EHRs, Care Management Applications, and Consent

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EHRs, Care Management Applications, and Consent

• Eric Weiskopf, M.Ed OHITT
• Ellen Flink OHITT
• Session 13 March 27, 2013

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Agenda

• Electronic Health Records/Electronic Medical
  Records vs. Care Management Applications
• Consent
• Webinar QAs

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A Certified MU EHR vs. a Care Management Plan

• 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

• 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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Consent Use Cases
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Keys to the Use Case Illustrations

• 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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HH Partner
RHIO Consent
BAA
HIE Single Entity Consent
All American Hospital Health Home
Care Management Application
Health Home Consent
BAA
RHIO Consent
RHIO Consent
HH Partner
All American Hospital - Outside of Health Home
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Health Home Consent and Multi-Entity RHIO Consent
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HH Partner
BAA
All American Hospital Health Home
HIE Multi Entity Consent
Care Management Application
Health Home Consent
BAA
HH Partner
All American Hospital - Outside of Lead Health
Home
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• Health Home Consent and
• Single Entity RHIO Consent
• Care Management Application Hosted by RHIO
• Care Manager Embedded in Lead Health Home

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HH Partner
BAA
HIE
All American Hospital Health Home (Embedded Care
Manager)
Health Home Consent
CM Application
BAA
RHIO Consent
RHIO Consent
HH Partner
All American Hospital - Outside of Health Home
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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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Subcontracted Care Manager
BAA
HIE
All American Hospital Health Home
Health Home Consent
CM Application
BAA
RHIO Consent
RHIO Consent
HH Partner
All American Hospital - Outside of Health Home
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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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Subcontracted Care Manager
BAA
HIE
All American Hospital Health Home
Health Home Consent
CM Application
BAA
HH Partner
All American Hospital - Outside of Health Home
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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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HH Partner
RHIO Consent
BAA
HIE Single Entity Consent
All American Hospital Health Home
Withdrawal of Health Home Consent
Care Management Application
BAA
RHIO Consent
RHIO Consent
HH Partner
All American Hospital Outside of Health Home
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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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HH Partner
RHIO Consent
BAA
All American Hospital Health Home
HIE Single Entity Consent
Care Management Application
Health Home Consent
BAA
Withdrawal of RHIO Consent
RHIO Consent
HH Partner
All American Hospital Outside of Health Home
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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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HH Partner
BAA
HIE -withdrawal of Multi Entity Consent
All American Hospital Health Home
Care Management Application
Health Home Consent
BAA
HH Partner
All American Hospital Outside of Health Home
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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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HH Partner
BAA
HIE -withdrawal of Multi Entity Consent
All American Hospital Health Home
Care Management Application
Health Home Consent
BAA
HH Partner
All American Hospital Outside of Health Home
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Withdrawal of Health Home Consent Form (5058) and
Single-Entity RHIO Consent Form
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HH Partner
RHIO Consent
BAA
All American Hospital Health Home
HIE - Single Entity Consent
Withdrawal of Health Home Consent
Care Management Application
BAA
RHIO Consent
Withdrawal of RHIO Consent
HH Partner
All American Hospital
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Withdrawal of Health Home Consent Form (5058) and
Multi-Entity RHIO Consent Form
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HH Partner
HIE -withdrawal of Multi Entity Consent
All American Hospital Lead Health Home
Care Management Application
Withdrawal of Health Home Consent
All American Hospital
HH Partner
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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
1-1 Referral
All American Hospital Health Home
Referral
Non Health Home Patient enters All American
Hospital Emergency Department
All American Hospital Emergency Department
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Resources

• http//www.health.ny.gov/health_care/medicaid/prog
  ram/medicaid_health_homes/meetings_webinars.htm

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Webinar Questions
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Questions, Comments, or Concerns?

• Contact
• Eric Weiskopf
• esw01_at_health.state.ny.us
• 518 473 7960