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Eric Weiskopf, M.Ed – OHITTEllen Flink – OHITT
Session 13 – March 27, 2013
• Electronic Health Records/Electronic Medical Records vs. Care Management Applications
•Consent
•Webinar Q&As
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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 3
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)
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Some Clinical
Information
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Uni-directional Flow of Information
Bi-directional Flow of Information
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Health Home Consent and Single-Entity RHIO Consent
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HIE – Single Entity
Consent
All American Hospital
Health Home
HH Partner
Care Management Application
Health Home Consent
Health Home Consent
HH Partner
RHIO Consent
RHIO Consent
All American Hospital - Outside of Health Home
RHIO Consent
RHIO Consent
BAABAA
BAABAARHIO
ConsentRHIO
Consent
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Health Home Consent and Multi-Entity RHIO Consent
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HIE – Multi Entity
Consent
All American Hospital
Health Home
HH Partner
Care Management Application
Health Home Consent
Health Home Consent
HH Partner
All American Hospital - Outside of
Lead Health Home
BAABAA
BAABAA
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Health Home Consent andSingle Entity RHIO Consent
• Care Management Application Hosted by RHIO • Care Manager Embedded in Lead Health Home
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HIEAll American Hospital Health Home
(Embedded Care Manager)
HH Partner
Health Home Consent
Health Home Consent
HH Partner
RHIO Consent
RHIO Consent
All American Hospital - Outside of
Health Home
CM Application
CM Application
BAABAA
BAABAA
RHIO Consent
RHIO Consent
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Health Home Consent and Single-Entity RHIO Consent
• Care Management Application Hosted by the RHIO
• Sub-Contracted Care Manager
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HIEAll American Hospital
Health Home
Subcontracted Care Manager
Health Home Consent
Health Home Consent
HH Partner
RHIO Consent
RHIO Consent
All American Hospital - Outside of
Health Home
CM Application
BAABAA
BAABAA
RHIO Consent
RHIO Consent
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Health Home Consent and Multi-Entity RHIO Consent
• Care Management Application Hosted by the RHIO
• Sub-Contracted Care Manager
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HIEAll American
Hospital Health Home
Subcontracted Care Manager
HH Partner All American Hospital - Outside of
Health Home
CM Application
CM Application
BAABAA
BAABAA
Health Home Consent
Health Home Consent
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Withdrawal of Health Home Consent Form(5058)
But not the Single-Entity RHIO Consent
• Care Manager Embedded in Lead Health Home
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HIE – Single Entity
Consent
All American Hospital
Health Home
HH Partner
Care Management Application
HH Partner
RHIO Consent
RHIO Consent
RHIO Consent
RHIO Consent
All American Hospital – Outside of
Health Home
BAABAA
BAABAARHIO
ConsentRHIO
Consent
Withdrawal of Health Home
Consent
Withdrawal of Health Home
Consent
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Withdrawal of Single-Entity RHIO Consent Form
but not the Health Home Consent Form
• Care Manager Embedded in Lead Health Home
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All American Hospital
Health Home
All American Hospital
Health Home
HH Partner
HIE –Single Entity
Consent
Care Management Application
Care Management Application
HH Partner
All American Hospital – Outside of
Health Home
All American Hospital – Outside of
Health Home
RHIO Consent
RHIO Consent
BAABAA
BAABAARHIO
ConsentRHIO
Consent
Withdrawal of RHIO Consent
Withdrawal of RHIO Consent
Health Home Consent
Health Home Consent
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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
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HIE -withdrawal
of Multi Entity
Consent
All American Hospital
Health Home
All American Hospital
Health Home
HH Partner
Care Management Application
Health Home Consent
Health Home Consent
HH PartnerAll American
Hospital – Outside of
Health Home
BAABAA
BAABAA
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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
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HIE -withdrawal
of Multi Entity
Consent
All American Hospital
Health Home
All American Hospital
Health Home
HH Partner
Care Management Application
HH PartnerAll American
Hospital – Outside of
Health Home
BAABAA
BAABAA
Health Home Consent
Health Home Consent
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Withdrawal of Health Home Consent Form (5058) and Single-Entity RHIO Consent Form
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HIE - Single Entity
Consent
All American Hospital
Health Home
HH Partner
Care Management Application
Care Management Application
HH Partner
RHIO Consent
RHIO Consent
All American Hospital
RHIO Consent
RHIO Consent
Withdrawal of RHIO Consent
Withdrawal of RHIO Consent
Withdrawal of Health Home
Consent
Withdrawal of Health Home
Consent
BAABAA
BAABAA
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Withdrawal of Health Home Consent Form (5058) and Multi-Entity RHIO Consent Form
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HIE -withdrawal
of Multi Entity
Consent
All American Hospital – Lead Health Home
HH PartnerHH Partner
Care Management Application
HH PartnerHH Partner All American Hospital
All American Hospital
Withdrawal of Health Home
Consent
Withdrawal of Health Home
Consent
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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
New York Hospital
Health Home
All American Hospital
Emergency Department
Non Health Home Patient enters All American Hospital
Emergency Department
All American Hospital Health
Home
All American Hospital Health
Home
ReferralReferral
1-1 Referral
1-1 Referral
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http://www.health.ny.gov/health_care/medicaid/program/medicaid_health_homes/meetings_webinars.htm
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