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Alabama Together for Quality (TFQ)

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Presentation on theme: "Alabama Together for Quality (TFQ)"— Presentation transcript:

1 Alabama Together for Quality (TFQ)
Stakeholder Meeting September 12, 2007 © 2007 ACS Government Healthcare Solutions

2 Alabama Health Information System (ALAHIS)
Implementation of TFQ Goals Centralized data sharing Improving patient data access The TFQ Solution will Create an State-wide Electronic health record Clinical and claim history data Patient alerts Enable data interoperability Facilitate care management Improve patient care

3 Key Functions to Implement
Interoperability Standard Transactions (HL7, X12) Enable an EHR system for providers without an electronic system Enable master patient index capability Seamless CyberAccess to provider EMR communication Patient care management rules Support online forms submittal

4 Stakeholder Meeting September 12, 2007
Introducing ACS Stakeholder Meeting September 12, 2007 © 2007 ACS Government Healthcare Solutions

5 ACS’ Medicaid Presence
ACS is a healthcare technology innovator 35+ years experience in Medicaid 28 States rely on ACS Medicaid Management Information Systems (MMIS) Pharmacy Benefits Management Enrollment Broker Electronic Health Record (E.H.R.) Solutions

6 Your ACS TFQ Project Team Leaders
Shelly Stankiewicz – Project Manager Rob Berringer – Clinical Director Lou Lunetta – Solution Architect Ed Casey – Data Architect R.J. Gilson – Vice President

7 Introducing Our Solution
Stakeholder Meeting September 12, 2007 © 2007 ACS Government Healthcare Solutions

8 The Solution GOAL: Bringing together Disparate Data to Improve Patient Care ACS’ CyberAccess and DirectInform Solutions Provider EMR & patient-facing medical record systems Data drawn from several state and private datastores Enable efficient and HIPAA-compliant sharing of health care data Alabama Medicaid Agency State Immunization Data BCBS Data Alabama Department of Senior Services Provider EMR systems Other Sharing consolidated data with other stakeholders Providers (CyberAccess) Patients (DirectInform) Both systems are Internet accessible

9 Our Solution Provider Benefit
CyberAccess – Web-enabled EHR solution for providers without an EMR Enable push/pull interchange of data for providers with EMR systems MDdatacor to provide data sharing for providers without HL7 capabilities Deliver actionable information – Electronic Clinical Support Tool (ECST) Highlight care management issues Providers Care management concerns Treatment recommendations Workflow enhancements Patients Care management recommendations Cost savings opportunities Provide clinical guidance to State administrators

10 Comprehensive Clinical Rules Engine

11 ACS Electronic Clinical Support Tool
Atypical Antipsychotic COC Atypical Antipsychotic optimal use ADHD Otitis media Allergic rhinitis Asthma Beta blocker post MI Brand to Generic Compliance Congestive heart failure COPD Coronary artery disease Depression Diabetes Falls in the elderly GERD Generalized anxiety HEDIS HIV/AIDS Rheumatoid Arthritis Benzodiazepines Advair NSAIDs ACEI Antibiotics Anticonvulsants Antidepressants Antihistamines Antiretroviral therapy Calcium Channel Blocker Carisoprodol Clopidogrel Dose consolidation H2 antagonists HMG-CoAs Muscle relaxants Gastro-Intestinal DUE Drugs with abuse potential Falls in the Elderly Polypharmacy Short-acting Opiate SSRI antidepressants HMG-CoA reductase inhibitors Proton pump inhibitors ACE inhibitors Non-sedating antihistamines HRT/osteoporosis Hyperlipidemia Hypertension JNC VI Influenza vaccination Insomnia Migraine Obesity Pain Management Peptic ulcer disease Pysch meds in children Osteoarthritis Stroke Tablet splitting Smoking cessation

12 CyberAccess CyberAccess is an EHR solution supported by our powerful ECST connecting over 4,000 providers across Missouri CyberAccess helps out clients with: Communicating Claims, PA, demographic and lab data Rules Based Alerts on Medical and Rx Issues Reducing medical errors and improving clinical effectiveness Alerting providers of issues Identifying adverse events Communicating Formulary information Reinforcing best practices Applying client-specific criteria towards therapies etc. Data Entry and storage of forms Our base CyberAccess system will be customized to meet TFQ-specific needs

13 Interoperabilty Approach
Biztalk to message data between State and ACS HL7 interoperable messaging with EMR systems, InfoSolutions, lab systems and MDdatacor ACS’ partner – MDdatacor Source of data for providers without a centralized EMR system Extract key data elements and sent to ACS

14 MDdatacor Existing EMR Partners

15 CyberAccess EMR Demo

16 Introducing Our Approach
Stakeholder Meeting September 12, 2007 © 2007 ACS Government Healthcare Solutions

17 Customizable solutions
Summary Customizable solutions CyberAccess EHR Solution DirectInform PHR Push/pull data exchange HHS Interoperability Leverage experience in other Medicaid States Actionable information, more informed decisions

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