1. November 3, 2015 Jan Bartlett, Policy Director Justin Villines, HIT Policy Integrator

2. PRESENTATION AGENDA Speaker Introduction SHARE Overview How can you see patient data No EHR? No problem. Vendors & SHARE Partnerships 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

3. WHAT IS SHARE? What SHARE is: State of Arkansas’ Health Information Exchange (HIE) S tate H ealth A lliance for R ecords E xchange

4. Home health agencies shouldn’t be the last to know when clients receive treatment from other providers. SHARE can help minimize potentially dangerous and costly gaps in care, and provide your staff with provider encounters from private physicians, hospital stays and other care transitions —quickly and efficiently. LAST TO KNOW ?

5. CARE CYCLE / EXAMPLE CARE SETTINGS Person ACUTE CARE HOSPITAL INPATIENT REHAB LONG TERM ACUTE CARE HOSPITAL SKILLED NURSING FACILITIY HOME HEALTH ASSISTED LIVING OUTPATIENT REHAB HOME ADULT DAY CARE NURSING HOME COMMUNITY- BASED SERVICES HOSPICE IMMEDIATE CARE CENTER PHYSICIAN OFFICE

7. No more waiting on hospitals or physicians for the information you need. Just log in to SHARE and get fast access to critical patient information such as: Share Clinical Assessments with other Providers for Improved Transitions of Care Hospital discharge summaries Medication lists and allergies Lab test results Physician recommendations Eliminating faxing and documentation issues PUT YOUR STAFF IN THE TREATMENT LOOP

8. Assist HH facilities in providing quality of care and improving transitions of care Connect HH to PCPs around the state SHARE can improve health outcomes by providing data in real time at point of care Alleviate “ Organization Fatigue” for collecting and reporting data for health improvement initiatives HOW SHARE CAN HELP

9. WHAT IS SHARE? Infrastructure for providers, labs, pharmacies, public health, others to share clinical data Available to health care entities EMR/EHR agnostic Evolving array of features and functionality

10. WHY SHARE?

11. BENEFITS OF USING SHARE Improve patient care Save time Save money Simplifies coordination of care between participating providers Securely receives patient data from multiple points of care Allows for improved care decisions and Transitions of Care Helps Improve Patient Outcomes Avoids duplicate testing and procedures Reduces cost & burden of faxing / mailing patient records Interfaces with certain ADH Registries

12. WHAT DATA CAN BE SHARED?  Clinical Care Summaries  Discharge Summaries  Problem List / Diagnosis  Referrals  Active Medications  Allergies  CCD Exchange  Lab Results  Radiology Reports  Immunizations  Transcribed Documents  ADTs/Patient Demographics  ADH Registries

13. 3 WAYS TO SHARE WAYS TO SHARE Secure Messaging HISP Solution - Secure, encrypted email exchange Virtual Health Record (VHR) View patient health data in SHARE through secure portal No EMR/EHR needed; for paper only practices Full HIE Integration Integrates with your EMR/EHR system Sending and receiving patient health data View SHARE patient health data online or in EMR/EHR

14. SHARE FOR PROVIDERS 1.Patient whose providers are connected to SHARE is admitted to or discharged from the hospital. 2.Participating SHARE providers receive an instant notification of the patient’s hospital status in the EMR inbox or SHARE’s VHR inbox. 3.This allows timely follow up and care management. !

15. CLICK TO EDIT HEADER TEXT WHO SHARES?

16. Hospitals 36 Total Sites 18 Live 18 Implementing Provider Practices 453 Total Sites 302 Live 151 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

17. SHARE USAGE Secure Messaging (Jan – September 2015) 81,793 messages sent Patient Queries (Jan – September 2015) 1,316,938 Queries 1,672 VHR Users

18. HOSPITALS NOW INCLUDE Connected Hospitals Connecting Hospitals Conway Regional Rehab Hospital Howard Memorial Magnolia Regional Med. Center Saline Memorial Hospital Pinnacle Point Hospital (SM-VHR) Five Rivers Medical Center South Mississippi County Regional Medical Center Great River Medical Center North Metro Medical Center CHI Hospitals (5) Piggott Community Hospital Mena Regional Medical Center Community Medical Center of Izard County JRMC Implementation: –Chicot Memorial Medical Center –Delta Memorial NARMC AR Children’s Hospital UAMS Jefferson Regional Medical Center Baxter Regional Medical Center 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

19. PROVIDER PRACTICES PRACTICES UAMS Regional Centers (4 sites) ARcare (23 sites) Apache Drive Children’s Clinic Conway / Greenbrier Children’s Clinic Conway OB/GYN Cornerstone Clinic for Women Little Rock Pediatric Clinic The Pediatric Clinic, NLR Ozark Internal Medicine and Pediatrics Pocahontas Medical Clinic The Children’s Clinic of Jonesboro Sager Creek Pediatrics MANA North Central Arkansas Medical Associates Community Physical Group The Breast Center Paragould Pediatrics Plus many more… Family Medicine Clinic Family Doctors Clinic Claude Parrish CHC Main Street Medical Marshall Family Practice Ronald Reese, M.D. Newton County Family Practice Andrew Coble – General & Specialty Surgeon Internal Medicine Diagnostics, Inc. UAMS Regional Center – Pine Bluff; Fort Smith Boston Mountain Rural Health Center (7 sites) East Ark Health Center (5 sites) Jefferson Comprehensive Care (6 sites) Lee County Cooperative Clinic (4 sites) Willow Street Health NEA Baptist (37 sites)

20. More than 1,509,603 patients participate in SHARE

21. Negotiating statewide contracts with EHR vendors THAT: 1.Reduce or waive one-time vendor interface fees to connect to SHARE 2.Shorten the implementation timeline STATEWIDE AGREEMENTS SHARE is helping the provider community by:

22. PRICING FOR PRACTICES SHARE Fees Estimated Cost SHARE One-Time Setup FeeWaived Ancillary Care Facilities With defined interface $100 per month VHR Only and Unlimited Secure Messaging : 0-49 users with up to 5 Primary Clinical Roles $65 per month VHR Only and Unlimited Secure Messaging : 50-100 users with up to 10 Primary Clinical Roles $100 per month VHR Only and unlimited Secure Messaging: 100+ users with up to 15 Primary Clinical Roles $100 per month

23. SHARE SUCCESS STORIES 1.“All of our hospital-affiliated clinics are now able to save time by getting their reports directly in their EMR using our original interface with SHARE. This process was previously handled via fax and manual data entry. I would encourage clinics and hospitals to get on board and improve patient care through SHARE connectivity.” Kent Kimes, RHIT, Dir. of Info. Services, North Arkansas Regional Medical Center 2.“Receiving results from the SHARE interface will fulfill so many of our transitions of care goals and milestones that we have to meet for the PCMH program,” Stacy Zimmerman, MD, Ozark Internal Medicine and Pediatrics 3.“SHARE is effortless and works better than I thought it would. Overall, I couldn't be happier with what we've got. “ Dr. John Leslie, Family Medicine Clinic

24. GETTING STARTED

25. HOW TO GET STARTED Register at: SHAREarkansas.com OR Call 501.410.1999 info@sharearkansas.com 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

26. Questions?

27. janis.bartlett@hit.arkansas.gov justin.villines@hit.arkansas.gov SHAREarkansas.com 501.410.1999 THANK YOU!