Missouri Health Connection One Connection For A Healthier Missouri
What is Missouri Health Connection? Missouri Health Connection (MHC) is the state designated Health Information Exchange (HIE) Network for Missouri. MHC connects health care providers so they can share patient records quickly through a secure, electronic network. MHC enables a patient s health care team to see data from different clinical providers within one secure network. MHC bridges the communication gap between separate health systems operating on different standalone EHR systems. Mission is to provide a statewide health information exchange network that: Improves the quality of medical decision making and the coordination of care; Provides accountability in safeguarding the privacy and security of medical information; Reduces preventable medical errors and avoid duplication of treatment; Improves the public health; Enhances the affordability and value of health care; and Empowers Missourians to take a more active role in their own health care. 2
A Brief History In February, 2009, Congress passed the American Recovery & Reinvestment Act (ARRA) which included the Health Information Technology for Economic & Clinical Health (HITEC) Act to promote the adoption and meaningful use of health information technology. In November, 2009, Missouri Governor Jay Nixon signed Executive Order 09 27 which created the Missouri Office of Health Information Technology to promoted the development and application of an effective health information technology and Health Information Exchange (HIE) infrastructure in Missouri. 2010: HIE planning phase with large stakeholder group. 2011: Missouri Health Connection established as a Missouri non profit corporation and RFPs for a technical service provider were sent out June 2012: InterSystems was selected by MHC to operate the HIE platform March 2013: MHC deployed its HIE network
Why is a Health Information Exchange Network needed? Because your primary care physician s EHR cannot talk to EHR system at the hospital you were born in. Because the long term care facility that your grandfather receives care at doesn t have an EHR system and only communicates with the hospital with a fax machine. Because community health centers refer patients to the community hospitals on a daily basis for acute care, yet their EHR systems are different so they cannot share information about that patient unless they fax or sent the records with the patient. Most importantly, because it is the right thing to do. Meeting patient expectations 4
Why MHC is important? MHC fulfills the need for interoperability of EHR systems that patients expect and health care providers need. MHC is the interoperable network that enables connectivity between the silos of health information as they exist today between large and small rural and urban acute and ambulatory MHC s mission is simple: No Provider Left Behind Any provider, regardless of type or size, can participate in Missouri s state designated health information exchange network by joining the MHC network. MHC has service offerings for any provider, small or large, and regardless of EHR maturity. This strategy helps MHC achieve a critical mass of patients in its network. 5
MHC exists to serve all health care providers, so they can better serve their patients. Health Systems Independent Hospitals CAH FQHC Clinics Physician Groups Behavioral Health State of Missouri LTC Facilities 6
MHC Membership Connectivity MHC is the only statewide HIE network with the majority of acute care provider participation More than 70 hospitals, 350 clinics and community health centers More than 7,000 physicians MHC will provide interstate connectivity and interoperability with Missouri s eight border states and Healtheway. 2015 and after roadmap includes connectivity to ambulatory, specialty and ancillary health care providers. MHC is the only HIE network that provides connectivity and interoperability with MO HealthNet (Medicaid), offering clinical and claims data for all Medicaid patients.
MHC Services Public Health Reporting MHC CareNet MHC CareView MHC CareMail
MHC Services Public Health Reporting Enable health care providers to send health information into the Missouri Department of Health & Senior Services (DHSS) through direct interfaces. Immunizations Electronic lab reporting Syndromic surveillance MHC expedites and streamlines a provider s connectivity into DHSS for more effective management and maintenance for those interfaces. Interfaces support Meaningful Use objectives.
MHC Services MHC CareMail Secure electronic email platform for sending and receiving protected health information (PHI). Encrypts all messages and attachments and sends them directly to a secure inbox. Messages can be used to communicate referrals and clinical records between electronic health record (EHR) systems, health care providers and patients. Assists with Meaningful Use Stage 2 attestation in order to meet payment incentive criteria for sending clinical records electronically.
MHC Services MHC CareNet A robust, reliable and secure, electronic on demand, query based exchange platform that creates a consolidated patient record from connected providers. Improve patient care by providing access to a patient s full medical record using a platform integrated into a health care provider s EHR system. Authorized medical professionals can access up to date patient clinical information in real time. Query and retrieves records from all providers on the MHC bi directional exchange network. The health information exchanged includes allergies, medications, conditions, diagnosis, notes and lab results. Download and/or consume the health information obtained in the patient query into EHR. Query, Retrieve, Download and Share health information with other providers using the MHC CareNet network.
MHC Services MHC CareView A secure web portal that provides access to the health information that is found in MHC CareNet. Using MHC CareView, providers are able to securely locate, retrieve and view a patient s clinical information without an EHR system. MHC CareView is a tool for large and small health care providers to view a consolidated patient record.
MHC s HIE Network Platform How does it work?
How does it work? 14
How does it work? 1) Patient comes to the ED for chest pain. 2) Treating Physician logs into the EHR system and selects the MHC button to send a query to the MHC network to get a patient history of the Patient. 3) MHC receives the patient query and sends messages to all of the MHC members requesting health information about the Patient. 4) Those MHC members that have clinical information about the Patient send that clinical information back to MHC. 5) MHC aggregates all of the clinical information received on the Patient into a consolidated record. 6) MHC sends the aggregated record of the Patient back to the Physician s EHR system. 7) Physician sees the longitudinal record of the Patient for clinical decision making to further treat the chest pain. 8) Physician downloads that longitudinal record of the Patient into their EHR system, and it then becomes part of the EHR system s record for the Patient. 15
Patient Consent Written Authorization Required
Patient Consent MHC s Consent Policy Written Authorization (Opt in) Required All patients MUST provide a written authorization in order for their data to be shared over the MHC network. MHC provides form, language, training and materials to each Participant on obtaining consent All MHC Participants will have the ability to obtain a patient written authorization to share their clinical data on the MHC network. Global consent acknowledgement MHC provides consent management for each Participant Medicaid patients authorization included in their MO HealthNet enrollment. Exclusive to MHC network only
MHC Membership Value Propositions for Healthcare Providers
MHC Membership Value Propositions HIE technology is a win for health care providers to provide the best care and treatment for their patients by providing comprehensive information at the point of care. MHC is serving the needs of the patients in Missouri, optimizing the care they can be provided by equipping their care providers with the power of a more complete health care record.
MHC Membership Value Propositions Connectivity Interoperability Improved Patient Care Administrative New revenue opportunities
The Future of MHC Opportunities on the Horizon
Future Opportunities for MHC Are Endless!! MHC s HIE network platform is the base line Additional services can be customized and built on top to serve the specific needs of our members ACO s MU3 requires HIEs Patient Engagement Strategic Alignments 22
Please contact MHC @ WWW.MISSOURIHEALTHCONNECTION.ORG Phone: 573.777.4550 Info@MissouriHealthConnection.org
APPENDIX MHC CareView Screenshots
Deliver the complete, aggregated record to the point of care (or wherever its needed)
See every Lab
Drill into Labs for clarity
Medication History
Vaccinations
Diagnosis History (Past and Present)
Complete Encounter History
Care Program Membership
Interoperability Built In