Missouri Health Connection's (MHC) central focus in 2018 is optimizing the network and building out additional value for our participating members. The strategic initiatives in process for this year are both exciting and transformative for our members delivering patient care in the Midwest region. The health information exchange (HIE) landscape continues to be fast-paced and competitive and MHC strives at identifying the opportunities in the market that will continue to drive toward a fully connected health care community. MHC has many great initiatives, partnerships and updates that we are excited to bring to your attention. As always it is a pleasure to serve you.
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MHC’s Encounter Notifications Service
MHC rolled out its notification service last summer and it has been a huge success. Most of our participating members are subscribing to the service that allows them to receive electronic notifications when their patient has been treated by another health care provider. The real-time alerts include relevant patient information about the patient’s care that occurred including demographics, facility information, encounter description, physician information and a CCD of the patient encounter that identifies complaints, diagnosis and other clinical notes and discharge summary information. HIE now means more than just access to a query-based environment. HIE has advanced to a more effective value proposition for its members to transform the delivery patient care through data-driven efficiencies and more informed clinical decision making. To learn more about MHC’s real-time alerting service
click here
Welcome to the Family!
MHC is also pleased to announce its newest member, MissouriCare, a WellCare Company. WellCare is focused exclusively on providing government-sponsored managed care services, primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, to families, children, seniors and individuals with complex medical needs. MHC is proud to welcome WellCare to the MHC network. For more information about WellCare
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Meaningful Collaborations with Trusted Partners
MHC and the Missouri Hospital Association’s (MHA) data company, the Hospital Industry Data Institute (HIDI), are working together on a great project. MHC is supporting the HIDI Advantage Framework to support more data driven analysis of patient encounters. As a member of MHC, these hospitals will utilize their current interface connections with MHC to supply the requested data to HIDI. MHC will serve as a conduit for these facilities and thereby maximize the value of their investment in health information exchange by not having to build out another interface to HIDI. MHC is so pleased to be able to provide this value-added service to our HIE Participants at no additional cost. Additionally, MHC is grateful for MHA and HIDI’s support of using a centralized HIE like MHC, to help drive success for their organizational initiatives. Partnerships like these are exactly how our Participants benefit from MHC’s network and we couldn’t be happier to be of service.
MHC Moves Toward Population Health
The next service that MHC plans to roll out in late 2018 is a population health management tool. MHC is in the process of evaluating analytic applications to enhance our Participants population health and care management activities by providing analytic tools that will either augment existing population health tools with health information data from across the MHC enterprise or provide a population health service. Use cases for this service include providing a whole picture of health information to support case management activities, social determinants of health analysis, quality adherence programs, and medication reconciliation activities, as well as many others. MHC will provide more information throughout the year on the progress of this initiative and we look forward to providing this new service.
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MHC Needs to be a Part of Disaster Recovery Plans
Just a reminder that MHC should be a part of disaster recovery plans. Our clinical portal, MHC CareView, can act and serve as an entry point for providers to their electronic health record (EHR) systems during any planned or unplanned downtime. MHC CareView is easy to use and looks and feels like an EHR-light tool that can be accessed on any computer or tablet device with a simple user name and password. Since MHC has access to all MHC network EHR systems, during a downtime, MHC can provide access to a patient’s health record, including system data, so health care providers don’t miss a step in providing quality patient care. For more information contact MHC to see our recommendations about how to incorporate the clinical portal into planning and operational processes.
MHC is Connected to Other HIEs
As part of our commitment to our Participants to ensure we provide access to health information from as many data sources as possible, MHC continues its commitment to connecting to other HIEs that can provide valuable clinical information about patients. Here is a list of the HIE’s that MHC is already connected to or in process of connecting:
- Arkansas State Health Alliance for Records Exchange (SHARE) – go LIVE projected for May 2018
- eHealth Exchange (Sequoia Project) – currently connected and LIVE
- Kansas Health Information Network (KHIN) - go LIVE projected for June 2018
- Nebraska Health Information Initiative (NeHII) – currently connected and LIVE
- Show-Me Health Information Network (MO State Medical Association) – When the SHINE network becomes available, MHC will be connected to it
- Tiger Institute (University of MO-Columbia) – go LIVE projected for May 2018
- US Department of Veterans Affairs (VA) - go LIVE projected for October 2018
For a full list of MHC Participants and our trading partners
click here
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This quarter we are excited to feature
Herb B. Kuhn
President & CEO of Missouri Hospital Association
What benefits and impacts do you see in the next couple of years from health information exchanges (HIE’s)?
Coordinated care is better care. When health care providers have access to a patient’s up–to-date medical record and health information, they can make better, more informed decisions about appropriate care. HIE’s also help drive change in establishing patient risk. The Missouri Hospital Association (MHA) is working with MHC to build a near real-time alerting system to help providers understand patient status. By alerting hospitals and health professionals when a patient is admitted, discharged or transferred, the patient’s entire health service delivery team can work collaboratively to improve outcomes.
Continuity of care will help reduce health care costs, improve patient outcomes and increase the value of quality efforts.
In the last 10 years health information technology has made gigantic leaps forward, what has this meant to your business?
Technology has significant potential to transform health care. It can extend the reach of providers, inform decision-making from the bedside to the boardroom, and help deliver on the aspirations of the Triple Aim — better care, better health and lower costs.
MHA is working to harness the power of “big data” to support health care decision-making at the patient, organization and system level. For more than three decades, the Hospital Industry Data Institute (HIDI), the association’s data company, has been the backbone of MHA’s data collection and reporting system. Currently, HIDI provides data collection to support a suite of business intelligence and analytic tools for more than 1,500 hospitals in 11 states. Better data support better care — a win for all stakeholders.
One of the biggest challenges remains the ability of all participants in the system to access the value of technology. HIEs are essential to building better access to data. However, significant disparities exist within the provider community — in health information technology infrastructure, access to bandwidth and IT staffing — that can prevent optimization of technology. Technology now allows rapid data exchange and near real-time access to health information. The system to maximize the value of these advances is moving more slowly and less evenly.
Patients sometimes seem to be an afterthought in health care, what can be done to make them the centerpiece of health care?
Patient-centered care is central to improving care. Technology must serve the goal of improving care quality, patient experience and overall health care system value. The best investments in technology are the ones that serve to better connect the patient and provider, leading to better care decisions. At the most basic level, access to a patient’s medical records can improve delivery of care. However, patient-focused technology, including risk-based predictive modeling, can assist providers in understanding the interventions in the care environment and post-discharge that lead to higher quality care. Understanding that health happens in the places we learn, live, play and work — and not the environment of care — is essential to improving individual and community health. This paradigm shift improves patient outcomes while returning value back to the health care system.
It can’t happen without interconnected health data technologies serving as a backbone
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Patient Centered Data Home
MHC was recently selected as one of the four regional gateways in the national Patient Centered Data Home (PCDH) initiative established by the Strategic Health Information Exchange Collaborative. Being named as a regional gateway is a great honor and a distinction that allows MHC to act and serve as a leader in implementing nationwide interoperability for our participating members. MHC serving in this capacity will enable data exchange across the US for all MHC Participants. This is a very exciting development and we are anxious to report our progress throughout the year.
Click here
for more information about PCDH.
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Health Care Industry News
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The Trusted Exchange Framework and Common Agreement (TEFCA), which is part of the 21
st
Century Cures Act, was enacted by Congress in 2017. TEFCA proposes policies, procedures, and technical standards necessary to advance the single on-ramp to interoperability requested by Congress and will be facilitated through the Office of the National Coordinator (ONC). MHC continues to work closely with ONC and our industry relations to craft this Agreement to meet the needs of our Participants. All of MHC Participants should know that TEFCA will have HIE implications for all health care providers. Further, MHC Participants can trust that MHC will do all we can to ensure that we continue to advocate for additional support and incentives for health care providers for participation with MHC for all HIE activities. MHC will continue to keep our Participants informed on any developments on this matter. For more information about TEFCA
click here
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21
st
Century Cure Act and Common Agreement
On January 5th, 2018, The Draft Trusted Exchange Framework and Common Agreement (TEFCA) was released. TEFCA is a crucial next stage in progressing forward to achieve interoperability, improve patient care and coordination of care. Efforts are implemented to reduce the differences of health information networks (HINs) to increase interoperability and aid provider and patient information systems. This will essentially make data exchange nationwide even for physicians on different networks. The single on-ramp will allow the nationwide data exchange to create easier access to health data.
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Blockchain, how does it affect health care?
Blockchain is a decentralized network, with no intermediary, using a disrupted database. The distributed systems files records in linked blocks spread across the entire network. This means that storage devices are not all on the same processor. For medical record use, the record created would be documented, date and time, once created. After the record is created it cannot be changed. The provider who enters the information and the patient can then share it with another provider - if and when needed. Blockchain in health care would enhance privacy and security of records.
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VA Patient Data Disclosure to HIE
TEFCA's goal of nationwide interoperability is coming one step closer. The Verterans Affairs will now be sharing patient data with HIEs. A new proposed rule is allowing VA patient data to be disclosed to HIEs with or without written consent of the patients. The VA explains that updating the policy would enable veterans to receive care as they often seek care elsewhere before providing consent for their records to be disclosed to the VA.
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Health Policy and CHIP
In January, CHIP funding was renewed for six years. This will keep almost 9 million children insured from low and working middle-class families that cannot afford coverage. From the first implementation of CHIP in 1997, the percentage of uninsured children has decreased by half. This results in healthier children and a reduction in health disparities. Recently, there has been more buzz around a 10-year funding plan in the Senates newly released budget plan.
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Mercy Hospital St. Louis
, a 5-star rated hospital and a MHC participant, earned HIMSS Analytics Stage 7 validation. This puts the hospital in the top 6% of technologically advanced hospitals around the world in health IT and EHR.
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Click
to read full description and apply
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If you would like more information about our services go to our website or contact MHC at
(573) 777-4550
or
[email protected]
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Missouri Health Connection | Phone (573) 777- 4550 | Fax (573) 442-9041 [email protected] | www.missourihealthconnection.org
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Any questions or inquiries can be sent to
Mailing address is:
PMB 270
2000 E Broadway
Columbia, MO 65201
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