Eric Weiskopf, M.Ed – OHITT
Ellen Flink – OHITT
Session 13 – March 27, 2013
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• Electronic Health Records/Electronic Medical
Records vs. Care Management Applications
• Consent
• Webinar Q&As
2
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)

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
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EHR
Some
Clinical
Information
Care
Plan
4
5

Uni-directional Flow of Information

Bi-directional Flow of Information
6
Health Home Consent and
Single-Entity RHIO Consent
7
HH Partner
RHIO
Consent
BAA
All American
Hospital
Health Home
Care
Management
Application
BAA
RHIO
Consent
Health Home
Consent
HIE –
Single
Entity
Consent
RHIO
Consent
HH Partner
All American
Hospital - Outside
of Health Home
8
Health Home Consent and
Multi-Entity RHIO Consent
9
HH Partner
BAA
Care
Management
Application
All American
Hospital
Health Home
Health Home
Consent
HIE – Multi
Entity
Consent
BAA
HH Partner
All American
Hospital - Outside of
Lead Health Home
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Health Home Consent and
Single Entity RHIO Consent
• Care Management Application Hosted by RHIO
• Care Manager Embedded in Lead Health Home
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HH Partner
BAA
All American Hospital
Health Home
(Embedded Care
Manager)
BAA
RHIO
Consent
HH Partner
Health Home
Consent
HIE
CM
Application
RHIO
Consent
All American
Hospital Outside of
Health Home
12
Health Home Consent and
Single-Entity RHIO Consent
• Care Management Application Hosted by the RHIO
• Sub-Contracted Care Manager
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Subcontracted
Care Manager
BAA
All American
Hospital
Health Home
BAA
RHIO
Consent
HH Partner
Health Home
Consent
HIE
CM
Application
RHIO
Consent
All American
Hospital Outside of
Health Home
14
Health Home Consent and
Multi-Entity RHIO Consent
• Care Management Application Hosted by the RHIO
• Sub-Contracted Care Manager
15
Subcontracted
Care Manager
BAA
All American
Hospital
Health Home
HIE
Health Home
Consent
CM
Application
BAA
HH Partner
All American
Hospital Outside of
Health Home
16
Withdrawal of Health Home Consent Form
(5058)
But not the Single-Entity RHIO Consent
• Care Manager Embedded in Lead Health Home
17
HH Partner
RHIO
Consent
BAA
Care
Management
Application
All American
Hospital
Health Home
BAA
RHIO
Consent
Withdrawal of
Health Home
Consent
HIE –
Single
Entity
Consent
RHIO
Consent
HH Partner
All American
Hospital –
Outside of
Health Home
18
Withdrawal of Single-Entity RHIO Consent
Form
but not the Health Home Consent Form
• Care Manager Embedded in Lead Health Home
19
HH Partner
RHIO
Consent
BAA
All American
Hospital
Health Home
Care
Management
Application
BAA
RHIO
Consent
Health Home
Consent
HIE –
Single
Entity
Consent
Withdrawal
of RHIO
Consent
HH Partner
All American
Hospital –
Outside of
Health Home
20
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
21
HH Partner
BAA
Care
Management
Application
All American
Hospital
Health Home
Health Home
Consent
HIE withdrawal
of Multi
Entity
Consent
BAA
HH Partner
All American
Hospital –
Outside of
Health Home
22
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
23
HH Partner
BAA
Care
Management
Application
All American
Hospital
Health Home
Health Home
Consent
HIE withdrawal
of Multi
Entity
Consent
BAA
HH Partner
All American
Hospital –
Outside of
Health Home
24
Withdrawal of Health Home Consent Form
(5058) and Single-Entity RHIO Consent Form
25
HH Partner
RHIO
Consent
BAA
Care
Management
Application
BAA
All American
Hospital
Health Home
RHIO
Consent
Withdrawal of
Health Home
Consent
HIE Single
Entity
Consent
Withdrawal
of RHIO
Consent
HH Partner
All American
Hospital
26
Withdrawal of Health Home Consent Form
(5058) and Multi-Entity RHIO Consent Form
27
HH Partner
Care
Management
Application
HH Partner
All American
Hospital –
Lead Health
Home
Withdrawal of
Health Home
Consent
HIE withdrawal
of Multi
Entity
Consent
All American
Hospital
28
Referrals
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• 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)
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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
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http://www.health.ny.gov/health_care/medicaid/progra
m/medicaid_health_homes/meetings_webinars.htm
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Contact:
Eric Weiskopf
[email protected]
518 473 7960
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