Health Information Exchange (HIE) User FAQ`s

HealthInformationExchange(HIE)UserFAQ’s
AbouttheData
1. WhichlocationsofKennedyHealthSystemprovidedatatotheHIE?
a. CherryHill;Stratford;WashingtonTownship(Turnersville)
2. WhichlocationsofVirtuaHealthSystemprovidedatatotheHIE?
a. VirtuaCamdenprovidesfullclinicaldataforCamdencityresidents.VirtuaVoorhees,
VirtuaMarlton,contributeADT(admission,dischargeandtransfer)feedsforall
patients,withnozipcodefilters.
3. Asoftoday,howmanyhospitalsareapartoftheHIE?
a. TherearefourhealthsystemsincludedintheHIE:CooperUniversityHospital;Our
LadyofLourdesMedicalCenterinCamdenandBurlington;VirtuaHealthSystem,at
theCamden,VoorheesandMarltoncampuses;andKennedyHealthSystem,atthe
Stratford,CherryHillandWashingtonTownshipcampuses.
b. TheTrentonHealthTeam,anHIElocatedinTrentonNewJersey,alsopartnerswith
theCamdenHIE.ApatientfirstestablishesarelationshiptoaCamdenareahospital
(listedabove)andthenarelationshiptoaTrentonHospital.Oncethisoccurs,the
hospitaldatafromTrentonlocationswillbeincludedintheHIE.
c. TheTrentonHealthTeamincludesdatafromCapitalHealthSystem,St.Francis
MedicalCenter,andRobertWoodJohnsonUniversityHospitalHamilton.
4. WhatisthepopulationintheHIE?
a. AnypatientwitharelationshiptoaparticipatingCamdenHIEhospital(Cooper
UniversityHospital;OurLadyofLourdesHealthSystem;VirtuaHealthSystem;
KennedyHealthSystem)asof2010.
5. Thereisaconcernthatpatients“hospitaljump”formedicationprescriptions;whattypes
ofdataisprovidedinregardstomedicationreconciliation?
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a. Currently,thereisnodirectfeedofpatientmedicationinformationfromthe
participatingdataproviders.However,medicationinformationcanbefoundinthe
reportstab,dependingonthetypeofreportpushedintotheHIEfromanEMR.
6. Ifapatientopts-infirst,butthendecidestoopt-out,willtheirinformationstillbe
accessibleforepisodesofcarepriortothedecisiontoopt-out?
a. No;onceapatientoptsout,theinformationishiddenfromanyuserwhoattempts
toaccesstherecord
7. Areonlymedication/vaccinationrecordsbeingdisplayedintheHIEifenteredbya
CamdenCoalitionemployee?
a. Yes;aCamdenCoalitioncarecoordinatormayentermedicationinformation
regardingapatientthathe/sheisworkingwith.Otherwise,medicationinformation
isfoundwithinreportsoftheHIE.
8. Arepatientsinsuranceinformationincludedinthedataset?
a. Insuranceinformationisnotincludedinthepatient’smedicalrecordintheHIE.
9. WillPDFfilesscannedintoahospitalsEMRinterfacedintotheHIEaswell?Ifso,dothey
interfaceintotheirrespectivesections?
a. AnyPDFthatispushedtotheHIEwillappearinthereportstab
10. HowoftenisdatapushedintotheHIE?
a. Dataispushedassoonasitisenteredintotheelectronicmedicalrecordsystemat
theparticipatingfacility.
11. Aretheteststhatarecompletedatemergencydepartmentsandoutpatientfacilities
includedwithintheHIE?
a. Yes;theywillbeincludedineitherthelabtrends/reportstaborreportstabs.
12. IsallthedatafromalltheparticipatingfacilitiesautomaticallypushedintotheHIE?
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a. Themajorityofthedatafromparticipatingfacilitiesisautomaticallypushedintothe
HIE.Wearefinalizingalistfromeachfacilitytomakesurewereceivethesamedata
fromallofthem.
13. Whenapatientopts-inafterhavingoriginallychosentoopt-out,isitretroactive?
a. Yes;nodatashallbelostduringthetimethatthepatientchosetoopt-out.
14. DoestheHIEcontainanypatientinformationfromPhiladelphiahospitals?
a. No,notasof2015.WeareactivelyindiscussionswithPhiladelphiaaboutworking
together.
15. Ifthereissomeinformationmissingonapatient,doesthatmeanthathe/sheopted-out
oftheHIEduringthattime?
a. No;ifapatientopts-out,andlateropts-intotheHIE,alldatashouldappearonthat
patient.Ifthereisagapofinformationthatshouldbethere,pleasefillouttheHIE
errorformsotheHIEstaffcanfixtheproblem.Theerrorformcanbefoundat:
http://www.camdenhealth.org/hie-error-tracking/
16. IftheCoalitionCMIteamworkswiththepatient,dotheydocumentactivities?
a. Yes;anyCoalitionemployeewhoworkswithapatientwilldocumentcare
coordinationactivitiesinaseparateDocumentationtab.
17. IfapatientgraduatesfromtheCoalition’sinterventionprogram,willIbeabletoseethat
theygraduatedintheHIE?
a. WhenapatientgraduatesfromtheCoalition’sinterventionprogram,orisnolonger
involvedforvariousreasons,theyaregivenacompleteddatewithinthe
Documentationtabwiththereasonforcompletion.
BeaconReports
18. Whatarethebeaconreports?
a. BeaconreportsarepartoftheanalyticssectionoftheHIE.Thereportsprovidealist
ofpatientswhohaveemergencyorinpatientencountersinthepast24hours.Lists
arecustomizedforeachparticipantorgroup.
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19. Howdoesmyorganizationgetabeaconreport?
a. ParticipantsorgroupscanputinarequestforabeaconreportbycontactingtheHIE
Sr.ProgramManager.
20. Doesmylegalteamneedtobeinvolvedintheprocessofinitiatingabeaconreport?
a. TheHIEdoesnotrequirealegalteamtobeinvolvedinthisprocess,unlessthat
Participant’sinternalpolicieswarrantit.
NavigatingtheHIE
1. Canyousearchpatientsbytheirsocialsecuritynumber?
a. No,patientscanonlybesearchedbymedicalrecordnumber,nameand/ordateof
birth.
2. Isthedashboardcustomizabletoeachuser?
a. Yes;usershavetheabilitytomovethedashboardboxesaroundthescreen.
3. Isthereasettinginthesystemthatflagsthepatient’srecordwhenanewconsentis
needed?
a. No;thesystemdoesnottrackpatientconsentattheprimarycarelevel.Tracking
andobtainingconsentistheresponsibilityoftheparticipants.
4. Isthereawaytobridgeconsentsfromdifferentdatasources?
a. No,auniqueconsentmustbeobtainedfortheHIEateachParticipant,asrequired
bytheHIEPoliciesandProcedures.
5. Canyouquerythesystemtodisplayreportsatthepopulationlevelinsteadofindividual
patients?(i.e.QuerysearchtopullupallpatientswithrecentlyreportedhighA1Clevels
anddiabetes)
a. No,notatthistime.However,theCamdenHIEhasidentifiedthisasaneedofthe
Participantsandislookingintowaystomakethispossiblewiththesoftwarevendor.
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6. Istherea“notes”functionalityintheHIEasawayofcommunicationbetween
users/participants?
a. No,notatthistime.TheCamdenHIEislookingintowaystoallowmessagingamong
theusersandisworkingonawhitepagefunctionfordocumentationpurposes.
7. Howdowetrackthecareofthepatient?
a. Trackingcareoccursbyobservingthepatientsmovementthroughthehospital
systems;however,thereisnotawayatthistimetodocumentpatientactivityatthe
primarycareoffices.
8. WillIbeabletogointolabreportsandprintthemfromtheHIE?
a. Yes,labreportscanbeprintedbyselectingthereportsinthe“LabReports”taband
clickingthe“printselectedlabreports”buttononthescreen.
9. ArelabreportsdifferentthanthereportstabintheHIE?
a. Yes,the“Reports”tabcontainsEDsummaries,dischargesummaries,consultation
notes,radiologytextfiles,etc.
10. Canweimport/exportdatafromtheHIE?
a. Notyet;an“import/export”tabisbuiltinthenavigation,butwedonotcurrently
allowuserstouseituntilitisfullyfunctional.
NewDataandPartnerships
1. WhenwillKennedyHealthSystem’sdatabeviewablethroughtheHIE?
a. TheKennedydataisavailableasofJanuary2015.
2. HowdopotentialHIEparticipantsreceiveHIElog-ins?
a. InterestedParticipantscansendanemailtochie@camdenhealth.orgtoinquire
aboutgettingaccesstotheHIE.
3. WhenwillLabcorpdatabeviewableintheHIE?
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a. LabcorpdataisavailableasofJune2015
GeneralDefinitions
1. Whatisorphandata?
a. OrphandataisdatathatdoesnothaveanassociationtootherdataintheHIE.They
arevariousreasonsasystemcouldhaveorphandata.
2. WhatdoesMPIstandforandwhatdoesitmean?
a. MPIstandsfor“MasterPatientIndex”anditisthenumberthatisattributedtoa
patienttolinkvariousmedicalrecordnumberstogetherfromdifferenthealth
systems.
3. WhatdothetermsACOandMCOstandforandwhatdotheymean?
a. ACO,orAccountableCareOrganization,isahealthcareorganizationthatlinks
providerreimbursementsandimprovedqualityofcaretogetherforaspecific
patientpopulation.TheCoalitionasanACOisworkingwiththeprimarycareoffices
inCamdentoimprovecaregiventotheirpatientsthroughreimbursementsbased
onprimarycareofficevisits.
b. MCO,orManagedCareOrganization,isahealthinsurancecompanythatcombines
insurancewithdeliveryofcareandadministration.TheMCO’sthattheCoalitionis
currentlyworkingwithareHorizonandUnited.
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