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November 3, 2015 Jan Bartlett, Policy Director Justin Villines, HIT Policy Integrator
PRESENTATION AGENDA
• Speaker Introduction • SHARE Overview • How can you see patient data • No EHR? No problem. • Vendors & SHARE Partnerships
Information and associated activities supported by funds provided by the Office of the National Coordinator for Health IT, Department of Health and Human Services, Grant Number 90IX0009/01-00
WHAT IS SHARE?
What SHARE is: State of Arkansas’
Health Information Exchange (HIE)
State Health Alliance for
Records Exchange
• Home health agencies shouldn’t be the last to know when clients receive treatment from other providers.
• SHARE can help minimize potentially dangerous and costly gaps in care, and provide your staff with provider encounters from private physicians, hospital stays and other care transitions —quickly and efficiently.
LAST TO KNOW ?
CARE CYCLE / EXAMPLE
CARE SETTINGS
Person
ACUTE CARE
HOSPITAL
INPATIENT REHAB
LONG TERM ACUTE CARE
HOSPITAL
SKILLED NURSING FACILITIY
HOME HEALTH
ASSISTED LIVING
OUTPATIENT REHAB
HOME
ADULTDAY
CARE
NURSING HOME
COMMUNITY-BASED
SERVICES
HOSPICE
IMMEDIATE CARE
CENTERPHYSICIANOFFICE
• No more waiting on hospitals or physicians for the information you need. Just log in to SHARE and get fast access to critical patient information such as:
• Share Clinical Assessments with other Providers for Improved Transitions of Care
• Hospital discharge summaries• Medication lists and allergies• Lab test results• Physician recommendations• Eliminating faxing and documentation issues
PUT YOUR STAFF IN THE
TREATMENT LOOP
• Assist HH facilities in providing quality of care and improving transitions of care
• Connect HH to PCPs around the state
• SHARE can improve health outcomes by providing data in real
time at point of care
Alleviate “ Organization Fatigue” for collecting and reporting data for health improvement initiatives
HOW SHARE CAN HELP
WHAT IS SHARE?
Infrastructure for providers,
labs, pharmacies, public health, others to share
clinical data
Available to health care entities
EMR/EHR agnosticEvolving array of
features and functionality
WHY SHARE?
BENEFITS OF USING SHARE
Improve patient care • Save time • Save money
• Simplifies coordination of care between participating providers
• Securely receives patient data from multiple points of care
• Allows for improved care decisions and Transitions of Care
• Helps Improve Patient Outcomes
• Avoids duplicate testing and procedures
• Reduces cost & burden of faxing / mailing patient records
• Interfaces with certain ADH Registries
WHAT DATA CAN BE SHARED?
Clinical Care Summaries
Discharge Summaries
Problem List / Diagnosis
Referrals
Active Medications
Allergies
CCD Exchange
Lab Results
Radiology Reports
Immunizations
Transcribed Documents
ADTs/Patient
Demographics
ADH Registries
3 WAYS TO SHARE
WAYS TO SHARE
Secure Messaging • HISP Solution - Secure, encrypted email exchange
Virtual Health Record (VHR)• View patient health data in SHARE through secure portal• No EMR/EHR needed; for paper only practices
Full HIE Integration • Integrates with your EMR/EHR system • Sending and receiving patient health data• View SHARE patient health data online or in EMR/EHR
SHARE FOR PROVIDERS
1. Patient whose providers are connected to SHARE is admitted to or discharged from the hospital.
2. Participating SHARE providers receive an instant notification of the patient’s hospital status in the EMR inbox or SHARE’s VHR inbox.
3. This allows timely follow up and care management.
!
CLICK TO EDIT HEADER TEXTWHO SHARES?
WHO SHARES?Hospitals
36 Total Sites18 Live
18 Implementing
Provider Practices453 Total Sites
302 Live151 Implementing
Live Sites = Data feed(s) in production and/or VHR/SM training completed
Implementing = Participation and Pricing agreement(s) in place and/or technical/operational activities underway
SHARE USAGESecure Messaging
(Jan – September 2015)81,793 messages sent
Patient Queries(Jan – September 2015)
1,316,938 Queries1,672 VHR Users
HOSPITALS NOW INCLUDE
Connected Hospitals
Connecting Hospitals
• Conway Regional Rehab Hospital • Howard Memorial • Magnolia Regional Med. Center• Saline Memorial Hospital• Pinnacle Point Hospital (SM-VHR)
• Five Rivers Medical Center • South Mississippi County Regional Medical Center• Great River Medical Center • North Metro Medical Center• CHI Hospitals (5)• Piggott Community Hospital • Mena Regional Medical Center• Community Medical Center of Izard County• JRMC Implementation:
– Chicot Memorial Medical Center – Delta Memorial
• NARMC• AR Children’s Hospital• UAMS• Jefferson Regional Medical Center • Baxter Regional Medical Center • Ashley County• McGehee Hospital• Bradley County• White River Health System• Ark Methodist Medical Center
• Stone County Medical Center• Conway Regional• Drew Memorial Hospital • Dallas County Medical Center
PROVIDER PRACTICES 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…
• 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)
More than 1,509,603
patients participate in
SHARE
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:
PRICING FOR PRACTICES
SHARE Fees Estimated Cost
SHARE One-Time Setup Fee Waived
Ancillary Care Facilities With defined interface
$100 per month
• VHR Only and Unlimited Secure Messaging : 0-49 users
with up to 5 Primary Clinical Roles$65 per month
• VHR Only and Unlimited Secure Messaging : 50-100 users
with up to 10 Primary Clinical Roles
$100 per month
• VHR Only and unlimited Secure Messaging: 100+ users
with up to 15 Primary Clinical Roles
$100 per month
SHARE SUCCESS STORIES
1. “All of our hospital-affiliated clinics are now able to save time by getting their reports directly in their EMR using our original interface with SHARE. This process was previously handled via fax and manual data entry. I would encourage clinics and hospitals to get on board and improve patient care through SHARE connectivity.” Kent Kimes, RHIT, Dir. of Info. Services, North Arkansas Regional Medical Center
2. “Receiving results from the SHARE interface will fulfill so many of our transitions of care goals and milestones that we have to meet for the PCMH program,” Stacy Zimmerman, MD, Ozark Internal Medicine and Pediatrics
3. “SHARE is effortless and works better than I thought it would. Overall, I couldn't be happier with what we've got. “ Dr. John Leslie, Family Medicine Clinic
GETTING STARTED
HOW TO GET STARTED
Register at: SHAREarkansas.com
ORCall 501.410.1999
Information and associated activities supported by funds provided by the Office of the National Coordinator for Health IT, Department of Health and Human Services, Grant Number 90IX0009/01-00
Questions?