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? 1 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? 2 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. 3 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. 4 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? 5 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. 6
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