1. 1 Eric Weiskopf, M.Ed – OHITT Ellen Flink – OHITT Session 13 – March 27, 2013

2. Electronic Health Records/Electronic Medical Records vs. Care Management Applications Consent Webinar Q&As 2

3. Care Plan  Lays out goals and objectives that the patient/client would like to achieve during treatment.  Used by care management agencies, physical health providers, behavioral health providers, etc.  Allows both the patient/client and medical professional to view progress as well as any problems that arise during treatment.  Currently no standards for sharing information between community, regional, state (SHIN-NY) HIEs 3 EHR  Longitudinal look at information from CDOs where patient has had encounters  Structured Information  Owned by patient or stakeholder  Provides interactive patient access as well as ability for patient to append info.  Standards for sharing information between community, regional, state (SHIN-NY) HIEs (nationwide in future)

4. EHR Care Plan 4 Some Clinical Information

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6.  Uni-directional Flow of Information  Bi-directional Flow of Information 6

7. Health Home Consent and Single-Entity RHIO Consent 7

8. HIE – Single Entity Consent All American Hospital Health Home HH Partner Care Management Application Health Home Consent HH Partner RHIO Consent All American Hospital - Outside of Health Home RHIO Consent BAA RHIO Consent 8

9. Health Home Consent and Multi-Entity RHIO Consent 9

10. HIE – Multi Entity Consent All American Hospital Health Home HH Partner Care Management Application Health Home Consent HH Partner All American Hospital - Outside of Lead Health Home BAA 10

11. Health Home Consent and Single Entity RHIO Consent Care Management Application Hosted by RHIO Care Manager Embedded in Lead Health Home 11

12. HIE All American Hospital Health Home (Embedded Care Manager) HH Partner Health Home Consent HH Partner RHIO Consent All American Hospital - Outside of Health Home CM Application BAA RHIO Consent 12

13. Health Home Consent and Single-Entity RHIO Consent Care Management Application Hosted by the RHIO Sub-Contracted Care Manager 13

14. HIE All American Hospital Health Home Subcontracted Care Manager Health Home Consent HH Partner RHIO Consent All American Hospital - Outside of Health Home CM Application BAA RHIO Consent 14

15. Health Home Consent and Multi-Entity RHIO Consent Care Management Application Hosted by the RHIO Sub-Contracted Care Manager 15

16. HIE All American Hospital Health Home Subcontracted Care Manager HH Partner All American Hospital - Outside of Health Home CM Application BAA Health Home Consent 16

17. Withdrawal of Health Home Consent Form (5058) But not the Single-Entity RHIO Consent Care Manager Embedded in Lead Health Home 17

18. HIE – Single Entity Consent All American Hospital Health Home HH Partner Care Management Application HH Partner RHIO Consent All American Hospital – Outside of Health Home BAA RHIO Consent Withdrawal of Health Home Consent 18

19. Withdrawal of Single-Entity RHIO Consent Form but not the Health Home Consent Form Care Manager Embedded in Lead Health Home 19

20. All American Hospital Health Home HH Partner HIE – Single Entity Consent Care Management Application HH Partner All American Hospital – Outside of Health Home RHIO Consent BAA RHIO Consent Withdrawal of RHIO Consent Health Home Consent 20

21. Withdrawal of Multi-Entity RHIO Consent Form but not the Health Home Consent Form If Health Home is not listed on the RHIO Multi-entity Consent 21

22. HIE - withdrawal of Multi Entity Consent All American Hospital Health Home HH Partner Care Management Application Health Home Consent HH Partner All American Hospital – Outside of Health Home BAA 22

23. Withdrawal of Multi-Entity RHIO Consent Form but not the Health Home Consent Form If Health Home is listed on the RHIO Multi-entity Consent 23

24. HIE - withdrawal of Multi Entity Consent All American Hospital Health Home HH Partner Care Management Application HH Partner All American Hospital – Outside of Health Home BAA Health Home Consent 24

25. Withdrawal of Health Home Consent Form (5058) and Single-Entity RHIO Consent Form 25

26. HIE - Single Entity Consent All American Hospital Health Home HH Partner Care Management Application HH Partner RHIO Consent All American Hospital RHIO Consent Withdrawal of RHIO Consent Withdrawal of Health Home Consent BAA 26

27. Withdrawal of Health Home Consent Form (5058) and Multi-Entity RHIO Consent Form 27

28. HIE - withdrawal of Multi Entity Consent All American Hospital – Lead Health Home HH Partner Care Management Application HH Partner All American Hospital Withdrawal of Health Home Consent 28

29. Referrals 29

30. A Patient who is not on any Health Home tracking sheet is seen by a Care Delivery Organization That patient is referred to Health Home A. Health Home A refers patient to Health Home B via Community Referral (1-1 referral) 30

31. New York Hospital Health Home All American Hospital Emergency Department Non Health Home Patient enters All American Hospital Emergency Department All American Hospital Health Home Referral 1-1 Referral 31

32. http://www.health.ny.gov/health_care/medicaid/progra m/medicaid_health_homes/meetings_webinars.htm 32

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34. Contact: Eric Weiskopf esw01@health.state.ny.us 518 473 7960 34