Paragon Connect / HIE / et. al.

[John Allen, Jr]

Has anyone successfully implemented Paragon Connect? 

 

Has anyone successfully tied Paragon to a portal that is NOT RelayHealth? 

 

Has anyone successfully tied to a HIE with or without RelayHealth?

 

I am stepping back and reassessing our direction and could use some input on what others are doing or planning on doing.  I received a quote from Relay Health to tie our ambulatory system to Paragon for the HIE tab (ambulatory system sits in a rack less than a foot from Paragon), and someone is smoking something.  And it’s not me.

 

Thanks.

 

 

John H. Allen Jr.

Vice President, Chief Information Officer

Holzer Health System

100 Jackson Pike

Gallipolis, OH  45631

Office 740-446-5654

john....@holzer.org

 

 

 

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Thank you

[Greg Slattery, CIO CHWC]

Hi John,

 

CHWC has not tied to portal - yet.  OHIP told me that they are not doing a portal but are pushing JarDog.

We have been in production on the OHIP (Clinisync) HIE for several months.  Since we have 3rd party lab, transcription and radiology it was not a heavy list to point Corepoint transactions, with a little bit of massaging out to OHIP.   The Clinisync folks are very methodical and did a good job.  We do NOT use RelayHealth for the tie to HIE but we also have not, as of today, gotten a CCD in from OHIP.  We have been able to use the OHIP online access to get to patients information from other OHIP member hospitals.

 

Greg

 

CHWC

[John Allen, Jr]

Sent from my iPhone

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[Bill Neil]

John,

 

IRMC already has RelayHealth (HIE) and we plan to install Paragon Connect after we upgrade to Release 12 of Paragon. Targeting end of first quarter next year. We use eCW in our physician practices and are in the planning process of exchanging CCD/CDA information some time in the 4th quarter of this year with our eCW platform. Our plans to connect to the state of Flordia, is with a consortium called Community Health IT, which has a connection to the State Network. Community Health IT is made up of RelayHealth users here in the state of Florida. So in theory, all of us being part of the Relay Health Cloud, it should be pretty transparent.

 

In theory. :)

 

Bill

VP/CIO

Indian River Medical Center

Vero Beach, Fl 32960

 

On Sunday, August 18, 2013 7:02:46 PM UTC-4, John Allen, CIO Holzer Health Systems wrote:

[David Witton]

John

 

We're using Relay and setting it up in conjunction with our eCW outpatient EMR. We're planning to connect to the local HIE as soon as Idaho and Utah settle on their strategy. When we were going through the selection process, I was concerned that if we didn't choose Relay, interoperability with Paragon might suffer.

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David Witton

[Jonathan Bauer]

John

 

We received the same outrageous quote you must have received and have decided to just move forward with Paragon at this time.  We are in the process of getting testing with our Patient portal.

 

Jonathan

.

On Sunday, August 18, 2013 7:02:46 PM UTC-4, John Allen, CIO Holzer Health Systems wrote:

[Follett, Rick]

John and Jonathan,

 

I think I got the same quote.  It is nearly triple the cost of providing a portal from our ambulatory EHR vendor.

 

Have either of you considered a third party portal so your patients will have a single portal instead of RelayHealth for acute and another for ambulatory?  I’d prefer our patients to have only one portal from us.

 

Rick Follett

CIO

The Good Samaritan Health System

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[John Allen, Jr]

Not sure if I’ve replied.  We are using Follow-my-health for our Patient portal for ambulatory (Allscripts) and decided to add the data from Paragon to the portal.  Working with Allscripts now (they bought Jardogs) to connect to Paragon.  Heck, who wants to communicate with their hospital.  Everyone I know wants a relationship with their provider, not their hospital.  We will send the info from Paragon and marry it up with the ambulatory records for a combined patient view.  If you have not seen follow-my-health it is awesome, has an iPhone/iPad app and makes Relay’s portal look like a 1980’s web site.

 

Also I have pulled the plug on Relay Health for HIE and will go with something else (don’t ask what yet as I don’t know).  They are smoking something if they think I will pay a half million dollars to connect Paragon to my ambulatory system 12 inches away in the same rack.

 

Other than that, everything fine on my end.

 

John

[Follett, Rick]

John, thanks for the information about Allscripts.  I heard of Jardogs and actually have portal access to my physician through the Follow-my-health app.  Very impressive.

 

What I really want to know is how hard/costly is it to connect Paragon to it? 

 

Rick Follett

CIO

The Good Samaritan Health System

 

[John Allen, Jr]

We are starting now and will let you know.  Jardogs will handle all of their development and are developing Paragon Integration using us as the pilot.  It’s the other end I am worried about at the minute.  Seems if we can ship them a CCD, it might be easy.  But nothing is easy.

[Follett, Rick]

I recall a discussion with RelayHealth last year where they would be the conduit for our CCD/CDA for a small annual fee.  I believe this strategy was to offload the development of any one-off interfaces to RelayHealth instead of Paragon developers.  It makes sense and though I’d rather not pay the fee it will get us there faster.

 

Good luck!  I’m looking forward to hearing about your progress.

[Kurt J. Kramer]

I’m also very frustrated with the Relay Health HIE / portal. We haven’t been able to get the Paragon Connect to work from over 2 years ago for MU I, now we are going through the MUII services and struggling with the new CDA doc types. Very frustrated!

 

I was just supplied a quote so I can have a combined portal for our inpatient / outpatient records, like others have stated it here it’s an absurd amount of money. The way I see it, moving CDA / CCD’s around and portal technology is quickly becoming a commodity (everybody is required to do it).  I can’t pay the type of fees for a product that’s way behind in its technology and has limited integration with my EMR.  

 

I feel like they using the old bait / switch gimmick, give them the very bare bones (Paragon Connect / Practice Partner Connect) for almost nothing to become MU certified. The minute they ask for one more feature (like combining outpatient / inpatient in one portal) then we got’em. They are acting like wanting one portal for my hospital and clinic is something out of the norm? That’s certainly not the strategy for other successful EMR’s.

 

Just wondering if others are using a different portal how will they calculate the % of patients discharged from the hospital that actually go to the portal (MUII). Paragon has a new service (LoginMetrics) that ties to the Relay Portal, this application calculates the % and shows up on the MU Report. This is really the only reason I’m still trying to work this out with the Relay Health people.

 

Kurt

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[Follett, Rick]

This is very troublesome!

 

Is anyone successfully using Relay Health as a patient portal with Paragon (Paragon Connect)?

 

Rick Follett

CIO

The Good Samaritan Health System

 

[David Witton]

We are 20 months into our Relay experience, and have yet to go live. We are using Results Repository, and  it has taken this long to develop interfaces, mainly because the HL7 format of lab messages hasn't been worked out between Paragon and Relay - we are still unable to pass microbiology results between the two systems. That's probably because we are using the discrete, rather than the report, results format - we are also backloading a couple of years of data.

 

That said, it would be currently possible for a patient to log into our system and view inpatient data for labs, rad & cardio results and transcribed reports. The next step is to embark on a marketing campaign.

 

Outpatient data is another thing - we have transitioned to eClinicalWorks after a bad experience with Partner. A word to the wise, don't try to create HL7 interfaces to a remotely hosted instance of eCW without expecting an absolutely horrible experience - Relay looks like a gem in comparison. Our plan, should it ever come to fruition, is to push CDA data from eCW to Relay for a "complete" record. However, I don't see a way to consolidate all functionality into a single portal - direct access to providers, refills and appointment requests need to be handled in the outpatient portal. To ease the transition between the two portals, we have contracted for eCW to provide "single sign on" access from the ambulatory portal into Relay. Additionally, the ambulatory providers will be able to directly access the Relay record from the patient's record in eCW.

 

If all this works as expected, I'll be amazed, given the current pace of progress.

--
David Witton

[Greg Slattery, CIO CHWC]

Hello All,

 

Have any of you started your 90 day MU2 attestation period?   What are you doing to get patients to actually log on and get their CDA?

Anyone successful at it and  near or above 5%?   What is working or not working?  Can we pay them to do it ($25 gas card or something).

I cannot get above 1.5%.  Very few return to the RelayHealth site after first time – when I do get them to log on.

 

Anyone want to share?

Thanks,

Greg Slattery

CHWC

On Sunday, August 18, 2013 7:02:46 PM UTC-4, John Allen, CIO Holzer Health Systems wrote:

[Edward Hobbs]

Having the same issues Greg.  I think the biggest issues is that the patients don’t really perceive any value to them in the portal.  This may be true of inpatients especially.  They’ve just left the hospital probably having already received all of the information that the portal can provide (lab results, patient education, etc.).  We’re already committed now and don’t have time to implement another solutions. 

 

Ed

 

From: parag...@googlegroups.com [mailto:parag...@googlegroups.com] On Behalf Of Greg Slattery, CIO CHWC
Sent: Monday, May 12, 2014 5:05 PM
To: parag...@googlegroups.com
Subject: Re: Paragon Connect / HIE / et. al.

 

Hello All,

 

Have any of you started your 90 day MU2 attestation period?   What are you doing to get patients to actually log on and get their CDA?

Anyone successful at it and  near or above 5%?   What is working or not working?  Can we pay them to do it ($25 gas card or something).

I cannot get above 1.5%.  Very few return to the RelayHealth site after first time – when I do get them to log on.

 

Anyone want to share?

 

Thanks,

Greg Slattery

CHWC

On Sunday, August 18, 2013 7:02:46 PM UTC-4, John Allen, CIO Holzer Health Systems wrote:

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[Dustin Hufford]

I have heard people say they are utilizing case management or care navigators to have the patient log into the portal before they leave the building to show them the features of the portal. That way they have the account setup and are logged in before they leave. We are probably going to try that using tablets.

[Greg Slattery]

Dustin,
We do not have that option using Paragon and RelayHealth Portal (or don’t know how!).
IS that what your using?
Thanks
Greg

-----Original Message-----
From: parag...@googlegroups.com [mailto:parag...@googlegroups.com] On Behalf Of Dustin Hufford
Sent: Tuesday, May 13, 2014 8:22 AM
To: parag...@googlegroups.com
Subject: Re: Paragon Connect / HIE / et. al.

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[Edward Hobbs]

Greg,

I believe you can have the patients sign into the portal and create an 'off-line' account, then later link it to their EPN when a CDA is sent across at discharge. We're getting ready to try that and I'll let you know how/if it works.

Also, is anyone choosing to set the CCD opt-in/opt-out to default to opting in? If so have you seen any issues doing this.

Ed

-----Original Message-----
From: parag...@googlegroups.com [mailto:parag...@googlegroups.com] On Behalf Of Greg Slattery
Sent: Tuesday, May 13, 2014 9:02 AM
To: parag...@googlegroups.com
Subject: RE: Paragon Connect / HIE / et. al.

Dustin,
We do not have that option using Paragon and RelayHealth Portal (or don’t know how!).
IS that what your using?
Thanks
Greg

-----Original Message-----
From: parag...@googlegroups.com [mailto:parag...@googlegroups.com] On Behalf Of Dustin Hufford
Sent: Tuesday, May 13, 2014 8:22 AM
To: parag...@googlegroups.com
Subject: Re: Paragon Connect / HIE / et. al.

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[Greg Slattery]

Ed,

Ohio has an 'opt out' law. So we cannot default but if someone gives us an email they are opted in.
Anyone from Ohio doing anything differently?
I would be interested in what you find out while testing the off line process. Are you in MU2 90 day period now?