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Centricity Clinical Gateway/Cloverleaf Installation and Configuration - is adult (GE) supervision REQUIRED???

MU, CQR, PQRS, etc.

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dnlustig

(@dnlustig)

Posts: 56

Trusted Member

Topic starter

I am VERY interested in interfacing with the Massachusetts Immunization Registry.

Problem is, they require HL7 2.5.1 and EMR's LinkLogic/DTS supports HL7 2.3.(something).

GE will sell us the Centricity Clinical Gateway (CCG) including Cloverleaf interface for about $200, but installation/configuration is being quoted as (insert budget deficit here).

Anyone have this thing installed? Could you provide some guidance on whether a competent IT personage could install, configure, and test the interface engine?

Thank you!!

Posted : October 11, 2012 2:35 am

mrnevetz

(@mrnevetz)

Posts: 104

Estimable Member

You could use Mirth. It is an Open Source interface engine that will do what CCG does. Have Linklogic generate the HL7 2.3 message (file based), then Mirth would pick up the file and do any necessary conversion to make them HL7 2.5.1 compatible. Mirth would then send the updated message on to the destination. It would still require someone to set it all up, but YES, it is something a competent IT person could do. I was able to do it, and I'm not even competent.

Steve Peterson

Director of I.T.

Circle of Life Women's Center

[email protected]

Posted : October 11, 2012 3:57 am

dnlustig

(@dnlustig)

Posts: 56

Trusted Member

Topic starter

Hmmm (twirls imaginary moustache).

I shall try this mirth.... Surprised

Posted : October 11, 2012 4:17 am

David.Cowes

(@david-cowes)

Posts: 13

Active Member

This has always been confusing to me, the choice between using something that's "certified" and something home grown. CCG/Cloverleaf was certified that it could deliver data to a registry in the federal format (my understanding is that state customizations would still be made, if necesary, by GE). But, what if you built your own solution taking data fed from the DTS, pass to Mirth (or whatever interface engine), and then pass that to the state registry? Does that have to be "certified"?

David Cowes

Michigan State University

Posted : October 11, 2012 4:58 am

dnlustig

(@dnlustig)

Posts: 56

Trusted Member

Topic starter

Hi, David.

...and customized by (apparently) one guy whose cellphone number you need if/when changes are necessary.

In the call we participated in today, the point was made that there are (only) 54 variants of this.

It seems to me that GE could offer "customization" (mit updates) for each of those entities.

My first choice is Kryptiq.

-Dave

Posted : October 11, 2012 6:11 am

chrishuff1

(@chrishuff1)

Posts: 201

Reputable Member

What is the difference between all these different interfaces? We were looking into one and quoted $2100 for use of Qvera. If there's a cheaper alternative I'm all ears...

Posted : October 11, 2012 10:47 pm

David.Cowes

(@david-cowes)

Posts: 13

Active Member

Yes, what is the difference? I don't know. As I wrote, the one differentiator that I'm most confused about is: is the solution certified or not? That is, will the solution you choose allow you to receive incentive payments? I see that CCHIT has certified EMR 9.5 using specific components (see right sidebar at https://www.cchit.org/show-onc-cert?certid=a015000000driRxAAI ) I infer (this is a big assumption here) from the sidebar that either CCG/Linklogic or Qvera/Linklogic are certified. So, can I also infer that nothing else is certified unless you invoke CCHIT's "modular" certification process, whatever that may entail/cost? Is that even applicable?

So, we're talking about sending immunizations to a state registry and meeting the state standard. It's not hard for a technical person to acheive this with a homegrown (non-CCHIT certified) solution, as Steve has demonstrated and I can attest. But will that homegrown solution stand the audit test?

As Dave related there appear to be resource issues with GE's support of CCG/Linklogic (apparently too few resources for 54 versions of registry requirements).

Regarding Qvera/$2100: if you can create a state of Michigan immunization interface that is certified for $2100 out the door, I'd say do it. I don't know all the details but that sounds pretty cheap compare to Dave's comment ("...(insert budget deficit here)..."), to which I can also attest.

-DC

Posted : October 14, 2012 11:24 pm

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