Important COVID-19 Information
SHARE remains fully operational during this pandemic and is providing uninterrupted data exchange for our customers and the healthcare community throughout Arkansas. We are working with our health information exchange participants, including the State of Arkansas, on important monitoring, surveillance and care coordination initiatives to assist with this situation.
- Our COVID-19 Lab Notifications service that brings alerts of test results to providers is available starting Monday April 20th, 2020 at no charge to qualified participants that are already receiving the 24 hour daily reports of ED and Inpatient Discharges.
- For SHARE Virtual Health Record users, we are working with our hospital partners on the details of the results they are sending to SHARE.
- We are working with our major reference lab providers to expand their data feeds to SHARE as well as working with Arkansas Department of Health Laboratory to receive results for the testing that they are providing.
Providers will receive an initial message that includes patients (identified by the attribution list provided to SHARE) that have had a positive COVID-19 test from the Arkansas Department of Health since the beginning of testing until the current date. The following reports will include the positive cases SHARE received from ADH within the last 24/48 hours.
For the safety of our employees, partners and customers, and to ensure that Arkansas’s care providers and first responders can do their important work as effectively as possible, we are promoting the best practices of social distancing. Our office remains fully functional online and via phone.
If you need assistance, please contact us at [email protected] or call our Help Desk at 1-855-742-7327.
Better Interoperability for Better Healthcare
April 2020 --Little Rock, Arkansas
The Office of Health Information Technology (OHIT), a division of the Arkansas Department of Health (ADH) that oversees the State Health Alliance for Records Exchange (SHARE) announce that Access Medical Clinic (25+) rural health clinics (RHC’s) are now using SHARE, one of the country’s most robust health information exchanges (HIE). Access Medical Clinic care teams to include a team of physicians, family nurse practitioners, physician assistants, nurses and other healthcare providers and support staff are now accessing clinical information across participating entities for patients who have authorized sharing their medical information. This allows them to have accurate and recent results for their patients that range from children to adults. In addition, Access Medical Clinics are conducting COVID-19 testing on patients throughout rural Arkansas.
“Securely sharing health data across systems and regions is an important step in providing high-quality, low-cost healthcare,” said Dr. Bradley Bibb MD, CEO. “This link between SHARE and Access Medical Clinics provides a vital connection to health data for all patients throughout rural Arkansas.”
Accessing patient information through this secure exchange allows the clinics significant access to better coordination with hospitals, specialist and referral partners outside their network across the State to see a more robust picture of their patients’ medical histories, engendering efficient and safe continuity of care. The SHARE 24-hour daily reports also alert the Access Medical Clinic care team’s when patients are admitted and discharged from the emergency department and inpatient discharged in real-time. This allows for follow-up to occur within 72 hours of a patient being discharged, assisting the clinics in meeting value-based quality metrics.
In Arkansas, where many large and small health systems use disparate EHR systems, including throughout rural communities in Arkansas, this is a particularly important milestone because the single interface to SHARE will allow clinical staff to access laboratory results, radiology reports, progress notes, discharge summaries from outside hospitals and specialty clinics in their Athena EHR System. The care team can also now view the following patient data through SHARE’s and Athena interface, while also accessing historical patient health information through the SHARE Virtual Health Record (VHR) to include:
- Admission, Discharge and Transfer Data
- Demographic, Insurance, and Past Provider Information
- Allergies, Problems, Medications, Vitals, Social History
- Laboratory Results, Radiology Reports, Pathology Reports
- Discharge Summaries, Continuity of Care Documents and Progress Notes
“This collaboration between Access Medical Clinics and SHARE ensures caregivers across rural Arkansas have access to accurate and timely information, including laboratory results and clinical care summaries, regardless of their location or the system they use to manage clinical medical records.” Skip Carter, COO, Access Medical Clinic
About Access Medical Clinic
Access Medical Clinic is a leading family practice providing a complete complement of care and treatment options for patients throughout Arkansas. With its dedicated team of physicians, family nurse practitioners, Physician Assistants, nurses and other healthcare providers and support staff, Access Medical Clinic is committed to helping every member of your family stay as healthy as possible at every age and every stage of life.
The clinics offers an array of medical care services, including routine and school physicals and other preventive care services, Medicare annual wellness visits, DOT physicals, pediatric well visits, women’s health visits, sports physicals, immunizations including flu and pneumonia vaccines, treatments of illnesses and injuries, and health screenings aimed at preventing disease. In addition, the clinic features an on-site laboratory for testing that’s both convenient and thorough. Walk-in visits for urgent care needs are also welcome.
Every member of the Access Medical Clinic team provides individualized care based on each patient’s unique medical needs and lifestyle factors, including age, for optimal health and wellness in patients of all ages, including pediatric patients and seniors. The clinic is equipped with state-of-the-art technology to provide the highest level of care in a relaxing, patient-centered environment.
Access Medical Clinic offers several convenient locations to serve both new and established patients and accepts most major insurance plans.
The Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) finalized rules March 9th, 2020 requiring major changes for payers and hospitals to provide patients unprecedented safe access to their own health information. The rules address interoperability, information blocking, patient access to data and electronic health record (EHR) certification. In most cases, compliance calls for implementing significant data transparency requirements.
CMS mandates that hospitals and health systems connect admission, discharge and transfer (ADT) systems ASAP. Within just six months or effective September 9, 2020, providers must electronically send ADT alerts to community providers when patients are seen in the emergency department or admitted to, discharged and/or transferred from the hospital to another community provider or practitioner.
This timeline is aggressive and appropriate. ADT alerts improve care quality and reduce readmissions. Notifications further help primary care providers keep track of patients during public health crises, most notably the COVID-19 (coronavirus) pandemic. Now CMS is requiring these hospitalization alerts as a condition of participation in Medicare and Medicaid: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index.
Additional time-sensitive requirements include:
Hospitals must start sending ADT notifications to patients’ physicians in a little more than six months. Payers have until the end of the year.
CMS will start publicly reporting the identity of clinicians, hospitals and critical access hospitals “information blocking” in late 2020.
Many health plans will need to start sharing claims, cost and health information electronically with patients. Medicaid, the Children’s Health Insurance Program (CHIP), Medicare Advantage (MA) plans and qualified health plans must make enrollee data immediately accessible.
The State Health Alliance for Records Exchange (SHARE) is prepared to support healthcare providers throughout Arkansas and border Hospitals. We are ready to help participants comply with the final rules and implement our HIE date exchange to make protected patient health information more interoperable.
We are offering incentives (NO Implementation Costs) to offset costs hospitals and health systems for participating in the SHARE network sharing ADT notifications by September 2020.
Interested organizations can contact:
Office of Health Information Technology, a Division of Arkansas Department of Health
State Health Alliance for Records Exchange (SHARE)
Email: [email protected]
Admission, Discharge, and Transfer Event Notifications: CMS is modifying Conditions of Participation (CoPs) to require hospitals, including psychiatric hospitals and CAHs, to send electronic patient event notifications of a patient’s admission, discharge, and/or transfer to another healthcare facility or to another community provider or practitioner. This will improve care coordination by allowing a receiving provider, facility, or practitioner to reach out to the patient and deliver appropriate follow-up care in a timely manner. This policy will be applicable 6 months after publication of this rule.
To view the CMS Interoperability and Patient Access final rule, visit https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index.
To all our healthcare heroes in Arkansas and in the nation
We Thank You!
It is hard to put into words the emotions we are all experiencing as a result of the 2019 novel coronavirus (COVID-19) pandemic. Our communities, our work and our daily lives have been upended.
During this challenging period of the coronavirus outbreak, we at the Office of Health Information Technology, State Health Alliance for Records Exchange (SHARE) would like to say Thank you to all healthcare workers, doctors, nurses, patient care assistants, ambulance drivers and paramedics, the cleaning teams, all those working in hospitals and clinics and all those unseen who are working around the clock to keep us safe.
We stand alongside you and salute you! You are our heroes! A big THANK YOU for your hard work. We admire your resilience and selflessness.