We are proud supporters and partners with the originator of the new PIQI Framework, Charlie Harp of Clinical Architecture. We also built the first system to generate PIQI formatted output, allowing systems using our Canonical Model, like Alchemy and PIVOT, to create PIQI scoring datasets from their clinical sources.

Learn more about Clinical Architecture.

The University Bank of Michigan is the founding partner of our Fast Payment Processing service. The University Bank created the first ISO-20022-compliant financial network access point. ISO-20022 is the underlying XML document structure for encapsulating payment remittance requests. Our Fast Payment Processing service is able to pair EDI Claim files (Invoices) and CCD documents (Proofs-of-Service) to generate a final ISO-20022 document, and send it on to the financial network for immediate remittance.

MiHIN is Michigan’s statewide network of connected hospitals and physicians, allowing for the secure sharing of healthcare information between organizations.  In 2012, partnered with SEMHIE, we joined the MiHIN group of approved Quality Organizations (QOs). As a QO, we provided interconnectivity and messaging services for a number of Physician Organizations (POs), providing ADT Notifications, Statewide Lab Notifications and Medication Reconciliation Services. These services continue to run for select POs, now thirteen years later, and have totaled hundreds of millions of HL7 messages and CCD documents.

As openAirWare, we also worked directly with MiHIN as external interoperability and subject matter expert consultants. Some of the projects completed with MiHIN were a CCD Trimmer service, allowing for the removal of unauthorized portions of a CCD document; a CCD to Blue Cross Gaps-in-Care conversion service (a pre-cursor to our Alchemy service); and Diretto, their secure healthcare messaging service.

This press release from MiHIN describes some of the potential of Alchemy.

TPA began as a user of the Michigan Health Information Network (MiHIN) Use Cases for ADT Notification, Lab Notification and Medication Reconciliation via the SouthEast Michigan Health Information Exchange (SEMHIE).

This relationship continued as we then provided additional custom services. Soon after, we found that their existing Population Registry would not accept CCD/CDA as a source input. We described how Alchemy was able to accept this and any other format that they required, and store it all in Arcana. Arcana became their new Reporting source, being considered an Electronic Health Record, a requirement by their partners, as well as a Registry for monitoring Physician Metrics and Outcomes.

MNO began as a user of the Michigan Health Information Network (MiHIN) Use Cases for ADT Notification via the SouthEast Michigan Health Information Exchange (SEMHIE).

We were then approached to perform a system review and analysis, at which point we recommended some automated systems to alleviate their then manual-and-buggy process. We continued providing custom software and architecture consulting services. This included a full web-based rewrite of a custom proprietary coding application, which still operates today.

We have operated as the technical arm of the SouthEast Michigan Health Information Exchange (SEMHIE) since its inception in 2010. Our first project was the Social Security Administration’s nationwide E-Disability service. In 2012 we joined the Michigan Health Information Network (MiHIN) group of approved Quality Organizations (QOs). As a QO, we provided interconnectivity and messaging services for a number of Physician Organizations (POs), providing ADT Notifications, Statewide Lab Notifications and Medication Reconciliation Services. These services continue to run for select POs, now thirteen years later, and have totaled hundreds of millions of HL7 messages and CCD documents.

We were active members of the Michigan Chapter of HIMSS from 20xx – 20xx, and have been exhibitors at their annual conventions for several years. Two of our more memorable ones, were when we partnered with Team Fox have the “Back to the Future” Delorean in our booth, to assist in their fundraiser.

We began working with Clinical Architecture on the Social Security Administration E-Disability project. Soon after, we established a closer working relationship, leveraging our Alchemy product’s ability to ingest and output multiple different data formats (HL7, CCD, etc.) and their ability to map between multiple data dictionaries (ICD-9, CPT-4, etc.). We quickly realized that a combined solution would solve many interoperability hurdles faced by healthcare today, causing launch of PIVOT. We have since assisted in furthering their PIQI Framework by creating a PIQI document from any PIVOT (aka Alchemy) source.

In 2004, we began a partnership with Henry Ford Health System (HFHS). We were at the start of a massive rewrite to our Electronic Health Record software, CDR-Web. HFHS was looking to replace their current system, CarePlus, which had numerous points of source data as well as several spin-off applications. The partnership resulted in CarePlus Next Generation for them and EXR for us.

Read more about the partnership.

In 2005, Botsford General Hospital chose CDR-Web as their Clinical Data Repository / Clinician Portal, providing comprehensive, real-time results reporting in a visually appealing, integrated clinical record. Botsford clinicians being equipped with this configurable, secure, Web-based portal increased clinician and patient satisfaction by improving the quality and timeliness of care, and reduced the length of patient stays in the hospital.

in 2007, CDR-Docs, a commercial grade web-based document scanning feature, was added, allowing for paper-based reports, charts, and other supporting documentation to be directly added to the patient record, and visible as a PDF to the clinician user.

“The physicians and nurses provided excellent feedback regarding the application” said Dr. Paul LaCasse, Executive Vice President and Chief Operating Officer at Botsford General Hospital and executive sponsor of the clinical portal application project.

CDR-Web was used by Botsford Hospital as their primary medical record for 12 years.