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CONNECTING PATIENT CENTERED MEDICAL HOMES
TO SHARE
Arkansas Foundation for Medical CareArkansas PCMHSeptember 24, 2014
Jan Bartlett, Policy DirectorJustin Villines, HIT Policy Integrator Deborah Lombas, SHARE Onboarding
Arkansas Office of Health Information Technology
PRESENTATION AGENDA1. Overview of SHARE 2. How SHARE can help PCMH Clinics3. Provider and Vendor Status4. Getting started with SHARE
SHARE OVERVIEW
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
Public Health
Payers
Radiology Centers
Hospitals
Pharmacies
Medicaid
Labs Clinics
Public Health
Payers
Radiology Centers
Hospitals
Pharmacies
Medicaid
Labs Clinics
PATHWAY TO HEALTH DATA
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 SHARE3 WAYS TO SHARE
HIE CREATES EFFICIENCIESWithout SHARE With SHARE
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
BENEFITS OF USING SHARESave 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
• 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
TRANSITIONS OF CARESHARE 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
MEANINGFUL USE CRITERIAStage 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
WHAT’S IN IT FOR PCMH’S?
PCMHPCMH 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
SHARE FOR PCMH
Arkansas Medicaid’s PCMH initiativerequires providers join SHARE toreceive in patient discharge andtransfer information. These “eventnotifications” will alert the practice ofED and hospital admissions,enhancing coordination of care forfollow up visits and reducing the costof care.*
*See Arkansas Medicaid PCMH Handbook, 240.000 – Metrics & Accountability for Incentive Payments, Measure J.
SHARE FOR PCMHWhen 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.
• 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
IMMUNIZATIONS REPORTINGAutomate 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
PARTICIPATION UPDATE
WHO SHARES?
266Health care sites participate,
including 26 hospitals with
(13) Live and 240 practices
in 94 cities. *As September 8, 2014
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
CONNECTING PARTICIPANTSHOSPITALS
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
CONNECTED PARTICIPANTSBehavioral 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
More than 809,205patients 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 AGREEMENTSSHARE is helping the provider community by:
CONNECTING VENDORS
STATEWIDE PRICING
VENDOR ESTIMATED SAVINGS
eCLinicalWorks $10,000 +
Greenway $10,000 +
GE Centricity $10,000 +
SuccessEHS $14,000 +
Allscripts $ 4,000 +
BASIC PRICING FOR PRACTICESSHARE Fees Estimated CostOne-Time Setup Fee WaivedUnlimited 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 CostOne-time Fee Varies per vendorMonthly or Annual Fees Varies per vendor
HOW TO JOIN SHARE
ONLINE OR BY PHONERegister online at SHAREarkansas.com
OR
Call 501.410.1999
Thank you! Questions?
