NE CAH Region Discussion Tina Gagner, BSN, RN Clinical Application Analyst Agenda NDHIN Statistics Data Feeds to the HIE Participating Providers Event Notifications Communicate (Direct Secure Messaging) email PDMP Future State
MRN Statistics March 2018 User Accounts: 2,289 Login Access: 7,893 Patient Records: 8,077 Unique Patient IDs: 1,063,658 Rhapsody Transactions: 74,707,334 Data Feeds to the HIE Admission, Discharge, Transfer (ADT) NOTE: Needed to subscribe to Event Notifications Patient Demographics Encounter History Allergies Diagnosis Procedures Observation Results (ORU) Lab Results Radiology Reports/Documents Imaging Studies Medical Document Management (MDM) (Clinical Documents) Work Types Discharge Summaries H&P s ED Visit Notes Consult Reports Operative Notes Encounter Summaries Immunizations (VXU) CCD/C-CDA Exchange Delayed if provider does not sign off in a timely manner
Participating Providers https://www.nd.gov/itd/statewide-alliances/ndhin/providers/participating-providers Alt F = search Event Notifications
Event Notifications Available Event Notifications in NDHIN: Inpatient Admission Inpatient Discharge Pt Admitted to ER Final Radiology Reports Abnormal Lab Observation Critical Lab Observation Triggers Benefits Immediate notification of significant patient events Increased quality of care and enhanced health outcomes Keeps providers informed on patients progress and availability of certain types of patients records Avoidance of errors and adverse events Improved efficiency, cost-benefit, and provider and patient satisfaction
Subscribing to Event Notifications Must have an ADT message coming from Participant to NDHIN Patient Name Provider Name Organization Establishes a patient/provider relationship User Account and ADT message information must match Provider Name Organization Discrepancy with ADTs Secure vs Non-Secure Notification PHI
My Email Address Non-secure/non-detailed message does not contain any patient information. Must log into the NDHIN Clinical Portal to view details in Messaging NDHIN Clinical Portal Messaging
Direct Secure Message Email Secure/detailed message contains patient information Web vs SSO Access Web Open a browser and access this link to login: https://dsm.orionhealthcloud.com/concerto/login.htm SSO (Single Sign On Access from within the NDHIN Clinical Portal
Communicate Communicate (Direct Secure Messaging) Email Ability to send and receive patient information through secure, encrypted email, ex. transitions of care Exchanging information with: Providers Hospitals Labs Long Term Care Payors BCBS ND Medicaid Coding Consultants Schools Patients Disasters Replaces faxing, mailing or patient hand carrying
PDMP
Prescription Drug Monitoring Program PDMP Rule ND Administrative Code Title 50 Article 5 Chapter 2 http://www.legis.nd.gov/information/acdata/pdf/50-05-02.pdf Every practitioner with a drug enforcement agency registration number shall register with the prescription drug monitoring program. If granted access through NDHIN, you have SSO access to the PDMP if you are a provider with subscribing authority or a pharmacist MUST register through the ND Board of Pharmacy for a PDMP account Defer to licensing board if access through NDHIN meets new rule requirements for access to PDMP for all patients Auditing Report is complaint driven
Future State 5 Year Business Plan CMS 90/10 Match Funding Opportunity Build HIE infrastructure to support Meaningful Use initiative Available through Sept. 30, 2021 Infrastructure Orion Amadeus platform upgrade Provider directory upgrade Medications Additional single sign-on Consolidated Clinical Document Architecture (C-CDA) discrete data Genomic data State Systems Cancer registry Enhanced Immunization System Behavioral health EHR Developmental disabilities EHR Corrections EHR State Veterans Home EHR University health systems EHR Federal Systems VA, IHS, DOD South Dakota Snowbird states 40 additional states & HIEs
Future Additions Payers Access Data contribution All Plans Medicaid Medicare Commercial Large Employer Workman s Comp Patients Global Personal Health Record Patient reportable data- telehealth, wearables MU Providers Hospitals Clinics Traditional Urgent Care Pharmacies Large reference labs Chiropractors Optometrists Dentists Non-MU Providers Long Term Care Assisted living Basic care Behavioral health Residential treatment centers Home health care EMS Pharmacies DME Audiology Podiatry Prosthetics Newborn screening Local public health departments K-12 Schools Strategic Statewide Applications Care Coordination Assist with referrals -ex. social services Patient risk scores View clinical & claims data Enroll patients in pathways or see pathways enrolled in - ex. chronic disease management Identify gaps in care ex. eye exam not completed, increased blood pressure Analytics, Population Health Dashboard ex. chronic disease management or different MSSP (Medicare Shared Savings Program Quality measures) Advance Directives, POLST/MOLST Registry Statewide Credentialing
Questions? www.ndhin.org Tina Gagner, BSN, RN NDHIN Clinical Application Analyst tgagner@nd.gov 701.328.1126