The Direct Project and Corepoint Integration Engine
Corepoint Health customers can exchange health data with external organizations using The The Direct Project was launched by the ONC within Health and Human Services (HHS) on March 1, 2010. It was initially called NHIN Direct. The object of the Direct Project is to replace the use of faxes, phones, and paper transactions with a simple and... More protocol, which is a simplified data transport method many compare to a secure electronic fax or email. Direct Project truly offers a simplified method for externally sharing health data in a variety of formats including Consolidated Clinical Document Architecture (CDA) HL7 CDA uses XML for encoding of the documents and breaks down the document in generic, unnamed, and non-templated sections. Documents can include discharge summaries, progress notes, history and physical reports,... More (Continuity of Care Document (CCD) The HL7 CCD is the result of a collaborative effort between the Health Level Seven and American Society for Testing Materials (ASTM) to “harmonize” the data format between ASTM’s Continuity of Care Record (CCR)... More), HL7 is a Standards Developing Organization accredited by the American National Standards Institute (ANSI) to author consensus-based standards representing a board view from healthcare system stakeholders. HL7 has compiled a collection of message form... More v2 and Digital Imaging and Communications in Medicine (DICOM) is a common format for image storage. It allows for handling, storing, printing, and transmitting information in medical imaging. Visit DICOM website. Synonyms: Digital Imaging and Communicati... More.
In the traditional email sense, Direct is nothing more than a fax machine replacement. Instead of faxing patient health information (PHI) to other providers, the PHI will be attached to an email and sent using SMTP as the protocol. The email will be secure and a designated Health Information Service Provider (HISP, or Health Information Service Provider, is an email service provider that follows Direct Project standards and provides a mechanism to grant users a Direct email address. The HISP provides the framework to secure messages and define a circle of... More) will be utilized.
Users of Direct communication will be both individuals who will send secure emails with attached PHI and machines that send and receive automated messages. The main limitation of Direct Project data communication is its inability to accommodate query-based workflows—it is purely a push-based method of communication.
“Having Corepoint Integration Engine in place gives me peace of mind about the performance of every interface and I know the product will keep us ahead of the curve with future health data exchange initiatives.”
Senior Vice President and CIO
Miami Children’s Hospital
Direct Project use cases
As Corepoint Health customers know, health data exchange is not a one-way relationship—it takes two organizations to make a transaction. Through Direct messaging, Corepoint Integration Engine users can receive and incorporate health data from “less interoperable” facilities, allowing the completion of data exchange.
From the hospital side, action lists automatically distribute summary of care files upon discharge to HIEs, ACOs, referring physicians or downstream caregivers. Additionally, lab order result messages can be distributed to the ordering physician—all without the need for programming or paperwork activities from clinical staff.
In short, all certified Electronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conform... More systems must be Direct compatible. By using Corepoint Integration Engine as the catalyst of your health data environment, this can be accomplished seamlessly, in real time, and with confidence that the message will be securely received.
Clinics and providers
In an era of mergers and an increasing number of hospitalists, physician-owned clinics continually have to find new ways to differentiate their services from their competitors. With the availability of Direct messaging in Corepoint Integration Engine, providers (radiology, clinics and labs) are able to work around the EHR interfacing obstacle and directly send and receive Direct Project SMTP messages, all without the need for scripting or coding.
Patient referrals you receive from large health systems will utilize Direct protocol, making it easier for your clinic to electronically connect to or interface with regional referral sources. Direct has the potential to also greatly reduce the IT manpower divide between regional health systems and smaller medical clinics, to the benefit of both parties and their patients.
Direct Project allows clinics to easily receive referrals and authorizations and transmit order result messages to any organization with a Direct address.
As healthcare modernizes and becomes more connected, patients are increasingly interested in accessing their PHI. Direct Project protocol allows patients to become an extension of the care team by giving them access to their health data, which improves accuracy and helps them prepare for doctor visits and unexpected emergencies.
Through their personal Microsoft HealthVault account, a patient can receive a Direct Project message from their caregiver containing their PHI. From HealthVault, they can view the PHI for accuracy and also forward their data to future caregivers using secure, Direct Project protocol.
When patients are more involved in their care, studies show that results improve dramatically.
“The bottom line is that Corepoint Integration Engine allows me to focus more on what I need to accomplish instead of how I’m going to get there.”
CIO, Auburn Community Hospital
Meaningful Use stage 2 requirements
The Office of the National Coordinator for Health Information Technology (ONC) – Located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS), the Office of the National Coordinator (ONC) coordinates nationwide ... More requires all Stage 2-certified complete EHRs to support Direct Project transport protocol, making it the “minimum threshold” communication method for exchanging health data. Organizations can use other methods in Corepoint Integration Engine, such as SOAP-based Web services are a standardized way of integrating applications. Using open standards, businesses can communicate without in-depth knowledge of one another’s systems, beyond the communication protocol. Because all communication is XML-based, web se... More, but certified EHRs are not required to support these methods according to final Stage 2 rules.
Consolidated CDA is the standard required for transfer of care by Meaningful Use Stage 2. It represents harmonization of Health Story guides, Healthcare Information Technology Standards Panel (HITSP) serves as a cooperative partnership between the public and private sectors for the purpose of achieving a widely accepted and useful set of standards specifically to enable and support widespr... More C32, part of the Integrating the Healthcare Enterprise (IHE) is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. Visit the IHE website. Synonyms: Integrating the Healthcare Enterprise Patient Care Coordination, and the original CCD by HL7. The Consolidated CDA implementation guide defines templates used to structure documents. With one implementation guide and defined templates, the standard is much easier to analyze and implement.
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Chief Information Officer