Submit Questions to PCMHQA@afmc.org CONNECTING PATIENT CENTERED - - PowerPoint PPT Presentation

submit questions to
SMART_READER_LITE
LIVE PREVIEW

Submit Questions to PCMHQA@afmc.org CONNECTING PATIENT CENTERED - - PowerPoint PPT Presentation

Submit Questions to PCMHQA@afmc.org CONNECTING PATIENT CENTERED MEDICAL HOMES TO SHARE Arkansas Foundation for Medical Care Arkansas PCMH September 24, 2014 Jan Bartlett, Policy Director Justin Villines, HIT Policy Integrator Deborah


slide-1
SLIDE 1

Submit Questions to

PCMHQA@afmc.org

slide-2
SLIDE 2

CONNECTING PATIENT CENTERED MEDICAL HOMES TO SHARE

Arkansas Foundation for Medical Care Arkansas PCMH September 24, 2014

Jan Bartlett, Policy Director Justin Villines, HIT Policy Integrator Deborah Lombas, SHARE Onboarding Arkansas Office of Health Information Technology

slide-3
SLIDE 3

PRESENTATION AGENDA

  • 1. Overview of SHARE
  • 2. How SHARE can help PCMH Clinics
  • 3. Provider and Vendor Status
  • 4. Getting started with SHARE
slide-4
SLIDE 4

SHARE OVERVIEW

slide-5
SLIDE 5

WHAT IS SHARE?

  • Statewide health information exchange (HIE)
  • Established with Act 891 of 2011, governed by

HIE Council

  • Funded with public funds and user fees
  • Infrastructure for providers, labs, pharmacies,

public health, others to share clinical data

  • Available to any health care entity willing to

follow requirements and pay user fees

slide-6
SLIDE 6 Public Health Payers Radiology Centers Hospitals Pharmacies Medicaid Labs Clinics Public Health Payers Radiology Centers Hospitals Pharmacies Medicaid Labs Clinics

PATHWAY TO HEALTH DATA

slide-7
SLIDE 7
  • 1. Secure Messaging

– Secure, encrypted email exchange

  • 2. Virtual Health Record (VHR)

– View patient health data in SHARE securely online – No EMR/EHR needed – Clinical In box for qualified medical professionals

  • 3. Health Information Exchange (HIE)

– Integrates with your EMR/EHR system – Send and receive patient health data – View SHARE patient health data online or in EMR/EHR

3 WAYS TO SHARE

3 WAYS TO SHARE

slide-8
SLIDE 8

HIE CREATES EFFICIENCIES

Without SHARE With SHARE

slide-9
SLIDE 9

WHAT DATA CAN BE SHARED?

HL-7 Messages, CCDs and Unstructured Documents

  • Clinical Care Summaries
  • Discharge Summaries
  • Lab Results
  • Radiology Reports
  • Medication Histories
  • Allergies
  • CCDs
  • Problem Lists / Diagnoses
  • Referrals
  • Transcribed Documents
slide-10
SLIDE 10

BENEFITS OF USING SHARE

Save time • Save money • Improve patient care

  • Instantly view patient health data from all points of care
  • Make better-informed care decisions
  • Easily coordinate care with unaffiliated providers
  • Reduce administrative costs for gathering health data
  • Track acute care events for your patients
slide-11
SLIDE 11
  • Meaningful Use (MU)
  • Patient Centered Medical/Health Home (PCMH)
  • Accountable Care Organizations (ACOs)
  • Quality Reporting/Monitoring & Measuring Outcomes

SHARE seeks to facilitate meeting collection and data reporting goals for local and national health improvement activities

VALUE OF SHARE

slide-12
SLIDE 12

TRANSITIONS OF CARE

SHARE is a tool for facilitating transitions of care:

  • Care Coordination and PCMH

– Alerts transmitted through SHARE between providers and hospitals – Transmission of ED/Inpatient admits and discharge data

slide-13
SLIDE 13

MEANINGFUL USE CRITERIA

Stage 1

  • Stage 1, Menu Measure 9:

Capability to submit electronic data to immunization registries or immunization information systems

Stage 2

  • Stage 2, Core Objective 15:

Provide a summary care record for each transition of care or referral where the recipient receives the summary of care record via exchange

  • Stage 2, Core Objective 16:

Capability to submit electronic data to immunization registries

slide-14
SLIDE 14

WHAT’S IN IT FOR PCMH’S?

slide-15
SLIDE 15

PCMH

PCMH practices are required to participate in SHARE:

  • Obtain patient discharge data from

affiliated hospitals

  • EMR integration is not required until 2015
  • OHIT is working with AFMC, AAP, and

Qualis to ensure practices are properly connected to SHARE for PCMH compliance

  • Secure Messaging HISP to HISP
slide-16
SLIDE 16

SHARE FOR PCMH

Arkansas Medicaid’s PCMH initiative requires providers join SHARE to receive in patient discharge and transfer information. These “event notifications” will alert the practice of ED and hospital admissions, enhancing coordination of care for follow up visits and reducing the cost

  • f care.*
*See Arkansas Medicaid PCMH Handbook, 240.000 – Metrics & Accountability for Incentive Payments, Measure J.
slide-17
SLIDE 17

SHARE FOR PCMH

When a Patient whose providers are connected to SHARE is admitted to or discharged from the hospital: Participating SHARE providers receive an instant notification of the patient’s hospital status in the EMR inbox or SHARE’s VHR inbox. This allows timely follow up and care management.

slide-18
SLIDE 18
  • Cloud-based
  • Web-based user interface
  • Functions like traditional email
  • Facilitates HISP services
  • Provides notifications to 3rd party

email systems

  • Alerts when a message is

successfully or unsuccessfully processed /sent

System with expanded features

SHARE SECURE MESSAGING

slide-19
SLIDE 19

IMMUNIZATIONS REPORTING

Automate Immunizations Reporting through SHARE:

  • SHARE has built an interface with ADH
  • Send immunizations data directly to ADH through SHARE
  • Simplify workflow by reducing duplicate data entry
  • Immunizations Registry is “Live”
  • ELR and Syndromic Surveillance are “Live”
  • No additional cost to SHARE participants
slide-20
SLIDE 20

PARTICIPATION UPDATE

slide-21
SLIDE 21

WHO SHARES?

266

Health care sites participate, including 26 hospitals with (13) Live and 240 practices in 94 cities.

*As September 8, 2014
slide-22
SLIDE 22

CONNECTED PARTICIPANTS NOW INCLUDE

HOSPITALS PRACTICES

  • Family Medicine Clinic
  • Family Doctors Clinic
  • Claude Parrish CHC
  • Main Street Medical
  • Marshall Family Practice
  • Ronald Reese, M.D.
  • Newton County Family Practice
  • Andrew Coble – General & Specialty Surgeon
  • Internal Medicine Diagnostics, Inc.
  • UAMS Regional Center – Pine Bluff; Fort Smith
  • Boston Mountain Rural Health Center (7 sites)
  • East Ark Health Center (5 sites)
  • Jefferson Comprehensive Care (6 sites)
  • Lee County Cooperative Clinic (4 sites)
  • Willow Street Health
  • NEA Baptist (37 sites)
  • Fonticiella Medical Center
  • NARMC
  • AR Children’s Hospital
  • UAMS
  • JRMC
  • Ashley County
  • McGehee Hospital
  • Bradley County
  • White River Health System
  • Ark Methodist Medical Center
  • Stone County Medical Center
  • Conway Regional
  • Howard Memorial
slide-23
SLIDE 23

CONNECTING PARTICIPANTS

HOSPITALS PRACTICES

  • UAMS Regional Centers (4 sites)
  • ARcare (23 sites)
  • Apache Drive Children’s Clinic
  • Conway / Greenbrier Children’s Clinic
  • Conway OB/GYN
  • Cornerstone Clinic for Women
  • Little Rock Pediatric Clinic
  • The Pediatric Clinic, NLR
  • Ozark Internal Medicine and Pediatrics
  • Pocahontas Medical Clinic
  • The Children’s Clinic of Jonesboro
  • Sager Creek Pediatrics
  • MANA
  • North Central Arkansas Medical Associates
  • Community Physical Group
  • The Breast Center
  • Paragould Pediatrics

Plus many more…

  • Magnolia Regional Med.

Center

  • North Metro Medical Center
  • Saline Memorial Hospital
  • Chicot Memorial
  • Izard County
  • Pinnacle Point Hospital
slide-24
SLIDE 24

CONNECTED PARTICIPANTS

Behavioral Health PRACTICES

  • Families Inc. Counseling Services Corporate Office
  • Baptist Health Behavioral Service Community
  • Counseling Services Inc Cornerstone Community
Counseling
  • Delta Counseling Associates
  • Centers For Youth And Families
  • Life Strategies Counseling Inc (Little Rock)
  • Life Strategies Counseling Inc (Osceola)
  • Life Strategies Counseling Inc (Paragould)
  • Life Strategies Counseling Inc (Piggott)
  • Life Strategies Counseling Inc (Trumann)
  • Life Strategies Counseling Inc(Jonesboro)
  • Life Strategies Counseling Inc
  • Perspectives Behavioral Health Ma Corp
  • Counseling & Education Center Inc.
  • Psychiatric Associates of AR PLLC
  • Mid-South Health Systems
  • Plus many more…
  • AR Psychiatric Clinic PA
  • Behavior Management Systems Inc.
Center For Individual &Family Community Service Inc
  • Cooper Clinic – Ozark
  • Dayspring Behavioral Health
  • Ascent Children's Health Services Youth
Home Inc.
  • Outpatient Clinic Southwest AR
Counseling Arkansas
  • Behavioral Healthcare Counseling
Services Of Eastern AR - Forrest City
  • Family Psychological Center Health
Resources of AR Hometown Behavioral Health Services Hope Behavioral
  • Healthcare Jerry Blaylock MD

Behavioral Health PRACTICES

slide-25
SLIDE 25

More than 809,205 patients participate in SHARE

slide-26
SLIDE 26
slide-27
SLIDE 27

Negotiating statewide contracts with EHR vendors THAT: 1. Reduce or waive one-time vendor interface fees to connect to SHARE 2. Shorten the implementation timeline

STATEWIDE AGREEMENTS

SHARE is helping the provider community by:

slide-28
SLIDE 28

CONNECTING VENDORS

slide-29
SLIDE 29

IN DISCUSSIONS

slide-30
SLIDE 30

STATEWIDE PRICING

VENDOR ESTIMATED SAVINGS eCLinicalWorks $10,000 + Greenway $10,000 + GE Centricity $10,000 + SuccessEHS $14,000 +

Allscripts $ 4,000 +

slide-31
SLIDE 31

BASIC PRICING FOR PRACTICES

SHARE Fees Estimated Cost

One-Time Setup Fee Waived Unlimited VHR and SM (for paper

EMR and/or Non Interfaced System practices)

$50 per month Interfaced System with One VHR

Primary Clinical User and Clinical SM

$50 per month Interfaced System with Unlimited VHR

Primary Clinical Users and SM

$75 per month

EMR/EHR Vendor Fees Estimated Cost

One-time Fee Varies per vendor Monthly or Annual Fees Varies per vendor

slide-32
SLIDE 32

HOW TO JOIN SHARE

slide-33
SLIDE 33

ONLINE OR BY PHONE

Register online at SHAREarkansas.com

OR

Call 501.410.1999

slide-34
SLIDE 34

Thank you! Questions?