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Hospitals

 SHARE Value/Benefit to Hospitals

  • The hospital referral network is able to securely communicate between providers using SHAREs Direct Trust Secure Messaging to send Continuity of Care Documents (CCDs).
  • Hospitals use SHARE to send Immunizations, Syndromic Surveillance Data, Electronic Laboratory Reporting, Cancer Reporting to Arkansas Department of Health which assists with Promoting Interoperability Criteria Public Health Reporting (listed below).

 

  • SHARE assists hospitals in meeting Health Information Exchange Promoting Interoperability Criteria (listed below) by providing a summary of care record/Continuity of Care Document (CCD) for hospital transition of care (TOC) or referral.

 

  • Hospital referral clinics connected to SHARE are able to see the longitudinal record of a patient that was seen by other facilities throughout the State.

 

  • Hospital providers are able to access a patient record through the Virtual Health record to view patient summaries and results (query based exchange) or query SHARE for your patients results- CCDs (Query and Response using xds.b or xca protocol).

 

  • Clinics throughout the State will receive a daily report from SHARE connected hospitals. The clinics participating in Arkansas Medicaid Patient Centered Medical Home (PCMH)/value-based programs receive daily reports when a patient is admitted and discharged from the Emergency Departments and/or an Inpatient admission. These daily reports are sent in real-time to clinic care coordinators in their email.

 

  • Medicare EP's have transitioned to MIPS and the Adjustments are based on billed Medicare charges. This could be the difference in the range of +/- 7% adjustments in CY 2021 based on 2019 reporting (or maximizing the MIPS score).

 

  • Medicaid only has 2019-2021 left for PI incentives and its 8,500 per calendar year if your organization meets the new thresholds (which are much higher and more difficult  in 2019).

 

Data Types Sent/Receive: CCDs, Admission, Discharge and Transfers (ADT), Radiology Reports, Transcribed Documents, Laboratory Reports and Immunizations

 

SHARE Sending to Referral Partners: SHARE receives CCD/HL-7 messages from hospitals. CCD/HL-7 messages include ADT’s, Radiology Reports, Laboratory Reports, and Transcribed Documents. Transcribed documents include discharge summaries and progress notes and other reports that supports clinics around Arkansas.

 

Medicare Promoting Interoperability Program Eligible Hospitals, Critical Access Hospitals and Dual-Eligible Hospitals Objectives and Measures for 2019





Eligible Hospital, Critical Access Hospital, and Dual-Eligible Hospital Objectives


Electronic Prescribing


Generate and transmit permissible discharge prescriptions

electronically.


Health Information Exchange


Encourage and leverage interoperability on a broader scale and

promote health IT-based care coordination.


Provider to Patient Exchange


Provide patients electronic access to their health information.


Public Health and Clinical Data

Exchange


Measures that an eligible hospital or critical access hospital attests

yes to being in active engagement with a public health agency or clinical data registry to submit electronic public health data in a meaningful way using certified electronic health record technology.

Promoting Interoperability (PI)

The requirements and reporting information on this page are for the 2019 Medicare Promoting Interoperability Program. Beginning in 2019, all Medicare eligible hospitals, dual-eligible hospitals, and critical access hospitals (CAHs) are required to use 2015 edition certified electronic health record technology (CEHRT) and meet the new requirements outlined in the 2019 IPPS final rule .  

In 2019, all Medicaid-only eligible hospitals and eligible professionals (EPs) must attest directly to their state. Visit the 2019 Promoting Interoperability Medicaid page  for more information.

2019 Program Requirements- Medicare

Beginning in 2019, all eligible professionals (EPs), eligible hospitals, dual-eligible hospitals, and critical access hospitals (CAHs) are required to use 2015 edition certified electronic health record technology (CEHRT) to meet the requirements of the Promoting Interoperability Program. Note that the requirements for eligible hospitals, dual-eligible hospitals, and CAHs that submit an attestation to CMS under the Medicare Promoting Interoperability Program were updated in the 2019 IPPS final rule .  

In 2019, all Medicaid eligible hospitals and EPs must adhere to the requirements of their state’s Medicaid Promoting Interoperability Program and attest directly to their state. Visit the 2019 Promoting Interoperability Medicaid  page for more information.

See More Here: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2019ProgramRequirementsMedicare.html

2019 Program Requirements- Medicaid

Beginning in 2019, all eligible professionals (EPs), eligible hospitals, dual-eligible hospitals, and critical access hospitals (CAHs) are required to use 2015 edition certified electronic health record technology (CEHRT) to meet the requirements of the Promoting Interoperability Programs. Note that the requirements for eligible hospitals, dual-eligible hospitals, and CAHs that submit an attestation to CMS under the Medicare Promoting Interoperability Program were updated in the 2019 IPPS final rule .   

See More Here: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2019ProgramRequirementsMedicaid.html