Case Study "Meeting Meaningful Use Requirements Using HIE" This presentation will provide an overview of health information exchange in Kansas including a description of how the Kansas Health Information Network (KHIN) is helping Kansas providers meet Stage 1 and Stage 2 Meaningful Use requirements that are necessary to receive Medicare and Medicaid incentive payments. It will include a live demonstration of the health information exchange and a question and answer session. KHIN provides health information exchange services to all health care providers in Kansas. The KHIN network allows health care providers to share health information at the point of care. Health data includes current diagnosis, medications, allergies, lab results, procedures, immunizations, visit history and summary of care documents. In August 2012, Via Christi Health Systems and HCA Wesley became the first Kansas health care organizations to share health data. Just 10 months later, 42 Kansas health care systems are live sharing data including all of the largest health systems in Kansas. Nineteen others are actively testing data and 3200 providers have the ability to exchange secure messages. KHIN members can now access information on almost 900,000 Kansas patients, electronically send immunizations to the state registry, electronically send syndromic surveillance data to the CDC and securely communicate with other health care providers through the DIRECT protocols which comply with all HIPAA regulations. Soon, KHIN members will be able to provide a personal health record (PHR) to all of their patients. Learning Objectives: ∙ Understand the basic principles of health information exchange through a case study of the Kansas Health Information Network (KHIN). ∙ Understand the role of health information exchange in meeting Stage 1 and Stage 2 Meaningful Use requirements. ∙ Describe how health information exchange can facilitate population health and patient engagement.

1. KHIN
KANSAS HEALTH
INFORMATI ON NETWORK
Executive Briefing
KHIN Health Information Exchange

2. KHIN
KANSAS HEALTH
INFORMATI ON NETWORK

3. KHIN
Kansas Health Information Network, Inc.
Founding members
Not for Profit Organization

4. KHIN
Kansas HIE Landscape

6. KHIN

7. KHIN
• Secure Clinical Messaging/DIRECT
– Enable Providers to communicate point to point with other providers across
Kansas and the nation.
• Provider Portal
– Enable Providers to view the data in the exchange on their patients.
• Patient Personal Health Record
• Full HIE –Query functionality
– Enable Providers to access data for their patients from other providers from across
the State of Kansas.
– Enable Providers to contribute data from their patients to the exchange so other
providers can access it from across the state of Kansas.
• State level interfaces
– Immunizations, Syndromic Surveillance, Reportable Diseases, Cancer Registry,
Birth Defect Registry, PMP.
KHIN
Product Delivery

8. KHIN
Certification Completion Date
KHIE Certificate of Authority Temporary—July 2012
Full—Anticipated July 2013
DirectTrust for Secure
Messaging
May 2013
eHealth Exchange for Query Anticipated Summer 2013
ONC for PHR Completed 2012: update 2013
KDHE for Public Health
Measures
At point of MU2 Attestation
KHIN Certification

9. KHIN

10. KHIN

11. KHIN

12. KHIN
Stage 2 MU Public Health Measures
Public Health Agencies (PHAs)
partner with health information
exchanges to facilitate the
submission of public health data
electronically.

13. KHIN
MU2--Immunizations
Successful ongoing submission of
electronic immunization data from
Certified EHR Technology to an
immunization information system for
the entire EHR reporting period.

14. KHIN
MU 2-Syndromic Surveillance
Successful ongoing submission of
electronic syndromic surveillance
data from Certified EHR Technology
to a public health agency for the
entire EHR reporting period.

15. KHIN
MU 2 Electronic Lab Results
Reportable Diseases
Capability to submit electronic
reportable laboratory results to
public health agencies

16. KHIN
KHIN PHR Vendor
http://www.nomoreclipboard.com/
1. HISP to facilitate secure communications between patients
and providers.
2. Deconstruction of CCD and display of information in patient
friendly format.
3. Patient ability to view, download and transfer a summary of
care record.
4. Patient added information=PHR
5. Patient educational information
6. Patient view through any web enabled device including
mobile phones.
7. Track and graph health measures
8. Emergency access to records for patients.

17. CMS FAQs for EHR Incentive Programs
If multiple eligible professionals or eligible hospitals contribute information to a
shared portal or to a patient's online personal health record (PHR), how is it
counted for meaningful use when the patient accesses the information on the portal
or PHR?
This answer is relevant to the following meaningful use measure:
For Eligible Professionals (EPs):
―More than 5 percent of all unique patients seen by the EP or EH during the EHR
reporting period (or their authorized representatives) view, download or transmit to a
third party their health information.‖
For Eligible Hospital and Critical Access Hospital:
If the patient was seen by an EP or discharged from a hospital during the EHR reporting period, the
patient would be counted in the numerator for this measure if the patient (or his/her authorized
representatives) views online, downloads, or transmits to a third party any of the health information
from the shared portal or online PHR. This is regardless of whether the EP or hospital contributed
the particular information that was viewed, downloaded, or transmitted by the patient. However, the
EP or hospital must have contributed at least some of the information identified in the Stage 2 final
rule to the shared portal or online PHR for the patient.
Last updated 2/28/2013

18. CMS FAQs for EHR Incentive Programs
If multiple eligible professionals or eligible hospitals contribute information to a
shared portal or to a patient's online personal health record (PHR), how is it
counted for meaningful use when the patient accesses the information on the portal
or PHR?
This answer is relevant to the following meaningful use measure:
For Eligible Professionals (EPs):
―More than 5 percent of all unique patients seen by the EP during the EHR reporting
period (or their authorized representatives) view, download or transmit to a third party
their health information.‖
For Eligible Hospital and Critical Access Hospital:
If the patient was seen by an EP or discharged from a hospital during the EHR reporting period, the
patient would be counted in the numerator for this measure if the patient (or his/her authorized
representatives) views online, downloads, or transmits to a third party any of the health information
from the shared portal or online PHR. This is regardless of whether the EP or hospital contributed
the particular information that was viewed, downloaded, or transmitted by the patient. However, the
EP or hospital must have contributed at least some of the information identified in the Stage 2 final
rule to the shared portal or online PHR for the patient.
Last updated 2/28/2013

19. CMS FAQs for EHR Incentive Programs
If multiple eligible professionals or eligible hospitals contribute information to a
shared portal or to a patient's online personal health record (PHR), how is it
counted for meaningful use when the patient accesses the information on the portal
or PHR?
This answer is relevant to the following meaningful use measure:
For Eligible Professionals (EPs):
―More than 5 percent of all unique patients seen by the EP during the EHR reporting
period (or their authorized representatives) view, download or transmit to a third party
their health information.‖
For Eligible Hospital and Critical Access Hospital:
If the patient was seen by an EP or discharged from a hospital during the EHR reporting period, the
patient would be counted in the numerator for this measure if the patient (or his/her authorized
representatives) views online, downloads, or transmits to a third party any of the health information
from the shared portal or online PHR. This is regardless of whether the EP or hospital contributed
the particular information that was viewed, downloaded, or transmitted by the patient. However, the
EP or hospital must have contributed at least some of the information identified in the Stage 2 final
rule to the shared portal or online PHR for the patient.
Last updated 2/28/2013

20. KHIN
KHIN Use Case examples
Use Case KHIN CareAlign Solution
• Patient seen at Via Christi Hospital. Patient returns home
and is admitted to Hutchinson Regional Medical Center.
An easier way for clinic providers to find information about
recent hospital stays for their patients?
 Hutchinson Regional Medical Center charge nurses plan
to utilize KHIN at every admit to help with Med Rec
 Provider in the community query KHIN to find out
information about recent hospital discharges
• Trauma patient is seen at Hays Med, Level 3 Trauma
Hospital and is transferred on Saturday evening to Wesley
Medical Center Level 1Trauma Hospital.
Patient medical information is available in real time from
Hays Med for clinical staff at Wesley Medical Center.
 Emergency Department providers utilize KHIN ―Direct‖
secure messaging or KHIN ―Query‖ to share critical patient
information on trauma patients.

21. KHIN
Contact Information
Laura McCrary Ed.D
Executive Director
Office: 785-861-7490
lmccrary@khinonline.org