This South Dakota Health Link * 2009 2007 2010 2010 2014 2016 - PowerPoint PPT Presentation

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South Dakota Health Link * 2009 2007 2010 2010 2014 2016 2011 2018 2019 2020 Data HIE HITECH Point of Event Enhancements Planning Funding Care Notifications (Ongoing) Begins Strategic Direct Strategic Planning Fully HIE Plan Secure 2020 - 2025 Membership Enhancements Finalized Messaging Supported * Division of SD Department of Health 2

Advisory Council • Joan Adam SD Department of Health • Kevin Atkins Dakota State University/HealthPOINT • Heather Bindel Rapid City Medical Center • Kristen Bunt SDAHO • Julie Charbonneau Sioux Falls Health Department • Deb Fischer-Clemens Avera Health • Kevin DeWald South Dakota Health Link • Jennifer Larson SD Department of Human Services • Dr. Stephanie Lahr Monument Health • Bernie Long Oyate Health Center • Nancy McDonald SD Foundation for Medical Care • Alex Middendorf, Pharm. D. SDSU College of Pharmacy • Nicole Rinehart Madison Regional Health • Benjamin “Eli” Seeley Avera Health • Bill Snyder SD Department of Social Services • Scott Weatherill Horizon Health Care, Inc • Sean White Health Catalyst 3

SD Health Link Core Services Point of Care Exchange Event Notification New Technology Coming 2020 4

Event Notifications (Notify) • Notification Event Types • Notification Frequency • • Ambulatory Admit Immediate Notification • • Emergency Admit/Discharge Batch File (daily, hour of day, • Inpatient Admit/Discharge/Re- weekly, day of week) Admit/Transfer • Patient Death • Notification Delivery • Notification Worklist • • Non-secure email or text message View delivered notifications • (contains no PHI) Track completed or read • Direct Secure email (contains PHI) notifications • Only viewable in worklist 5

Event Notifications (Notify) Matching Requirements: • End User • First Name * • Ability to follow multiple subscription types • Middle Name • Ability to “fill in” for other care team members • Last Name * • Ability to edit delivery mechanism/frequency • Suffix • Reporting ability • Gender * • Date of Birth * • Member File • Phone Number * • Batch upload (specify frequency) • Address Line 1 * • Can have multiple subscriptions for one member • Social Security Number • SFTP – Secure upload * Required • SFTP Upload • This will allow patient lists to be uploaded automatically 2-3 times per day. 6

Event Notifications (Notify) 7

Event Notifications (Notify) 8

Notify: By The Numbers Users 155 90 End Users Subscriptions (Approximately) (Approximately)  Notifications 65,000+ 850+ 1500+ Notifications Readmit Notifications Death Notifications Impacted Lives 69,500+ 9

Point of Care Exchange* *Must be a data contributor to access Point of Care Exchange 10

Point of Care Exchange • Access in real-time to clinical information about your patient • Lab results • X-Ray reports • Problems, Allergies, Medications • Transcribed documents • Filled medication history • Contains clinical information from all contributing sources • Hospitals, Clinics, Health Systems, Correctional Health, Behavioral Health, and others 11

Point of Care: By The Numbers Point of Care Exchange 68+ 390+ With Member Hospitals Primary Care Organizations in Clinics 5 States 2019 7.9M + HL7 Transactions 2019 2.5M + CCDs Received eHealth Exchange Validated CMPI 1.6M+ - Unique Individuals in our CMPI Providers 9,300+ - Unique Providers 12

ED Utilization for Chronic Pain Management Recent current events and the opioid Use Case: The ability to access a epidemic impacting the nation have patient’s entire medication regime highlighted the need for appropriate chronic from multiple endpoints can be very pain management. With options to receive complex and challenging, requiring care at multiple end points in the a great deal of time and manual community, a patient’s drug regime can intervention. change frequently. Project Details Impact • Triage/Intake: Provides immediate and expanded access to • Improves staff satisfaction by eliminating the phone and community clinical data to assist with accurately capturing fax process to obtain a patient medication history medication fill and encounter history. information. • Provided support with evaluation and ongoing • Provider: Assists with medical decision making medication management post discharge and early • Pharmacy Team: Supports with accurate data access identification of misuse of substance abuse issues medications reconciliation for patients. 13

Managing Medicaid Health Home Patients Health Homes is a method of delivering Use Case: Enable Health Home enhanced health care services that promises Notifications and access to Point of better patient experience and better results Care clinical documentations. than traditional care. The Health Home has many characteristics of the Patient-Centered Medical Home but is customized to meet the specific needs of Medicaid recipients with chronic medical conditions or behavioral health conditions. Project Details Impact • 6 federally mandated Core Services Care Transition Follow-Up within 72 hours of discharge • Follow-Up within 7 ow 30 days after hospitalization for • Comprehensive Care Management mental illness • Care Coordination • Follow-Up post Emergency Department visit • Health Promotion • Comprehensive Transitional Care • Patient and Family Support • 14 Referral to Community and Support Services

Support Patient Routing to Appropriate Care Setting Use Case: Use Event Notifications A large number of ED visits are for allowing providers the opportunity non-urgent conditions. This can lead to outreach to patient in order to to increased healthcare costs, review patient status and to unnecessary testing, and weakened determine appropriate level of care. provider-patient relationships. Project Details Impact • • Leverage existing ADT feed to SDHL Lower healthcare costs and maximize reimbursements • Support patient by providing individualized care plans, • Subscribe to event based notifications intensive care management, and review of any barriers • Upload specialized patient list – frequent utilizers to care. • Decrease exposure and risk for adverse events 15

Identifying Misuse and Abuse: Opioid Management Use Case: The ability to access a More people died from drug patient’s up -to-date medication overdoses in 2014 than in any year on history is not only critical to the record. The majority of drug overdose treatment rendered, it can also be deaths (more than 6 out of 10) involve helpful in supporting identifying an opioid. 78 Americans die every day potential misuse and abuse of from an opioid overdose. medications impacting this national epidemic. Project Details Impact • • Provide immediate and expanded electronic access to Accurate medical history information • community medical history data to assists with identifying Improves staff satisfaction by reducing phone and fax compliance issues and early detection for identifying process potential drug seeking behaviors. 16

Dental Services: Improving Care Coordination Use Case: Use Event Notifications to Oral health and dental teams play a notify dentists when a patient has critical role in patient’s overall care received care in the community for model. As a result, the need for dental related complaints or improving communication and procedures. awareness for dental teams is essential for improving overall care coordination efforts. Project Details Impact • • Leverage existing ADT feed to SDHL Improved transfer of information and coordination of care between specialists • Subscribe to event based notifications • Enhances ability to make any changes to treatment plan • Upload specialized patient list to provide ongoing support. • Supports ongoing clinical management and scheduling of follow-up visit post-discharge 17

Point of Care Demo 18

Questions? www.sdhealthlink.org 19