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 Lombas, SHARE Onboarding Arkansas Office of Health Information Technology
PRESENTATION AGENDA 1. Overview of SHARE 2. How SHARE can help PCMH Clinics 3. Provider and Vendor Status 4. 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
PATHWAY TO HEALTH DATA Hospitals Hospitals Public Radiology Public Health Radiology Health Centers Centers Labs Labs Clinics Clinics Payers Payers Medicaid Medicaid Pharmacies Pharmacies
3 WAYS TO SHARE 3 WAYS TO SHARE 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
HIE CREATES EFFICIENCIES Without SHARE With SHARE
WHAT DATA CAN BE SHARED? HL-7 Messages, CCDs and Unstructured Documents • Clinical Care Summaries • Allergies • Discharge Summaries • CCDs • Lab Results • Problem Lists / Diagnoses • Radiology Reports • Referrals • Medication Histories • Transcribed Documents
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
VALUE OF SHARE SHARE seeks to facilitate meeting collection and data reporting goals for local and national health improvement activities • Meaningful Use (MU) • Patient Centered Medical/Health Home (PCMH) • Accountable Care Organizations (ACOs) • Quality Reporting/Monitoring & Measuring Outcomes
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
MEANINGFUL USE CRITERIA Stage 1 Stage 2 • Stage 1, Menu Measure 9: • Stage 2, Core Objective 15: Capability to submit electronic Provide a summary care record for data to immunization registries or each transition of care or referral immunization information systems 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?
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
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 of care.* *See Arkansas Medicaid PCMH Handbook, 240.000 – Metrics & Accountability for Incentive Payments, Measure J.
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.
SHARE SECURE MESSAGING System with expanded features Provides notifications to 3 rd party • Cloud-based • email systems • Web-based user interface • Alerts when a message is • Functions like traditional email successfully or unsuccessfully processed /sent • Facilitates HISP services
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
PARTICIPATION UPDATE
WHO SHARE S ? 266 Health 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 • NARMC • Family Doctors Clinic • Claude Parrish CHC • AR Children’s Hospital • Main Street Medical • UAMS • Marshall Family Practice • JRMC • Ronald Reese, M.D. • Newton County Family Practice • Ashley County • Andrew Coble – General & Specialty Surgeon • McGehee Hospital • Internal Medicine Diagnostics, Inc. • Bradley County • UAMS Regional Center – Pine Bluff; Fort Smith • Boston Mountain Rural Health Center (7 sites) • White River Health System • East Ark Health Center (5 sites) • Ark Methodist Medical Center • Jefferson Comprehensive Care (6 sites) • Stone County Medical Center • Lee County Cooperative Clinic (4 sites) • Willow Street Health • Conway Regional • NEA Baptist (37 sites) • Howard Memorial • Fonticiella Medical Center
CONNECTING PARTICIPANTS HOSPITALS PRACTICES • Magnolia Regional Med. • UAMS Regional Centers (4 sites) • ARcare (23 sites) Center • Apache Drive Children’s Clinic • North Metro Medical Center • Conway / Greenbrier Children’s Clinic • Saline Memorial Hospital • Conway OB/GYN • Cornerstone Clinic for Women • Chicot Memorial • Little Rock Pediatric Clinic • Izard County • The Pediatric Clinic, NLR • Ozark Internal Medicine and Pediatrics • Pinnacle Point Hospital • 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…
CONNECTED PARTICIPANTS Behavioral Health PRACTICES Behavioral Health PRACTICES • AR Psychiatric Clinic PA • Families Inc. Counseling Services Corporate Office • Behavior Management Systems Inc. • Baptist Health Behavioral Service Community Center For Individual &Family Community Service Inc • Counseling Services Inc Cornerstone Community Counseling • Cooper Clinic – Ozark • Delta Counseling Associates • Dayspring Behavioral Health • Centers For Youth And Families • Ascent Children's Health Services Youth Home Inc. • Life Strategies Counseling Inc (Little Rock) • Outpatient Clinic Southwest AR • Life Strategies Counseling Inc (Osceola) Counseling Arkansas • Life Strategies Counseling Inc (Paragould) • Behavioral Healthcare Counseling • Life Strategies Counseling Inc (Piggott) Services Of Eastern AR - Forrest City • Life Strategies Counseling Inc (Trumann) • Family Psychological Center Health • Life Strategies Counseling Inc(Jonesboro) Resources of AR Hometown Behavioral • Life Strategies Counseling Inc Health Services Hope Behavioral • Perspectives Behavioral Health Ma Corp • Healthcare Jerry Blaylock MD • Counseling & Education Center Inc. • Psychiatric Associates of AR PLLC • Mid-South Health Systems Plus many more… •
More than 809,205 patients participate in SHARE
STATEWIDE AGREEMENTS SHARE is helping the provider community by: 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
CONNECTING VENDORS
IN DISCUSSIONS
STATEWIDE PRICING VENDOR ESTIMATED SAVINGS eCLinicalWorks $10,000 + Greenway $10,000 + GE Centricity $10,000 + SuccessEHS $14,000 + Allscripts $ 4,000 +
BASIC PRICING FOR PRACTICES SHARE Fees Estimated Cost One-Time Setup Fee Waived Unlimited VHR and SM (for paper $50 per month EMR and/or Non Interfaced System practices) Interfaced System with One VHR $50 per month Primary Clinical User and Clinical SM Interfaced System with Unlimited VHR $75 per month Primary Clinical Users and SM EMR/EHR Vendor Fees Estimated Cost One-time Fee Varies per vendor Monthly or Annual Fees Varies per vendor
HOW TO JOIN SHARE
ONLINE OR BY PHONE Register online at SHAREarkansas.com OR Call 501.410.1999
Thank you! Questions?
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