PCMH Webinar May 2016

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Transcript PCMH Webinar May 2016

PCMH: Learning Collaborative
Session 19
American Academy of Pediatrics – Arkansas
Chapter
May 31, 2016
Teleconference Reminders
• Please MUTE the phone when you are not speaking
– This will eliminate any background noise including incoming phone
calls, conversations between team members, dogs barking, UPS
Deliveries, etc.
• Please do not put your phone on HOLD
Agenda/Objectives
• Welcome/Introductions
• PCMH Update
• Presentation from SHARE/Justin Villines, MBA, Health
Information Technology Policy Integrator
• Questions/Open Mic
Disclosures
• Support provided by Arkansas Medicaid
PCMH Update
2016 PCMH
• The process for validation visits will remain the same as it has been; QA will contact the
practices and schedule the validation visits-- there will be no unannounced visits.
• The next round of PCMH reports should be released around June 28th.
• Please remember to complete your Arkansas Medicaid six month activities in the AHIN
portal by June 30.
• The 2017 AR Medicaid PCMH Program enrollment will be held August 15 – October 31,
2016.
• Reminder- AR Medicaid FAQs can be located
here: http://www.paymentinitiative.org/medicalHomes/Pages/FAQs.aspx
NEWBORN PATIENTS WAITING FOR ID ASSIGNMENT
If a newborn patient has been waiting at least 45 days for their
Medicaid number, send a secure email to your AFMC provider
relations representative.
Please include the following information:
• Parent name
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Child name
Child’s date of birth
County of residence
SHARE Presentation
Justin Villines, MBA
AR Academy of Pediatrics
May 31, 2016
Justin Villines, HIT Policy Integrator
Adrian Jones, Accounts Manager
Information and associated activities supported by funds provided by the Office of the National Coordinator for
Health IT, Department of Health and Human Services, Grant Number 90IX0009/01-00
PRESENTATION AGENDA
 Introduction
 SHARE Overview
 Update on PCMH Event Notifications
 SHARE Update on ONC Grant
 Grant Deliverables, Barriers and Strategies to EP and BH HIE
adoption
 SHARE Collaborations
WHAT IS SHARE?
State Health Alliance for Records Exchange
What SHARE is:
State of Arkansas’
Health Information Exchange (HIE)
HISTORY OF SHARE?
State Health Alliance for Records Exchange
 Statewide health information exchange (HIE)
 Established with Act 891 of 2011, 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
PATHWAY TO HEALTH DATA
Hospitals
Hospitals
Public
Health
Radiology
Centers
Labs
Clinics
Payers
Medicaid
Pharmacies
Public Health
Radiology Centers
Labs
Clinics
Payers
Medicaid
Pharmacies
WHAT IS SHARE?
Infrastructure for providers,
labs, pharmacies, public health, others to
share clinical data
Available to health care entities
EMR/EHR agnostic
Evolving array of features and functionality
WHY SHARE?
WHAT DATA CAN BE SHARED?
 Clinical Care Summaries
 Lab Results
 Discharge Summaries
 Radiology Reports
 Problem List / Diagnosis
 Immunizations
 Referrals
 Transcribed Documents
 Active Medications
 ADTs/Patient Demographics
 Allergies
 ADH Registries
 CCD Exchange
BENEFITS OF USING SHARE
Improve patient care • Save time • Save money
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Simplifies coordination of care between participating providers
Securely receives patient data from multiple points of care
Allows for improved care decisions and Transitions of Care
Helps Improve Patient Outcomes
Avoids duplicate testing and procedures
Reduces cost & burden of faxing / mailing patient records
Interfaces with certain ADH Registries
3WAYS
WAYSTO
TOSHARE
SHARE
1. Secure Messaging
2. Virtual Health Record (VHR)
– Query-based exchange
3. Health Information Exchange (HIE)
– Results deliver
4. CCD/A Delivery
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XDR Integration (TOC, MU Requirement)
XDS.b, Bidirectional
PCMH EVENT NOTIFICATIONS
Event Notifications: Alerting PCMH clinics when their Medicaid patients are
admitted /discharged from the ED and Inpatient Discharges.
2016 (Jan to May 31): Total Event NotificationsJan – February 2016: 26,783
March 2016: 13,972
April 2016: 11,517
May 1-31: 16894
SECURE MESSAGING AND VHR TRAINING
 Need additional training?
NO Problem
 Morning and Afternoon times available via webinar training
 Add additional employees: Contact SHARE to add them
 Need PCMH Event Notifications to multiple individuals
WHO SHARES?
CLICK TO EDIT HEADER TEXT
More than 1.8 Million +
patients participate in SHARE
WHO SHARES
Hospitals
Facilities/Practices
38 Total Sites
30 Live
8 Implementing
646 Total Sites
477 Live
169 Implementing
Live Sites = Data feed(s) in production and/or VHR/SM training completed
Implementing = Participation and Pricing agreement(s) in place and/or technical/operational
activities underway
As of May 2016
BEHAVIORAL
BEHAVIORAL PROVIDERS
PROVIDERS
Outreach
Live/Implementing
70 Total Sites
48 Live
22 Implementing
113 Total Sites
Conducted Outreach (SHARE DEMO and/or Participation
Agreement in Hand)
Live Sites = Data feed(s) in production and/or VHR/SM training completed
Implementing = Participation and Pricing agreement(s) in place and/or technical/operational activities
underway
As of May 2016
HOSPITALS NOW INCLUDE
Connected Hospitals
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Arkansas Children's Hospital (ACH)
Arkansas Methodist Medical Center (AMMC)
Ashley County Medical Center (ACMC)
Baxter Regional Medical Center (BRMC)
Bradley County Medical Center (BCMC)
CHI St. Vincent Infirmary
CHI St. Vincent Medical Center North
CHI St. Vincent Morrilton
Chicot Memorial Medical Center
Conway Regional Medical Center
Conway Regional Rehabilitation Hospital
Dallas County Medical Center
Delta Memorial Hospital
Drew Memorial Hospital
Five Rivers Medical Center
Great River Medical Center
Howard Memorial Hospital (HMH)
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Jefferson Regional Medical Center (JRMC)
Magnolia Regional Medical Center (MRMC)
McGehee Hospital
Mena Regional Health System
Methodist Behavioral Hospital
North Arkansas Regional Medical Center
Pinnacle Pointe Behavioral Healthcare System
Saline Memorial Hospital (SMH)
South Mississippi County Regional Medical Center
Stone County Medical Center
UAMS Medical Center
White River Medical Center (WRMC)
Washington Regional Medical Center
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CHI St. Vincent Hot Springs
Community Medical Center of Izard County
Dewitt Hospital and Nursing Home
North Metro Medical Center
Ozark Health Medical Center
Piggott Community Hospital
Plus many more…
Connecting Hospitals
PROVIDER PRACTICES
PRACTICES
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Family Medicine Clinic
Family Doctors Clinic
Claude Parrish CHC
Main Street Medical
Marshall Family Practice
Ronald Reese, M.D.
Newton County Family Practice
Andrew Coble – General & Specialty Surgeon
Internal Medicine Diagnostics, Inc.
UAMS Regional Center – Pine Bluff; Fort Smith
Boston Mountain Rural Health Center (7 sites)
East Ark Health Center (5 sites)
Jefferson Comprehensive Care (6 sites)
Lee County Cooperative Clinic (4 sites)
Willow Street Health
NEA Baptist (37 sites)
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UAMS Regional Centers (4 sites)
ARcare (23 sites)
Apache Drive Children’s Clinic
Conway / Greenbrier Children’s Clinic
Conway OB/GYN
Cornerstone Clinic for Women
Little Rock Pediatric Clinic
The Pediatric Clinic, NLR
Ozark Internal Medicine and Pediatrics
Pocahontas Medical Clinic
The Children’s Clinic of Jonesboro
Sager Creek Pediatrics
MANA
North Central Arkansas Medical Associates
Community Physical Group
The Breast Center
Paragould Pediatrics
Plus many more…
BEHAVIORAL HEALTH
BEHAVIORAL HEALTH STRATEGY
Collaborations with:
 Public/Statewide Collaborations – working with DHS as it transitions to
managed care or behavioral health home model
• Arkansas Medicaid
• Arkansas Division of Behavioral Health – gap analysis
• Arkansas Community Mental Health Centers
• Communications with DHS universal assessment vendor
PILOT WITH RSPMI PROVIDER
• Goal – Connect Rehabilitative Services for Persons with Mental Illness (RSPMI)
providers utilizing DSM and/or VHR
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RSPMI is the largest provider type for mental health in Arkansas
There are 291 providers in the pilot
Collaborate with provider outreach resource for coordinated messaging
Facilitate web-based training and technical support
• Support
 Establish DSM accounts for each of the providers to enable communication with PCP’s
 Complete workflow analysis and redesign
 Training and technical support
SHARE DEMO
HOW TO GET STARTED
Register at:
SHAREarkansas.com
OR
Call 501.410.1999
[email protected]
Information and associated activities supported by funds provided by the Office of the
National Coordinator for Health IT, Department of Health and Human Services, Grant
Number 90IX0009/01-00
Questions?
THANK YOU!
[email protected]
[email protected]
SHAREarkansas.com
501.410.1999
What else is going on?
Open Mic- Questions/Concerns?
Feedback Form
• Please feel free to fill out Medicaid Feedback Form located on
our website: http://arkansasaap.org/forms/
• Kristen can assist you with this form.
Listserv
Link to sign up for Listserv:
http://mailman.listserve.com/listmanager/listinfo/pcmhlearning
collaborative