30 Oct Sep-Oct 2018 Newsletter
In this edition of UHIN’s bi-monthly newsletter you’ll find a recap of this year’s Annual HIT Conference, helpful tips, the latest from Standards, what’s happening around the community, the newest offerings from UHIN, and much more! If you have a comment or if there is a topic you would like to see us cover in an upcoming issue, please email us at firstname.lastname@example.org.
The Annual UHIN HIT Conference – A Great Success!
Thank you to everyone who attended this year’s Annual HIT Conference! Attendees had the opportunity to hear from some of the most influential leaders in healthcare today, and learn about important issues from both a local and national view.
Here’s a quick overview of the conference:
Greetings from Washington D.C. started the day
We were very honored to start the conference with video comments from both of Utah’s United States Senators. Sen. Orrin Hatch spoke about the growing importance of data in improving patients’ health, while Sen. Mike Lee addressed the continuing opioid epidemic.
You can view their comments here:
Sen. Hatch: https://www.youtube.com/watch?v=IHZ7poAbTJ4
Keynote: The Consumer-Driven Digital “Data Quake” – Ryan Howells
Ryan Howells of Leavitt Partners representing the CARIN Alliance, enlightened us on consumerism, the race to gain direct access to the patient, and patient-directed data exchange. He explained how technological advancements are causing healthcare professionals to adapt, innovate and disrupt care delivery.
He contended that the federal government and the states will drive greater flexibility in healthcare through managed care organizations and a shift to lower cost settings such as clinics and outpatient surgery centers, as well as telemedicine and the shift to home care.
But most importantly, Howells argued, is the power of the patient. As patients take a larger role in their own care, they’re utilizing both technology to track their own health data and online sources to educate themselves.
This has led to consumer-friendly applications such as Apple’s health app, which allows patients to drive more of their own healthcare. Through collaboration between Apple and healthcare systems, patients can access their own records directly on their phone, iPad, or other iOS device. And since patients are not bound by HIPAA for their own medical records, they can share their data with whomever they choose.
The View from Utah – Lt. Governor Spencer Cox
Spencer Cox, Utah’s 8thLieutenant Governor, addressed the conference about the Beehive State’s leadership role in healthcare. He submitted that one of the state’s advantages is a long history of collaboration – an advantage that he sees in today’s healthcare landscape. He also graciously took time to answer audience questions on the mechanics of the ballot initiatives around Medicaid expansion and medicinal cannabis.
Additionally, the Lt. Governor shared his own heartfelt experience with being bullied and dealing with suicidal thoughts as a young man, and the importance of mental health accessibility.
Expert Opioid Panel
Our opioid panel featured a broad range of experts bringing unique perspectives to this multifaceted healthcare crisis. Brent Kelsey, the assistant director of the Utah Division of Substance Abuse and Mental Health provided insights into the role the state plays through various programs it administers. Dr. Jennifer Plumb, the medical director of Utah Naloxone, explained how the medication which is designed to rapidly reverse opioid overdose, can save lives. Dr. Mark Bair, brought the important perspective from the emergency room, which are seeing increasing overdose cases. Finally, Rep. Carol Spackman Moss, a member of the Utah House of Representatives, offered the legislative viewpoint.
During the sometimes-animated discussion, the audience learned about the societal issues around addiction, the steps the state is taking to reduce the epidemic, some of the myths surrounding opioids, and even how to recognize an opioid overdose.
The Increasing Importance of UHIN to Public Health – Dr. Joseph Miner
Dr. Joseph Miner, the executive director of the Utah Department of Health, discussed the Department’s priority of ensuring that the people of Utah are among the healthiest in the country, and the role that public health plays in achieving that goal.
He outlined the importance of partnering with UHIN on projects such as the dashboards used to help reduce diabetes and hypertension rates, a pilot program to support the exchange of information between poison control centers, emergency departments and UDOH, and a new project to improve interoperability between the state’s Prescription Drug Monitoring Program and UHIN, the state’s health information exchange.
Promoting Interoperability: A Federal View – Kevin Larsen
The director of the Continuous Improvement and Strategic Planning Staff at the Centers for Medicare and Medicaid Services, Dr. Kevin Larsen spoke about Digital Seniors – the move to a more technology-based interaction for those entering Medicare. He highlighted the fact that CMS recognizes that the pervasiveness of technology in today’s society, has led to consumers expecting an equal level of technological savvy from everyone with whom they interact – including the government.
Dedicating a good portion of his time to answer audience questions, Dr. Larsen repeatedly stressed the opportunity for individuals to positively impact the manner in which CMS interacts with healthcare professionals and the policies it enacts. He highlighted the opportunity for individuals to directly suggest innovative ideas to CMS.
Interoperability in Utah – Teresa Rivera
Finally, UHIN’s own Teresa Rivera provided an engaging overview of interoperability. Starting with a high-level discussion of the national landscape, she reviewed the role of HIEs across the country and how SHIEC’s Patient Centered Data Home (PCDH) initiative is creating nationwide connectivity. She added an insightful discussion about UHIN’s CHIE, and our efforts in Utah, including our own nearly 20-state PCDH connections.
But even more interesting to attendees was the vision for the future of interoperability in the state. Building on the 400,000 monthly ADTs currently being sent, Rivera painted a future in which healthcare professionals will be able to receive notifications on a myriad of criteria including fall risks, A1c scores, hypertension levels, opioid prescriptions, EMS encounters and much more. She stressed the importance of providing more access to patients, decreasing the burden to providers, and the ongoing need for even greater data.
The Training Tip
- UTRANSENDusers: if you look at the portal UTRANSEND to view transaction statuses, look at the big picture first. We recommend going toTransmissionsand starting by setting your date range to cover the appropriate time frame. If you notice anything in that big picture that requires your attention, work through those issues. Afterwards, you can filter your data in other ways without having to worry about missing something important.
- Offices with more than one UHINt user: If you have more than one computer using UHINt, it’s important to ensure that UHINt is configured to support a clear workflow for reports. Check out this instruction documentfor some of the different ways that UHINt can be configured when multiple computers are involved.
- Easy Print users: Easy Print works by allowing users to import copies of 835 files from their computer into Easy Print. One of the side effects of this process is that files can build up on the computer, making it harder to find the specific files you want to import. There are two strategies you can use to keep things streamlined:
- When you’re looking through the computer files for the one you need to import, try filtering your view. Only 835 files can be viewed in Easy Print, so if you can, hide other types of files from your view. See step 6 in this help document for instructions.
- Periodically, you should “clean up” the folder in your computer where your files reside. You can delete files you won’t use or archive them by moving the files into another folder. When you do this regularly, it is easier to identify which files are new.
For help with any of these suggestions, please contact UHIN at 877-693-3071, we’ll be glad to make suggestions based on your individual setup.
What Do You Know About the CHIE?
- Houses over 5 millionpatients with data
- Has approximately 42,000 monthlypatient views
- Holds nearly 60 millionclinical messages
- Sends some 400,000 ADTnotifications monthly
- Is connected to clinics, HIEs, hospitals, labs, pharmacies and payers?
You can see how other members are using the CHIE in this video:
To learn more about the CHIE, contact email@example.com.
In the News
According to Forbes Magazine on the black market, your credit card number is worth 25-cents. Your social security number will only fetch a dime. But your electronic medical record can be worth as much as $1,000!
HealthcareITNews notes that in September 2018 alone, nearly 100,000 patient records were compromised. In a single incident in July, nearly 1.5 million were breached via one phishing incident.
So how do you prevent a breach from happing to your company, or at the very least reduce the chances of it occurring? According to HealthITSecurity.com, an online resource offering the latest in news and product information on HIT security topics, there are important steps you can take to help deter a possible breach.
- Recognize that your organization is at risk– although breaches at large hospitals and clinics garner media attention, because of the value of health records on the black market, nearly every type of healthcare organization is a potential target.
- Secure your email system– whether it’s ransomware or a potential phishing attempt, your email is the gateway to hackers. Invest in one of the many security architectures available, which protect your system users and can also offer data loss prevention technologies to help stop the leakage of data.
- Have good analytics and logging architecture– there are now solutions available that analyze the logs of who is accessing data and identify anomalies in data patterns.
- Always test– the only way to identify potential vulnerabilities before hackers do is to regularly test for everything from unapproved software to unpatched software bugs. You can also do “white hat” hacking to identify potential vulnerabilities.
- Remain vigilant – the security of your data is not a “set and forget” option, it requires constant attention.
Ensuring the healthcare data with which your organization has been entrusted should be the top priority for your organization. Remember: If it’s valuable to hackers, it’s worth your efforts to protect it.
The CHIE Clinical Portal and POLSTs
Physician’s Order for Life-Sustaining Treatment (POLST) are becoming an increasingly important part of patient records. If you need to attach a POLST in the CHIE Clinical Portal or to print an already-existing POLST for your records, we suggest you view the below new training video. It provides important information about handing POLSTs as well as instructions on attaching and printing them.
You can view the video at: https://www.youtube.com/watch?v=mPWxqmpQUjw
Check the Status of System Issues
Did you know that UHIN offers real-time status updates of system issues? You can check the status any time, day or night. You can also subscribe to updates – all of them or just those related to specific issues. You can find the real-time status updates at https://status.uhin.org/.
Congratulations Teresa Rivera – Utah Business Magazine Healthcare Hero
UHIN is honored to have our president and CEO, Teresa Rivera, selected by Utah Business Magazineas a healthcare hero. Teresa was recognized in the innovation category for her efforts in increasing interoperability across the nation through the Patient Centered Data Home.
You can view the Utah Business Magazineawards luncheon video featuring Teresa here:
UHIN Joins the CARIN Alliance
UHIN is the newest member of the CARIN Alliance, a bipartisan, multi-sector collaborative working to advance consumer-directed exchange of health information. One of the founders of the CARIN Alliance is former Secretary of Health and Human Services and former Utah Gov. Mike Leavitt. You can learn about the collaborative at their website: https://carinalliance.com/.
Standards: News from the X12 Standing Meeting
- The Medicare Card replacement project is more than halfway finished. Of the seven scheduled “waves” of rollouts, CMS has completed four waves and they are currently working on the fifth wave.
- The Attachments Notice of Proposed Rulemaking (NPRM) that would begin the process for mandating electronic attachments is now estimated to be issued by the Department of Health and Human Services either in December or January. Claim attachments have been incorporated into a more general attachments category that encompasses multiple angles, use cases, and acknowledgments to attachments.
- The National Committee on Vital and Health Statistics (NCVHS) has been working on a predictability roadmap. As part of this work, they are considering proposals that would make some major changes in how standards are developed and who would provide oversight, funding, and support.
- UHIN’s Andrew Burchett will be attending the CIO forum to provide comment. As you review this proposal, please send any feedback you may have to firstname.lastname@example.org have it included in UHIN’s comments.
- The NCVHS website (https://ncvhs.hhs.gov/) lists past and upcoming meetings. You can access the presentations from past meetings by clicking on the meeting and then using links in the agenda.
- The CY 2019 Medicare Physician Fee Schedule Proposed Rule with comment period came out on 7/12/2018. It will go into effect 1/1/2019. Part of this update includes a proposal to return to using G-codes and modifiers instead of using the unique code that is currently being used.
- All four 7030 837 implementation guides (Professional, Institutional, Dental, and Data Reporting) will be going out for a second comment period. The comment period will be a minimum of 30 days, but the exact timing and length of the comment period is still to be determined. If you are interested in being involved once the comment period begins, please contact email@example.com.
- X12 is changing the way transactions are numbered. In the past, the unique identifier has changed with each version (005010×221 vs. 7030×322). From 7030 onward, the unique identifier will remain consistent even as the version updates. So, if an 837P is 7030×322 for version 7030, the new version will be indicated before the “x” (such as 8020, 9010, etc.), and the x322 portion will remain the same.
- HL7 is working on an orthodontic attachment guide, as well as updating and creating a general attachment FAQ and other educational materials. This will ensure that if the attachment NPRM is released in late 2018 or 2019 as expected, resources will be available to answer questions.
Save the Date – Standards Webinar
Save the date January 16, 2019for the webinar “The Gold Standard…of Standards,” which will discuss the role of standards and how they are developed. You’ll be able to register for the webinar soon – check the UHIN events page for all of our upcoming webinars. https://uhin.org/events/
Teresa Rivera Re-Elected to WEDI Board and Reappointed to the Utah Digital Health Commission
UHIN’s president and CEO, Teresa Rivera, was recently re-elected to the Workgroup for Electronic Data Interchange (WEDI) board of directors. WEDI is the country’s leading nonprofit authority on the use of HIT and creating efficiencies in health information exchange. It is also a trusted advisor to the U.S. Department of Health and Human Services. You can learn more here: https://www.wedi.org/home
Teresa’s reappointed to the Utah Digital Health Commission for another term was also confirmed by the Utah State Senate. The Commission advises and makes recommendations on digital health services and privacy to the Utah Department of Health, promotes collaboration on technical compatibilities, uniform policies, privacy features, and much more.
What’s on Your Correspondent’s Mind? Medication History.
Recently your intrepid correspondent found himself at the local Instacare with his 12-year old son, who was complaining of ear pain. During the intake process, Dad replied there were no medication allergies – hushing his son’s “what about” interjection. With a quick diagnosis of an ear infection, the doctor again asked about allergies and as Dad confirmed an allergy-free child, his son asked what about that pink medicine that made him break out in an itchy rash? Oops. It had happened so far in the past that Dad had forgotten an amoxicillin allergy. More frightening, it hadn’t been included in his son’s medical records. Medication history is one of the most important sections of the CHIE. UHIN is now receiving medication data from a wider-range of sources than ever before, including insurance payers. This information is vital for providing the best care possible and, more importantly, for patient safety – especially for kids who know better than their parents! If you’d like to nominate your correspondent for father of the year, you can reach him at firstname.lastname@example.org.