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Learn about Promoting Interoperability, Patient Education guidance, NY State Opioid Documentation, Patient Engagement Tools, and Platform Features.
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CHCANYS HCCN AthenaHealth Webinar April 4, 2019
Agenda • Promoting Interoperability (Meaningful Use) • Stage 3 vs Stage 2 • Guidance for sending Patient Education material • Facilitated Discussion • How to track and identify patients that leave the practice • NYS written treatment plan for opioid prescribing • Patient Engagement Functionality • Training plan checklists
New York State Department of Health • Effective April 1, 2018, legislation signed by Governor Cuomo with the 2018-2019 State Fiscal Year Budget amends Public Health Law §3331 by adding subparagraph (8) • A written treatment plan in the patient’s medical record is required if a practitioner prescribes opioids for pain that has lasted for more than three months or past the time of normal tissue healing • Exceptions: • Cancer that is not in remission • Hospice or other end-of-life care and • Palliative care.
Written Treatment Plan The Treatment Plan must follow generally accepted national professional or governmental guidelines, and shall include (but is not limited to) the documentation and discussion of the following clinical criteria within the medical record: • goals for pain management and functional improvement based on diagnosis, and a discussion on how opioid therapy would be tapered to lower dosages or tapered and discontinued if benefits do not outweigh risks; • a review with the patient of the risks of and alternatives to opioid treatment; and • an evaluation of risk factors for opioid-related harms.
Patient Engagement Tools: Key Functionality • Platform Features • Scheduling • Check in • On line Payment • Patient Experience • Plan of Care/Follow up • E-visits • Portal • Messaging • Patient Generated data (devices) • Social Media/Community Resource Links
Platform Features • Allow Patient to opt in/out of features • Ability for patient to set their own preference and use of features • Ability to allow patient to set their preferred language • Platform is user friendly and core features are set at appropriate health literacy level
Check in • Ability to self check-in on PC or Mobile device (like airline) • Ability to self check in on Kiosk (like airline) • Ability for kiosk or mobile capture of patient sig • Capture a patient photo, capture image of insurance card and ID
Scheduling • Ability to schedule appt on-line from any device • Text/SMS and/or email appointment reminder • Integrating Ride Sharing App with roll up account for group billing • Ability for patient to cancel an appointment • Ability for the system to auto-recall pts on the recall list
Payment • Ability to pay bill online mobile or PC or Kiosk • Ability to pay copay online, mobile or pc or kiosk • Ability to assist patients track and monitor their out of pocket costs and predict spend
Patient Experience • Mobile/SMS Survey • On-line Survey • CAPS
Plan of Care/Follow Up • Ability for system to accept gap in care information from Population Health tool and message patient • Patient receive all post care interaction information on mobile device • Patient education (along with post care interaction) on mobile device • Allow Patient to visit care team member virtually • Enable "text messaging" like communication between clinical team and Patient • Ability to send mass/group messages to a target group of patients • Utilize the platform to automate follow up for referrals
E-Visits • Visit with a LHCP (MD, NP, PA) • Virtual Health Coach
Portal • View or download a copy of the medical record/information from the their record • Update medical information • Complete forms electronically • Request a medication refill • Request a referral
Messaging • Send secure messages between Patient and Provider • Send secure messages between Provider to Provider
Patient Generated Data Devices • Easily exchange data between home device and platform • Easily exchange data between personal device ( eg: Fitbit) & platform • Use consumer device to capture image and share with platform • Ability to aggerate data from multiple EHRS/Patient Portal
Community Resources Linkage • Inventory of Community Resources
Training Check off lists • The following Training Templates will be sent via email to the Health Centers: • Provider training check off list • Front office training check off list