WV Medicaid Provider workshops & training sessions

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

10. WVDIRECT

13. 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

14. 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

15. Health INFORMATION EXCHANGE

16. 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

17. 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

18. 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

19. 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

20. PARTICIPATING ORGANIZATIONS

21. wvhinimplementation ACTIVITIES

23. 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

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

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

26. QUESTIONS?