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WV MEDICAID
PROVIDER WORKSHOPS
& TRAINING SESSIONS
Amber Nary
Business Development
Manager
OBJECTIVES
Understand the History and Purpose of the WVHIN
Explore the Shift from Paper to Electronic Exchange of Patient Health Information
Learn about WVDirect
What is it?
What are the benefits?
Steps for Registering
Learn about Health Information Exchange (HIE)
What is it?
What are the benefits?
Getting Connected
Review the Implementation Schedule for WVDirect & HIE
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HISTORY
• WVHIN established in 2006
• WV Code Chapter 16 Article 29G
• Board of Directors
• Public/Private Partnership
• 17 member board representing hospitals, physicians, payers, state government,
etc.
• Funding
• $7.8M Office of the National Coordinator
• $3.5M WV Legislature
• $7M WV Health Care Authority
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WVHIN PURPOSE
• Purpose: Promote the design implementation, operation and maintenance of a fully interoperable network to facilitate public & private use of health care information
• How is the WVHIN achieving this purpose?
• Enabling the secure ELECTRONIC exchange of patient health information through:
• WVDirect
• Health Information Exchange (HIE)
• Why are we working to achieve this purpose?
• Today patient information is stored in silos and access to this information is not timely
• Providers are making decisions about a patient’s health without the full picture
• Create efficiencies and cost savings within the healthcare system
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SHIFT TO ELECTRONIC DATA
70% of Clinical Decisions Are Based on DATA*
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Data locked in a paper folder
has limited value
Electronic Data Provides
Numerous Benefits
Only one-person access at a time Accessible by multiple providers at the
point of care
Difficult to transport Easily transportable
COSTLY to copy, organize and maintain INEXPENSIVE to store data
Time consuming to aggregate and analyze Easy to aggregate and analyze
Easily lost or destroyed (Katrina) NOT easily lost or destroyed
*TJC
WVDIRECT
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WVDIRECT
• WVDirect is a secure messaging system that allows providers to send
and receive Protected Health Information
• Allows providers to replace communications that occur now through
fax and mail with the click of a mouse
• WVDirect is available to providers with or without an EHR
• Depending on your workflow, Direct accounts can be accessed at the
“organization” or “individual” level
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Secure Protected
Health Information
org
org
USE CASES
Transmissions of Care Summary
Patient Admitted to Hospital
Patient Discharged From Hospital
Changing Primary Care Docs
Nursing Home Admissions
Sharing of Lab results
Referrals
Patient Referral to Specialist
Results from Imaging
Specialist to Primary Care Provider
Communications
Public Health Reporting
Immunizations
Syndromic Surveillance
Electronic Lab Reporting
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WVDIRECT
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PROVIDER BENEFITS
SAVE TIME!
• Send patient health information to other providers with the click of a
mouse (no more faxing or mailing)
SAVE MONEY!
• Rely less on paper
• Free service!
ATTEST FOR “MEANINGFUL USE”!
• Perform at least one test of a certified EHR technology’s capacity to
submit electronic data to immunization registries
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STEPS FOR REGISTERING
1. Healthcare Providers must complete the WVDirect Subscription
Agreement
2. Healthcare Providers will be credentialed, verified and trained by a
representative of the WVHIN
3. Healthcare Providers may begin using WVDirect
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HEALTH INFORMATION
EXCHANGE
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HEALTH INFORMATION EXCHANGE (HIE)
• Allows providers to electronically exchange and "query” available patient health information within the network
• Allergies• Medication History• Lab Reports• Consults• Advanced Directives• And More…
• Allows providers to access a longitudinal view of a patient’s medical history BEFORE clinical decisions are made
• Allows providers to electronically submit required information to WV Bureau for Public Health
• To connect and contribute data to the HIE, providers must have a standards compliant EHR
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HEALTH INFORMATION EXCHANGE
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WVHIN
Health SystemHospital Owned Physician Practices
Hospitals
ClinicSurgical-Centers
Personal Health Record
Research
Medicaid Initiatives
e-Directive Registry
Pharmacies
NHIN
Other HIE
Initiatives
Clinic Group
Clinic
Clinic
Independent Lab
and Imaging Center
Independent Hospital
Independent Physician
Physician
Network
Physician A Physician B
Physician C
Community
HIE
Public Health & Immunization Registries
Nursing Homes
PROVIDER BENEFITS
SAVE TIME!
• Latest patient health information at the point of care in an
ORGANIZED view that is EASY TO READ
• Allergies
• Medication History
• Lab Reports
• Consults
• And More…
FEEL AT EASE!
• Role Based Access - Unlike paper silos, WVHIN is built to only allow
authorized individuals to view PHI on a “need-to-know” basis
• Unlike paper silos, WVHIN can audit & keep track of who accesses or
changes information
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PROVIDER BENEFITS
SAVE MONEY!
• Reduced operating costs – data directly into your EHR, no faxing
• One connection to WVHIN – reduce development of many interfaces
• From HealthCareITNews.com – "Sharing electronic health information
across every major emergency department in the Memphis, Tenn., area
resulted in reduced hospital admissions, reduced radiology tests and an
annual cost savings of nearly $2 million, according to a recent study
conducted by Vanderbilt University Medical Center.“*
• Connection to HIE is currently free – WVHIN is working to develop a
sustainability model; providers will be given 9 mo – 1 yr notice before any
fees are charged
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* http://www.healthcareitnews.com/news/sharing-ehr-data-results-
2m-savings-across-memphis-eds; 11/2011
PARTICIPATING ORGANIZATIONS
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Standards Compliant
EHR
Participation Agreement
& BAA
WVHIN Policies
Processes & Education
WVHIN IMPLEMENTATION ACTIVITIES
WHAT WHEN
HIE Implementation Kick-off August 2011
Go Live – Direct Services January 2012
HIE Go Live -
Wheeling Hospitals
WVU HealthCare
E-Directive Registry
April 2012
Go Live –
Analytics and Reporting Suite
April – August 2012
300 Providers with Direct
Addresses
BPH Immunization Registry
May 2012
Statewide HIE Rollout Years 2 – 3 (starting Aug 2012)
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WV E-DIRECTIVE REGISTRY
• Registry will provide:
• Accurate relevant information available in a medical crisis
• 24/7 online access by health care providers through WVHIN
• Patients’ wishes will be respected throughout the continuum of health care settings
• Password-protected – HIPAA compliant platform
• Registry adds value by:
• Identifying Not Registry Ready (NRR) forms
• Checking for conflicts in the orders/directives given
• Screening forms for incomplete information
• Contacting patients with NRR forms to resolve problems
• Confirming with patients the accuracy of their information
• Updating the Registry annually with a mailing to patients
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Obtain forms – www.wvendoflife.org
Submit forms - FAX 304-293-7442
For info call - 877-209-8086
FOR MORE INFORMATION
Visit:
www.wvhin.org
Email:
Or Contact WVHIN @
304-558-4503
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QUESTIONS?
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