MiHIN PatientGen Simulated Patient Data is Useful For Testing Electronic Health Information Systems Because Real Patient Data is PHI Copyright 2014 MiHIN Shared Services. MiHIN Confidential – Proprietary – Restricted Patients Have Organs • Organs get sick • Sometimes they get well on their own • Sometimes they don’t, that’s why we have doctors • Doctors treat sickness • Testing • Diagnosis • Rx • Therapy • Procedures • Thousands of real diagnoses • Complicated dependencies • Interdependencies • Way too much to simulate! Copyright 2014 MiHIN Shared Services. MiHIN PatientGen Generates Thousands of SimPatients • Configurable: • # Patients • # Providers • # Practices • # Hospitals • Hospital Names • Monte Carlo simulation • Patients age, get sick, get treated, get better, but ultimately die • Lots of healthcare events can be generated in the process Copyright 2014 MiHIN Shared Services. MiHIN SimPatients Have Configurable Demographics • • • • • • • • • Name Address City, State, Zip Gender distribution Age distribution Ethnicity distribution Religion distribution Smoking … Copyright 2014 MiHIN Shared Services. MiHIN SimPatients Have SimOrgans • • • • • • • • • • • • Behavior Physical Brain Eyes Lungs Heart Kidneys Circulatory Endocrine Immune Reproductive … Copyright 2014 MiHIN Shared Services. MiHIN Qualitative Organ Health States Well Ill Dead Health State Transition Probabilities Are Configurable Intensive Chronic Critical Sick Copyright 2014 MiHIN Shared Services. MiHIN All State Transitions Are Possible Well Dead Ill So many choices Intensive Chronic Critical Sick Copyright 2014 MiHIN Shared Services. MiHIN Health State Transitions – Well & Ill Well Dead Ill Intensive Chronic Critical Sick Copyright 2014 MiHIN Shared Services. MiHIN Health State Transitions – Patient Encounters Well Dead Ill PCP Intensive Chronic ED Critical Sick Copyright 2014 MiHIN Shared Services. MiHIN Health State Transitions - Chronic Well Dead Ill PCP Intensive Chronic ED Critical Sick Copyright 2014 MiHIN Shared Services. MiHIN Health State Transitions - Sick Well Ill Dead PCP Intensive Chronic ED Critical Sick Copyright 2014 MiHIN Shared Services. MiHIN PCP Visits Can Generate ADT Events Well Ill Dead Death PCP Intensive Chronic Admit Transfer Admit Critical Sick Copyright 2014 MiHIN Shared Services. MiHIN ED Visits Always Generate ADT Events Well Ill Dead Death Intensive ED Discharge Chronic Admit Transfer Admit Critical Sick Copyright 2014 MiHIN Shared Services. MiHIN Patient Encounters Generate CAT-I Events Patient Encounter Diagnosis Communication Diagnostic Study PCPvisit Intervention Medication Device Laboratory Test Risk Assessment Copyright 2014 MiHIN Shared Services. MiHIN EDvisit Transfer CAT-I Events Satisfy Clinical Quality Measure Criteria Diagnosis Communication Diagnostic Study Intervention Patient Encounter Measure Group Measure Group Measure Group Medication Device Laboratory Test Risk Assessment eCQM eCQM eCQM eCQM Copyright 2014 MiHIN Shared Services. MiHIN CAT-I Report Clinical Quality Measure Groups Organs Can Have These Diagnoses (CAT-I EH Measure Groups): • • • • • • • • • • • • • • AMI Back pain Behavioral Birth CAD Cardiology Cholesterol Dentistry Diabetes Drug treatment Functional Status Geriatrics HBP HIV • • • • • • • • • • • • • Immunization IVD Obesity Oncology Optical Pediatric Pneumonia POAG STDs Stroke Surgical Tobacco use VTE Copyright 2014 MiHIN Shared Services. MiHIN Patient Encounters Define Care Teams Specialist Patient Encounter Patient Encounter Patient Encounter Patient Encounter Primary Care Care Coordinator Copyright 2014 MiHIN Shared Services. MiHIN CAT-I Events Can Generate Patient CCDs Diagnosis Communication Diagnostic Study Continuity of Care Document Intervention Medication Device Laboratory Test Risk Assessment Copyright 2014 MiHIN Shared Services. MiHIN PatientGen In The MiHIN-Sim Context eHealth Exchange • PatientGen Can Produce • ADTs • CQMs • ACRS Care Teams • CCDs • From simulated patients undergoing simulated health state changes in a controlled and rational manner Private Entities (HIEs, IDNs, Etc) Federal NwHIN Protocol Simulator (FedSim) Federal Agencies (VA, SSA, DoD) CMS 1 CONNECT Gateway MiHIN Common Gateway Exchange Broker 1, 2, 3 or 4 EdgeSim HIE QO 1 HIE QO 2 SOM - PoM MiHIN Qualified Data Sharing Organizations Copyright 2014 MiHIN Shared Services. MiHIN 1 2 3 4 Supported Interfaces NwHIN Exchange Transactions Patient Discovery (PD) Query for Documents (QD) Retrieve Documents (RD) Document Submission (DS) XCA Exchange Transactions Cross Gateway Patient Discovery [XCPD/ITI-55] Cross Gateway Query [ITI-38] Cross Gateway Retrieve [ITI-39] Provide and Register Document Set-b (XDR/ITI-41) XDS.b Exchange Transactions Patient Demographics Query (PDQ/ITI-21) Patient Identifier Feed (ITI-8) Patient Identifier Query (PIX/ITI-9) Registry Stored Query (ITI-18) Retrieve Document Set (ITI-43) Provide and Register Document Set-b (ITI-41) RestFul Interfaces PHR specific System specific (e.g. PoM) CQO PatientGen Is A MonteCarlo Simulation Jeff’s Transition Probabilities Real, Observed Transition Probabilities Patient Gen Patient Gen Copyright 2014 MiHIN Shared Services. MiHIN Interesting, Provocative, Useful Test Data Accurate, Predictive Test Data
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