Health IT Initiatives at HCA Health Care Authority Health - - PowerPoint PPT Presentation
Health IT Initiatives at HCA Health Care Authority Health Information Technology Section Dennis Worrell Health IT Partner Entertainment Manager May, 2019 Agenda EHR incentive background EHR incentive program, and how-to CDR
Health Care Authority Health Information Technology Section Dennis Worrell Health IT Partner Entertainment Manager May, 2019
Need for info info exchange
ARRA$ HITECH$
2002: OneHealthPort founded 2009: WA appoints HCA lead agency driving interoperability
2009: OneHealthPort wins competitive bid to host WA’s Health Information Exchange (HIE)
2016: submissions begin! To date: 6,000+ providers and 88 hospitals = $355 million + in funding
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Email healthit@hca.wa.gov Got EHR funds before? Might be eligible for more.
Yes, it can be tricky getting attestation data from RPMS
Contact HIT to see how much. HIT primary references:
Great HCA-produced video for attesting (very good!): https://www.youtube.com/watch?v=T4SLGlFWeUA&feature=youtu.be eMIPP user guide (log attestation for HCA): https://www.hca.wa.gov/assets/program/EP-eMIPP-User-Guide_0.pdf Modified stage 2 reference (high-level for what you’re attesting to): https://www.hca.wa.gov/assets/program/2018-mod-stage-2.pdf Tribal attestations, HCA site (tribal-friendly): https://www.hca.wa.gov/assets/program/Tribal-Attestations.pdf Documentation checklist (complete): https://www.hca.wa.gov/assets/program/white-paper-9-Documentation_0.pdf
Register
your info is current HCA HIT site
ProviderOne portal
CMS user guide (for updating credentials):
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/QualityNetUserGuide.pdf
HCA landing page (step by step, how to, scroll to eligible hospital or eligible provider guide): https://www.hca.wa.gov/about-hca/health-information-technology/electronic-health-records ProviderOne (if you need to update your credentials): provideronesecurity@hca.wa.gov
HIT secondary references:
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CDR
Secure, web- based database storing clinical and claims info for Apple Health (Medicaid) enrollees
Provider
EHR
Health Information Exchange
Secure connection
OneHealthPort maintained Provider maintained
Future State!
providers now
Improved Care at the Point
Clients with Claims Data:
Clients in system: 2.2 million (active & inactive) Active client coverage: about 50% as of November 2018
Future State!
methadone) with CFR42 part 2 consent mgt. solution
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EHR EHR
Client 1 Info Client 2 Info Provider Tablet or PC
View-only web portal
Client 3 Info
Future State! Providers can query (auto-pull) info from the CDR to their EHRs
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Normal
Restricted
Very restricted
Sending provider sets restriction level
Standards- based Vendor-neutral Common place, providers working with many MCOs Aggregates data No EHR? Web portal! Additional sponsors (DSHS, PEB, private) Patient history Future reporting (HEDIS?) New features: PMP link+ more!
Organization level Annual Net Patient Revenue Annual Subscription fee Entry $0 - $10 Million $600 Small $10 Million - $100 Million $6,000 Mid-size $100 Million - $500 Million $12,000 Large $500 Million - $1 Billion $24,000 Leadership $1 Billion Plus $48,000
CDR use? Join HIE, sign trust framework Cost? Annual Based on annual net patient revenue Connecting? Work with your EHR vendor and OHP on connecting First year portal user, view-only? No cost, contact OneHealthPort for details
payment program: healthit@hca.wa.gov
www.onehealthport.com/hca-cdr
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DOH
Electronic Lab Reporting Syndromic Surveillance PDMP Cancer Event Reporting
LNI
Activity Prescription Form
Submitting Organization (Electronic System)
About 1,400 trading partners (most NRAA), plus all hospitals
Health Information Exchange
Secure connection
OneHealthPort maintained Provider maintained
Health care provider
psychologists, dentists, nursing homes, pharmacies
transmit electronic info HHS has a standard for Health plan
companies, HMOs, company health plans
paid-for health care (Medicaid, Medicare, etc.) Health care clearinghouse
processing nonstandard health info standard health info
As defined by HHS
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Procedures
Results
Functional Status
Plan of care
Advance Directives
Immuniz- ations
Family History
Allergies
Social History Vital Signs
Medical Equipment
Medi- cations Problems
Mental Status
Nutrition
Payers
Patient demo- graphics
E-Version: Clinical Care Record
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MCO contracts with providers: If an organization answers yes to all three, it is required to participate in the CDR.
Part of MCO provider network serving Apple Health Clients? Have a “Certified EHR”? Received Medicaid
Incentive Payment Funding
Can’t say yes to all three? Participation is not required...at this time
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Do Nothing ??
Wait ??
create interfaces between disparate Electronic Health Records Systems
Take the Lead!
Base
based
national certification standard