MEDecision and InSite One Partner to Support Image-enabled Health Information Exchange
December 5, 2009
Leveraging the 95th Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA) conference platform, MEDecision, Inc., the healthcare management solutions vendor, has announced a strategic cross-licensing and reselling agreement of services, technology and intellectual property with InSite One, Inc. The collaboration is anticipated to enable nationwide cross-enterprise sharing of both patient clinical and imaging data through a health information exchange (HIE)-capable archive solution.
Based at Wallingford, CT, InSite One specializes in medical data archiving, storage, disaster-recovery, and data migration services. The vendor, through its patented “intelligent archiving” design and data security measures, helps develop standard-compliant, bulletproof, and scalable storage, archive and recovery applications. InSite One is backed by its tier-4 data warehousing centers, state-of-the-art encryption, and mirrored archiving dispersed geographically. InSite’s InDex® data archiving and storage services are available through InDex Web, an application service provider (ASP) model; InDex OnSite, as onsite storage service, and InDex Basic, which helps organizations to expand their long-term storage.
The current alliance will equip InSite One with services and tools required for its InDex line of offerings to completely comply by Integrating the Healthcare Enterprise (IHE) cross-enterprise HIE standards, and help support Cross-Enterprise Document Sharing (XDS) for the more than 2.7 billion medical images which the organization hosts. Under the terms of the partnership agreement, MEDecision will offer its technology assets, recently acquired from HxTechnologies Inc, through which InSite One plans to enhance its InDex services. With the MEDecision tools, InDex will be able to facilitate the sharing of both clinical imaging and textual data, by supporting and delivering a hosted solution comprising of
• Audit Trail and Node Authentication (ATNA)
• Patient Identifier Cross Referencing/ Patient Demographics Query PIX/PDQ
• XDS
• Cross-Enterprise Document Sharing for Imaging (XDS-I) components
Leveraging the MEDecision capabilities are also expected to enhance InSite’s long-term imaging and non-imaging data management. Additionally, the agreement includes licensing rights that InSite One will gain for certain vital patents of MEDecision’s HIE expertise.
On the other hand, the alliance will empower MEDecision with InDex business continuity and image archiving services, which the former plans to incorporate with its list of solutions designed for health plans and providers. Pennsylvania-based MEDecision’s offering includes a collaborative healthcare management platform, Alineo™ and a collaborative HIE service, Nexalign™. Backing MEDecision’s technology capabilities, Elliot Menschik, founder of MEDecision’s HxTechnologies subsidiary, mentioned that the concept of incorporating imaging components into HIE is being increasingly recognized, and that MEDecision is well equipped to support HIEs with the imaging capabilities.
About Cross-enterprise Document Sharing: XDS, an IHE profile, facilitates the accessibility, registration, and sharing of patient information by caregivers across care organizations ranging from acute-care in-patient hospitals, to clinics and physician practices. Cross-Enterprise Document Sharing involves four components:
1. Document repository: Securely stores documents in a reliable, transparent, and consistent manner; and responds to requests for document retrieval
2. Document registry: Stores meta-data about registered documents to ensure that the required documents for patient care are readily found, chosen and retrieved no matter where they have been stored
3. Document sources: Submit documents to the repository
4. Document consumers: Access the document sources
XDS and XDS-I standards, which has been employed in various national EHR projects across Canada and several European countries, have also been adopted by the US Health Information Technology Standards Panel (HITSP).
The IHE has defined various other IT infrastructure profiles, which act as a common language for the solution vendors and purchasers to deal with the healthcare organization’s integration demands and the integration capabilities of healthcare IT solutions.
• Audit Trail and Node Authentication: Enable healthcare sites to implement confidentiality policies by defining authenticating systems through the transmission of PHI-related audit events to a repository and using certificates
• Cross-Enterprise Sharing of Scanned Documents (XDS-SD): Describes how to combine existing electronic, paper, film and scanner outputted formats, represented within a structured HL7 CDA R2 header, with a PDF or plaintext formatted document consisting of clinical information
• Cross-Enterprise Document Media Interchange (XDM): Transfers metadata and XDS documents across USB memory and CD-R devices, and email through a ZIP attachment
• Cross-Enterprise Document Reliable Interchange (XDR): Offers a standards-based specification for the management of the interchange of documents that have been chosen by healthcare organizations for explicit exchange through a reliable point-to-point network
• Patient Identifier Cross-Reference and Patient Demographics Query for HL7v3 (PIX/PDQ/v3): Expands the Patient Demographics Query and Patient Identifier Cross-Reference profiles using HL7 version 3
• Patient Identifier Cross Referencing: Enables the cross-referencing of patient identifiers among health information exchanges, hospitals, care sites, etc.
• Patient Demographics Query: Allows applications to query a central patient information server and retrieve a patient’s demographic and visit data
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