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Patient-Authorized Release of Information to a Trusted Entity

TUESDAY, 11:00 – 11:20AM. Patient-Authorized Release of Information to a Trusted Entity. Martin Prahl, Health IT Architect Contractor, Social Security Administration Michael Matthews, CEO, MedVirginia. The Face of Disability. Disability Statistics. Annual Disability Statistics

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Patient-Authorized Release of Information to a Trusted Entity

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  1. TUESDAY, 11:00 – 11:20AM Patient-Authorized Release of Information to a Trusted Entity Martin Prahl, Health IT Architect Contractor, Social Security Administration Michael Matthews, CEO, MedVirginia

  2. The Face of Disability HIMSS 2010

  3. Disability Statistics Annual Disability Statistics • 3 million initial disability applications per year • 1 million additional medical disability decisions • 15 million requests for medical evidence each year (3-4 per case) • 500,000 sources: doctors, hospitals • $500 million in payment for evidence • Over 11.7 million adults and children are receiving benefits based on their disabilities • Over $11 billion paid each month to these individuals HIMSS 2010

  4. Authorized Release of Information to a Trusted Entity Potential Purposes of Use • Applying for disability benefits • Applying for life insurance or long term careinsurance • Use in a civil court case • Attorney use • Use for a school camp • Immunization records to enter school • Demonstration of need for translators, transportation, housing and other services • Copy to a friend or relative as a backup record • Copy to a relative for assistance or to set up a family history HIMSS 2010

  5. SSA Authorized Release of Information Value Case All stakeholders can see value • Operational reduction in release of information (locating records, printing/copying records, assembly, delivery) • Decrease in turnaround timeframe • Increase in response rate • Impacts to disability determinations • Approval leads to monthly benefit • Insurance coverage underMedicare/Medicaid HIMSS 2010

  6. MEGAHIT Technical Overview • MEGAHIT - Medical Evidence Gathering and Analysis through Health IT • Analysis of structured medical information to identify pertinent information in the medical record that may support an impairment listing • Initial Health IT Partner (August 2008) - Beth Israel Deaconess Medical Center, Boston, MA HIMSS 2010

  7. The SSA – MedVirginia Partnership • Members of the Nationwide Health Information Network Cooperative • Started Production Pilot in February 2009 • First production use of the NHIN HIMSS 2010

  8. Partnership Results • About 1,500 disability cases • Same or next day decisions in 11% of HIT-enabled cases • Average case processing time ~40% less in HIT-enabled cases HIMSS 2010

  9. TUESDAY, 11:00 – 11:20AM Patient-Authorized Release of Information to a Trusted Entity Michael Matthews, CEO, MedVirginia

  10. Commonweath of Virginia H H H H H H Safety Net NHIN Henrico Hanover Richmond Chesterfield Commonwealth Of Virginia New Communities HIMSS 2010

  11. First to DURSA HIMSS 2010

  12. First to NHIN • Ave disability determination • 84 days • With MedVirginia • 46 days • CCD to SSA • Algorithms by SSA • Replication of model HIMSS 2010

  13. Case Study: SSA / MedVirginia Use of MEGAHIT • Commissioned by SSA • Conducted by Kay Center for eHealth Research • Perspectives: • Claimant • Provider • SSA • ROI HIMSS 2010

  14. Helping More DisabledsProposal to SSA Sept. 2009 GATEWAY HIMSS 2010

  15. C-HIEP • Normalize data collection • Rehab • SNF • Home health • One of 3 sub-contractors • Submission via NHIN Photo from Sheltering Arms HIMSS 2010

  16. CommonwealthRx HIMSS 2010

  17. Focus on Safety Net Providers • Clinical data • Hospital results • Labs • Medications • Secure messaging • Practice management • Interfaced with MedVirginia • Clinical documentation • Meds, allergies, problem lists, vitals • E-prescribing • Eligibility screening tool HIMSS 2010

  18. Alignment: Medical Home and Meaningful Use Information Management HRA PHR EHR ERX HIL PHYTEL Health Information Patient Education Health Coaching Disease Management Referral Coordination Post-Discharge CM Care Coordination Medical Home Information System HIMSS 2010

  19. No patient left behind… • Veterans • Active military • Uninsured • Minority • Rural • Mental health • Correctional facilities HIMSS 2010

  20. The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal Health Architecture or the Department of Health and Human Services. Thank You HIMSS 2010

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