange Provider/Plan Search As a CRISP application, I need a single-source of information about a Provider joined from various sources, including demographics and relationships to other providers, hospitals, and the state 10

RFP Expectations We are seeking a solution that leverages CRISP’s existing investments in IBM InfoSphere v10.1 and/or Salesforce 11

Deliverables Technical Proposal (Core Use Case) Summary (1-2 pages) Company Overview Client References Proposed Work Plan Response to General and Technical Questions (Appendix A) Satisfy Requirements (Core Use Case) CRISP HealthcareProviderDirectory Requirements.xlsx Financial Proposal (Core Use Case) CRISP HealthcareProviderDirectory Pricing.xlsx 12

Timeline January 2017 December Sun 1 2 New Year’s Day 8 Mon Tue 3 February Wed 4 Thu 5 Fri 6 February 2017 January Sun Mon Tue Wed 1 Sat Thu 2 Fri Sat 3 4 7 New Year’s Observed 9 March Clarification Questions 10 11 12 13 14 20 21 5 6 7 8 9 10 11 12 13 14 15 16 17 18 22 23 24 25 Bidder’s Conference 15 16 17 18 19 Vendor Demos Announced 22 23 24 25 26 27 28 19 Responses Due 29 30 31 20 Vendor Demos 26 27 21 Vendor Demos Vendor Demos 28 Clarification Questions 13

14

Marketecture Diagram Applications MPI Analytics MBHE Clinical Portal API’s PDMP InContextAlerts PROMPT SSO Context (Unified Landing Page) SecureText DIRECT CRS Tableu SalesForce Pt Portal Medicare CCLF CaseMix MirthCare CRS Portal Basic CM ImageExh Research Coming Soon CCW ADT Analytics LDS Infrastructure CDW CMS Claims Consent ENS (replica) CRS OLAP / Reporting Replicas MPI (patient) CALIPHR Splunk Mirth Connect Mirth Results ENS Terminology MDM Provider OLTP ADT ORU(coded) Verato Data Sources & Connectivity MDM (text) CCDA PDMP EMR Vendors Onboarded / Gateways (In Production) X12 CMS Claims Attribution Smart Router Rules Engine Other Infrastructure Images AD / LDAP 2FA Attribution MDS3 EMR Vendors Onboarded / Gateways (Under Development) 15

LEGEND: Healthcare Provider Directory Data Consumers Future Use Case #xx Tags match the RFP requirements section #10 #11 #12 #20 #13 #14 APIs Patient Admin Provider Reporting Routing HPD Other HIEs, HISPs #1 Patient Future Use Case SalesForce CRISP’s CRM Relationships #5 #6 #15 #18 Use Case #1 #7 #16 SSO / RBAC #19 Provider Practitioner Provider Organization #2 (Update volume and frequency) #17 #4 #3 #9 Data Sources Terminology Health Plan #8 HL7 2.x ADT,ORU,MDM (500k-1MM/day) HL7 CCDA (100k/day) MD CaseMix (All Hospital admits/month) CCLF MDS3 (1MM member updates /month) (10k/day) X12 3rd Party HPD 837(I,P),834,835 NPPES, CAHQ, etc Other HIEs, HISPs (All Ambulatory visits/day) (All MD Providers /month?) (All DirectTrust Members/wkly?)

CRISP INFRASTRUCTURE Data Publishers SMART ROUTER(S) INBOUND INTEGRATION LAYER OUTBOUND INTEGRATION LAYER Hospitals PUSH PUSH Message Queue/Bus Business Logic Microservice MIRTH CONNECT Business Rules Engine Data Processing & Prioritization Resolve Data Subscribers Hospitals PUSH PUSH MIRTH CONNECT SNFs Ambulatory/ Urgent Care Route Data and Alerts to Subscribers Data Subscribers SNFs Ambulatory/ Urgent Care Store/Resolve Master Data Labs / Radiology Labs / Radiology SFTP SFTP Store/Resolve Patient Care Mgmt Solutions Store/Resolve Provider Store/Resolve Relationships/ Consent Store Clinical Data Store Alerts Care Mgmt Solutions APIs APIs PDMP / Public Health Registries ENTERPRISE DATA MASTERS CMS Direct PATIENT MASTER CMS PROVIDER MASTER Attribution & Consent CDR ALERTS REGISTRY Reference Data ETL Platform HSCRC Bulk Data Direct Bulk Data Processing (MapReduce) BI/Data Warehouse Hadoop Data Store (Optional) CRS Database Columnar BI Database (Vertica) Consolidated BI and Reporting UI (Tableau, etc) Unified Landing Page, Other CRISP Portals, and API Gateway Identity Mgmt HSCRC QUERY RESPONSE 17

Questions? Contact Seth Sacher [email protected] 201-286-7127 18