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

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

3. 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

4. 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

5. Access – NOW!
Query Access – receive a log in to access information in the Clinical Data Repository and view records in the HIE
Contact 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 for application packet and to arrange training
Process takes 2-3 weeks normally

6. 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

7. 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

8. 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!

9. 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

10. 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

11. 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
Bill Pearch, Program Director
Celesta Cusick, RN, MSN/INF- Data Quality & Informatics Director
AeHN