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Health Homes Novel Prototype. Health Homes are cool solutions for problems that exist today. Patients don’t go to the right doctor What if a care coordinator could guide a patient Care transitions fail 70% of the time when the patient is responsible

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Presentation Transcript
health homes are cool solutions for problems that exist today
Health Homes are cool solutions for problems that exist today
  • Patients don’t go to the right doctor
    • What if a care coordinator could guide a patient
  • Care transitions fail 70% of the time when the patient is responsible
    • What if the patient didn’t have to facilitate communication between providers
  • On average it take 17 years for a best practice to become a common practice
technology standards and systems enable health homes
Technology standards and systems enable health homes
  • Standards Exist
  • Integration Effort
  • We are going to show you one simple scenario of how existing systems and standards can be the infrastructure that enable your health home policies
slide4

Health HomesA Novel Prototype

Person Centered Care Plan

Thank You

Next Slide

system stack element 1 ehrs
System Stack – Element 1 (eHrs)

Providers and EHRs

Long-Term Care/

HCBS

Developmental Disabilities

BH Providers

(WITS)

FQHCs

Hospitals

Custom Queries

Quality Measures

standards stack element 1 ehrs
Standards Stack – Element 1 (eHrs)

Providers and EHRs

Long-Term Care/

HCBS

Developmental Disabilities

BH Providers

(WITS)

FQHCs

Hospitals

CCD

The Continuity of Care Document (CCD) Standardizes Medical Records File Formats So that people have portable medical records

system stack element 3 c2s
System Stack – Element 3 (C2S)

C2S enforces consent preferences and policie

standards stack element 3 c2s
Standards Stack – Element 3 (C2S)

Concept is that C2S uses XACML and it permits/denies the flow of information

standards stack element 4 pop health
Standards Stack – Element 4 (POP Health)

Quality Reporting Document ArchitectureQRDA

standards stack element 5 query health
Standards Stack – Element 5 (QUERY Health)

Quality Reporting Document ArchitectureQRDA

Continuity of Care Document

CCD

Health Quality Measures Format

HQMF

now a novel look at a health home prototype
Now a Novel Look at a Health Home ProtoType

DIRECT

CCD

XACML

Quality Measures

Statistics

slide18

Referrals

Plans of Care

Care Coordination

Billing

Secure Record Sharing

Consent2Share 42 CFR pt2

Home Health Functions

HIE

+

Providers and EHRs

Long-Term Care/

HCBS

Developmental Disabilities

BH Providers

(WITS)

FQHCs

Hospitals

Custom Queries

Quality Measures

Query Health

popHealth

+

slide19

Home Health Functionality

Referrals

Plans of Care

Care Coordination

Billing

XACML

DIRECT

Consent2Share 42 CFR pt2

+

HIE

CCD

Providers and EHRs

Long-Term Care/

HCBS

Developmental Disabilities

BH Providers

(WITS)

FQHCs

Hospitals

Quality Measures

Statistics

Quality Measures

Custom Queries

+

Query HealthGold

popHealth

slide20

WITS

Providers and EHRs

slide21

LTSS

Providers and EHRs