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HIT Assistance Center Advanced Webinar
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HIT Assistance Center Advanced Webinar



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  • First, a quick refresher on who we are…
  • Highlight CAC here
  • To look at it another way, from a patient’s perspective, we’re connecting his/her providers so they can have the records at the point of care and provider better care.
  • MHC Direct allows for the secure exchange of information such as referrals, notes, continuity and transitions of care documents, and even images. Each message can contain multiple attachments much larger than standard email. Itis an encrypted email service for providers to securely share patient health information. Though it functions much like standard email, MHC Direct messages are encrypted in compliance with HIPPA and state law, and are a quick and easy alternative to secured fax.MHC Direct is a good solution for providers who do not have an EMR yet, but have an Internet connection
  • The Provider Directory manages provider identities, including details on how providers can receive event notifications and clinical summaries.Terminology management enables maintenance and use of applicable terminology standards (e.g. LOINC, SNOMED, and ICD) or custom code sets as appropriate.CONSENT: A flexible consent engine for defining consent policies, capturing patient consent directives, and enforcing privacy policies whenever data is accessed. Our Consent Management component allows for consent policies at a very granular level including blocking information types or data sources for a single patient.CLINICAL MSG DELIVERY: Provides powerful capabilities for secure, direct communication between people (e.g. a referring physician and a specialist) and between systems. Messages can be triggered by user action or as a result of an event and they can be delivered to an external system, such as a physician's EMR, to the secure Clinical Message Center, or to the clinician's Direct account.
  • Elaborate on this verbally. We will be showing some slides of what the web viewer look like. This is just a demo, so it won’t look exactly like this but will give you a flavor.
  • Only patients who choose to opt-in will have their information exchanged among providers in the Network.Identifiable patient data is ONLY used for clinical purposes, at the time of care and by providers caring for that patient. Providers may NOT share the information outside of the network…In other words, private health information will NOT be shared for marketing/commercial purposes, or with employers, etc.
  • Let me give you a simple example.Say you live in St. Louis and go to the doctor there. But you are on vacation in Branson with your family when you get sick or have an accident. With MHC, you didn’t have to fill out medical historyDocs were able to see Allergy to medicine before it was administeredPrevented a duplicate testThey didn’t have to wait for three faxes and phone callsAll the medical history was there for the doctor to treat you immediately
  • (in addition to what’s on the slide) ALSO – one example from this study of saving a life… a woman came into the ER with bleeding from uterus. The doctor would have ordered an ultrasound, but was able to see from her e-records that she had just had one a few days earlier at another facility and had an etopic pregnancy. With that knowledge, they put her into immediate surgery…her blood pressure dropped to zero on the operating table and they almost lost her but she made it through. One of the doctors there attributed her life being saved to health information technology.


  • 1. Missouri Health ConnectionStatewide health information networkOne connection: better coordination and better care.Missouri HIT Assistance CenterNovember 8, 2012Mindy Mazur, Director of Public Affairs & Communications
  • 2. Missouri Health Connection State-designated entity to create health information network Non-profit organization Board of directors and workgroups include members from: • State government, • Private health care orgs, • Private practice physicians, • Professional organizations, • Consumer advocacy groups. 1
  • 3. Missouri Health Connection – Board of DirectorsKim Day President Mercy Central CommunitiesMargaret Donnelly Director Missouri Department of Health & Senior ServicesDr. Karen Edison Co-Principal Investigator Missouri HIT Assistance CenterDr. Laura Fitzmaurice Chief Medical Information Officer Childrens Mercy HospitalDr. Tracy Godfrey Family Physician Family Health Center of JoplinSandra Johnson, JD Interim Dean & Professor Emerita St. Louis University School of LawHerb Kuhn President & CEO Missouri Hospital AssociationBrian Kinkade Director Missouri Department of Social ServicesRon Levy Executive in Residence St. Louis University School of Public HealthDr. Ian McCaslin Director, MO HealthNet Division Missouri Department of Social ServicesSteve Roling President & CEO Health Care Foundation of Greater Kansas CityAndrea Routh Executive Director Missouri Health Advocacy AllianceSteven Walli President & CEO United HealthCare of the MidwestDavid Weiss Senior Vice President & CIO BJC HealthCareDr. Karl Wilson President & CEO Crider Health Center COO & Director of MO Center forSusan Wilson Primary Care Quality & Excellence Missouri Primary Care Association 2
  • 4. Structure and Workgroups* More than 80 individuals from throughout the state have been participating in creating the Missouri Health Connection. Board of Directors  MHC Staff Consumer Advisory Council Legal & Policy Workgroup Technology & Operations Workgroup  Pilot Subgroup Finance Workgroup 3
  • 5. Missouri’s Vision: Six Objectives for MHC Improve the quality of medical decision-making and the coordination of care; Provide accountability in safeguarding the privacy & security of medical info; Reduce preventable medical errors and avoid duplication of treatment; Improve the public health; Enhance the affordability and value of health care; and Empower Missourians to take a more active role in their own health care. One Connection. Better Coordination and Better Care. 4
  • 6. Missouri Health Connection What MHC’s Network will provide: Most economical network for interconnectivity Real time information at the point of care Leave no Missouri provider behind Help for providers to meet Meaningful Use and get $ incentives Single point of connection for statewide health data, including Medicaid Framework for interstate connectivity 5
  • 7. Missouri and “Meaningful Use” Missouri Health Connection’s network will:  help providers meaningfully use electronic health records …thus allowing providers to also secure additional incentives that could represent nearly $400 million into Missouri. 6
  • 8. Current state vs. future vision Current Confusion Future Vision MHC’s health information network Pharmacies Pharmacies Labs Hospitals Labs HospitalsPhysicians Clinics Physicians Clinics Government Consumers Government Consumers 7
  • 9. MHC: statewide health information network Physicians Hospitals Pharmacies Labs and Imaging Centers Personal Health Nursing Homes Records/Patient Portals Clinic Public Health & Medicaid Patient 8
  • 10. Our Services • MHC Direct Secured Messaging • MHC HealthShare Network
  • 11. MHC Direct Secure Messaging  HIPAA -compliant email address • Functions like standard email, but encrypted and secure  Securely routes care summaries, clinical notes, lab results • No more faxing  Helps Providers Meet Stage 1 Meaningful Use • Simple to use • You only need an Internet connection 10
  • 12. MHC HealthShare Query-based network  Comprehensive medical data at the point of care  Platform to support integration within healthcare orgs  Interoperability & exchange of health information with other healthcare organizations Components include:  Provider Directory  Terminology Engine  Consent Management  Clinical Message Delivery 11
  • 13. How will providers connect? Through secure Web portal (viewer)or Through EMR (embedded) 12
  • 14. MHC’s Secure Network – Ensuring Privacy MHC’s Network is a secure, private network Missouri patients get to choose if they want to “opt-in” to allow for exchange of data Providers participating in MHC must abide by State and Federal laws (i.e. HIPAA) Patients’ information is pulled only “as- needed” by providers caring for them MHC’s Network is for CLINICAL purposes MHC’s Legal and Policy workgroup – thorough review of all policies 13
  • 15. MHC’s Secure Network -- Ensuring Security Only registered providers can access data Role Based Access MHC’s Network will verify true identity of data senders and data receivers Unlike paper systems, MHC’s Network will be able to audit & keep track of who accesses or changes information 14
  • 16. Tying it all together… One connection to MHC means better coordination and better care
  • 17. A simple example (Branson vacation) You live in St. Louis(doctor, etc. is there)On vacation in Branson you getsick HOMEYou are unconscious & taken tohospitalWith MHC, docs able to pullmedical records from St. Louis PCP, Lab, RxSaw allergy to medsPrevented duplicate test VACATIO NDidn’t have to wait All Info at point of care = BETTER OUTCOME! 16
  • 18. Case Study: Saving Time, Money and Lives in Memphis Study:  12 hospital emergency rooms in the Memphis area shared patient information electronically  Compared ER outcomes from 2 groups of patients: one with clinical background in EHRs and another without data Results:  Participating hospitals reduced health-care costs by $2million over 13 months  Doctors avoided needless admissions, CT scans and other unnecessary or duplicative tests  Research indicates that the savings for hospitals around the US could be in the billions and lead to better medical outcomes Source: “HealthIT Saves a Life in Memphis,” Technology, November 15, 2011 17
  • 19. QUESTIONS?
  • 20. MHC CONTACT INFORMATION 573.777.4550 19