November 2018
Saint Luke's Health System Joins Health Information Exchange to Improve Care Coordination and Patient Experiences
Saint Luke’s Health System is the newest addition to the list of health care participants now sending and receiving patient data through the Kansas Health Information Network (KHIN). The faith-based, not-for-profit health system with a significant presence in Kansas and Missouri includes 16 hospitals and campuses, several primary and specialty care practices, inpatient and outpatient care, home care and hospice, and a life care senior living community.

“KHIN provides support for organizations tasked with connecting providers and patients, and we look forward to working with them as we provide the highest quality healthcare to our patients in Kansas and Missouri,” said Debe Gash, Senior Vice President and Chief Digital Officer for Saint Luke’s Health System.
HIE Direct Messaging Tutorial
The seamless transfer of patients’ health records among physicians, nurses and other health care providers reduces treatment delays, enhances clinical decision making, and improves care coordination. KHIN provides a longitudinal medical record that is electronically updated in near real-time. As patients move between health care providers, their medical records are electronically available to their physicians. As well, patients are empowered by having access to the same information through a free personal health record.

Laura McCrary, Ed.D, Executive Director, KHIN, commends the effort to connect, “An integration project as sizable and intricate as one the size of Saint Luke’s Health System takes patience, persistence and an engaged team of executives and project managers. It is an honor to partner with a health system that touches as many lives as Saint Luke’s Health System and support their mission to provide the very best patient care possible in the Kansas City area.”

Saint Luke’s joined the Kansas Health Information Network (KHIN) health information organization because of KHIN’s success as one of the longest-established HIE’s in the country and its association with the KAMMCO Network. Working with six other physician-led state HIEs, the KAMMCO Network includes SHINE of Missouri, an HIE delivered in partnership with the Missouri State Medical Association.
Seven Health Information Exchanges Connect to Military Health System to Include SHINE of Missouri
On August 30, the Military Health System (MHS) added critical medical information from seven physician-led health information exchanges (HIEs) across the nation. This was facilitated by the Kansas Health Information Network (KHIN), KAMMCO and the eHealth Exchange. Laura McCrary, Ed.D, Executive Director of KHIN, comments on the significance, “This represents the growing capabilities of HIEs to share records in all locations from which a patient has received care.”

With this new development, medical records can be shared across the world as military personnel and their families transition between multiple locations, stateside or overseas. Military hospitals and clinics now can quickly and securely access patients’ personal health information 24/7 and have access from the physician-led HIEs in Kansas, Connecticut, New Jersey, South Carolina, Georgia, Missouri and Louisiana. 

“MHS cares for 9.4 million beneficiaries, delivering care globally in military hospitals and clinics and providing coordinated, integrated care through civilian networks,” said Kimberly Heermann-Do, Health Information Exchange Office Lead in the EHR Modernization Program Management Office. Heermann-Do added, “Through HIEs, records are available securely from the private sector if the HIE is onboarded to the MHS. Having access to records for patients across the KAMMCO Network will assist MHS providers with clinical decisions.”

Kurt Scott, KAMMCO CEO said, “KAMMCO provides a critical service to make patients’ medical records available wherever they receive care. It is a privilege that we can now deliver lab results, current medications and health histories for servicemen and women across the globe. We are proud that MHS can query our HIEs and effectively use the clinical data they access.”
New QPP CME Modules, Infographics, and Scoring Guide Now Available
CMS has posted three new continuing medical education (CME) modules on the Merit-based Incentive Payment System (MIPS) performance categories and MIPS Alternative Payment Models (APMs). The courses may be accessed by logging into one’s Medicare Learning Network account or creating one here .

The new CME modules include:
  • 2018 Improvement Activities Performance Category CME Module: Covers the basics of the MIPS Improvement Activities performance category including reporting requirements, scoring, and flexibilities for small and rural practices. 

  • 2018 Cost Performance Category CME Module: Offers an overview of the MIPS Cost performance category and how CMS calculates Cost scores. 

  • 2018 MIPS APM CME Module: Provides an overview of MIPS APMs, the APM scoring standard, and reporting requirements for MIPS APM participants. 

Additional Quality Payment Program Resources

CMS has also posted the following new resources:

  • 2018 MIPS Scoring 101 Guide: Provides a detailed overview of how each MIPS performance category is scored, how CMS calculates bonus points, and how the payment adjustment is calculated based on the MIPS final score. 

For More Information:

Contact the Quality Payment Program at or 1-866-288-8292 (TTY: 1-877-715-6222).
State Medical Societies Collaborate to Impact Health Care Disparities
Seven state medical societies, including the Missouri State Medical Association (MSMA), announced the creation of the Health Equity Network for Change (HENC) in September. The organization is focused on improving the health status of medically underserved populations, utilizing health information exchange data and powerful analytic tools provided by KAMMCO. Medical societies in Georgia, South Carolina, Connecticut, New Jersey, Kansas and Louisiana have engaged KAMMCO to build physician-led exchanges. 

HENC chairman M. Natalie Achong, MD, MHL, FACOG, representing the Connecticut State Medical Society, shared, “Physicians across the nation are increasingly concerned about health disparities. To address this, HENC brings leading physicians together to examine trends in health disparity data. This will allow HENC to make data-driven recommendations for the establishment of population health priorities at regional, state and national levels aimed at improving health outcomes.”

“MSMA is pleased to collaborate in this new initiative with the state’s physician-led health information exchange, SHINE of Missouri,” said Patrick Mills, MSMA Executive Vice President. “By working together to address universal health care issues such as health care disparities and population health, we can broaden our impact across the country.”

Laura McCrary, Ed.D, Senior Vice President of KAMMCO added, “Health information exchange data is an enormously valuable, rich set of clinical data aggregated across all exchange participating health care providers within a region, state or nation. This data provides key insights into health care patterns and utilization previously not available from static, outdated or geographically limited clinical data sets.” 

HENC has tapped leading physicians with expertise in health disparities to include Kirsten Dunn, MD, FACP, representing the Missouri State Medical Association. Dr. Dunn is board certified in Internal Medicine and practices at Mercy Virtual in St. Louis, Mo.

Physicians representing the other states include: Amin Yehya, MD, representing the Medical Association of Georgia; Tracie Collins, MD, MPH, MHCDS, representing the Kansas Medical Society; Donnie Batie, MD, ABFM, representing the Louisiana State Medical Society; Gerald Wilson, MD, representing the South Carolina Medical Association; and Soumen Samaddar, MD, representing the Medical Society of New Jersey.
Dashboard Demonstration
Quality Matters: The New Data Dilemma
November 20, 2018
Fiddlestiks Food & Spirits
Company - Banquet Room #2
Hannibal, Mo., 6:00 - 8:30 P.M.
Come and See Us!
November 8 - 9, 2018
Missouri Hospital Association
96th Annual Convention & Trade Show
Tan-Tar-A Resort
Osage Beach, MO
November 8 - 10, 2018
Missouri Academy of Family Physicians
2018 Annual Fall Conference
Big Cedar Lodge
Ridgedale, MO
Contact Information

Jonathan Smith, MPH
Regional Manager
SHINE of Missouri