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May 2018 Newsletter

Health Information Exchange (HIE) Data Contribution, Completeness & Quality~ A Shared Community Goal to Improve Health

Over 2500 physicians are now sharing their patient medical records with HealtheConnections in order to help facilitate coordinated patient care, to better monitor and securely share patients’ comprehensive medical histories and to reduce the duplication of costly treatments. Despite the tremendous growth experienced with data contribution on an annual basis, HealtheConnections is still working with another estimated 500 physicians to encourage their sharing of medical records and is increasing their focus on data quality and completeness for their existing data contributors.

How is medical data shared with HealtheConnections?

Physicians that are using electronic medical records (EMR) can build a technical bridge from their EMR to the HIE, called an interface. Depending on the EMR vendor’s capabilities, the data typically comes into the HIE in one of two ways. The first are individual feeds that include things like admissions, discharges and transfers (ADTs), laboratory results, radiology images and reports and transcribed reports. The second are Continuity of Care Documents (CCDs). CCDs include a standard for clinical document exchange referred to as the Consolidated Clinical Document Architecture (C-CDA). The second stage of meaningful use requires that physicians use C-CDA document exchange to support the transition of care, and the most widely used document type is the CCD.

What is considered “complete and quality” data?

CCDs must be capable of including the following data elements: Patient name, sex, date of birth, race, ethnicity, preferred language, smoking status, problems, medications, medication allergies, laboratory tests, laboratory values/results, vital signs, care plan fields including goals and instructions, procedures and care team members. In addition, encounter diagnoses, immunizations, referral reason and discharge instructions may be required based on provider specialty.

Along with including these required data elements, there are industry standard code sets to be used within the C-CDA such as RxNorm, SNOMED, ICD-9, ICD-10 and LOINC. These code sets are preferred due to their consistency and reliability when data is extracted from the EMR and consumed into the HIE.

What are the benefits of sharing medical record data?

When a healthcare provider shares their medical record data with an HIE, they are contributing to a community-wide benefit in reducing costs and improving health outcomes. The quality and safety of healthcare is improved along the entire continuum of healthcare delivery when the comprehensive patient medical record is shared by multiple providers within a care team.

Is the data shared with the HIE secure?

The medical record data shared with HealtheConnections is securely housed and is only accessible with a patient’s affirmative consent. The only exceptions are special circumstances such as a medical emergency or for public health investigative reporting. Most EMRs that share information with HealtheConnections have Office of the National Coordinator (ONC) certification, or similar certifications such as Hi-Trust, SOC II, Type II or NIST cybersecurity certifications with strict security protocols.

There are financial Incentives available for certain provider types:

The New York eHealth Collaborative (NYeC) offers a Data Exchange Incentive Program (DEIP) which offers up to $13k to offset the costs that EMR vendors charge providers to build the technical interface to share data. NYS Department of Health regulated Article 28 Hospitals, Diagnostic Treatment Centers, Skilled Nursing Facilities, Article 36 Licensed Home Care Agencies and Article 40 Hospice Facilities in addition to Behavioral Health providers such as Office of Mental Health (OMH), Office of Alcohol and Substance Abuse Services (OASAS) and Home and Community Based Service (HCBS) providers can apply for funding. Medicare and Medicaid Meaningful Use-eligible providers are also eligible. EMR vendors must be able to share a CCD or C-CDA and meet minimum security and certification requirements.

To participate with or share data with HealtheConnections, or to enroll in the Data Exchange Incentive Program, please contact 315-671-2241 ext. 5.


New Signed Participants

Auburn Eye MDs

Back to Health Chiropractic

Bridges Cornell Heights

Cape Vincent Ambulance Squad Inc

Cayuga Ridge

Central New York Brain & Spine Neurosurgery PLLC

Herkimer County Health Net

I-Mobile Health Mission

Ithaca Oral Surgeons

I-View Psychiatric and Behavioral Health Care

OAR of Tompkins County

Prime Care Coordination

REACH Medical PLLC

Shiv S. Bhatt MD

Surgical Care West

Watertown Physical Therapy


EMR Integrations in Process

HealtheConnections has recently went live with the following EMRs:

EMR Functionality Data Type
Point Click Care CCDs inbound to HeC Long Term Care Data
Carena Telehealth CCDs inbound to HeC Acute Telehealth Data

HealtheConnections is currently in the process of implementing with the following Electronic Medical Records systems. These EMRs represent multiple organizations within the HeC footprint and will allow for their data to be shared with the community.

EMR Functionality Data Type
eMDs Unidirectional CCD to HeC Primary Care Data
QS1 PrimeCare HL7v2 inbound to HeC Pharmacy/Prescription Data
AllScripts ProEHR Bi-directional CCD flow Practice Data
PrecisionCare Bi-Directional CCD flow Human Services Data
Foothold Awards Bi-Directional CCD flow Human Services/LTC Data
Dialysis Clinics Inc. Unidirectional CCD flow to HeC Dialysis Data

New Data Sources

CNY Brain & Spine Neurosurgery

LIBERTY: Liberty Resources


New Data Types from Existing Data Sources

Data Source Data Type
Onondaga County Department of Health Clinical Data
Oswego Health Tele-Urgent Care Data
Regional Medical Practice PC EKG Data

April HIE Statistics

Patient Lookup

  • Users Accessing the HIE: 2,724
  • Logins: 47,500
  • Documents Viewed: 142,575
  • Total Patients Accesses: 45,840

Data Contribution

  • Clinical Records Received: 6,260,842
  • Patient Encounter Summaries (CCDs) Received: 680,545

Results Delivery

  • Results Delivered: 515,380
  • Total Practices: 148
  • Total Recipients: 1,673

Alerts
Total Alerts: 1,226,716

  • Emergency Department Registration: 616,906
  • Inpatient Admission:247,724
  • Discharge from Inpatient Stay: 161,443

Direct Mail

  • Total Users: 3,325

Data Contributors

  • Hospitals: 19
  • Labs: 22 (includes hospitals)
  • Imaging Centers: 27 (includes hospitals)
  • Practices/Other: 190

Participating Organizations
Total Participating Organizations: 846

  • Hospitals: 23
  • Practices: 445
  • Public Health: 12
  • FQHC: 9
  • Behavioral Health: 135
  • Other Healthcare Entities: 180
  • Labs: 28 (including hospitals)
  • Radiology Centers: 41 (includes hospitals)