1 / 26

WV Medicaid Provider workshops & training sessions

WV Medicaid Provider workshops & training sessions. Amber Nary Business Development Manager. OBJECTIVES. Understand the History and Purpose of the WVHIN Explore the Shift from Paper to Electronic Exchange of Patient Health Information Learn about WVDirect What is it?

prince
Download Presentation

WV Medicaid Provider workshops & training sessions

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. WV MedicaidProvider workshops & training sessions Amber Nary Business Development Manager

  2. OBJECTIVES • Understand the History and Purpose of the WVHIN • Explore the Shift from Paper to Electronic Exchange of Patient Health Information • Learn about WVDirect • What is it? • What are the benefits? • Steps for Registering • Learn about Health Information Exchange (HIE) • What is it? • What are the benefits? • Getting Connected • Review the Implementation Schedule for WVDirect & HIE

  3. history • WVHIN established in 2006 • WV Code Chapter 16 Article 29G • Board of Directors • Public/Private Partnership • 17 member board representing hospitals, physicians, payers, state government, etc. • Funding • $7.8M Office of the National Coordinator • $3.5M WV Legislature • $7M WV Health Care Authority

  4. WVHIN PURPOSE • Purpose: Promote the design implementation, operation and maintenance of a fully interoperable network to facilitate public & private use of health care information • How is the WVHIN achieving this purpose? • Enabling the secure ELECTRONIC exchange of patient health information through: • WVDirect • Health Information Exchange (HIE) • Why are we working to achieve this purpose? • Today patient information is stored in silos and access to this information is not timely • Providers are making decisions about a patient’s health without the full picture • Create efficiencies and cost savings within the healthcare system

  5. Shift to electronic data • 70% of Clinical Decisions Are Based on DATA* *TJC

  6. WVDIRECT

  7. WVDIRECT • WVDirect is a secure messaging system that allows providers to send and receive Protected Health Information • Allows providers to replace communications that occur now through fax and mail with the click of a mouse • WVDirect is available to providers with or without an EHR • Depending on your workflow, Direct accounts can be accessed at the “organization” or “individual” level Secure Protected Health Information a.doctor@wvhin.direct.org b.doctor@wvhin.direct.org

  8. USE CASES • Transmissions of Care Summary • Patient Admitted to Hospital • Patient Discharged From Hospital • Changing Primary Care Docs • Nursing Home Admissions • Sharing of Lab results • Referrals • Patient Referral to Specialist • Results from Imaging • Specialist to Primary Care Provider Communications Public Health Reporting • Immunizations • Syndromic Surveillance • Electronic Lab Reporting

  9. WVDIRECT

  10. Provider benefits • SAVE TIME! • Send patient health information to other providers with the click of a mouse (no more faxing or mailing) SAVE MONEY! • Rely less on paper • Free service! ATTEST FOR “MEANINGFUL USE”! • Perform at least one test of a certified EHR technology’s capacity to submit electronic data to immunization registries • BPH-Attestation@direct.wvhin.org

  11. STEPS FOR REGISTERING • 1. Healthcare Providers must complete the WVDirect Subscription Agreement • 2. Healthcare Providers will be credentialed, verified and trained by a representative of the WVHIN • 3. Healthcare Providers may begin using WVDirect

  12. Health INFORMATION EXCHANGE

  13. Health Information Exchange (HIE) • Allows providers to electronically exchange and "query” available patient health information within the network • Allergies • Medication History • Lab Reports • Consults • Advanced Directives • And More… • Allows providers to access a longitudinal view of a patient’s medical history BEFORE clinical decisions are made • Allows providers to electronically submit required information to WV Bureau for Public Health • To connect and contribute data to the HIE, providers must have a standards compliant EHR

  14. Health Information Exchange Research e-Directive Registry Surgical-Centers Clinic Personal Health Record Pharmacies Medicaid Initiatives Hospitals Health System Hospital Owned Physician Practices WVHIN Public Health & Immunization Registries Nursing Homes Community HIE Other HIE Initiatives Physician Network NHIN Clinic Group Independent Lab and Imaging Center Independent Physician Clinic Physician C Independent Hospital Physician A Physician B Clinic

  15. Provider benefits • SAVE TIME! • Latest patient health information at the point of care in an ORGANIZED view that is EASY TO READ • Allergies • Medication History • Lab Reports • Consults • And More… FEEL AT EASE! • Role Based Access - Unlike paper silos, WVHIN is built to only allow authorized individuals to view PHI on a “need-to-know” basis • Unlike paper silos, WVHIN can audit & keep track of who accesses or changes information

  16. Provider benefits SAVE MONEY! • Reduced operating costs – data directly into your EHR, no faxing • One connection to WVHIN – reduce development of many interfaces • From HealthCareITNews.com – "Sharing electronic health information across every major emergency department in the Memphis, Tenn., area resulted in reduced hospital admissions, reduced radiology tests and an annual cost savings of nearly $2 million, according to a recent study conducted by Vanderbilt University Medical Center.“* • Connection to HIE is currently free – WVHIN is working to develop a sustainability model; providers will be given 9 mo – 1 yr notice before any fees are charged * http://www.healthcareitnews.com/news/sharing-ehr-data-results-2m-savings-across-memphis-eds; 11/2011

  17. PARTICIPATING ORGANIZATIONS

  18. wvhinimplementation ACTIVITIES

  19. WV E-Directive Registry • Registry will provide: • Accurate relevant information available in a medical crisis • 24/7 online access by health care providers through WVHIN • Patients’ wishes will be respected throughout the continuum of health care settings • Password-protected – HIPAA compliant platform • Registry adds value by: • Identifying Not Registry Ready (NRR) forms • Checking for conflicts in the orders/directives given • Screening forms for incomplete information • Contacting patients with NRR forms to resolve problems • Confirming with patients the accuracy of their information • Updating the Registry annually with a mailing to patients

  20. Obtain forms – www.wvendoflife.org Submit forms - FAX 304-293-7442 For info call - 877-209-8086

  21. For More Information • Visit: • www.wvhin.org • Email: • info@wvhin.org • Or Contact WVHIN @ • 304-558-4503

  22. QUESTIONS?

More Related