CLIQ CLinical InQuiry

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CLIQCLinical InQuiry
MaRDI
Last update 2/04
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Information Access Challenge

• Delays / failures in dissemination of reports/
  results to primary care community clinics
• Unavailability / incompleteness of the paper
  medical record
• Inefficiency of access to basic clinical
  information for busy clinicians
• Difficult to use, non-intuitive systems

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Silos of Information
Patient demographics
Paper transcribed reports
Laboratory Results
Pathology Reports
Radiology Reports
Cardiology Reports
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Information Access Solution

• Efficient communication channel enabling
  dissemination of results and reports
• Centralized repository of all electronically
  available clinical results/reports data
• Minimize redundant registrations and duplicate
  medical records
• Single/common user interface to clinical
  information
• Easy-to-use
• Intuitive and efficient
• Patient-centric approach to information access
• Scalable, platform independent and available
  anywhere

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Information Access Solution
Patient demographics
e-Transcribed Reports
MPI
Laboratory Results
CLIQ CDR
CLIQ
Pathology Reports
Radiology Reports
Cardiology Reports
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MaRDI CDR/MPI/IE/ACS

• Real-time HL7 data interfaces
• 50, 000 HL7 messages / day
• 29,000,000 results and reports total
• Redundant MR registrations
• 10-20 potential duplicates / day
• Daily email report and MPI Merge GUI
• gt 5,200 merged since Apr 2003
• 96 true positive duplicate identification rate
• Challenge Electronic registration systems at
  CHCs

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Data Currently Available

• Demographic / registration data
• Visit history
• General laboratory and microbiology results
• Pathology, radiology, cardiology and EMG reports
• Operative notes
• Admission HP and discharge summaries
• OP consultation notes
• OP pharmacy prescriptions
• Most data types with gt 18 months historical data

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Benefits

• Efficient access to needed clinical information
  at CHCs and tertiary facility
• Basic information set supporting care decisions
  in absence of paper medical record
• From 20 in 10 days to 100 in 10 minutes
• Enable community-level care delivery model
• Reduce redundant test ordering and risk to
  patient
• Reduce dependence on shadow charts
• Potentially
• Enhance timeliness and quality of care
• Improve patient and provider satisfaction
• Reduce medical errors
• Reduce cost

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Deployment

• Current
• Medical Center of Louisiana New Orleans
• Kenner Family Medicine Clinic
• Daughters of Charity Carrollton Clinic
• Excelth New Orleans East Clinic
• Healthcare for the Homeless Clinic
• Musicians Clinic
• Orleans Parish Prison
• City of New Orleans Clinics
• Fiscal 04
• Earl K. Long Medical Center
• Leonard J. Chabert Medical Center
• Bogalusa Medical Center
• PATH Community partners

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Utilization July 03 Feb 04

• gt 2350 unique clinician users
• 550 unique users / day
• 1950 logins / day
• 2000 unique patient records accessed / day
• 9175 patient record accesses / day

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Future

• Common registration methodology
• Medical home / PCP implementation
• Two-way data sharing with CHCs
• Near real-time interfacing to clinically
  relevant financial data (CPT, ICD-9)
• Disease Mgt / Preventive Health reminders
• Diabetes registry (STEPS)
• Physician inbox / pushing reminders and events
• Immunization list