6. MeHI | How We Help
Awareness
Education
Motivate
Qualify
Engage
Adopt
Communications
Regional Extension Center
Webinar Series
Recruiting a few new providers
Regional Meeting Series
Helping providers get to
Meaningful Use
HIway Newsletter
EU-US Conference
October 22-23
Medicaid EHR Incentive Program
Processing 2013 MU applications
HIE Last Mile Program
HIway Implementation Grants
HIway Vendor Grants
6
Implement
Optimize
Impact
eHealth
Economic
Development
eHealth Firm
Listing (>150
firms in MA)
Workforce
Planning
Provider and
Consumer
Research
10. HIE & Meaningful Use
MU Stage 2 objectives with an „exchange‟ component
– Patient engagement
– Transitions of care
– Public health reporting
– e-prescribing
– Lab results reporting
MU2 rules combine CMS MU (care coordination) objectives
and measures with new ONC EHR technology certification
requirements to support standards-based information
exchange that satisfy these objectives
EHR technology certified to the 2014 Edition EHR certification
criteria that meets all the objectives for which they plan to attest
is a pre-requisite
10
24. HIway Implementation Grant Program | Grantees & Collaborators
Decision support through
2-way exchange of data
Referrals from specialty
care to home health
Coordination of care for
elderly psychiatric patients
Pre-hospital transport
care coordination for homeless
Care management for
Heart Failure patients
Discharge summaries from acute
care to SNF and Home Health
25. HIway Interface Grants | Vendors & Products
Vendor
Aprima
ClaimTrak
Comchart Medical Software, Inc.
DICOM Grid
eClinicalWorks
eHana
HealthWyse
McKessonHomecare & Hospice
MEDfx Corporation
NextJ
NoMoreClipBoard
NetSmart
GE
Product Name
Aprima for Physicians
ClaimTrak
Version
Aprima 2011
Version 9.05
ComChart
DICOM Grid
eClinicalWorks Electronic
Medical Record
eHana EHR
OfficeWyse and MobileWyse
McKesson Homecare &
McKesson Hospice (formerly
Horizon Homecare)
MEDfx PM
NexJ Connected Wellness
NMC-MD patient portal
MyAvatar
Centricity
Version 211.04y (and later)
DICOM 2013
eClinicalWorks v10.0
eHana 2013
version 18.xx,Version 11.xx
Version 13.1.x
Version 3.x
29. Use Case Scenario 1.1/1.2 – Referral
Referral
PCP
Consult Note
Patient Scenario
Specialist
Specialist
1. Patient sees PCP
A. Receives Direct message with
summary of care document
2. PCP‟s plan includes a referral to a
Cardiac specialist
B. Provides necessary care
3. Referral to specialist is authorized and
generated via Direct with a summary
of care document
4. Referral and summary of care is sent
via HIway to Cardiac specialist
29
C. Generates a consult note for delivery
to PCP
D. Consult note is attached to a Direct
message and sent via the HIway
to PCP
30. Use Case Scenario 2.1/2.2 – Hospital Referral
Specialist
PCP
Patient Scenario
Hospital
1. Patient sees PCP or specialist
A. Receives Direct message with
summary of care document
2. Treatment plan includes a referral to a
local hospital
B. Provides necessary care
3. Referral to hospital is authorized and
generated via Direct with a summary
of care document
C. Generates an admission notification
and summary of care document
4. Referral is sent via HIway to hospital
30
D. Admission notification sent via HIway
to PCP and/or specialist
31. Use Case Scenario 3.1 – ED Notification
Referring
Physician
PCP
Patient Scenario
1. Patient presents at ED
Hospital
A. Provides necessary care
B. Generates an admission notification
and summary of care document
2. Patient is treated and released
31
C. Admission notification sent via HIway
to PCP and/or specialist
32. Use Case Scenario 3.2/3.3 – Discharge Summary
Specialist
PCP
SNF
Patient Scenario
Hospital
A. Provides necessary care
1. Patient is discharged from hospital to
the care of a referring physician, PCP
or other care setting
B. Generates a discharge summary and
summary of care document
C. Discharge summary sent via HIway to
referring physician, PCP, and/or other
care setting
32
33. Use Case Scenario 1.1/1.2 – Referral
XYZ Hospital
ABC Hospital
XYZ Hospital
ABC Hospital
1. Patient admitted to XYZ ED
2. Treatment plan calls for a tertiary level
of care
B. ABC hospital receives referral and
summary of care document
3. Patient is referred to ABC hospital
C. Provides necessary care
4. Referral and summary of care are
generated via Direct message
D. Generates a discharge summary and
summary of care via Direct
5. Direct message is sent via HIway to
ABC hospital
33
A. Patient is received at ABC hospital
E. Sends discharge summary and
summary of care via HIway to XYZ
hospital
34. How our Grantees plan to use the HIway?
Use Case ranking by type
Receive
Send
13
Receive Care Summary
9
Send Referral Request
5
Receive Referral Request
17
Send Care Summary
6
Send Hospital Discharge Summary
Receive Discharge
Summary
5
Send Lab Results
Send Hospital Discharge
Notification
Receive Lab Orders
1
Receive Imaging
Notifications
1
Receive Hospital Discharge
Notification
1
Receive ED Visit Summary
1
2
Medication Reconciliation
1
Receive Lab Results
2
2
8
Send Imaging Notifications
1
Send ED Admission Notification
10
1
Send Hospital Admission
Notification
Send enrollment/admission and
disenrollment/dicharge data to…
5
1
1
Send CANS Data to MDPH
0
Send Lab and Radiology Orders
1
15
12
20 Use Case Types
1
0
5
10
15
20
Discuss the state agency alignmentGoal to become the go-to for all things Health IT
2014 Edition certification criteria defines the content standards (C-CDA, Continuity of Care Document/Continuity of Care Record (CCD/C32 or CCR) for the create and display capabilities; the criteria provides options for the transport standards used in implementing the transmit and receive capabilities. Required. The Applicability Statement for Secure Health Transport specification v1.1 (Direct or the Direct Project) Optional. Applicability Statement for Secure Health Transport specification and the Cross-Enterprise Document Reliable Interchange and Cross-Enterprise Document Media Interchange (XDR and XDM) for Direct Messaging specification Optional. The Simple Object Access Protocol (SOAP)-Based Secure Transport Requirements Traceability Matrix (RTM) v1.0 standard and the XDR and XDM for Direct Messaging specification
If a provider or hospital does not possess a complete EHR, at a minimum, they must start with a system that meets the Base EHR definition.A Base EHR is certified for a Core set of MU functionality
Massachusetts has adopted a 2-phase approach to the development of its HIE infrastructure…
