Direct Messaging
Questions
Meaningful Use Webcast
November 7,2013
Review of Direct Messaging
Review of CPSI Process
Review of On-boarding Process for Direct Messaging
Review Of Objectives and CPSI Incorporation
Meaningful Use Webcast
Integration of Direct Messaging
November 7 2013
•Requires a HISP - Health Information Service Provider
•Allows sharing of information in a secure way.
Direct Messaging
Meaningful Use Webcast November 7, 2013
•Simple
•Secure
•Scalable
•Standards-Based
Direct Messaging
Meaningful Use Webcast November 7, 2013
Diagram of HISP (Health Information Service Provider)
What is a HISP?
Sender to Sender HISP
Sender’s HISP to Receiver’s HISP
Receiver's HISP to Receiver
Get the Message
Sender’s HISP Receiver’s HISP Push the Message
Routing Information
Directory
Locate the Servers
Push the Message
•Order Placed
•Technical Configuration Implemented
•Enrollment Documentation Emailed
•Education Situation
CPSI Process
Meaningful Use Webcast November 7, 2013
•Designate an Administrator
•Enroll with Inpriva
•Administrator
•Organization
On-boarding Process
Meaningful Use Webcast November 7, 2013
•Enrollment
•Medical Mailbox
Enrollment with Inpriva
Meaningful Use Webcast November 7, 2013
•Designate Administrator
•Enroll with Inpriva
•Provide Identity Proofing and On-boarding Requirements
Enrollment with Inpriva
Meaningful Use Webcast November 7, 2013
•Medical Mailbox
•Patients transitioned to facilities that do not have an EHR; or EHR with Direct Messaging.
Enrollment with Inpriva
Meaningful Use Webcast November 7, 2013
•Table Maintenance
•Control
•Physicians – CPSI Community Health – Page 5 – Field 5
•Direct Message
Entering a Direct Address
Meaningful Use Webcast November 7, 2013
•Requirements for Direct in 2014
•Transfer/Summary of Care-TOC
•View, Download, Transmit-VDT
Objectives and Incorporation
Meaningful Use Webcast November 7, 2013
•Measure A: The eligible hospital that transitions or refers their patient to another setting of care or referral provides a summary of care record for more than 50% of transitions/referrals.
Transfer/Summary of Care
Meaningful Use Webcast November 7, 2013
• Measure B: The eligible hospital that transitions or refers their patient to another setting of care or referral provides a summary of care record for more than 10% of such transitions and referrals electronically (via Direct).
Transfer/Summary of Care
Meaningful Use Webcast November 7, 2013
•Table Maintenance
•Business Office
•Referring Physician Table
•Direct Messaging Address
Referring Provider Table
Meaningful Use Webcast November 7, 2013
• Measure C: The eligible hospital must satisfy one of the following Criteria:
• Conducts a successful electronic exchange of measure B with a recipient who has EHR technology designed by a different vendor than the senders OR
• Conducts a successful electronic exchange of measure B with the CMS designated test EHR during the reporting period. (EHR-Randomizer).
Transfer/Summary of Care
Meaningful Use Webcast November 7, 2013
•Import from Inbox
•Requires security
•Not a measured objective
Transfer/Summary of Care
Meaningful Use Webcast November 7, 2013
•Measure A: More than 50% of all unique patients discharged during the reporting period have their information available online within 36 hours of discharge.
View, Download, Transmit
Meaningful Use Webcast November 7, 2013
•Utilizes email address
•Patient Email Address
•Authorized Representative Email Address.
•Sends notification to Patient or Authorized Representative
View, Download, Transmit
Meaningful Use Webcast November 7, 2013
•Identity Proofing of Patient
•Facility Policy re: change requests
•Date of Birth
•SSN
•Amendment to EHR
View, Download, Transmit
Meaningful Use Webcast November 7, 2013
• Measure B (Stage 2 Only): More than 5% of all patients (or authorized representatives) who are discharged view, download or transmit to a 3rd party their information during the reporting period.
View, Download, Transmit
Meaningful Use Webcast November 7, 2013
•Patient Summary Viewed, Downloaded, or Transmitted
•Transmit - Patient obtains receiver’s Direct Messaging Address
View, Download, Transmit
Meaningful Use Webcast November 7, 2013
Direct Messaging
Questions
Meaningful Use Webcast
November 7, 2013