Emerging Electronic Communication Strategies. Robert Morrow, M.D. Ray Scott, MSW Jan Bartlett, JD Shirley Tyson, CTO
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2 Emerging Electronic Communication Strategies Robert Morrow, M.D. Ray Scott, MSW Jan Bartlett, JD Shirley Tyson, CTO
3 Secure Texting W. Robert Morrow, MD ACH Chief Medical Officer
4 Why Texting? Immediate Does not require real-time response Readily available via cell phones Everybody s doing it Larger conversation- How do we communicate?
5 Not HIPAA compliant Why Not Text PHI? (ask Tiger Woods) Communication is not encrypted Persists on cell phone- not stored in secure location In theory, can be read by anyone- no pin required Can be inadvertently sent to wrong person and can t be recalled
6 Cortext Send PHI to other providers (internal and external) Text Photos (take and send from within Cortext app) HIPAA-compliant Archived messages 30 days for free service Within same institution
7 HIPAA-Compliant Must protect PHI sent and received through any communication channel Transmissions are encrypted, even during transit Stored in secure location (segregated from other texts) Users enter PIN to access messages Pop-up notification does not display PHI
8 HIPAA-Compliant Archives are encrypted (inside same organization-30 days for free service) Automatic logging of all activities Text copying is disallowed Organizational administrator can disable account for lost/stolen phone or employee turnover
9 Who can use Cortext? Organizational sign-up Users need iphone or Android app (Cortext) Approval from organization administrator
10 Signing Up for Cortext Enroll your organization at Add your users via the web admin center by webform entry,.csv import or synchronization with your Active Directory Invite your users with an or printed invitation
11 Communication Not PHI Page me at Call me at Call my cell at Call Physician Services, Liaisons, Appointment Center, ED, etc. PHI Cannot use non-encrypted (aol, gmail, yahoo, etc.) Call all of above- One call does all? HealthPoint- medical records, online appointment requests Text via CORTEXT Secure Webmail via SHARE
12 EMERGING ELECTRONIC COMMUNICATION STRATEGIES Arkansas Pediatric Forum November 16, 2013 Ray Scott, Arkansas Health IT Coordinator Shirley Tyson, Chief Technical Officer Kim Wagner, Project Sponsor Jan Bartlett, Policy Director Arkansas Office of Health Information Technology November 16, 2013
13 PRESENTATION AGENDA 1. Overview of SHARE 2. Provider and Vendor update 3. How SHARE can help Pediatric Clinics 4. Getting started with SHARE
14 SHARE OVERVIEW
15 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
16 PATHWAY TO HEALTH DATA Hospitals Hospitals Radiology Centers Public Health Radiology Centers Public Health Labs Clinics Labs Clinics Medicaid Payers Medicaid Payers Pharmacies Pharmacies
17 3 WAYS TO SHARE 1. Secure Messaging Secure, encrypted exchange 2. Virtual Health Record (VHR) View patient health data in SHARE through secure portal No EMR/EHR needed 3. Health Information Exchange (HIE) Integrates with your EMR/EHR system without a portal Send and receive patient health data View SHARE patient health data online or in EMR/EHR
18 HIE CREATES EFFICIENCIES Without SHARE With SHARE
19 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
20 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
21 VALUE OF SHARE SHARE seeks to alleviate Provider Fatigue for collecting and reporting data for various health improvement initiatives: Meaningful Use (MU) Patient Centered Medical/Health Home (PCMH) Accountable Care Organizations (ACOs) Health Insurance Marketplace (Affordable Care Act) Payment Improvement Initiative (Episodes of Care) Quality Reporting/Monitoring & Measuring Outcomes
22 PARTICIPATION UPDATE
23 WHO SHARES? 119+ Health care sites participate
24 CONNECTED PARTICIPANTS HOSPITALS NARMC UAMS JRMC 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
25 CONNECTING PARTICIPANTS HOSPITALS AR Children s Hospital White River Health System Stone County Med. Center Magnolia Regional Med. Center Arkansas Methodist Medical Center North Metro Medical Center PRACTICES UAMS Regional Centers (8 sites) NEA Baptist (37 sites) ARcare (23 sites) Apache Drive Children s Clinic Boston Mountain Rural Health Center (7 sites) Conway / Greenbrier Children s Clinic Conway OB/GYN Cornerstone Clinic for Women East Ark Family Health Center (5 sites) Jefferson Comprehensive Care (6 sites) Lee County Cooperative Clinic (4 sites) 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 Willow Street Health Plus many more
26 PHYSICIAN S PERSPECTIVE
27 More than 483,000 Patient records in SHARE
28 HELP FOR PROVIDERS
29 STATEWIDE AGREEMENTS SHARE is helping the provider community by: 1. Negotiating statewide contracts with EHR vendors THAT 2. Reduce or waive one-time vendor interface fees to connect to SHARE AND 3. Shorten the implementation timeline
30 CONNECTING VENDORS
31 IN DISCUSSIONS
32 STATEWIDE PRICING VENDOR ESTIMATED SAVINGS eclinicalworks $10,000 + Greenway $10,000 + GE Centricity $10,000 + SuccessEHS $14,000 +
33 WHAT S IN IT FOR PEDS?
34 IMMUNIZATIONS REPORTING Automate Immunizations Reporting through SHARE: SHARE is building an interface with ADH Send immunizations data directly to ADH through SHARE Simplify workflow by reducing duplicate data entry Immunizations Registry in testing phase ELR and Syndromic Surveillance reporting available next No additional cost to SHARE participants
35 WORKFLOW WITHOUT INTERFACE
36 WORKFLOW WITH INTERFACE
37 PCMH PCMH practices will be required to participate in SHARE: Obtain patient discharge data from affiliated hospitals EMR/EHR required by 2015 OHIT is working with Medicaid s practice transformation vendor, Qualis, to facilitate connection to SHARE
38 HOW TO JOIN SHARE
39 ONLINE OR BY PHONE Register online at SHAREarkansas.com OR Call
40 Thank you! Questions?
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