Health Information Exchange and Behavioral Health Alaska eHealth Network – Change Agent Conference November 2017

Agenda Core AeHN services How to get access Basic consent model AKAIMS and the Minimum Data Set (MDS)

Not just about exchanging data: AeHN seeks to be a community resource Core AeHN Services Health Information Exchange (HIE) Direct Secure Messaging (DSM) Patient Portal Notifications Interoperability Support Security Risk Analysis  Workflow Analysis Not just about exchanging data: AeHN seeks to be a community resource

What data is shared/exchanged today? Patient Demographics  Encounter History  Labs Results Radiology Reports  Discharge summaries Assessments and Treatment plans C-CDA/CCD Public Health Data

Access – NOW! Query Access – receive a log in to access information in the Clinical Data Repository and view records in the HIE Contact info@ak-ehealth.org for application and to arrange training. Process takes about 4 weeks and includes DSM access as well Direct Secure Messaging (DSM) – send and receive information to other providers in a completely secure manner Contact info@ak-ehealth.org for application packet and to arrange training Process takes 2-3 weeks normally

Access – Future! Data IN to the HIE: Pilot project with Qualifacts EHR users Project with AKAIMS users (beginning with small subset of users) Interface once – use multiple times! Additional EHRs Interface writing can be to a well developed standard – HL7, CCDA, XML Hub and spoke (multi tenant software solutions) are often most economical

Opt Out Opt In Opt In vs. Opt Out Model Patient must OPT OUT Otherwise, they are Opted IN by default Opt Out Patient must OPT IN Otherwise, they are Opted OUT by default Opt In

Consent Implications Alaska is an ‘Opt Out’ state for medical data However per 42 CFR part 2 clients must ‘Opt In’ Working with Alaska Division of Behavioral Health, the AeHN Clinical Workgroup and Privacy and Security Workgroup on consent language and technology options Education is key for behavioral health providers and their patients for successful opt in rates!

Consent Status Options AeHN supports three consent statuses: Opt-in  Implicit consent for clinical data per Alaska state law Explicit consent required for 42 CFR Part 2 organizations Universal across the HIE Partial-opt in  participant agrees data can be seen under certain circumstances Full-opt out (2 versions) no data can be seen by any organization can be for 42 CFR part 2 organization data or ALL data

AKAIMS Interface Currently in development Expected completion in May, 2018 Does NOT mean that providers are ‘IN’ the HIE – simply that the interface pathway is available Will pave the way for non AKAIMS EHRs to submit to the DBH Reporting Database

Questions? Info@ak-ehealth.org Coming together is a beginning, 2/24/2014 Questions? Coming together is a beginning, Keeping together is progress, Working together is success -Henry Ford Laura Young, Interim Executive Director laura@ak-ehealth.org Bill Pearch, Program Director bill@ak-ehealth.org Celesta Cusick, RN, MSN/INF- Data Quality & Informatics Director celesta@ak-ehealth.org Info@ak-ehealth.org AeHN