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EHRs, Care Management Applications, and Consent

EHRs, Care Management Applications, and Consent. Eric Weiskopf, M.Ed – OHITT Ellen Flink – OHITT Session 13 – March 27, 2013. Agenda. Electronic Health Records/Electronic Medical Records vs. Care Management Applications Consent Webinar Q&As. A Certified MU EHR vs. a Care Management Plan.

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EHRs, Care Management Applications, and Consent

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  1. EHRs, Care Management Applications, and Consent Eric Weiskopf, M.Ed – OHITT Ellen Flink – OHITT Session 13 – March 27, 2013

  2. Agenda • Electronic Health Records/Electronic Medical Records vs. Care Management Applications • Consent • Webinar Q&As

  3. A Certified MU EHR vs. a Care Management Plan Care Plan • Lays out goals and objectives that the patient/client would like to achieve during treatment. • Used by care management agencies, physical health providers, behavioral health providers, etc. • Allows both the patient/client and medical professional to view progress as well as any problems that arise during treatment. • Currently no standards for sharing information between community, regional, state (SHIN-NY) HIEs EHR • Longitudinal look at information from CDOs where patient has had encounters • Structured Information • Owned by patient or stakeholder • Provides interactive patient access as well as ability for patient to append info. • Standards for sharing information between community, regional, state (SHIN-NY) HIEs (nationwide in future)

  4. Some Clinical Information

  5. Consent Use Cases

  6. Keys to the Use Case Illustrations • Uni-directional Flow of Information • Bi-directional Flow of Information

  7. Health Home Consent and Single-Entity RHIO Consent

  8. HH Partner RHIO Consent BAA HIE – Single Entity Consent All American Hospital Health Home Care Management Application Health Home Consent BAA RHIO Consent RHIO Consent HH Partner All American Hospital - Outside of Health Home

  9. Health Home Consent and Multi-Entity RHIO Consent

  10. HH Partner BAA All American Hospital Health Home HIE – Multi Entity Consent Care Management Application Health Home Consent BAA HH Partner All American Hospital - Outside of Lead Health Home

  11. Health Home Consent and • Single Entity RHIO Consent • Care Management Application Hosted by RHIO • Care Manager Embedded in Lead Health Home

  12. HH Partner BAA HIE All American Hospital Health Home (Embedded Care Manager) Health Home Consent CM Application BAA RHIO Consent RHIO Consent HH Partner All American Hospital - Outside of Health Home

  13. Health Home Consent and • Single-Entity RHIO Consent • Care Management Application Hosted by the RHIO • Sub-Contracted Care Manager

  14. Subcontracted Care Manager BAA HIE All American Hospital Health Home Health Home Consent CM Application BAA RHIO Consent RHIO Consent HH Partner All American Hospital - Outside of Health Home

  15. Health Home Consent and • Multi-Entity RHIO Consent • Care Management Application Hosted by the RHIO • Sub-Contracted Care Manager

  16. Subcontracted Care Manager BAA HIE All American Hospital Health Home Health Home Consent CM Application BAA HH Partner All American Hospital - Outside of Health Home

  17. Withdrawal of Health Home Consent Form • (5058) • But not the Single-Entity RHIO Consent • Care Manager Embedded in Lead Health Home

  18. HH Partner RHIO Consent BAA All American Hospital Health Home HIE – Single Entity Consent Withdrawal of Health Home Consent Care Management Application BAA RHIO Consent RHIO Consent HH Partner All American Hospital – Outside of Health Home

  19. Withdrawal of Single-Entity RHIO Consent Form • but not the Health Home Consent Form • Care Manager Embedded in Lead Health Home

  20. HH Partner RHIO Consent BAA All American Hospital Health Home HIE –Single Entity Consent Care Management Application Health Home Consent BAA Withdrawal of RHIO Consent RHIO Consent HH Partner All American Hospital – Outside of Health Home

  21. Withdrawal of Multi-Entity RHIO Consent Form but not the Health Home Consent Form • If Health Home is not listed on the RHIO Multi-entity Consent

  22. HH Partner BAA HIE -withdrawal of Multi Entity Consent All American Hospital Health Home Care Management Application Health Home Consent BAA HH Partner All American Hospital – Outside of Health Home

  23. Withdrawal of Multi-Entity RHIO Consent Form but not the Health Home Consent Form • If Health Home is listed on the RHIO Multi-entity Consent

  24. HH Partner BAA HIE -withdrawal of Multi Entity Consent All American Hospital Health Home Care Management Application Health Home Consent BAA HH Partner All American Hospital – Outside of Health Home

  25. Withdrawal of Health Home Consent Form (5058) and Single-Entity RHIO Consent Form

  26. HH Partner RHIO Consent BAA All American Hospital Health Home HIE - Single Entity Consent Withdrawal of Health Home Consent Care Management Application BAA RHIO Consent Withdrawal of RHIO Consent HH Partner All American Hospital

  27. Withdrawal of Health Home Consent Form (5058) and Multi-Entity RHIO Consent Form

  28. HH Partner All American Hospital – Lead Health Home HIE -withdrawal of Multi Entity Consent Care Management Application Withdrawal of Health Home Consent All American Hospital HH Partner

  29. Referrals

  30. A Patient who is not on any Health Home tracking sheet is seen by a Care Delivery • Organization • That patient is referred to Health Home A. • Health Home A refers patient to Health Home B via Community Referral (1-1 referral)

  31. New York Hospital Health Home 1-1 Referral All American Hospital Health Home Referral Non Health Home Patient enters All American Hospital Emergency Department All American Hospital Emergency Department

  32. Resources http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/meetings_webinars.htm

  33. Webinar Questions

  34. Questions, Comments, or Concerns? Contact: Eric Weiskopf esw01@health.state.ny.us 518 473 7960

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