Transcript Patient-Authorized Release of Information to a Trusted Entity

TUESDAY, 11:00 – 11:20AM
Patient-Authorized Release of
Information to a Trusted Entity
Martin Prahl, Health IT Architect Contractor, Social Security Administration
Michael Matthews, CEO, MedVirginia
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The Face of Disability
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Disability Statistics
Annual Disability Statistics
• 3 million initial disability applications per year
• 1 million additional medical disability decisions
• 15 million requests for medical evidence each year (3-4 per case)
• 500,000 sources: doctors, hospitals
• $500 million in payment for evidence
• Over 11.7 million adults and children are receiving benefits based
on their disabilities
• Over $11 billion paid each month to these individuals
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Authorized Release of Information to a Trusted Entity
Potential Purposes of Use
• Applying for disability benefits
• Applying for life insurance or long term care
insurance
• Use in a civil court case
• Attorney use
• Use for a school camp
• Immunization records to enter school
• Demonstration of need for translators, transportation, housing and other
services
• Copy to a friend or relative as a backup record
• Copy to a relative for assistance or to set up a family history
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SSA Authorized Release of Information Value Case
All stakeholders can see value
• Operational reduction in release of information (locating records,
printing/copying records, assembly, delivery)
• Decrease in turnaround timeframe
• Increase in response rate
• Impacts to disability determinations
• Approval leads to monthly benefit
• Insurance coverage under
Medicare/Medicaid
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MEGAHIT Technical Overview
• MEGAHIT - Medical Evidence Gathering and Analysis
through Health IT
• Analysis of structured medical information to identify
pertinent information in the medical record that may
support an impairment listing
• Initial Health IT Partner (August 2008) - Beth Israel
Deaconess Medical Center, Boston, MA
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The SSA – MedVirginia Partnership
• Members of the Nationwide
Health Information Network
Cooperative
• Started Production Pilot in
February 2009
• First production use of the NHIN
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Partnership Results
• About 1,500 disability cases
• Same or next day decisions in
11% of HIT-enabled cases
• Average case processing time
~40% less in HIT-enabled cases
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TUESDAY, 11:00 – 11:20AM
Patient-Authorized Release of
Information to a Trusted Entity
Michael Matthews, CEO, MedVirginia
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Commonweath of Virginia
Safety Net
NHIN
Henrico
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Hanover
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Chesterfield
Commonwealth
Of Virginia
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Richmond
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New
Communities
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First to DURSA
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First to NHIN
• Ave disability determination
– 84 days
• With MedVirginia
– 46 days
• CCD to SSA
• Algorithms by SSA
• Replication of model
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Case Study:
SSA / MedVirginia Use of MEGAHIT
• Commissioned by SSA
• Conducted by Kay Center for
eHealth Research
• Perspectives:
– Claimant
– Provider
– SSA
• ROI
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Helping More Disableds
Proposal to SSA Sept. 2009
GATEWAY
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C-HIEP
• Normalize data collection
– Rehab
– SNF
– Home health
• One of 3 sub-contractors
• Submission via NHIN
Photo from Sheltering Arms
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CommonwealthRx
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Focus on Safety Net Providers
• Clinical data
– Hospital results
– Labs
– Medications
• Secure messaging
• Practice management
– Interfaced with MedVirginia
• Clinical documentation
– Meds, allergies, problem lists, vitals
• E-prescribing
• Eligibility screening tool
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PHR
EHR
ERX
HIL
PHYTEL
Care Coordination
HRA
Information Management
Alignment:
Medical Home and Meaningful Use
Health Information
Patient Education
Health Coaching
Disease Management
Referral Coordination
Post-Discharge CM
Medical Home
Information System
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No patient left behind…
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Veterans
Active military
Uninsured
Minority
Rural
Mental health
Correctional facilities
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Thank You
The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase
does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal
Health Architecture or the Department of Health and Human Services.
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