eHealth Exchange-MU2-Forum-2013Jan31

MU2 Participant Forum
January 31, 2014
Mariann Yeager, Executive Director
Jennifer Rosas, eHealth Exchange Program Manager
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Discussion Topics
• eHealth Exchange Context
• Transitions of Care Measure #2
• TOC Measure Calculation using Query-Based Exchange
• Lessons from the Field: Teresa Rivera, UHIN
• Electronic Lab Reporting
• Cancer Registry Reporting
• Syndromic Surveillance
• Open Discussion / Q & A
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2014 Certified EHR Technology:
Transitions of Care Measure #2 / 170.314(b)(2)
The EP, EH or CAH that transitions or refers their patient to
another setting of care or provider of care, provides of summary
of care record for more than 10% of such transitions and
referrals as follows:
1. Electronically transmits C-CDA using CEHRT to a recipient
using Direct or Direct + XDR/XDM transport protocols;
2. Electronically transmits C-CDA using CEHRT to a recipient
using SOAP transport protocols; and/or
3. Where the recipient receives the summary of care record via
exchange facilitated by an organization that is an eHealth
Exchange participant; or in a manner that is consistent with
governance mechanism that ONC establishes for the
nationwide health information network
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Often initiated by a query for records
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Developed by Office of the National Coordinator Health Information Technology
Red lines / text were added by Healtheway to clarify eHealth Exchange functionality
Could be an
eHealth
Exchange
Participant
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Developed by Office of the National Coordinator Health Information Technology
Red lines / text were added by Healtheway to clarify eHealth Exchange functionality
eHealth Exchange Scenarios (TOC #2)
Other Care
Setting /
Provider
Other Care
Setting /
Provider
Request
Other Care
Setting /
Provider

C-CDA
Request
EH / EP /
CAH
 C-CDA
Request
State or
Regional
HIO
 C-CDA
State or
Regional
HIO
Request
C-CDA
Request
EH / EP /
CAH
C-CDA
EH / EP /
CAH
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ONC / CMS FAQ #7697
• “…For the third approach, the EP, eligible hospital, or CAH must use
its CEHRT to create a summary care record for transitions of care
and referrals, but instead of using a transport standard specified in
ONC’s certification criterion at 45 CFR 170.314(b)(2) (included as
part of its CEHRT) to electronically transmit the summary care
record, the EP, eligible hospital, or CAH may use a NwHIN Exchange
participant to facilitate the electronic transmission to the recipient.”
…
• “Use of CEHRT to create a summary care record in accordance with
the required standard (i.e., Consolidated CDA as specified in 45 CFR
170.314(b)(2)), and the electronic transmission is accomplished
through the use of an eHealth Exchange participant who enables the
electronic transmission of the summary care record to its intended
recipient. Thus, EPs, eligible hospitals, or CAHs who create
standardized summary care records using their CEHRT and then use
an eHealth Exchange participant to electronically transmit the
summary care record would be able to count all of those
transmissions in their numerator.”
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Lessons from the Field
TERESA RIVERA, UHIN
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MU Resources
• ONC and CMS FAQs
• https://questions.cms.gov/faq.php?id=5005&faqId=7697.
• ONC Resource
• http://www.healthit.gov/sites/default/files/toc_exchange_requirements
.pdf
• ERHA White Paper
• http://www.healthewayinc.org/images/Content/Documents/Pap
ers/ehrastage2securehealthtransportcertificationandmeaningfulu
se.pdf
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Q&A
For more information:
Onboarding:
http://www.healthewayinc.org/index.php/exchange/onboarding
eHealth Exchange Participant Testing:
http://www.healthewayinc.org/index.php/exchange/participant-testing
E-mail: admin “at” healthewayinc.org
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