Welcome to Ask the Carrier. Rochester RHIO March 29, 2017

Transcription

1 Welcome to Ask the Carrier Rochester RHIO March 29, 2017

2 Today s Discussion What is the Rochester RHIO? How long have we been around in the community? What do you hope to walk away with after today s presentation? How do you connect to RHIO in your daily activities?

3 RHIO Packet Materials Presentation Patient Brochure (Trifold) RHIO Service Brochures Consent Forms (Standard and Minor) Information for Minor Consented Services Frequently Asked Questions about Minor Consent Data Contributor List Survey

4 Today s Agenda ATC Submitted Q&As RHIO Facts Tools & Resources Consent Review Our Services Initiatives & New Projects Q&As

5 ATC Submitted Q&As Q1. Are we still supposed to call RHIO when there are multiple patient records for one person? A1. Yes. Contact our Support Center at or enter an online support request on our Provider Portal at Click Support Request.

6 ATC Submitted Q&As Q2. When a patient checks I GIVE CONSENT on the consent form, how long is it good for? A2. Consents are evergreen and are good until the patient changes their consent choice by signing a new form.

7 *Remember, participating organizations should store a copy of all signed consent forms on paper or electronically. ATC Submitted Q&As Q3. Should all of our consent forms be faxed to the RHIO? A3. No. The STANDARD consent forms should not be faxed to the RHIO unless we request them for audit purposes*. However, MINOR consent forms should be faxed to the RHIO 100% of the time.

8 ATC Submitted Q&As Q4. Do you need to have an EHR in order to be connected with RHIO services? A4. Some of our services are web-based and do not require connectivity to an EHR/EMR, such as Explore, DIRECT messaging, and Alerts. Services requiring an EHR are built on fully integrated connectivity like MyResults Delivery, Contribute.

9 RHIO FACTS

10 RHIO Facts Who we are: Secure, Health Information Exchange (HIE) Founded in 2006 Nonprofit, community-run organization serving 13 counties 89% of area Physicians benefit from one or more RHIO services More than 1.4 million unique consented patients Our Goal: Better information for better patient care by providing authorized participants access to patient health information. Current Focus: Bring more comprehensive picture of patient to community by increasing data available in HIE.

11 RHIO Facts SHIN-NY Statewide Health Information Network of NY is a network of networks 8 Qualified Entities (RHIOs) by Geographic Region Link:

12 RHIO Facts Rochester RHIO s impact has been proven! One of the single most important elements of patient care in our community and across the country is access to information. This improves quality by reducing medical errors, creating efficiencies, reducing costs by quelling redundant testing, and creating a common language for a care team to use. Bridgette Wiefling, MD, Rochester Regional Health In the past decade and a half, the scientific evidence base of health information exchange and interoperable health information technology has grown exceedingly. By my count, 16 scientific, peer-reviewed journal articles are the product of the Rochester RHIO s willingness to partner with academia for research and evaluation activities. Joshua Ryan Vest, PHD, MPH (Indiana University and Purdue University)

13 RHIO Facts Rochester RHIO use in ED Study shows use of Rochester RHIO cuts costs for emergency doctors, who often need to make quick treatment decisions based on scant information, the clinical benefits of a RHIO s fast access to patient health histories or imaging studies are incalculable -Dustin Riccio M.D., Chairman of Unity Emergency Department. RBJ 2014 Note: Studies were conducted in Rochester with the use of Rochester RHIO s data. Researchers from Weill Cornell Medical College. Three studies have been published by peer-reviewed journals and demonstrate significant savings in system efficiency and improved health care quality.

14 RHIO Utilization Monthly Metrics Jan 2016 Jan 2017 % of growth Explore Query Portal Logins 27,640 33,379 21% Alerts (Critical Event Notifications) Delivered 8,225 21, % MyResults Delivered 664,507 1,694, % Direct Messages Exchanged 11,601 25, % Between million total clinical transactions (incoming) each month. More than 50+ new Explore applications are processed weekly.

15 Tools & Resources

16 Tools & Resources Click Look up your Deployment Coordinator from our Provider Portal and enter zip code to locate Coordinator assigned to your office.

17 Tools & Resources Information Tab: User Guide Newsletters & Other Publications Fee Schedules Training Tab: Don t forget to attest! Directory Tab: For all RHIO participants Includes all staff contact information DIRECT addresses when avail.

18 Tools & Resources Community Measures Crosswalk Data provided: CMS Master List issued by Center for Medicare and Medicaid Services Tabs Include the following: MACRA - Medicare Access and CHIP Reauthorization Act of 2015 PCMH - Patient Centered Medical Home FQHC - Federally Qualified Health Center HEDIS - Healthcare Effectiveness Data and Information Set GRIPA - Greater Rochester Independent Practice Association For additional information or to access the Community Measures Crosswalk, go to:

19 RHIO Admin Responsibilities RHIO Primary Contact Validating User Identity & Manage User Access (onboarding & employee separation) Electronically Complete and Submit Applications Dissemination of RHIO Communication Facilitate Audit Requests & Ensure HIPAA Compliance for Organization Annual RHIO Admin Training Requirement * For additional information on RHIO Administrator Roles and Responsibilities see page 15 of RHIO User Guide.

20 Tools & Resources

21 Customer Support Center (Mon-Fri 8:00am to 5:00pm) After Hours Phone Support Call Support Line and select 1 st prompt For urgent matters, users should hold to be connected to on-call support representative Creating an online support request is easy! Log into Provider Portal and select Support Request Tab After clicking Submit users are issued a reference number

22 Consent Review

23 Consent Review Types of Consent Forms see User Guide pages Standard RHIO-Wide Denial Minor Consented Services Recording Patient Consent see User Guide pages 27 and Manually in Explore Auto-Consent by recording patient choice in EHR and sending to RHIO through an automated data feed Fax Minor Consented Services form to RHIO for processing RHIO-Wide, managed by RHIO & patient (requires notary) Copy of patient consent should be recorded at participating organization and available upon audit request.

24 Consent Review Minor Consented Services Only use in the event of or when providing minor specially protected service Private conversation w/minor and Provider All Minor Consents MUST be faxed to RHIO for processing Resources: Information about Minor Consented Services FAQ about Minor Consent RHIO User Guide page 25 * Regardless of Minor Consent decision, Minor Health Information can still be accessed in a medical emergency.

25 Our Services

26 Secure, consent based web portal including clinical data for over 1.4 million patients What s New: HIE Worklist and Transfer to PACs for Imaging Studies Statewide Patient Record Look-Up Indicator Flags: Health Home Participants, LTC, deceased What s Next: Contribute Repository VA Look-Up

27 Statewide Patient Record Lookup (sprl) Explore users can now query and retrieve patient information from all other regions in the state Information queried is available for viewing or to download as CCD. It is not stored in Explore. Not all patients have statewide data available Next SHIN-NY Initiative is to adopt Statewide Alerts Currently reviewing consent model changes across the State to further support interoperability at state and national levels.

28 Statewide Patient Record Lookup (sprl)

29 A way to transport encrypted health information and messages over internet to known, trusted recipients. Sender Direct Recipient Primary Care Provider Care Manager County Jail Care Summary CCD/CCDA Referral Patient Chart ROI (Release of Information) Specialist Health Home ACO/Payer

30 Our Services Near Real-time Critical Event Notifications Includes Emergency and Inpatient Dept. Admit, Discharge, Transfer notifications Custom Critical Event Notifications Enhancement of basic RHIO Alerts. Allows participants to choose type of Alerts based on their needs (usually list-based). Delivered through DIRECT messaging Integrated through an EHR vendor or system

31 emolst Electronic Medical Orders for Life-Sustaining Treatment allows for electronic completion of the current New York State Department of Health-5003 MOLST form, using a standardized communication process and the ethical-legal framework for making endof-life decisions. Users interested in accessing new or existing emolst accounts through the RHIO Portal with Single Sign On can download the application and submit it to their RHIO Administrator or the RHIO. Contact RHIO Support Center at for questions. For emolst specific questions, please contact emolst Administrator Katie Orem at Katie.orem@Excellus.com or Users can learn more about MOLST & emolst by going to CompassionAndSupport.org or NYSeMOLSTregistry.com.

32 Single Sign-on emolst

33 Top three reasons to contribute: 1. Support urgent treatment for patients 2. Improve health care continuity and quality 3. Make patient care more efficient Supporting Initiatives: Data Exchange Incentive Program (DEIP) SHIN-NY Data Contribution for Article 28 & other Regulated Entities DSRIP For additional information on State or Federal Initiatives, go to

34 Electronic delivery of ordered/cc d clinical reports and test results to connected EHRs Image Enabled Result Delivery: Includes embedded link in radiology reports for associated image Research Request: Must include the following minimum research requirements: Patient Name and Date of Birth (DOB) Date of Service (DOS) Report name and source Provider name included on report

35 Service Fees The RHIO is committed to serving our community. Through New York State funding, we are able to waive monthly/annual fees for Explore, MyResults Delivered, Alerts, DIRECT or Contribute. Some setup or reconfiguration fees may still apply for covered services (Core Services). DIRECT Digital Certificate Renewal (annual per HIPAA Covered Entity) Basic Alerts Setup Fee Only MyResults Delivered Setup Fee Only Image Enabled Result Delivery (IERD) Setup Fee Only Additional information on RHIO Fee Schedule included in today s packet and available online at

36 Initiatives & New Projects

37 Initiatives DSRIP: Delivery System Reform Incentive Payment Program NYS Medicaid Redesign - reducing avoidable hospital use by 25% over 5 years Medicaid Healthcare Delivery in the Finger Lakes Region FLPPS RHIO IDS Connectivity Plans Bi-Directional RHIO Connectivity- Adding 87 Data Contributors to RHIO Optimizing ALL RHIO Services -Issuing services to 157 FLPPS participants

38 Initiatives Article 28 Hospitals & other Regulatory Entities* Increase the data quality and quantity contributed to QE by hospitals and healthcare providers. March 9, 2017: All Article 28 Hospitals participating in &contributing data March 9, 2018 : The following entities required to participate & contribute data Article 28 facilities Article 36 facilities and programs Article 40 hospices Article 44 HMOs Article 46 shared health facilities *Additional information on this initiative can be found at

39 New Projects Veterans Administration Getting Connected State-wide Patient Alerts Increased Contribution by care settings Adding Lab & Radiology Data Adding Ambulatory Care Data Community-Based Agency Participation

40 Questions? Director of Community Services Denise DiNoto Sr. Deployment Coordinator Elizabeth Bailey Deployment Coordinators Renee Graham