Modern Mississippi The First State to Offer a Medicaid Clinical Provider Portal Office of the Governor | Mississippi Division of Medicaid

Presenters OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID2 Chris Smith is the Clinical Data Interoperability Program Manager for the State of Mississippi Division of Medicaid (DOM). He is responsible for overall clinical data interoperability at DOM, including the creation and implementation of the DOM Master Patient Index and Clinical Data Repository (CDR). Dan West is Associate Vice President of Product Marketing at MedeAnalytics and product SME for his company’s engagement with DOM. He has spent the past 10 years working to advance the state of the art in healthcare analytics and engagement initiatives.

Agenda for this Session Introductions Mississippi Division of Medicaid (DOM) Goals Medicaid Clinical Provider Portal Background DOM Implementation of the Portal Results, Next Steps, and Lessons Learned Roadmap Questions OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID3

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The Opportunity for DOM The Numbers Approximately 750,000 active Medicaid Beneficiaries 2.3 million total (historical) Medicaid Beneficiary records Opportunity Create a Medicaid clinical provider portal Longitudinal Record for Mississippi’s 750,000 Medicaid Beneficiaries dating back to 2007 OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID5

What is the DOM Provider Portal? Claims-based Clinical Portal that utilizes a Medicaid Master Patient Index (MPI) Provides key data on Medicaid Beneficiaries 1.Episodes of Care 2.Diagnoses 3.Procedures 4.Medication History 5.Immunization History 6.Allergies 7.Demographics OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID6

Use-cases and Value to Providers Fast access to beneficiary data to assist: Providers & Clinical Staff – Guide care delivery – Determining cause and frequency of visits – Identify patterns and address recurrent problems – Carry out timely interventions Case management – Medicaid utilization and remaining benefits – Identifying referrals for additional services Population management – Immunizations – Tobacco Research and grant information – School of Pharmacy – Telehealth OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID7

But First….Identities and the MPI OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID8

Current Status of the Portal OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID9

DOM Architecture OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID10

PROVIDER PORTAL DEMO Was-Going-to-be-Live Demo OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID11

Patient Search thru the EMPI OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID12

Most Popular Tab - Meds OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID13

EMR Integration via SSO-PIC OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID14

Exporting Data From the Portal PDF and.xml download of a Continuity of Care Document (C-CDA) Patient Summary: Provides evidence-based insights to solve a real problem that plagues healthcare Use the immense amount of patient data collected along the care continuum to deliver cost-effective care and promote a healthier population. OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID15

Results and Key Learnings 700 registered users, 100 added per week 500 active users on average, per month 1000 average patient searches Feedback “Insightful information, especially when the primary caregiver isn't present.” “The ability to verify if a benefit has already been utilized by another provider is invaluable.” “An excellent tool helping us live up to our mission statement – ‘delivering patient centered care.’” OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID16

Roadmap with Clinical Data OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID17

Project Next Steps Continue working toward stakeholder alignment Enable MS-HIN connectivity Harmonization of the DOM MPI with MS-HIN CMPI OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID18

Questions? OFFICE OF THE GOVERNOR | MISSISSIPPI DIVISION OF MEDICAID19