WHO SHARES? A look at the status of HIT and HIE in Arkansas
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1 WHO SHARES? A look at the status of HIT and HIE in Arkansas Arkansas Association for Healthcare Documentation Integrity Christy Williams, Public Information Officer Arkansas Office of Health Information Technology October 18, 2013
2 PRESENTATION AGENDA 1. Health Information Technology (HIT) 2. HIT efforts in Arkansas 3. All about SHARE Arkansas Health Information Exchange (HIE) 4. Questions
3 Tweet using #AAHDI13 or #SHAREarkansas
4 WHAT IS HEALTH IT?
5 FLASHBACK TO THE 2000S
6
7
8 1,100+ EHR systems are ONC Certified
9
10 Physician s use of EMR/EHR systems increased from 18% in 2001 to 57% in Dept. of Health & Human Services
11 NATIONAL EHR PAYMENTS
12 HEALTH INFO EXCHANGES
13 WHAT S ARKANSAS DOING?
14 HEALTH SYSTEM IMPROVEMENTS Expanding Health Insurance Coverage Payment System Improvement Workforce Strategic Planning Health Information Technology EHRs HIE
15 In Arkansas, more than 37 percent of office-based health care providers and 34 percent of hospitals used an Dept. of Health & Human Services EHR system in SOURCE: ONC Health IT Dashboard
16 EHR ADOPTION Total Arkansas EHR Registration as of August 31, 2013: Medicare 1,972 Medicaid 1238 Both 68 Total 3,278
17 EHR INCENTIVE PAYMENTS AR Medicaid Payments (As of ): # of payments Amounts Dentist 139 $2,766, Hospitals 81 $30,122, Nurse Midwife 2 $29, Nurse Pract/APN s 278 $4,819, Physicians 957 $17,127,500 Pediatricians below 30% 26 $300,342 Physicians Assistant Recoupments 5-3 $93, $-63, Total 1474 $55,195,595.14
18 HIEs are critical to ensuring that we do not move from paper-based silos to electronic silos. President Barack Obama SOURCE: HIMSS White Paper
19 The average patient has seen different doctors 18.7 SOURCE: Practice Fusion
20 SHARE OVERVIEW
21 WHAT IS SHARE? Statewide health information exchange (HIE) Established with Act 891 of 2011 Operated by OHIT, 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
22 FRAGMENTED HEALTH SYSTEM Hospitals Radiology Centers Public Health Labs Clinics Medicaid Payers Pharmacies
23 CONNECTED HEALTH SYSTEM Hospitals Radiology Centers Public Health Labs Clinics Medicaid Payers Pharmacies
24 WHAT DATA CAN BE SHARED? Structured and Unstructured Patient Clinical Data Clinical Care Summaries Discharge Summaries Lab Results Radiology Reports Medication Histories Allergies CCD Exchange Problem List / Diagnosis Referrals Immunizations Transcribed Documents
25 BENEFITS TO PROVIDERS 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 medication prescribing errors Avoid duplicate tests and procedures Meet Meaningful Use Stage 2 requirements for Public Health Reporting (Immunizations, ELR, Syndromics)
26 BENEFITS TO PATIENTS Save time & money Save your life Receive better care Access to medical tests and results may reduce the tests that are ordered for you Providers can get vital medical information to treat you in emergencies when you may not be able to answer questions Providers can give you better care with access to your more complete medical record
27 PARTICIPATION UPDATE
28 WHO SHARES?
29 LIVE PARTICIPANTS HOSPITALS NARMC UAMS JRMC PRACTICES Family Medicine Clinic Claude Parrish CHC Marshall Family Practice Ronald Reese, M.D. Newton County Family Practice Andrew Coble General & Specialty Surgeon
30 IMPLEMENTATION IN PROCESS HOSPITALS AR Children s Hospital White River Health System Stone County Med. Center Magnolia Regional Med. Center PRACTICES UAMS Regional Centers (8 sites) NEA Baptist (37 sites) ARcare (23 sites) Boston Mountain Rural Health Center (7 sites) Jefferson Comprehensive Care (6 sites) Little Rock Pediatric Clinic The Pediatric Clinic, NLR Pocahontas Medical Clinic The Children s Clinic of Jonesboro Mainstreet Medical Clinic Families, Inc.
31 DATA AVAILABLE IN SHARE 1. Lab transactions: 2,273, Radiology transactions: 145, ADT transactions: 1,403, Transcribed documents: 24,582
32 More than 465,000 patients participate in SHARE
33 PHYSICIAN S PERSPECTIVE
34 HELP FOR PROVIDERS
35 EHR VENDOR RELATIONS 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 timeline for providers to connect to SHARE
36 WITHOUT SHARE Medicaid Public Health Payers Pharmacies Your Clinic Labs Radiology Centers Hospitals
37 WITH SHARE Hospitals Pharmacies Labs Radiology Centers Your Clinic Public Health Medicaid Payers
38 CONNECTED VENDORS OHIT has negotiated $10,000+ savings in interface fees with each vendor:
39 FUNDING FOR CAHS & SRHS Up to $10,000 per facility to offset EHR vendor charges to connect to SHARE Open to qualifying Critical Access and Small Rural Hospitals in Arkansas Paid for by Delta Regional Authority and OHIT funding
40
41 Questions?
42 THANK YOU! or call
43 KEEP IN TOUCH e-newsletter Signup on SHAREarkansas.com Facebook Facebook.com/SHAREarkansas
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