1. " SHARE Connecting LTPAC to Improve Quality Care in Arkansas " Information and associated activities supported by funds provided by the Office of the National Coordinator for Health IT, Department of Health and Human Services, Grant Number 90IX0009/01-00 Jan Bartlett, Policy Director Justin Villines, HIT Policy Integrator

2. OBJECTIVES SHARE Overview Strategies used to increase adoption of SHARE and improve transitions of care DAAS and OHIT collaboration Integration with LTC Vendors Results and Challenges

3. CLICK TO EDIT HEADER TEXT SHARE OVERVIEW

4. 1.Secure Messaging 2.Virtual Health Record (VHR) –Query-based exchange 3.Health Information Exchange (HIE) –Results delivery 4.CCD/A Delivery –XDR Integration (TOC, MU Requirement) –XDS.b, Bidirectional 3 WAYS TO SHARE WAYS TO SHARE

5. HIE CREATES EFFICIENCIES Without SHAREWith SHARE

6. Hospitals 46 Total Sites 36 Live 10 Implementing Facilities/Practices 646 Total Sites 477 Live 169 Implementing Live Sites = Data feed(s) in production and/or VHR/SM training completed Implementing = Participation and Pricing agreement(s) in place and/or technical/operational activities underway WHO SHARES As of May 2016

7. Connected Hospitals  Conway Regional Rehab Hospital  Howard Memorial  Magnolia Regional Med. Center  Saline Memorial Hospital  Five Rivers Medical Center  Great River Medical Center  Mena Regional Medical Center  Chicot Memorial Medical Center  Delta Memorial Hospital  Community Medical Center of Izard County  Methodist Behavioral Hospital (SM-VHR)  Pinnacle Point Hospital (SM-VHR)  Washington Regional Medical Center- ADT only  St. Bernard’s Medical Center – ADT Only  Lawrence County Hospital- ADT Only  Crossridge Community Hospital – ADT only  CHRISTUS Dubuis of Fort Smith- Long Term Acute Care Hospital (LTACH)  CHRISTUS Dubuis of Hot Springs- Long Term Acute Care Hospital (LTACH)  NARMC  AR Children’s Hospital  UAMS  Jefferson Regional Medical Center  Baxter Regional Medical Center  CHI Hospitals (3)  Ashley County  McGehee Hospital  Bradley County  White River Health System  Ark Methodist Medical Center  Stone County Medical Center  Conway Regional  Drew Memorial Hospital  Dallas County Medical Center  South Mississippi County Regional Medical Center HOSPITALS NOW INCLUDE

8. Connecting Hospitals HOSPITALS CONNECTING  North Metro Medical Center  Piggott Community Hospital  Ozark Health Medical Center  The Bridgeway –Behavioral Health Hospital –NLR (VHR/SM)  Unity Health- White County Medical Center – ADT  Unity Health- Harris Medical Center– ADT  Advanced Care Hospital of White County- LTC- (VHR/SM)  Rivendell – Behavioral Health Hospital-Benton (VHR/SM)  Springwoods Behavioral Health Hospital- Fayetteville- (VHR/SM)  CHI St. Vincent- Hot Springs

9. BEHAVIORAL PROVIDERS Live Sites = Data feed(s) in production and/or VHR/SM training completed Implementing = Participation and Pricing agreement(s) in place and/or technical/operational activities underway Live/Implementing 28 Total Sites 10 Live 18 Implementing LTPAC FACILITIES Outreach 52 Total Sites Conducted Outreach (SHARE DEMO and/or Participation Agreement in Hand) As of May 2016

10. BH, LTPAC and EP’s ONC GRANT PROGRESS Behavioral HealthLong-Term Post- Acute Care Eligible Professionals LIVE4810107 Implementing22530 Recruiting/Outreach 1135254

11. Collaborations with: Public/Statewide Collaborations with DAAS and LTPAC providers Arkansas Home Care Association Arkansas Healthcare Association Arkansas LTC Vendor Discussions LTPAC STRATEGY

12. Clinical Integrated Networks (CINs) Work with LTPAC Stakeholders Connect with public/private agency thought leaders working with LTC to create outreach opportunities Analyze LTC HIT survey questions CONTINUED STRATEGY

13. CLINICALLY INTEGRATED NETWORK Baxter Regional Medical Center – Northern Arkansas (Retirement Community) Jefferson Regional Medical Center – Southeast Arkansas (AR Delta) Outreach being conducted from hospital to get LTC facilities connected to SHARE Identifying referral partners to get them connected to SHARE benefit from: o Assistance in meeting their goals for the Meaningful Use Transition of Care; o Reduced readmissions by providing proactive, patient centered post-discharge; o Connectivity with affiliated or non-owned referral practices.

14. OHIT is in discussion with two LTC EMR vendors (American HealthTech and Pointclickcare)  Conducted technical scoping with vendors  Workflow analysis to see if integration is possible  EHR Vendor Agreements EHR VENDOR TECHNICAL SCOPING

15. Over 45 Presentations, Conferences and Meetings  Presentations and SHARE demonstrations during Public and Private Association conferences and workshops  Exhibitions and SHARE demonstrations  Provide marketing and communications materials highlighting SHARE benefits specific to the target population Webinars and Informational Webcasts E-mail blasts and Social Media Newsletter Articles – Success Stories targeted to LTPAC providers through Associations and State Agencies Periodic updates with State leadership OUTREACH AND MARKETING

16. SHARE LTPAC Survey Survey was sent to LTPAC facilities Results demonstrated the following:  Most LTPACs are still paper based  Two vendors have market share for HIT in LTC  Most use Practice Management System/lite HER  Most do not have to effectively communicate securely

17. Many LTPAC facilities that have EHR are still using a hybrid model with paper/light EHR. LTPACs need to be able to communicate securely for care coordination as well as improve Five-Star ratings. 3 WAYS TO SHARE CHALLENGES FOR LTPAC

18. SHARE CAN HELP SHARE’s SM provides the ability to communicate securely for TOC while SHARE’s VHR gives the full patient record from all participating providers SHARE has received grant funds from the Department of Health and Human Services’ (HHS) Office of the National Coordinator for Health Information Technology (ONC) to offset LTPAC connections. The funding is being used to expand the adoption of health information exchange technology to long-term and post-acute care providers, behavioral health and Eligible Professionals.

19. PRICING FOR PRACTICES PRICING FOR FACILITIES

20. PRICING FOR PRACTICES PRICING FOR FACILITIES

21. SHARE SUCCESS STORIES Cave City Nursing Home is thrilled to be using SHARE's VHR, a web-based portal which provides access to the medical record with just an internet connection! I access the Virtual Health Record to obtain up to the minute lab reports from White River Health System. No more waiting for later in the day faxed results when our physicians need the most current lab values. Our physicians request the lab value and we show current ones. I can easily pull our patient's lab history in the VHR and record it with the current results. In the past I had to pull every chart that was needed for comparison. SHARE connectivity is improving our patient care and is a valuable timesaver for me! Debbie Stewart, LPN, ADON Cave City Nursing Homes

22. SHARE DEMO

23. ONLINE OR BY PHONE Information about SHARE SHAREarkansas.com OR Call 501.410.1999

24. Thank you! Questions?