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 to comply with the CMS, ONC Final Interoperability Rule.
➢ 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).
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April 2, 2021, Little Rock, Arkansas Magnolia Regional Medical Center located in Magnolia, Arkansas expands connection to 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 Magnolia Regional Medical Center to further augment its continuity of care (CCDs) while improving access to a patient’s information for diagnosis and treatment. Magnolia Regional Medical Center has integrated SHARE into its Health Information Exchange (HIE) application—CPSI EMR System—to help improve patient safety and reduce potential medication and medical errors.
Stephen Collier, CIO of Magnolia Regional Medical Center, stated “Magnolia Regional Medical Center participation in the statewide health information exchange network will allow us exchange CCDAs with primary care providers within our community,” said Collier.
Through SHARE, providers at Magnolia Regional Medical Center 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 Magnolia Regional Medical Center 24-hour daily reports on all readmissions.
The 30-day readmission notification allows Magnolia Regional Medical Center 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. Magnolia Regional Medical Center clinics’ 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, COVID 19 positive reports and COVID 19 vaccine reports. This allows the hospital and clinic to assist patients’ with transitions of care and timely follow-up.
“Magnolia Regional Medical Center is part of the Arkansas Rural Health Partnership (ARHP) comprised of 14 rural hospital members and two Federally Qualified Health Centers spanning across South Arkansas, said Rex Jones, CEO of Magnolia Regional Medical Center. “Together we continue to expand, nurture, and provide programs throughout the Partnership’s individual communities and the Arkansas Delta region. As part of the ARHP, Magnolia Regional Medical Center received a grant from Arkansas Blue Cross Blue Shield to integrate their EMR system to SHARE to improve quality in Columbia County as well as patients from Lafayette, Nevada, Ouachita, and Union counties and well as residents of Northern Louisiana”, said Jones.
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 Magnolia Regional Medical Center (MRMC):
Magnolia Regional Medical Center is a non-profit Acute Care Hospital. The hospital has been in continuous operation since 1939 and is licensed to operate 49 beds. In February 2010, a new facility opened replacing the original 1939 building and additions. The hospital continues to serve a diverse population in Columbia County and a large part of Southwest Arkansas including neonatal, pediatric, obstetric, adult, and geriatric patients.
Magnolia Regional Medical Center is located near the center of the City of Magnolia, eighteen miles from the Louisiana border, in the southwest corner of the state. It serves as the sole community provider of medical care for a thirty-five-mile radius. The primary service area is Columbia County but receives patients from Lafayette, Nevada, Ouachita, and Union counties, as well as residents of Northern Louisiana.
Learn more about MRMC: https://magnoliarmc.org
Unifying Care, Transforming Communities.
Arkansas Rural Health Partnership (ARHP) is a public nonprofit comprised of 14 rural hospital members & 2 FQHC's spanning south Arkansas. Together it continues to expand, nurture and provide programs throughout the Partnership’s individual communities.
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.
Learn more about ARHP+: https://www.arruralhealth.org