Enhancing Patient Care and System Efficiency: Integrating Behavioral Health with SHARE HIE

August 5, 2024 by Justin Villines

Little Rock, Arkansas In today’s healthcare landscape, the integration of behavioral health clinics and hospitals with Health Information Exchanges (HIEs) such as SHARE (State Health Alliance for Records Exchange) is pivotal. This integration facilitates a more comprehensive, coordinated, and efficient healthcare system. Behavioral health (BH) clinics, hospitals, and primary care providers often deal with overlapping patient populations. Their integration with HIEs can significantly enhance patient outcomes, care coordination, and overall healthcare quality. This document explores the critical reasons behind the importance of this integration.

Enhanced Patient Care and Outcomes

Comprehensive Patient Records: Integration ensures that clinicians in both behavioral health clinics and hospitals have access to a patient’s complete medical history, including mental health, social needs or social determinants of health (SDOH), and physical health information. This comprehensive view allows for more accurate diagnoses, effective treatment plans, and timely interventions.
Improved Treatment Coordination: By sharing patient information through SHARE HIE, behavioral health providers, hospitals, and primary care physicians can coordinate treatment plans more effectively. This reduces the risk of duplicated tests and conflicting treatments, leading to more cohesive and holistic patient care.
Timely Access to Critical Information: In emergency situations, hospitals can quickly access a patient’s behavioral health records to provide appropriate care. Conversely, behavioral health clinics can access hospital records to understand recent medical events that may impact a patient’s mental health.

Reduction in Healthcare Costs

Elimination of Redundant Tests and Procedures: With integrated access to patient records, healthcare providers can avoid unnecessary repeat tests and procedures, thus reducing overall healthcare costs. This is particularly important for patients with chronic conditions that require frequent monitoring and treatment.
Efficient Resource Utilization: Integrated systems allow for better resource management within healthcare facilities. Hospitals can ensure that patients receive the right care at the right time, possibly reducing the length of hospital stays and preventing unnecessary readmissions.

Compliance and Reporting

Regulatory Compliance: Integrating with SHARE HIE helps clinics and hospitals meet various regulatory requirements, such as those outlined in the 21st Century Cures Act, which mandates improved interoperability and patient access to health information.
Quality Reporting: HIEs facilitate the collection of data necessary for quality reporting and performance metrics. This can enhance the ability of healthcare providers to participate in value-based care models and improve their standing in payer, ACO and CIN networks.

Improved Patient Engagement

Patient Empowerment: When patients know that their healthcare providers are collaborating and sharing information, they feel more in control and confident in their care. This can lead to increased patient engagement, adherence to treatment plans, and overall satisfaction with the healthcare system.
Personalized Care: Access to comprehensive data allows providers to tailor their care to the specific needs of each patient, taking into account their entire medical and behavioral health history.

Case Study: Kids for the Future, Arisa Health and Behavioral Health Services of Arkansas

The integration of Kids for the Future, Arisa Health and Behavioral Health Services of Arkansas with SHARE HIE serves as a prime example of the benefits discussed. By connecting to SHARE HIE, these behavioral health providers have enhanced their ability to coordinate care with primary care providers, hospitals, and other specialists involved in their patients’ care. This has led to improved patient outcomes, reduced hospital readmissions, and more efficient use of healthcare resources.

Conclusion

The integration of behavioral health clinics and hospitals with SHARE HIE represents a transformative advancement in healthcare delivery. By bridging gaps between different sectors of healthcare, this integration enhances patient care and outcomes through comprehensive and coordinated treatment plans. It significantly reduces healthcare costs by eliminating redundant tests and procedures and ensures compliance with ever-evolving regulatory standards. Moreover, it fosters improved patient engagement by empowering individuals with more personalized and cohesive care.

As the healthcare industry continues to evolve towards integrated and patient-centered models, the role of HIEs like SHARE will become increasingly crucial. These systems not only facilitate better communication and collaboration among healthcare providers but also support the overall goal of delivering higher-quality, more efficient, and patient-focused care. The successful integration of behavioral health clinics and hospitals with SHARE HIE serves as a model for other regions and healthcare systems aiming to enhance their services and patient outcomes through advanced interoperability and data sharing.

Metropolitan Emergency Medical Services (MEMS) Leads the Way in Arkansas with SHARE HIE Integration

June 28, 2024 by Justin Villines

Little Rock, Arkansas Metropolitan Emergency Medical Services (MEMS) has become a trailblazer in the State of Arkansas by becoming the first Emergency Medical Services (EMS) provider to integrate their Electronic Medical Record (EMR) system with the State Health Alliance for Records Exchange (SHARE) Health Information Exchange (HIE). This pioneering move involves the integration of MEMS’s ESO EHR system with SHARE HIE, marking a significant advancement in healthcare interoperability and setting a benchmark for other EMS providers in the state.

Pioneering Integration

MEMS’s decision to integrate their ESO EHR with SHARE HIE demonstrates a forward-thinking approach to improving patient care and streamlining communication across various healthcare providers. This integration ensures that critical patient information collected by MEMS during emergency responses is seamlessly and securely shared with hospitals, clinics, primary care providers (PCPs), behavioral health (BH) providers, and other members of the patient care team in real-time.

Enhancing Continuity of Care

The integration of MEMS’s ESO Electronic Health Record (EHR) with SHARE HIE brings numerous benefits, including:

Improved Patient Outcomes: By providing healthcare providers with immediate access to up-to-date emergency medical data, clinicians can make more informed decisions, leading to better patient outcomes. For instance, having access to vital information such as medications administered, vital signs, and patient history during an EMS transport can be crucial during the initial treatment phases in the emergency department (ED).
Streamlined Workflows: The seamless exchange of data reduces the need for redundant data entry and minimizes the risk of errors. This integration allows for a more efficient workflow as healthcare providers can quickly access and review the EMS reports within their own EHR systems.
Enhanced Communication: The real-time sharing of information ensures that all members of the patient care team are on the same page, facilitating better coordination and communication among EMS, ED, and other healthcare providers. This is particularly beneficial in critical and time-sensitive situations.

A Model for Others

The successful integration of MEMS’s ESO EHR with SHARE HIE sets a precedent for other EMS providers in Arkansas and beyond. By demonstrating the tangible benefits of interoperability, MEMS serves as a model for other EMS organizations aiming to enhance their service delivery and patient care using advanced health information technology.

“Integrating our ESO EHR with SHARE HIE represents a significant milestone for MEMS and the broader healthcare community in Arkansas. This integration ensures that our emergency medical services are seamlessly connected with hospitals and other healthcare providers, enabling us to deliver the highest quality of care to our patients. We are proud to lead the way in this important initiative and are confident that it will serve as a model for others to enhance interoperability and patient outcomes across the state.”– Greg Thompson, Executive Director of Metropolitan Emergency Medical Services (MEMS)

A Unified Vision for Better Healthcare

The collaboration between MEMS and SHARE HIE underscores the commitment to a unified vision for better healthcare in Arkansas. By breaking down data silos and fostering a more connected healthcare ecosystem, this integration paves the way for a future where comprehensive patient information is readily accessible, leading to more coordinated and effective care.

Metropolitan Emergency Medical Services’ integration with SHARE HIE is a landmark achievement in the quest for improved healthcare interoperability in Arkansas. This forward-thinking initiative not only enhances the quality and efficiency of emergency medical care but also serves as an inspiration for other EMS providers to follow suit. As MEMS continues to lead the way, the benefits of this integration will undoubtedly ripple across the entire healthcare continuum, ultimately resulting in better health outcomes for patients statewide.

About Metropolitan Emergency Medical Services (MEMS): MEMS is a public, non-profit entity, and is governed by the Little Rock Ambulance Authority (LRAA). Serving Pulaski and Grant Counties, the cities of Maumelle, Sherwood & Cabot. MEMS covers approximately 1,800 square miles and over 400,000 people.
Since 2004, MEMS has been accredited with the Commission on Accreditation of Ambulance Services (CAAS) which signifies a “Gold Standard” in emergency medical service providers. Metropolitan Emergency Medical Services is committed to providing high-quality on-scene, pre-hospital, and transport care to the residents and visitors in the MEMS service area, all while improving the quality of life in our communities.

Learn more: https://www.metroems.org

The Value of SHARE-ing Health Information

June 26, 2024 by Justin Villines

Little Rock, Arkansas https://www.afmc.org/blog/share

The Value of SHARE-ing Health Information

Electronic medical records (EMRs) have enhanced patient care through efficient information exchange. However, with over 60 different types of EMRs in the Arkansas healthcare system, patient information can be difficult to share from setting to setting. The State Health Alliance for Records Exchange (SHARE) has enhanced efficient information sharing statewide, allowing providers to access specific patient information whenever they need it. Anne Santifer, Executive Director of SHARE, and Justin Villines, HIT Policy Director for SHARE, recently went on AFMC TV to discuss SHARE’s impact on healthcare delivery in Arkansas.

What is SHARE?

SHARE is Arkansas’ only statewide health information exchange, offering a centralized hub connecting healthcare providers with crucial patient information. This system collects data from EMRs, allowing patient records to follow them electronically through their healthcare journey.

“Back in the day, we used to have to bring our papers with us to the doctor or get our old medical records from one doctor and bring it to our new doctor. We don’t have to do that anymore, thanks to this technology,” Anne said.

“It really takes the burden off hospitals and clinics,” Justin added. “They can see clinical data, labs, cardiology reports, and more, right when they need it.” SHARE not only saves money for healthcare systems but also results in healthier patients due to a more streamlined process of data exchange.

SHARE also lessens duplication of services. If a doctor has access to a patient’s previous medical record through SHARE, they’re less likely to recommend that a test or procedure be redone. Tests and assessments can be costly to patients who have to deal with copays and coinsurance.

A Push-Based Approach

SHARE is different from other HIEs across the nation in that it receives rosters from Medicare, Medicaid, and private insurance companies, which it uses to track patients and send patient information to care teams as they need it. “The hardest part is that you have to know that a person had an event somewhere else before you can ask for that information,” Anne said. “Rather than providers having to do that, we push the information out to providers as they need it.”

Local Impact with National Connections

Although SHARE primarily operates within Arkansas, its reach extends to neighboring states, facilitating care for Arkansans who travel. “We rely on zip codes for patient addresses,” Anne said. “So, if a patient goes to a hospital in Oklahoma, and the hospital sees the patient has an Arkansas zip code, they can send an information request to us, and we send the information they need.”

This works bi-directionally. So, if a patient travels to Arkansas from out of state, the SHARE team can request that patient’s information from their state’s health information exchange (HIE).

Many states have HIEs, and SHARE helps connect the dots between Arkansas and other states to ensure healthcare professionals nationwide can better assist patients regardless of the patient’s location. The federal government has also emphasized support for qualified health information networks (QHINs), allowing more nationwide access to health data.

“We have plans to join a QHIN, but they are still in development right now,” Anne said. “The policies are still being written, but once they settle, our goal is to join a QHIN.”

The New Movement: Health Data Utility

With technological advancements over the last 15 years, SHARE’s role has expanded into a health data utility service that benefits various health sectors, including health plans and state agencies.

“The COVID-19 pandemic highlighted the need for real-time patient data,” Anne said. “We’ve supported the health department and the Arkansas Department of Human Services (DHS) on many of their initiatives, including the public health unwinding.” During the pandemic, many hospitals had to submit reports to DHS that included information on the availability of beds and the number of positive tests. SHARE has automated those reports so that participating hospitals no longer have to submit that documentation.

Since the pandemic ended, SHARE has helped hospitals and clinics in the state submit reports to DHS that include key data elements like the number of patients hospitalized from the flu and RSV.

“Our health insurance plans have come around to the idea of using data,” Anne said. “They know if they can get that information in real-time, that can expedite prior authorizations, claims processing, and help them meet federal reporting requirements, such as A1C results. You often don’t see that information in a claim, but we have it in the clinical data, so we’re able to supply that to them.”

A Focus on Maternal Health

This year, SHARE has focused on maternal health, a priority echoed by Arkansas Governor Sarah Huckabee-Sanders. “We are in contact with DHS and coordinating with hospitals who wish to participate in the Arkansas’ maternal homes program,” Anne said. “We are also talking to our WIC services at the health department about supporting them, utilizing the products and services we have, and repurposing them to meet maternal health needs.”

SHARE can be used to track women’s health journey during pregnancy. If they are admitted to the hospital, the woman’s provider will receive an alert that their patient is in the hospital. “This allows us to coordinate care and hopefully improve the quality of care that patient receives,” Anne said.

Because SHARE is currently connected to over 60 different EMRs in the state it’s easy to support healthcare professionals during transitions of care from one setting to the next. “We facilitate a bi-directional exchange of information, which not only ensures data security but also allows hospitals and practices to specifically query if we have any information about a particular patient.”

Participation Benefits The Entire Healthcare System

There are 116 hospitals and over 3,000 clinics participating in SHARE, including four major hospitals utilizing EMRs. “There is no shortage of clinics and hospitals who wish to participate in SHARE,” Anne added. “Hospitals want to know what’s happening in the clinics before patients show up in their care. So, if you’re an organization taking on risk, such as a member of an ACO or a clinically integrated network, data is an important aspect of success in a value-based program.”

Those programs are connecting with SHARE to gain access to a pipeline of information that allows them to see what is going on with patients outside of their walls. “The more people that participate, the more complete the record is,” Anne explained. “The less you have to go out and look for paper records and contact providers to get the information you need.”

“We try to keep up with the movement of the metrics and policy directives within our state to be able to assist providers in all lines,” Justin added. “We want to help them accomplish the goals they’re trying to meet and learn not only what’s happening inside their facility but also outside, too.”

Despite this nationwide movement, however, there are still some clinics that have not yet participated due to EMR changes and limitations. “No two EMRs are the same,” Anne explained. “Even though Baptist, UAMS, and Children’s Hospital all use Epic, their EMRs are all set up differently. It all depends on how you contract and what modules you purchase.”

“It’s really important when talking to our providers or nurses if they don’t know a patient’s updated phone number or address because it’s hard to get that patient back in the clinic if you can’t reach them,” Justin added. “With all of our statewide connections, we’re constantly updating the patient’s phone number, home address, and email address if we have it, so that the provider and nurse have the most up-to-date contact information to get a hold of the patient.”

Benefits for the Healthcare Community

SHARE’s innovative approach to health information exchange facilitates efficient information sharing, enhances patient care, and improves the efficiency of healthcare providers. The Arkansas healthcare community can greatly benefit from the wealth of shared knowledge and seamless connectivity that SHARE offers. As the provider burden increases, SHARE is looking to automate patient data collection and reporting so that providers can focus more on caring for patients while SHARE provides them with real-time data as they need it.

For more important healthcare topics, follow AFMC on Facebook, Instagram, LinkedIn, X, and YouTube.

Subscribe to AFMC newsletter for the latest news and updates, including the most recent episode of AFMC TV.

Arisa Health Behavioral Health System Aims to Enhance Care Coordination and Interoperability Through SHARE HIE Integration

May 30, 2024 by Justin Villines

May 2024—Little Rock, Arkansas

Background: Arisa Health Behavioral Health System is a leading provider of mental health services in Arkansas. With a commitment to delivering high-quality, integrated care, Arisa Health sought to enhance its interoperability capabilities by connecting to the SHARE Health Information Exchange (HIE).

Challenges: Prior to connecting to SHARE HIE, Arisa Health faced challenges in accessing timely and comprehensive client information. This lack of interoperability hindered care coordination efforts and resulted in fragmented care for clients, especially those with complex behavioral health needs.

Solution: By connecting to SHARE HIE, Arisa Health has potential to access a vast network of healthcare providers and a comprehensive repository of patient health information. This integration is anticipated to allow Arisa Health to seamlessly exchange patient data with other healthcare entities, including primary care physicians (PCPs), hospitals, and specialists, ensuring that all members of the care team have access to up-to-date and relevant information to include diagnosis, medications, procedures, social needs, vitals, updated demographics, and allergies.

Benefits for Arisa Health:

Improved Care Coordination: Arisa Health is beginning to share patient information with select providers involved in the patient’s care, facilitating better care coordination and continuity of care.
Enhanced Patient Safety: With access to a more comprehensive view of the patient’s health history, Arisa Health can make more informed decisions, leading to improved client outcomes.
Efficiency Gains: The integration with SHARE HIE is in its early stages, and it will streamline workflows at Arisa Health, reducing the time and effort required to access and share patient information.
Data-Driven Insights: As they become fully implemented there is the promise of accessing a wealth of patient data through SHARE HIE, Arisa Health will be able to gain valuable insights into population health trends and tailor its services to better meet the needs of its community.

Arisa Health’s Strategic Plan set forth the goal to be an AR SHARE HIE super user. The early steps they are achieving are very important and they have aspirations for accomplishing more.

Daily Hospitalization Reports (ED & IP)

Being notified by SHARE’s daily hospitalization reports is crucial for Arisa Health as it provides timely updates on their clients’ hospitalizations. This information allows Arisa Health to promptly follow up with clients upon discharge, ensuring continuity of care, maintaining the gains from inpatient care and the risk of rehospitalization. The resulting community tenure improves the client’s quality of life. Additionally, these reports are enabling Arisa Health to coordinate care with hospitals, other providers, and payers, ensuring that all involved are working together for the client’s benefit. By identifying clients at higher risk for hospitalization early on, Arisa Health will be able to intervene proactively to mitigate these risks and prevent future hospitalizations. Moreover, the data from these reports can be analyzed to identify trends and areas for improvement in care processes, ultimately leading to better outcomes for patients.

Benefits for Referral Partners:

Improved Communication: Referral partners, such as PCPs, hospitals, and specialists, will be able to communicate more effectively with Arisa Health, leading to better coordination of care.
Access to Comprehensive Patient Information: Referral partners will be able to access a more comprehensive view of the patient’s health history, enabling them to make more informed decisions about the patient’s care.
Enhanced Referral Process: The integration with SHARE HIE shows great potential to streamline the referral process, making it easier for referral partners to refer patients to Arisa Health and track their progress.

“Our integration efforts with SHARE HIE mark a significant milestone in our commitment to providing high-quality, integrated care to our clients. By connecting to SHARE HIE, we will achieve a new level of interoperability that allows us to collaborate more effectively with our referral partners and provide better care coordination for our clients. This integration will not only enhance client care and efficiency within our organization but is also positioning us to deliver more personalized and comprehensive care to our community. We are excited about the possibilities this partnership brings and the positive impact it will have on the health outcomes of those we serve.” said, Laura H. Tyler, Ph.D., LPC, Chief Executive Officer, Arisa Health, Inc.

Enhancing Care Coordination

By connecting to SHARE HIE, Arisa Health will be able to easily share client information with other healthcare providers involved in the individual’s care, such as primary care physicians (PCPs), hospitals, and specialists. This improved communication and information exchange will enhance current care coordination efforts, ensuring that all members of the care team are working together to provide the best possible care for the client. For example, when a client receives behavioral health services at Arisa Health, their PCP will be able to easily access relevant information about their treatment plan and progress, enabling more informed decision-making and better coordination of care between the two providers. As we gain access to a more comprehensive view of the client’s health history through SHARE HIE Arisa Health aspires to make more informed decisions about the client’s care. For example, if a client is prescribed medication for a mental health condition at Arisa Health, their PCP can now see this information and avoid prescribing medications that may interact negatively with the client’s existing medications, improving client safety.

The integration with SHARE HIE holds the promise of streamlining workflows at Arisa Health, reducing the time and effort required to access and share patient information. This desired efficiency gain will allow Arisa Health to focus more on providing direct care to clients and less on administrative tasks, ultimately improving the overall client experience. By accessing a wealth of patient data through SHARE HIE, Arisa Health will be able to gain valuable insights into population health trends and tailor services to better implement their mission.

Overall, achieving a new level of interoperability through SHARE HIE, will better position Arisa Health to diligently use limited resources to deliver high-quality, integrated care. Improved care coordination, enhanced patient safety, efficiency gains, and data-driven insights will all contribute to better health outcomes for the community served by Arisa Health.

Arisa Health is doing foundational work with SHARE because they see the value it promises to provide to clients.

About Arisa Health: The Mission of Arisa Health is to lead with exceptional care that nurtures health and well-being for all. Arisa Health is a leading provider of mental health and substance abuse services in Arkansas. They are known for their commitment to delivering high-quality, integrated care to individuals with behavioral health needs. Arisa Health offers a range of services, including individual, family & group therapy, school-based services, medication management, primary care, addiction treatment, residential services and more, to help individuals achieve and maintain mental wellness. They are dedicated to supporting the mental health and well-being of the communities they serve in 80+ locations across 41 counties.

Learn more: https://www.arisahealth.org

“Transforming Communities, One Life at a Time”

UAMS IDHI Brain Injury Program Emphasize Value of SHARE Hospitalization Alerts: Raising the Quality of Care, while Providing Long-term Care

May 20, 2024 by Justin Villines

May 2024—Little Rock, Arkansas

The rapid growth in data sharing presents new opportunities across the spectrum. The UAMS IDHI Brain Injury Program vision is to enable every Arkansan who has sustained a disabling traumatic injury access to the comprehensive rehabilitation care he or she needs. Established in 2013, the state registry of traumatic brain injury survivors’ documents 1,500+ moderate-to-severe TBI survivors. That is why the partnership with SHARE (State Health Alliance for Records Exchange), the statewide health information exchange makes sense in tracking emergency department (ED) and inpatient discharges in real-time. Multiple treatment points along the healthcare continuum present challenges to many persons living with a TBI. The need to monitor patient visits to EDs and other clinical sites is critical with the growing emphasis on value-based care. Effective patient management demands improved communication and coordination among care team members, so patients are treated appropriately.

Traumatic brain injury (TBI) is one of the most prevalent and severely disabling neurological disorders in the US. Nationwide, 1.7 million people experience TBI each year of which 3 to 5 million live with a TBI-related disability. Patients and the families of those who suffer from TBI live with psychological consequences of TBI that have hidden costs such as the inability to hold down work, disinhibited (often aggressive or easily agitated) behavior, and altered mood states. TBI has a higher incidence among vulnerable populations and many of these people enter a downward spiral of head injury associated with altered behavior, alcohol, and further head injuries. Therefore, long-term care is crucial in the management of TBI.

SHARE real-time hospitalization reports serve as an immediate source for patient information. The UAMS IDHI Brain Injury Program receives alerts whenever their patients are admitted to or discharged from a hospital and other facilities. These notifications help fulfill the triple aim of improved care, patient satisfaction, and reduced costs.

Sample (No Real Patient Data) SHARE Hospitalization Report

“SHARE has been very helpful in identifying patients who are having clusters of medical problems. Alerts are also helping us better understand the needs of the TBI community and to recommend solutions for policy makers,” stated Daniel Bercher, Ph.D., NRP, CBIS, Director of Operations, UAMS IDHI. “With alerts conveniently accessible, our team can contact patients or caregivers of the individual and determine the right intervention at the right time. Sometimes, hospital admissions cannot be avoided, but with SHARE hospitalization alerts allow us to follow up with the TBI patient to provide them with the best care to keep them healthy and enjoying life.” stated Dr. Bercher.

About the UAMS IDHI Brain Injury Program:

The UAMS Brain Injury Program is part of the Institute for Digital Health & Innovation. They are the lead program for brain injury in Arkansas and their services are free. What they offer:

Case management
Telemedicine
Community resources
Support groups
Online workshops
Recovery groups
A free quarterly newsletter
Education for professionals
24/7 nurse hotline for medical questions and physician consults (1-855-767-6983).

Learn more: https://idhi.uams.edu/brain-injury-program

Pathways to Progress: The Bradley County Medical Center’s Leap into Enhanced Healthcare through Meditech Expanse EMR and SHARE HIE Integration

April 15, 2024 by Justin Villines

April 2024—Little Rock, Arkansas

Bradley County Medical Center (BCMC), a critical access hospital (CAH) and rural health provider in Warren, Arkansas, embarked on a transformative journey by integrating the Meditech Expanse Electronic Medical Record (EMR) system with the State Health Alliance for Records Exchange (SHARE) Health Information Exchange (HIE). This strategic move aimed to enhance patient care quality, streamline operations, and bolster public health reporting capabilities. The integration was a pivotal step towards leveraging technology for improved healthcare outcomes.

The Challenge

Before the integration, BCMC faced challenges in efficiently managing and sharing patient information. The lack of a robust system for exchanging health records often led to duplicated efforts, increased administrative tasks, and potential gaps in patient care continuity. Additionally, BCMC’s capability to report public health data was limited, hindering timely and effective responses to public health needs.

The Solution

Recognizing these challenges, BCMC chose to implement Meditech Expanse EMR and integrate it with SHARE HIE. The integration process was meticulously planned and executed, involving cross-functional teams from both BCMC and SHARE HIE. The goal was to ensure seamless interoperability between the EMR system and the HIE platform, enabling efficient data exchange and improving patient care coordination. The integration of Meditech Expanse EMR with SHARE HIE at Bradley County Medical Center (BCMC) not only enhanced the hospital’s operations and public health reporting capabilities but also had a profound impact on its associated Rural Health Clinics (RHC) and the utilization of SHARE 24-hour hospitalization reports. This expansion further exemplified the initiative’s reach and its benefits across the healthcare continuum.

“Integrating Meditech Expanse EMR with SHARE HIE and extending its capabilities to our Rural Health Clinic, alongside leveraging SHARE’s 24-hour hospitalization reports, represents a significant milestone in our ongoing journey to enhance healthcare delivery. This initiative is much more than a technological upgrade; it’s a testament to our unwavering commitment to improving the quality of care for our community.” said, Leslie Huitt, CEO/CFO, Bradley County Medical Center

“By fostering seamless communication, ensuring timely access to crucial patient data, and enhancing our public health reporting capabilities, we are not just streamlining our operations – we are fundamentally transforming the way we provide care. This integration aligns perfectly with Bradley County Medical Center’s mission to deliver compassionate, high-quality healthcare and underscores our dedication to the well-being of the region we are privileged to serve. We believe that by harnessing the power of this advanced technology, we can achieve a level of service excellence and patient care that sets a new standard for rural healthcare.” – Leslie Huitt, CEO/CFO, Bradley County Medical Center

The Benefits

The integration of Meditech Expanse EMR with SHARE HIE brought about significant benefits to BCMC, its patients, and the broader public health landscape:

Enhanced Patient Care Coordination: The seamless exchange of patient information between BCMC and other healthcare providers participating in SHARE HIE improved care coordination. Physicians now had access to a more comprehensive view of their patients’ health histories, enabling them to make informed decisions and reduce the risk of duplicate tests or conflicting medications.
Streamlined Operations: The integration streamlined administrative processes, reducing the time and effort required to manage patient records. This efficiency allowed healthcare professionals to focus more on patient care rather than paperwork.
Improved Public Health Reporting: BCMC leveraged the interface for advanced public health reporting, including bi-directional immunizations, electronic lab reporting, and syndromic surveillance reporting. This capability was crucial for early detection and response to public health threats, enhancing the community’s overall health security.
- Bi-directional Immunizations: The system enabled BCMC to send and receive immunization data, ensuring that patient records were always up to date. This was particularly beneficial for tracking vaccination rates and responding to outbreaks.
- Electronic Lab Reporting: By automating the submission of lab results to public health authorities, BCMC could contribute to more accurate and timely public health surveillance and response efforts.
- Syndromic Surveillance Reporting: The integration facilitated the reporting of syndromic data, helping public health officials to monitor and respond to emerging health threats more effectively.

The Outcome

The integration of Meditech Expanse EMR with SHARE HIE has positioned Bradley County Medical Center at the forefront of healthcare innovation. The improved interoperability and enhanced public health reporting capabilities have not only elevated patient care but also strengthened the public health infrastructure. BCMC’s commitment to leveraging technology for better healthcare outcomes has set a benchmark for other healthcare providers, showcasing the tangible benefits of integrating advanced EMR systems with health information exchanges.

About Bradley County Medical Center:

Bradley County Medical Center is a 25-bed, Critical-Access Hospital located in Warren, Arkansas and has eight beds in its Senior Care unit. BCMC services include Senior Care, Rehab Services (Physical, Occupational, and Speech Therapy), Imaging Services, Emergency Department, Home Health, Respiratory Therapy, Laboratory, Outpatient Clinic, Surgery, Medical-Surgical Unit, Skilled Nursing/Swing Bed Care, Wound Care Clinic, and Rural Health Clinic.

At BCMC, they understand that healthcare is evolving. The advance in medicine and strides in technology are providing local communities access to better healthcare. It is their desire to provide the best care in our region. Our associated staff is here to help you and your loved ones when the need arises. The comfort and care of our patients is our major goal. Please share your experiences with friends and family. Their goal is to provide our patients with the best care possible.

Learn more: https://www.bradleycountymedicalcenter.com

Celebrating a Lasting Alliance: ARcare Expands Impact in Northwest Arkansas with Ongoing Collaboration with SHARE HIE

January 30, 2024 by Justin Villines

Expanding Quality Healthcare Through Enhanced Information Sharing

We are excited to celebrate a key milestone that reinforces ARcare’s enduring dedication to delivering outstanding healthcare services in Northwest Arkansas. ARcare’s medical clinics in the region have deepened their integration as partners with the State Health Alliance for Records Exchange (SHARE) Health Information Exchange (HIE). This collaboration between SHARE and ARcare heralds a new chapter across communities in Northwest Arkansas, encompassing Bentonville, Farmington, Fayetteville, Huntsville, Lowell, Pea Ridge, and Springdale. This partnership, rooted in a rich history of cooperation, continues to flourish, setting new benchmarks in healthcare excellence.

What Does This Mean for NWA Patients?

This integration is more than just a technical alliance; it’s a step towards a future where healthcare is more connected, efficient, and patient-centered. Here’s what it means for you:

Seamless Health Records Access: Patient’s health records are now instantly accessible to healthcare providers across the SHARE network, ensuring timely, safe, and coordinated care.
Comprehensive Care Services: With a wide range of services such as Primary Care, Rheumatology, Urgent Care, Cardiology, Nutrition, HIV Care, Diabetes Management, Behavioral Health, Pharmacy, Chronic Disease Management, Orthopedics, and Immunizations, ARcare’s integrated system ensures all patient’s health needs are addressed under one umbrella.
Enhanced Privacy and Security: SHARE HIE’s state-of-the-art security measures ensure patient’s health information is protected, while being readily available to the patient’s healthcare team.

Commitment to Your Health

At ARcare, they believe in advancing healthcare through innovation and collaboration. This partnership with SHARE HIE exemplifies their commitment to leveraging technology to enhance patient care. By connecting the clinic’s services with SHARE’s expansive network, they are setting new standards in healthcare delivery – focused on efficiency, effectiveness, and patient satisfaction.

Join Us in Celebrating This Milestone

As we continue to embark on this exciting journey, we invite NWA patients and community members to join us in celebrating this milestone. Your health and well-being are ARcare’s top priorities, and with SHARE HIE, they are taking one more step towards ensuring patients receive the best care possible.

“I am immensely proud and excited about our long-term partnership with ARcare. This continued collaboration signifies a giant leap forward in our mission to revolutionize healthcare in Arkansas. By continuing to integrate ARcare’s extensive network of services with our advanced health information exchange system, we are not only enhancing the quality and efficiency of patient care but also fostering a more connected and informed healthcare community.”, said Justin Villines, HIT Policy Director, Office of Health Information Technology, SHARE HIE

“Our joint efforts will ensure that every patient receives the best possible care, backed by seamless access to their health records and a network of dedicated professionals. Together, we are setting a new standard for healthcare, where innovation, collaboration, and patient well-being lead the way.”, said Villines

Stay tuned for more updates! Together, We’re Building a Healthier Tomorrow!

TEFCA: Pioneering a New Frontier in Health Data Interoperability in the United States

January 5, 2024 by Justin Villines

Little Rock, Arkansas In an era where digital innovation shapes the very fabric of healthcare, the United States embarks on a transformative journey with TEFCA, heralding a new epoch in health data interchange. This might not be the stuff of mainstream media frenzy, but it’s undeniably a monumental leap in healthcare’s evolution. Spearheaded by the Office of the National Coordinator for Health Information Technology (ONC) and The Sequoia Project as the Recognized Coordinating Entity®, TEFCA’s inception last year marks the dawn of a unified health information network. This network-of-networks strategy, incorporating Qualified Health Information Network (QHIN) as pivotal data exchange conduits, promises providers, patients, and payers unfettered, secure access to comprehensive patient health records, transcending geographical barriers.

The Role of QHINs in the TEFCA Ecosystem

Five pioneering organizations have been selected as the initial QHINs, eHealth Exchange, Epic Nexus, Health Gorilla, KONZA and MedAllies, a testament to their unwavering dedication to upholding the zenith of privacy and security in national health data exchange. Naturally, the current roster of QHINs represents just the beginning. It’s logical to anticipate the inclusion of additional QHINs as time progresses. The ONC has indicated that they foresee a continuous stream of applications and anticipate approving more QHIN applicants on an ongoing basis. QHINs are the pillars of TEFCA network-to-network exchange, providing shared services and governance to securely route queries, responses, and messages across networks for eligible participants including patients, providers, hospitals, health systems, payers, and public health agencies. The Office of Health Information Technology, that oversees the State Health Alliance for Records Exchange (SHARE) is poised to join a QHIN, actively monitoring the evolving landscape to ensure its alignment with the highest standards of data exchange and interoperability.

The Essence of Interoperability and TEFCA’s Nationwide Impact

TEFCA, an acronym for the Trusted Exchange Framework and Common Agreement, is the United States’ inaugural, government-sanctioned blueprint for cross-network healthcare record exchange. Its significance cannot be overstated. Imagine needing urgent medical care in an unfamiliar city, or visiting a new healthcare facility, or being referred to a specialist outside your usual network. In these scenarios, and many others, the seamless sharing and accessing of your health information is crucial. This is the essence of interoperability – ensuring that the right information is available to guide your care, whenever and wherever you need it.

TEFCA’s rollout coincides with the 60th anniversary of President John F. Kennedy’s moonshot speech, echoing his sentiment of embracing challenges not for their ease, but for their difficulty and the consequent unification and enhancement of our collective capabilities. The criteria set by the ONC for QHINs are stringent, encompassing cybersecurity, HITRUST accreditation, and financial stability, among others. This challenge is deliberate and fitting, considering QHINs are to be the bedrock of critical national infrastructure. Ensuring stringent data privacy and security is paramount for TEFCA’s vision to flourish.

The Future of Healthcare Interoperability and TEFCA’s Role

As the healthcare sector strides towards universal interoperability, there’s a compelling incentive for industry organizations to champion TEFCA’s implementation. Whether it involves joining a QHIN or becoming one, the guiding principle should be the welfare of the patients we serve, a mission too vital to defer.

In this landscape of evolving healthcare interoperability, the State Health Alliance for Records Exchange (SHARE) – Health Information Exchange (HIE) in Arkansas stands as a paradigm of progress. SHARE HIE has diligently cultivated robust relationships with providers, payers, and hospitals across Arkansas, laying a foundational network for enhanced, boots-on-the-ground interoperability. Through these partnerships, SHARE has provided pivotal services that streamline and secure the exchange of health information, thereby improving patient outcomes and operational efficiencies within the state.

The integration of TEFCA’s framework with the QHIN model promises to further elevate the capabilities and reach of SHARE HIE. By aligning with a QHIN in the future, SHARE can extend its interoperability capabilities beyond state borders, facilitating a more seamless and expansive exchange of health information. This will not only enhance the quality of care for patients within Arkansas but also ensure that Arkansans receive consistent and informed care when they seek medical attention outside the state.

Source: The Sequoia Project, User’s Guide to the Trusted Exchange Framework and Common Agreement – TEFCA

TEFCA’s role, in conjunction with the efforts of SHARE and other HIEs, signifies a transformative step towards a fully interconnected health information landscape in the United States. This integration supports the broader vision of a health system where data fluidity enhances patient care, regardless of location, and where healthcare providers have access to comprehensive information, they need to make well-informed decisions. The ultimate beneficiary of this advanced interoperability is the patient, who will receive more coordinated, timely, and effective care.

SHARE HIE and TEFCA

SHARE is uniquely positioned to offer a TEFCA connection to our Participants in the future. We already offer access to other nationwide data sharing networks (e.g., eHealthExchange, Patient Centered Data Home (PCDH)), and we plan to offer a connection to future nationwide TEFCA network exchange that meets the legal and compliance requirements of Arkansas. The Office of Health Information Technology wants our customers and stakeholders to remember that TEFCA is not intended to and will not replace the value that Participants derive from participating in the SHARE HIE. A TEFCA connection will be another way of getting and moving data where it needs to go to serve patients, but TEFCA will not replace the host of HIE services that our customers currently enjoy, including Portal Access, 24-hour Hospitalization Reports- Emergency Department & Inpatient Discharges, ADT Notifications Service, Hospital Readmission Reports, Immunization Reporting, Public Health Reporting, DCFS Foster Care Daily Reports, Results Delivery and Health Information Service Provider (HISP) services.

“Accessing a patient’s comprehensive medical record is crucial for delivering top-quality care, and this is achievable primarily through interoperability,” remarked Anne Santifer, Director at the Office of Health Information Technology. “As SHARE is the designated statewide HIE in Arkansas, its role in facilitating critical interoperability is paramount. This unified approach towards universal interoperability will enable clinicians to connect effectively across the state and provide superior care to patients, irrespective of the electronic health record systems they use,” Santifer stated.

To explore the full range of data services offered by SHARE, please visit SHAREarkansas.com.

Happy Holidays: Gratitude and Vision – Celebrating Our Journey Towards Enhanced Interoperability

December 21, 2023 by Justin Villines

Little Rock, Arkansas December 2023

Dear SHARE HIE Participants,

THANK YOU. As we close another eventful year at the Office of Health Information Technology, we want to extend our heartfelt thanks to each of you for your invaluable contributions, unwavering commitment, and the significant role you play in advancing interoperability in healthcare.

Your dedication and enthusiasm have been fundamental to our success. It is your participation and collaboration that enable us to continuously innovate and improve the way healthcare data is shared and utilized. Through your efforts, we are making a tangible difference in breaking down barriers in healthcare information exchange, enhancing the quality of patient care, and streamlining processes for healthcare providers throughout Arkansas.

This year has indeed been a testament to our collective efforts towards achieving greater interoperability. We have faced challenges, yet we have also celebrated numerous triumphs thanks to your support and cooperation. The strides we have made together in enhancing data accessibility and connectivity have not only fortified our community but also substantially improved patient outcomes and healthcare delivery.

As the holiday season is upon us, we extend our warmest wishes to you and your loved ones. May this time be filled with joy, peace, and rejuvenation. We hope the New Year brings you health, happiness, and continued success.

Looking ahead, we are excited to embark on another year of innovative work with you, furthering our mission of advancing interoperability and enriching the healthcare ecosystem. Thank you for being a pivotal part of SHARE HIE. Your contributions are immensely valued, and we are profoundly grateful for your ongoing support.

Wishing you a joyful holiday season and a prosperous New Year!

With warm regards,

The Office of Health Information Technology, SHARE HIE TEAM

SHARE HIE and Arkansas CPESN: A Prescription for Success in Healthcare

November 29, 2023 by Justin Villines

Little Rock, Arkansas November 2023

In the heart of Arkansas, a transformative partnership has taken root, bearing fruits of improved patient care and a brighter future for community-based pharmacies. SHARE HIE (State Health Alliance for Records Exchange) and CPESN Arkansas (Community Pharmacy Enhanced Services Network) have joined forces, creating a powerful synergy that is reshaping the healthcare landscape in the state.

SHARE HIE, a leading health information exchange platform, has long been committed to facilitating seamless information sharing among healthcare providers to enhance patient care. CPESN Arkansas, on the other hand, has been on a mission to optimize medication therapy and improve therapeutic outcomes through collaboration with various healthcare providers, particularly community-based pharmacies. Together, they have embarked on a journey that is now bearing the fruits of success.

One of the primary benefits of this partnership has been the coordination of care in community-based pharmacies. By bridging the gap between pharmacies and other healthcare providers, patients are now receiving comprehensive care that extends beyond the prescription pad. This approach has led to an array of positive therapeutic outcomes, where patients are experiencing improved health, fewer medication-related issues, and better overall well-being.

Moreover, the impact on healthcare costs cannot be overstated. As patients achieve better therapeutic outcomes and pharmacist care plan that includes prescribed medications, immunizations, updated demographics and progress note, the burden on the healthcare system is lightened. In a state where community pharmacists are now maintaining momentum and increasing publicity for better care, the partnership between SHARE HIE and CPESN Arkansas stands as a beacon of hope. It serves as a testament to the transformative power of collaboration, information exchange, and a shared vision for a healthier, more cost-effective healthcare system.

In this success story, SHARE HIE and CPESN Arkansas have demonstrated that by working together, we can achieve remarkable outcomes in healthcare. Patients are healthier, healthcare costs can be reduced, and the future looks brighter for community-based pharmacies and the entire healthcare ecosystem in Arkansas.

The Arkansas Community Pharmacy Enhanced Services Network (CPESN) is a high-performance network that has adopted the tenets of value-based health care—increase the quality of patient care and reduce overall health care costs. AR CPESN is focused on improving the health of our patients by working collaboratively with other health care providers and ensuring that patients are achieving their therapeutic outcomes with safe and effective therapy.

Purpose : The purpose of the Arkansas Community Pharmacy Enhanced Services Network is to develop, implement, and maintain a network of community pharmacies that provide high quality enhanced services to patients to improve patient clinical outcomes and utilization of healthcare resources by working collaboratively with other healthcare providers, health systems, accountable care organizations, and other key stakeholders. The AR CPESN will work with payers to ensure that overall health care spend is optimized and reduced by appropriately managing patients’ medication therapy. The network is focused on high quality performance in all aspects of the practice including implementation of enhanced services, provision of patient care services, collaboration with other health care providers and key stakeholders, and working closely with payers to improve overall health care resources utilization and overall health care spend. The participating AR CPESN℠ pharmacies agree to be active participants in the network, collaborating and sharing ideas, and willing to share practice data as determined, requested, and needed by the network.

Goal : The goal of AR CPESN is to improve quality of care and patient outcomes related to medication use, enhance patients’ overall health trajectory, and reduce total cost of care. Key to the AR CPESN approach is active integration of community pharmacist activity with the larger care team, including the primary care physicians, specialty providers such as behavioral health professionals, and the extended care team of the Patient Centered Medical Home.

Learn more: www.arkansascpesn.com