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How SHARE can assist Hospitals by promoting interoperability

Wed, 10/03/2018 - 11:21 -- Whitney Mayo

 

SHARE Value/Benefit to Hospitals

  • The hospital referral network is able to securely communicate between providers using SHAREs Direct Trust Secure Messaging to send Continuity of Care Documents (CCDs).

 

  • Hospitals use SHARE to send Immunizations, Syndromic Surveillance Data, Electronic Laboratory Reporting, Cancer Reporting to Arkansas Department of Health which assists with Interoperability Program Public Health Objective 6 (listed below). This allows hospitals to meet this objective and be eligible to receive $63,750 in total per Medicaid Eligible Professional (EP) or $43,480 in total per Medicare EP (depending on patient population) in 2018.

 

  • SHARE assists hospitals in meeting Health Information Exchange Interoperability Program Objective 5 (listed below) by providing a summary of care record (CCD) for hospital transition of care (TOC) or referral. This allows hospitals to meet this objective and be eligible to receive $63,750 in total per Medicaid EP or $43,480 in total per Medicare EP (depending on patient population) in 2018.

 

  • Hospital referral clinics connected to SHARE are able to see the longitudinal record of a patient that was seen by other facilities throughout the State.

 

  • Hospital providers are able to access a patient record through the Virtual Health record to view patient summaries and results (query based exchange) or query SHARE for your patients results- CCDs (Query and Response using xds.b or xca protocol).

 

  • Clinics throughout the State will receive a daily report from SHARE connected hospitals. The clinics participating in Arkansas Medicaid Patient Centered Medical Home (PCMH) receive daily reports when a patient is admitted and discharged from the Emergency Departments and/or an Inpatient admission. These daily reports are sent in real-time to clinic care coordinators in their email.

 

Data Types Sent/Receive: CCDs, Admission, Discharge and Transfers (ADT), Radiology Reports, Transcribed Documents, Laboratory Reports and Immunizations

 

SHARE Sending to Referral Partners: SHARE receives CCD/HL-7 messages from hospitals. CCD/HL-7 messages include ADT’s, Radiology Reports, Laboratory Reports, and Transcribed Documents. Transcribed documents include discharge summaries and progress notes and other reports that supports clinics around Arkansas.

Hospital Objectives and Measures for 2018

Updated: June 2018

 

Stages of Promoting Interoperability Programs: First Year Demonstrating Meaningful Use

The Centers for Medicare & Medicaid Services (CMS) established the Promoting Interoperability Programs (formally named the EHR Incentive Programs) in 2011 to encourage eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) to adopt, implement, upgrade and successfully demonstrate meaningful use of certified electronic health record technology (CEHRT).

NOTE: The last year an EP, eligible hospital, or CAH could begin receiving Medicare incentive payments was 2015. The last year an EP, eligible hospital, or CAH could begin receiving Medicaid incentive payments was 2016. In 2016, Section 602 of the Consolidated Appropriations Act of 2016 added subsection (d) hospitals in Puerto Rico as eligible hospitals under the Medicare program, and extended the participation timeline for these hospitals.

The Medicare and Medicaid PI Programs were designed to measure the use of CEHRT in three stages:

Stage 1 established requirements for the electronic capture of clinical data, including providing patients with electronic copies of health information.

Stage 2 expanded upon the Stage 1 criteria with a focus on advancing clinical processes and ensuring that the meaningful use of EHRs supported the aims and priorities of the National Quality Strategy. Stage 2 criteria encouraged use of CEHRT for continuous quality improvement at the point of care and the exchange of information in the most structured format possible.

In October 2015, CMS released the  Medicare and Medicaid Programs Electronic Health Record Incentive Program-Stage 3 and Modifications to Meaningful Use in 2015 through 2017 final rule, which modified Stage 2 requirements to streamline reporting requirements on measures that had become redundant, duplicative, or topped out.

Stage 3 was established in 2017 as a result of the 2015 final rule and focuses on using CEHRT to improve health outcomes. The table on the next page outlines the appropriate stages of the PI Programs based on providers’ first year demonstrating meaningful use.