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July 2020

Post date: 2020-07-31T11:33:16-05:00

So, what is interoperability and why is it important in Healthcare? “Interoperability” is the ability for Healthcare technology systems and devices to exchange, interpret, and store data using common standards.

SHARE is Prepared to Help Hospital Systems Comply with CMS, ONC Final Interoperability Rule

2020: CMS and ONC issued final interoperability, Information Blocking and the ONC Health IT final rules March 9; majority of the regulations are effective Spring 2021. Deadlines were recently rolled back to allow more time, as resources are targeted into COVID-19 pandemic response (CMS Interoperability and Patient Access Final Rule).

Comply with “Final Interoperability” Rules: State Health Alliance for Records Exchange (SHARE) is here for you, ready to support health care providers who administer care to Arkansas residents. SHARE is prepared to help participants comply and implement our health information exchange (HIE) data exchange to make protected patient health information more accessible.

SHARE is offering incentives to offset costs to hospitals and health systems for participating in the SHARE network by November 2020 and sharing data connections by April 2021.

The Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) finalized rules March 9, 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 hospitals and health systems to send admissions, discharge, and transfer (ADT) notifications as soon as possible.

Effective Spring 2021, hospitals must electronically send admission, discharge and transfer (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. ADT alerts improve care quality and reduce readmissions.

SHARE ADT Notifications further help primary care providers keep track of patients during public health crises, most notably the COVID-19 pandemic. 

CMS is now requiring these hospitalization alerts as a condition of participation in Medicare and Medicaid. In addition, other time-sensitive requirements include: By May 1, 2021, hospitals must start sending ADT notifications to patients’ physicians. Payers have until July 1, 2021 to comply.

In late-2021, CMS will start publicly reporting the identity of clinicians, hospitals and critical access hospitals practicing information blocking (broadly defined as practices that are likely to interfere with, prevent, or materially discourage the access, exchange, or use of electronic health information).

Condition of Participation/Admission, Discharge & Transfer (ADT) Notifications

This rule requires hospitals, including psychiatric hospitals and critical access hospitals, to send notifications that must include at least a patient name, treating practitioner name and sending institution name. The health system will send notification at the time of registration at the emergency department; admission to the hospital’s inpatient services; the patient’s discharge or transfer from hospital’s emergency department; the patient’s discharge or transfer from hospital’s inpatient services. This requirement is effective May 1, 2021. SHARE already offers event notification services to its participants. This federal regulation is achieved by SHARE participants sending their ADT information to SHARE and SHARE delivering event notification service through (NexGen Healthcare Solutions, Mirth Connect).

To view the CMS Interoperability and Patient Access final rule, visit: https://www.cms.gov/Regulations-and-Guidance/Guidance/Interoperability/index

Post date: 2020-07-24T09:00:10-05:00

July 2020 Conway, Arkansas

“Providing rapid and secure access to previously unavailable patient information from Emergency Departments has really helped identify high risk patients” Donna Strickland, Administrator of Arkansas Pediatrics of Conway. This in turn allows us to meet the Medicaid PCMH program and Arkansas Children’s Care Network (ACCN) metrics of tracking your high-priority beneficiaries, following up with patients within 10 days and knowing the high utilizers to the ED, whether it is a the Arkansas Children’s Hospital, Ozark Health, Conway Regional Health System, Baptist Health, CHI St. Vincent or UAMS Health.

The Arkansas Pediatrics of Conway is a pediatric care physician office located in Conway, Arkansas.  The Arkansas Pediatrics of Conway has been part of central Arkansas for many years. They have (7) providers that include (4) MD, (3) APRN’s that see around ~9,000 patients. Why SHARE? Use of SHARE continues to help our clinical staff resolve challenges of having access to patient information when we need it. The ability to efficiently and securely access and exchange patient health data has long been a difficult challenge to resolve for Arkansas Pediatrics of Conway.

Now with the addition of new value-based incentives such as demonstrating many metrics in gap closure with the clinically integrated network- Arkansas Children’s Care Network (ACCN), Patient Centered Medical Home (PCMH) and similar, SHARE provides the clinical data when we need it.  Use of SHARE enables a collaborative environment between our healthcare providers in our area and surrounding hospitals to improve the effective and secure exchange of patient health information. Some of the benefits of using SHARE are to have the patient information flow into the patients’ chart from when a patient is admitted or discharged from a hospital. “Before SHARE we rarely had this information when the patient was seen by our provider”, stated Donna Strickland.

Arkansas Pediatrics of Conway is committed to providing comprehensive, family-centered, compassionate care to children and their families. We have four board-certified pediatricians and three nurse practitioners who see patients ages newborn through adolescence. In addition to providing well and sick childcare, our clinic is also equipped to meet more specialized needs. This includes the treatment of infectious diseases, asthma care, allergy evaluation and treatment, the management of adolescent patients, and the follow-up care of premature infants.

 Accessing critical patient information at the point of care using SHARE allows connecting patient encounters, which before was a fragmented healthcare system, where information was kept in silos has improved our clinic.

Clinicians and staff from Arkansas Pediatrics of Conway are focusing on quality improvement, strengthening physician relationships in their area of referrals, SHARE offers the technology and processes to enhance the quality of data we receive in real time. With 75 hospitals and over 1,800 provider practices across the state currently using SHARE to make critical health information accessible when and where needed in a HIPAA-compliant environment, connection to SHARE has brought a high value to their clinic than ever before.

About Arkansas Pediatrics of Conway

Arkansas Pediatrics of Conway is committed to providing comprehensive, family-centered, compassionate care to children and their families.  We have four board-certified pediatricians and three nurse practitioners who see patients ages newborn through adolescence.

In addition to providing well and sick childcare, our clinic is also equipped to meet more specialized needs. This includes the treatment of infectious diseases, asthma care, allergy evaluation and treatment, the management of adolescent patients, and the follow-up care of premature infants. Our clinic offers on-site lab and x-ray services and we see patients beginning at 8 am Monday through Friday.  We are accepting new patients up to age 16 and welcome the opportunity to serve you and your family!

Learn more at: http://arkansaspediatrics.com/

About Arkansas Children's Care Network (ACCN)

The Arkansas Children’s Care Network will fundamentally transform healthcare delivery for the children of Arkansas through a Clinically Integrated Network (CIN) comprised of health care professionals who provide coordinated and accountable pediatric care supported by a sustainable financial model. This network will improve quality, access, patient/family experience, and affordability of health care while also increasing physician engagement and satisfaction. ACCN will be the nation’s first statewide pediatric CIN, promoting collaboration among primary care and specialty providers who treat children across Arkansas. ACCN will enable its partners to work together in a clinically integrated manner, using common health protocols and pathways so that each child receives quality care at the most appropriate location.

Learn More: https://www.accnconnect.org/arkansas-childrens-care-network/arkansas-childrens-care-network-home

Post date: 2020-07-22T09:00:05-05:00

“Connectivity to SHARE required little effort from our practice and will assist us in following up on our patients after an unfortunate ED or Inpatient visit by one of our Children.”  –Dr. Bryan Harvey, MD

July 2020 Rogers, Arkansas

Harvey Pediatrics in Rogers has experienced first-hand the value of using the Arkansas Health Information Exchange known as SHARE - the State Health Alliance for Records Exchange. This pediatric practice provides medical care for children ranging in age from birth to 21. The staff of four physicians, two nurse practitioners, two licensed clinical social workers and a support staff provides care for a patient population of over 8,000 pediatric patients in northwest Arkansas.

After joining SHARE the clinic began to use the web-based portal which allows the medical professionals to view their patients’ health records and direct-trust secure messaging which allows the clinic to communicate securely with other health care providers including Arkansas Children’s Northwest (ACNW).  Harvey Pediatrics has also integrated their EMR system with SHARE and send Admission, Discharge and Transfer (ADT), diagnosis, allergies, medications, procedures, vitals, and continuity of care documents (CCDs) improving continuity of care in northwest Arkansas.

According to Misty Ross, CPPM, CMA (AAMA), Clinic Administrator “Having the pertinent details of active patient problems, labs, and medications without having to search through individual patient notes via fax as we did in the past, improves patient care and illustrates how SHARE can be used meaningfully.”  Misty said the connectivity to SHARE with our Office Practicum EMR system required little effort from the practice and has provided the clinic with the capability of using the key clinical information provided by SHARE to update their patients’ current problem list and document recent diagnoses that occur at connected hospitals and specialist.

 “Once appropriate details about the diagnosis or problem are recorded, such as quality, duration, timing, and complicating factors, the provider adds this to our Electronic Health Record. This allows the details and the diagnosis to be maintained at Harvey Pediatrics in the patients’ chart,” said Dr. Harvey who added that the clinic will continue to use SHARE to better coordinate patient care with other providers through our EMR interface with SHARE.

“SHARE has assisted us by identifying emergency department visits and inpatient stays of our patients that then trigger us to bring the children in within 10 days for follow-up, allowing us to meet the metric for the value-based incentive programs our clinic is part of as well as the Arkansas Children’s Care Network (ACCN), which the clinic is part of the statewide pediatric clinically integrated network (CIN),” said Dr. Harvey.  

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About Harvey Pediatrics

At Harvey Pediatrics, we consider it both a great joy and responsibility to care for children. Most of us are parents ourselves, so we strive to be understanding and available to the families we are privileged to serve. We are honored that you have chosen us as your child's primary medical provider and are confident that you will be pleased with the quality of care and service that we can provide you and your family.

A vital part of our service to children begins with our outstanding staff who works hard to manage and maintain a professional, caring, and supportive environment for our patients in a timely manner. Our doctors are lifelong learners. Not only have they received advanced medical training in pediatrics, they continually pursue ongoing education to stay abreast of the latest in child health care.

Your child's health is as important to us as it is to you. We look forward to providing you with excellent medical care your child deserves.

Learn More: https://www.harveypediatrics.com/

About Arkansas Children's Care Network (ACCN)

The Arkansas Children’s Care Network will fundamentally transform healthcare delivery for the children of Arkansas through a Clinically Integrated Network (CIN) comprised of health care professionals who provide coordinated and accountable pediatric care supported by a sustainable financial model. This network will improve quality, access, patient/family experience, and affordability of health care while also increasing physician engagement and satisfaction. ACCN will be the nation’s first statewide pediatric CIN, promoting collaboration among primary care and specialty providers who treat children across Arkansas. ACCN will enable its partners to work together in a clinically integrated manner, using common health protocols and pathways so that each child receives quality care at the most appropriate location.

Learn More: https://www.accnconnect.org/arkansas-childrens-care-network/arkansas-childrens-care-network-home

Post date: 2020-07-20T10:24:50-05:00

July 2020 Little Rock

Delta Memorial Hospital and Delta Health Services located in Dumas, Arkansas joins the State Health Alliance for Records Exchange (SHARE), the statewide health information exchange network that electronically connects Arkansas hospitals, physicians and clinicians to safely and securely exchange patient health information. Connecting to SHARE allows Delta Memorial Hospital and Delta Health Services to further augment its continuity of care while improving access to a patient’s information for diagnosis and treatment. Delta Memorial has integrated SHARE into its Health Information Exchange (HIE) application—Evident EMR System—to help improve patient safety and reduce potential medication and medical errors.

 “As one of the state’s leading critical access hospital systems in the Arkansas delta region, Delta Memorial Hospital is a valued member and further expands the SHARE Network’s reach throughout Arkansas. By connecting Delta Memorial Hospital to SHARE, its care delivery teams can more readily access comprehensive and up-to-date patient information both statewide and nationwide.” said Anne Santifer, Director, Office of Health Information Technology, a division of Arkansas Department of Health that oversees SHARE.

 Ashley Anthony, CEO of Delta Memorial Hospital, stated “Delta Memorial Hospital participation in the statewide health information exchange network will allow us to further improve quality and patient safety as we lead improvements in medicine,” said Anthony.

Through SHARE, providers at Delta Memorial Hospital and Delta Health Services can improve both direct care delivery and coordination by having ever-present access to clinical information, such as medical history, previous diagnoses, lab tests, medications, and allergies. Additionally, access is available to historical medical data on patients using the SHARE virtual health records allows for gap closures and reduction in potential readmissions. SHARE provides Delta Memorial Hospital 24-hour daily reports on all readmissions.

The 30-day readmission notification allows Delta Memorial to receive a secure message notification when a patient that discharged from their facility, was readmitted into any SHARE participating hospital within a 30-day timeframe. Delta Health Services Clinic also receives SHARE daily reports that make available to healthcare providers the most recent critical events, such as emergency department discharge and inpatient discharges, with patients within the last 24 hours regardless of insurance. This allow the hospital and clinic to focus on transitions of care and gap closures.

Staff members at Delta Memorial Hospital have already found that the HIE application tool helps them provide a more comprehensive patient experience. Carole Neely, Care Coordinator at Delta Health Services Clinic, shared her interactions with clinical staff at the clinic. “When I showed the triage nurse how to pull in the records for our patients’ pediatrician specialist at Arkansas Children’s Hospital in Little Rock, she loved it. She was particularly excited about seeing the discharge summary in real-time. For patients moving or visiting other healthcare facilities, access to this information is invaluable.”

Delta Memorial Hospital is part of the Arkansas Rural Health Partnership (ARHP) comprised of 14 rural hospital members spanning South Arkansas. Together it continues to expand, nurture, and provide programs throughout the Partnership’s individual communities and the Arkansas Delta region. As part of the ARHP, Delta Memorial Hospital received a grant from Arkansas Blue Cross Blue Shield to integrate their EMR system to SHARE to improve quality in Desha County and surrounding communities in South Arkansas.

SHARE is helping to transform the quality of care for—and the health of—Arkansans and has successfully connected members, which are comprised of other state HIEs, hospital systems, physician groups, various specialist, and individual practitioners. The Network currently reaches counties across the entire state and has millions of patient records accessible to providers.

About Delta Memorial Hospital:

Delta Memorial Hospital began serving our community in 1949 as Desha County Hospital when a new healthcare facility was constructed at 300 Pickens Street in Dumas. The facility was licensed for 49 acute hospital beds.

In December of 1975 the Desha County Hospital Association was organized as a not-for-profit corporation to assume responsibility for the operation of the hospital. The organization is governed by a board of directors composed of citizens who reside in the hospital's service area. In July of 1983 the name of the corporation and hospital was changed to Delta Memorial Hospital.

Delta Memorial Hospital develops a Home Health Agency to address the skilled nursing care needs of area residents. The Home Health Agency is certified to participate in the Medicare Program in April 1991. In October 2005, Delta Memorial Hospital was certified as a Critical Access Hospital under the Medicare Conditions of Participation. Converting to a Critical Access Hospital required the hospital to reduce its licensed bed capacity to 25 acute/swing-beds.

In June of 2006, Delta Memorial Hospital relocated to a new healthcare facility at 811 South 65 Highway in Dumas. The building was constructed and is owned by the City of Dumas. The facility is leased by the hospital corporation for the purpose of providing health care services to area residents.

In May 2007, Delta Memorial Hospital develops a hospital owned group medical practice, Delta Health Services, to address the primary health care needs of area residents.

About ARHP+

Unifying Care, Transforming Communities.

Arkansas Rural Health Partnership (ARHP) is a public nonprofit comprised of 14 rural hospital members spanning South Arkansas. Together it continues to expand, nurture and provide programs throughout the Partnership’s individual communities and the Arkansas Delta region.

Over the past decade, ARHP has grown from 5 to 14-member hospitals, obtained over $12M in grant funding, and successfully implemented and sustained 52 grant-funded programs across the 22-county rural service area. ARHP has become a reference point and model for rural health innovation and collaboration across the state and nation. ARHP’s outreach programs and services address the needs of our local communities. They are a direct result of listening to the communities and member organizations. Community health needs assessments conducted for each community hospital function as a foundation for all ARHP programs and services.

Post date: 2020-07-13T11:01:58-05:00

Dewitt Hospital, a critical access hospital in Arkansas County, and Ferguson Rural Health Clinic have activated the SHARE statewide health information exchange.

Dewitt Hospital and Ferguson Rural Health Clinic are accessing SHARE to enhance the communication between primary care, specialty care and acute care providers to support patients’ continuity of care. The critical access hospital and clinic, that use Azalea Health EMR system, will share episodic Admission, Discharge and Transfer (ADT) data, discharge summaries, radiology reports, image narratives, laboratory results, prescribed medications and clinical procedures, to better support and inform care transitions to local community clinic providers.

“We’re excited to partner and connect with SHARE to support the community-wide care needs of Arkansas County patients,” said Brian Miller, CEO of Dewitt Hospital & Nursing Home.

Ferguson Rural Health Clinic is being notified when patients have an emergency department and/or inpatient discharge with 24-hour daily reports on all their patients. Ferguson Rural Health Clinic is also receiving a daily report on any patient that has a positive COVID 19 result in real-time.

A key factor for patient-centered delivery systems is socially, culturally effective, and responsive care that engages patients to best meet their health needs. Dewitt Hospital clinicians can use the SHARE HIE to access records documenting patients’ most recent encounters outside its network to help promote better informed continuity of care.

Many people, particularly those with chronic conditions, receive health services from a variety of providers, with no single provider responsible for coordinating all that care. SHARE’s HIE platform captures the wide breadth of health data across our fragmented delivery system including ED visits and community medical encounters to unify into one longitudinal record. As more healthcare organizations onboard, we are excited to see medical professionals increasingly use the data to inform and complete appropriate plans of care for their patients.

Dewitt Hospital is part of the Arkansas Rural Health Partnership (ARHP) comprised of 14 rural hospital members spanning South Arkansas. Together it continues to expand, nurture, and provide programs throughout the Partnership’s individual communities and the Arkansas Delta region. As part of the ARHP, Dewitt Hospital received a grant from Arkansas BCBS to integrate their EMR system to SHARE to improve quality in Arkansas County and surrounding communities in South Arkansas.

About Dewitt Hospital

As a 25-bed critical access hospital, we provide emergency and outpatient services for our area. Our mission is a commitment to the recruitment and development of qualified, responsible, and motivated individuals. We recognize the importance of each individual and his or her active participation in the success of the entire hospital organization. We are sensitive to the holistic needs of our patients and are dedicated to their satisfaction. In addition to our hospital, we operate a 60-bed nursing home, the Ferguson Rural Health Clinic, as well as an ambulance service; and a paramedic service which is operated locally.

Learn More at: https://www.dewitthealth.org/