UHIN Annual Forum 2020

The UHIN Annual Forum is a virtual, half-day event to discuss pressing issues regarding patient data access, interoperability, and the future of healthcare in Utah.

Convening, educating and inspiring our community

As the Utah-designated Health Information Exchange (HIE) and unbiased community convener, we strive to bring critical healthcare discussions to the fore whenever possible. For this year’s forum we invited expert leaders on healthcare data to provide updates on crucial topics. We will also hosted a panel on the future of Utah’s healthcare landscape.

Presentation and Q&A about the New ONC Interoperability Rules (Begins 00:2:26)
Steven Posnack, M.S., M.H.S. Deputy National Coordinator for Health Information Technology
Elise Sweeney Anthony, J.D., Executive Director, Office of Policy at ONC

Taking Interoperability to the Next Level (Begins 00:56:42)
Dave Cassel, Executive Director of Carequality

Implementing the CMS Interoperability Rules with DaVinci (Begins 1:43:00)
Viet Nguyen, MD, Clinical Informaticist at Stratametrics, LLC and Technical Director for HL7 Da Vinci Project

Panel Discussion – Utah’s Healthcare Landscape After the Pandemic (Begins 2:26:14)
Lt. Governor Spencer J. Cox, State of Utah
Michelle McOmber, CEO, Utah Medical Association
Greg Bell, President & CEO, Utah Hospital Association
Nate Checketts, UDOH Deputy Director, Medicaid Director

Any presentation slides UHIN has permission to share are linked below.

Taking Interoperability to the Next Level

RNs in Primary Care

The Presentation

This session is focused on encounters within primary care that may be led by an RN, including: the Annual Wellness Visit, Transitional Care Management, Chronic Care Management, End of Life and SBIRT. Additionally, we will explore other encounter types that may be led by a team of RNs in primary care.

The Presenter

Josie Moosman is a Clinical Manager and Registered Nurse at the Wayne Community Health Center (WCHC) in Bicknell, Utah. She has worked with patients to manage their chronic illnesses, as well as in quality improvement, infection control, emergency management, risk management, and as super user for the clinical EMR. Josie currently serves on an advisory board for tobacco cessation program with the Center for Hope, and as part of the Quality Improvement forum at AUCH.

This webinar features content originally scheduled for the in-person Provider Education Summit (PES) events.

Additional Note

At the end of the webinar, Josie references a page on the CMS website that covers CCM guidelines. You can view this page at: https://www.cms.gov/outreach-and-education/medicare-learning-network-mln/mlnproducts/downloads/chroniccaremanagement.pdf.

COVID-19 Lab Result Alerts – FAQ


Q – What are COVID-19 Lab Alerts?

 – COVID-19 Lab Alerts are real-time notifications from hospitals and labs from in and around the state of Utah that can be sent directly to healthcare providers, ACOs and care managers. These alerts allow care teams to coordinate interventions more effectively for their patients, especially those in greater need of physician oversight. Care teams will also be able to see all observations and lab results that are part of a SARS-CoV-2 test order. Additionally, SARS-CoV-2 IgG/IgM Antibody tests are available in the data feeds and will be sent in the lab reports.

These lab alerts are being made available through UHIN’s Clinical Health Information Exchange (CHIE) and is part of the CHIE Alerts platform.

Q – What are CHIE Alerts?

 – The CHIE Alerts system sends you secure notifications when your patients are admitted to, or discharged from, a hospital or emergency department, helping you to offer prompt post-acute care. When your patients have been hospitalized, they need timely follow-up care to lessen their risk of readmission or complications. CHIE Alerts supports you in offering transitional care management services, which may lead to higher reimbursements from Medicare and some commercial payers.

Q – Is there a difference between CHIE Alerts and Lab Results Alerts?

A – Yes, although they both send you a secure notification on your patients, Lab Results Alerts are specific to COVID-19 testing.  CHIE Alerts are specific to admit, discharge or transfers from a hospital, emergency department, or post-acute care setting.

There are distinct differences in the format of Lab Alerts messages. If your organization is currently processing CHIE Alerts automatically through your own system, contact our team at apace@uhin.org to ensure that the new format will not disrupt your current processes. 

Q â€“ Who can receive Alerts?

A â€“ Physicians, nurses, case managers, and other associated care team members who have a care relationship with a patient can be notified about changes in that patient’s health status through Alerts. This includes both CHIE Alerts (ADT notifications) and Lab Results Alerts.

Q â€“ Can I have both?

A â€“ Yes.

Are you already receiving CHIE Alerts? 

Yes – Send an email to apace@uhin.org  requesting to enable Alerts for Lab results.  **Make sure to include your facility name          

No – Send an email to enrollment@uhin.org requesting to begin receiving CHIE Alerts and/or Lab Result Alerts.

Q â€“ How are Alerts sent to me?

– CHIE Alerts and Lab Result Alerts can be delivered via HTML, HL7, SFTP, or Direct secure email. These can be delivered real-time or in a scheduled batch. 

Q â€“ How do you know who my patients are?

– If you are currently a data source to the CHIE, you are already telling us who your patients are by sending us an ADT when your patient presents to be seen.  If you are not sending information to the CHIE, you would have to provide us a listing/panel of your patients.

Q â€“ How quickly could I begin receiving Lab Result Alerts?

A â€“ If you are already receiving CHIE Alerts, you could begin receiving the Lab Result Alerts as soon as 24 hours after notifying apace@uhin.org.

If you are signing up for CHIE Alerts for the first time, the process includes contacting UHIN’s Enrollment Team (enrollment@uhin.org). Once the appropriate paperwork is completed, you will work with UHIN’s team to provide the list of your patients and determine the delivery route.  Due to the time-sensitive nature of COVID-19 lab results, our teams have made this a high priority and will work with you to accelerate the process as much as possible.

Q â€“ Who is UHIN and what is the CHIE?

A â€“ Uniquely, UHIN is a nonprofit organization founded in 1993.  We work to create a more connected healthcare system that drives innovation, collaboration, and inclusiveness. UHIN is a community convener, bringing together disparate healthcare provider, payers, the state government. We provide clearinghouse services to providers, payers and state government, while also serving as the Utah state-designated health information exchange, known as the CHIE. The CHIE provides a patient-centric longitudinal record amongst disparate providers and healthcare facilities. For more information, please go to our website at https://uhin.org/

Q â€“ Is there a cost for this?

A â€“  Free for current CHIE Members: Lab Result Alerts are covered under CHIE membership costs. If your organization is already a CHIE member there will be no additional cost. 

Free for 60 days for new CHIE Members (ending June 30, 2020): CHIE Alerts and Lab Result Alerts will be available at no cost to those physicians and care teams who are not currently CHIE members. 

Why is it free for only 60 days? We are optimistic that the situation will stabilize in the next 60 days, at which time we will re-evaluate to determine the needs of the community based on the severity of the COVID-19 crisis. 

What if I want to continue receiving Alerts after the 60 days? Please contact us at enrollment@uhin.org if you would like to continue to receive either the CHIE Alerts (ADT) or Lab Result Alerts.

·       The CHIE Alerts system sends your team secure notifications when your patients are admitted to, or discharged from, a hospital or emergency department, so you can coordinate care more effectively.

·       Alerts subscribers are notified of important patient events for real-time care coordination.

·       When your patients have been hospitalized, they need timely follow-up care to lessen their risk of readmission or complications.

·       You can receive CHIE Alerts in real time or choose custom delivery times.

Q â€“ Which labs are sending results data to UHIN?

A â€“ Below is the list of hospitals, clinics and other organizations currently sending COVID-19 lab results to UHIN. If your organization is not on the list, but would like to help our community by sending your COVID-19 data, please reach out to our team at apace@uhin.org.

Independent hospitals, clinics and medical centers, including:

Beaver Valley Hospital

Blue Mountain Hospital

Central Valley Medical Center

Gunnison Valley Hospital

Kane County Hospital

Memorial Hospital of Sweetwater County

Milford Valley Healthcare Services

Moab Regional Hospital 

St. Mark’s Family Medicine

Uinta Basin Medical Center

Intermountain Healthcare hospitals, clinics and medical centers, including:

Alta View Hospital

American Fork Hospital

Bear River Valley Hospital

Cassia Regional Hospital

Cedar City Hospital

Delta Community Hospital

Dixie Regional Medical Center

Fillmore Community Hospital

Garfield Memorial Hospital

Heber Valley Hospital

Intermountain Medical Center

Layton Hospital

LDS Hospital

Logan Regional Hospital

McKay-Dee Hospital

Orem Community Hospital

Park City Hospital

Primary Children’s Hospital

Riverton Hospital

Sanpete Valley Hospital

Sevier Valley Hospital

Utah Valley Hospital

HCA Healthcare hospitals, clinics and medical centers, including:

Brigham City Community Hospital

Cache Valley Hospital

Lakeview Hospital

Lone Peak Hospital

Mountain View Hospital

Ogden Regional Medical Center

St. Mark’s Hospital

Timpanogos Regional Hospital

Revere Health Clinics (includes all clinics)

Steward Healthcare hospitals and medical centers, including:

Davis Hospital and Medical Center

Jordan Valley Medical Center

Jordan Valley Medical Center West

Mountain Point Medical Center

Salt Lake Regional Medical Center

University of Utah hospitals and clinics, including:

Huntsman Cancer Institute

University of Utah Hospital

University of Utah In-Car Testing Sites

Includes all clinics 

Click below to download a PDF of the FAQs:

Soft Skills are the new Hard Skills, and Here’s Why

The Presentation

We’ve minimized soft skills for decades. Compelling research shows we’ve been wrong all along. Yes, skills and experience remain important. However, the lack of characteristics of trust, mutual respect, and integrity can quite literally destroy an otherwise skilled and experienced team. The data prove out. Come learn why and what you can do about it.

The Presenter

Michael Page, AuD has served as a member of the Utah Cochlear Implant team, and as president of the Utah Speech-Language-Hearing Association, member of the Primary Children’s Medical Center Bioethics Committee, and board chair for DOPL. He has held adjunct faculty positions at Utah State University, Brigham Young University, University of Utah and University of the Pacific (San Francisco). He served as chair of the AAA Ethical Practices Committee, Manager of Cochlear Implant Program at Primary Children’s Hospital, as well as various management and executive positions with industry. He is a business consultant for healthcare and education specializing in ethical practice, professional relationships, strategic planning and healing low-trust working environments. 

This webinar features content originally scheduled for the in-person Provider Education Summit (PES) events.

Additional Resources

Passing the Word: Toward a Model of Gossip and Power in the Workplace
http://www.csun.edu/~nkurland/PDFs/AMR%20Gossip%202000.pdf

UC Riverside Study Busts Myths about Gossip
https://news.ucr.edu/articles/2019/05/03/uc-riverside-study-busts-myths-about-gossip

Harvard Research Proves Toxic Employees Destroy Your Culture and Your Bottom Line
https://www.inc.com/marissa-levin/harvard-research-proves-toxic-employees-destroy-your-culture-your-bottom-line.html

It’s Better to Avoid a Toxic Employee Than Hire a Superstar
https://hbr.org/2015/12/its-better-to-avoid-a-toxic-employee-than-hire-a-superstar

Toxic Workers
 http://www.hbs.edu/faculty/Publication%20Files/16-057_d45c0b4f-fa19-49de-8f1b-4b12fe054fea.pdf

Who Gossips and How Often in Everyday Life, Social Psychological and Personality Science.
https://journals.sagepub.com/doi/abs/10.1177/1948550619837000?journalCode=sppa

How Do You Deal with Difficult-People
https://www.shrm.org/hr-today/news/hr-magazine/0217/pages/how-do-you-deal-with-difficult-people.aspx

Workplace Gossip:  What Crosses the Line?
https://www.shrm.org/resourcesandtools/hr-topics/employee-relations/pages/office-gossip-policies.aspx

The Weakest Link: Identifying and Vanquishing Compliance Risks

The Presentation

The precipitous rise of cyber attacks, new privacy regulations, stricter enforcement, and private litigation are changing the compliance landscape right beneath our feet. At the same time, some of the best ways to keep your practice compliant are simple, inexpensive and straightforward. Together we will explore today’s threats to your practice and the uncomplicated, totally reasonable steps you can take to address them.

The Presenter

Robyn Johns is the Compliance Officer at Med USA, a medical billing and practice management provider. Robyn discovered the healthcare business as a college student with her first “real” job at the front desk. After graduating, she pursued her career in practice management. Robyn has worked with a variety of specialties and practice sizes in billing, denial management, payer audits, payer enrollment, and operations management. She has also focused on the area of ethics and compliance for over 20 years. Robyn is a relentless learner, and with new treatments, payment models, and regulations every day, she is never bored!

This webinar features content originally scheduled for the in-person Provider Education Summit (PES) events.

Executive Director of UDOH Issues Memorandum for All COVID-19 Lab Results

In an official Memorandum issued earlier this month, Dr. Joseph K. Miner, Executive Director at the Utah Department of Health (UDOH), asked all healthcare organizations to report all of their COVID-19 lab test results through UHIN.

This request, says Dr. Miner in the Memorandum, “is consistent with the reporting and data exchange of other healthcare information that is already done through UHIN.” 

The Memorandum reads as follows:

“To: All healthcare partners performing lab tests for COVID 19 

The reporting of lab test results in a timely fashion to the appropriate individuals and/or agencies has always been important. Every agency that performs laboratory testing has established reporting systems to assure that this is done. This includes the importance of entering the appropriate results into the State’s Epitrax system. 

Now that we are dealing with the COVID 19 pandemic, there is a need for a more comprehensive lab reporting system to assure that results for COVID 19 tests are received by all parties with a need to know. 

To this end, we would like to encourage the reporting of all COVID 19 lab test results through the Utah Health Information Network (UHIN) in addition to reporting to Epitrax. This request is consistent with the reporting and data exchange of other healthcare information that is already done through UHIN, in addition to billing information.” 

 

Medicaid Expansion in Utah

The Presentation

This presentation by RyLee Curtis and Michael Hales walks attendees through the recent implementation of Medicaid expansion in Utah. They will cover eligibility, approved waivers, and pending waivers that will shape the future of Medicaid in Utah.

The Presenters

RyLee Curtis received a dual degree in Communications and Political Science from the University of Utah, where she also received her master’s degree in Public Policy. She worked on Medicaid policy in Utah for many years, before joining University of Utah Health as the Director of Community Engagement. In this role, she is leading the Hospital’s Healthcare Anchor Institution work, engaging with community based organizations to address Social Determinants of Health, and building partnerships across University of Utah Campus, University of Utah Health Plans, and the University’s Hospital.

Michael Hales is the Senior Director for Government Healthcare Programs at U Health. He has 25 years of experience in the health care industry, ten were spent leading the State of Utah’s Medicaid and CHIP programs. At U Health, he provides strategic advice on federal and state government health programs. Prior to joining U Health, he worked at Intermountain Healthcare as a senior consultant and director of population health. Michael received a Master in Public Administration degree from Harvard University. He also has a Bachelor’s degree in Business Management from BYU.

This webinar features content originally scheduled for the in-person Provider Education Summit (PES) events.

PES Virtual Payer Panel 2020

COVID-19 may have put a damper on the 2020 Provider Education Summit, but that doesn’t mean we can’t deliver a great educational event to our amazing community! In collaboration with our local payers, we hosted the first-ever PES Virtual Payer Panel!

The payer panel is always a highlight of the PES events and features experts from more than a dozen payers. In 2020, we hosted the panel as an interactive live webinar with a Q&A format. 

Panelist Contact Information (additional contacts will be added as they are received):

Molina: The Molina email address for Provider Services requests/questions is MHUProviderServicesRequests@MolinaHealthCare.Com.

Aetna:
For Commercial Plans – 888-632-3862
For Government Plans – 800-624-0756
Workers Comp – 800-238-6288
ASA and Meritain – Number on back of member’s ID card

Click below to access the transcript of the event and answers to questions we didn’t cover during the event. Additional answers will be added as they become available. (Last Updated: 5/5/2020)

PES Virtual Payer Panel 2020 Transcript

Additional Panel Answers

YOUR PATIENTS’ COVID-19 LAB RESULT ALERTS IN REAL-TIME THROUGH THE CHIE

GET COVID-19 LAB RESULT ALERTS IN REAL-TIME WITH CHIE ALERTS

UHIN is sending COVID-19 lab result alerts directly from hospitals to healthcare providers, ACOs and care managers in and around the state of Utah.

Want access to COVID-19 Lab Result Alerts?

  • Already a CHIE member? Contact April Pace at apace@uhin.org to get set up
  • Not a CHIE member? Contact our team at enrollment@uhin.org

Results data directly from hospital labs

Utah hospitals are currently sending notifications of hospitalizations, ED visits, and COVID-19 lab orders and diagnoses through UHIN to other healthcare organizations. This real-time information allows care teams to coordinate interventions for their patients more effectively , especially those in greater need of physician oversight. 

About Lab Result Alerts

These lab alerts are available through UHIN’s Clinical Health Information Exchange (CHIE). Care teams will be able to see all SARS-CoV-2 test orders and results. Additionally, SARS-CoV-2 IgG/IgM Antibody tests are available in the data feeds and will be sent in the lab reports.

Care teams and physicians will be notified when one of their patients has been tested for SARS-CoV-2 and the result of those tests to ensure the patient is being cared for in the appropriate setting. Lab Result Alerts are also vital for an office’s infectious disease protocols. 

Delivery formats and timing

Alerts can be delivered batch or real-time in multiple formats, including HTML, HL7, SFTP, and Direct secure email. Alerts on non-COVID-19 lab results are also available.

Is there a cost for this?

Free for current CHIE Members: Lab Result Alerts are covered under CHIE membership costs. If your organization is already a CHIE member there will be no additional cost. 

Free for 60 days for new CHIE Members (ending June 22, 2020):

Because of the current healthcare crisis and the need to improve the exchange of health information, CHIE Alerts and Lab Result Alerts will be available at no cost to those physicians and care teams who are not currently CHIE members.  

Why is it free for only 60 days?

We are optimistic that the situation will stabilize in the next 60 days, at which time we will re-evaluate to determine the needs of the community based on the severity of the COVID-19 crisis.

What if I want to continue receiving Alerts after the 60 days?

Please contact us at enrollment@uhin.org if you would like to continue to receive either the CHIE Alerts (ADT) or Lab Result Alerts.

Who is sending COVID-19 lab data?

These are the hospitals, clinics and other organizations currently sending COVID-19 lab results to UHIN. We are currently in the process of connecting Intermountain hospital labs. Those locations will be available soon. If your organization is not on the list, but would like to help our community by sending your COVID-19 data, please reach out to our team at chiesupport@uhin.org.

Independent hospitals, clinics and medical centers, including:

Beaver Valley Hospital

Blue Mountain Hospital

Central Valley Medical Center

Gunnison Valley Hospital

Kane County Hospital

Memorial Hospital of Sweetwater County

Milford Valley Healthcare Services

Moab Regional Hospital 

St. Mark’s Family Medicine

Uinta Basin Medical Center

Intermountain Healthcare hospitals, clinics and medical centers, including:

Alta View Hospital

American Fork Hospital

Bear River Valley Hospital

Cassia Regional Hospital

Cedar City Hospital

Delta Community Hospital

Dixie Regional Medical Center

Fillmore Community Hospital

Garfield Memorial Hospital

Heber Valley Hospital

Intermountain Medical Center

Layton Hospital

LDS Hospital

Logan Regional Hospital

McKay-Dee Hospital

Orem Community Hospital

Park City Hospital

Primary Children’s Hospital

Riverton Hospital

Sanpete Valley Hospital

Sevier Valley Hospital

Utah Valley Hospital

HCA Healthcare hospitals, clinics and medical centers, including:

Brigham City Community Hospital

Cache Valley Hospital

Lakeview Hospital

Lone Peak Hospital

Mountain View Hospital

Ogden Regional Medical Center

St. Mark’s Hospital

Timpanogos Regional Hospital

Revere Health Clinics (includes all clinics)

Steward Healthcare hospitals and medical centers, including:

Davis Hospital and Medical Center

Jordan Valley Medical Center

Jordan Valley Medical Center West

Mountain Point Medical Center

Salt Lake Regional Medical Center

University of Utah hospitals and clinics, including:

Huntsman Cancer Institute

University of Utah Hospital

University of Utah In-Car Testing Sites

Includes all clinics 

UHIN ALERTING UTAH HEALTHCARE ORGANIZATIONS OF COVID-19 LAB RESULTS IN REAL-TIME

SALT LAKE CITY, UT, April 17, 2020 â€” In response to the need for increased sharing of time-sensitive health information during the ongoing COVID-19 crisis, The Utah Health Information Network (UHIN) is sending COVID-19 lab result alerts from hospitals directly to healthcare providers, ACOs and care managers in and around the state of Utah. These alerts will be available at no cost to physicians and care teams during the crisis and current CHIE users will incur no additional costs for Lab Result Alerts.

Utah hospitals, medical centers and labs are sending notifications of hospitalizations, ED visits, and COVID-19 lab orders and diagnoses through UHIN to other healthcare organizations. These alerts allow care teams to coordinate interventions more effectively for their patients, especially those in greater need of physician oversight. Care teams will also be able to see all observations and lab results that are part of a SARS-CoV-2 test order. 

“Care teams and physicians need to be notified immediately when one of their patients has tested positive for SARS-CoV-2 to ensure the patient is being cared for in the appropriate setting,” said Dr. Matt Hoffman, Chief Medical Informatics Officer at UHIN. “Lab results data is also vital for an office’s infectious disease protocols. A patient who tests positive for COVID-19 could unknowingly endanger a clinic or hospital if appropriate interventions are not taken.”

These lab alerts are being made available through UHIN’s Clinical Health Information Exchange (CHIE) and is part of the CHIE Alerts platform. The CHIE is the state-designated Health Information Exchange (HIE) for all of Utah and includes data from 95% of Utah’s hospitals and 90% of providers from Utah and the surrounding areas. Currently the CHIE encompasses clinical and hospital patient records for more than 6 million patients.

Providers, ACOs and care managers interested in receiving COVID-19 lab alerts access should contact the UHIN team by email at enrollment@uhin.org or customerservice@uhin.org

About UHIN: UHIN is a nonprofit coalition of healthcare providers, payers, state government and other stakeholders that have come together to reduce healthcare costs and improve quality and access for the community by enabling providers, payers and patients to exchange information electronically. UHIN focuses on creating electronic exchange solutions that work for the entire healthcare community, from single-provider practices to large integrated healthcare systems. For more information, visit www.uhin.org.

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Additional Resources:

Download the FAQ

Blog post

Data Sources List

Who is sending COVID-19 lab data?

These are the hospitals, clinics and other organizations currently sending COVID-19 lab results to UHIN. If an organization is not on the list but would like to help our community by sending COVID-19 data, please have them reach out to our team at chiesupport@uhin.org.

Independent hospitals, clinics and medical centers, including:

Beaver Valley Hospital

Blue Mountain Hospital

Central Valley Medical Center

Gunnison Valley Hospital

Kane County Hospital

Memorial Hospital of Sweetwater County

Milford Valley Healthcare Services

Moab Regional Hospital 

St. Mark’s Family Medicine

Uinta Basin Medical Center

Intermountain Healthcare hospitals, clinics and medical centers, including:

Alta View Hospital

American Fork Hospital

Bear River Valley Hospital

Cassia Regional Hospital

Cedar City Hospital

Delta Community Hospital

Dixie Regional Medical Center

Fillmore Community Hospital

Garfield Memorial Hospital

Heber Valley Hospital

Intermountain Medical Center

Layton Hospital

LDS Hospital

Logan Regional Hospital

McKay-Dee Hospital

Orem Community Hospital

Park City Hospital

Primary Children’s Hospital

Riverton Hospital

Sanpete Valley Hospital

Sevier Valley Hospital

Utah Valley Hospital

HCA Healthcare hospitals, clinics and medical centers, including:

Brigham City Community Hospital

Cache Valley Hospital

Lakeview Hospital

Lone Peak Hospital

Mountain View Hospital

Ogden Regional Medical Center

St. Mark’s Hospital

Timpanogos Regional Hospital

Revere Health Clinics (includes all clinics)

Steward Healthcare hospitals and medical centers, including:

Davis Hospital and Medical Center

Jordan Valley Medical Center

Jordan Valley Medical Center West

Mountain Point Medical Center

Salt Lake Regional Medical Center

University of Utah hospitals and clinics, including:

Huntsman Cancer Institute

University of Utah Hospital

University of Utah In-Car Testing Sites

Includes all clinics