Direct Messaging

Questions

Meaningful Use Webcast

November 7,2013

Review of Direct Messaging

Review of CPSI Process

Review of On-boarding Process for Direct Messaging

Review Of Objectives and CPSI Incorporation

Meaningful Use Webcast

Integration of Direct Messaging

November 7 2013

•Requires a HISP - Health Information Service Provider

•Allows sharing of information in a secure way.

Direct Messaging

Meaningful Use Webcast November 7, 2013

•Simple

•Secure

•Scalable

•Standards-Based

Direct Messaging

Meaningful Use Webcast November 7, 2013

Diagram of HISP (Health Information Service Provider)

What is a HISP?

Sender to Sender HISP

Sender’s HISP to Receiver’s HISP

Receiver's HISP to Receiver

Get the Message

Sender’s HISP Receiver’s HISP Push the Message

Routing Information

Directory

Locate the Servers

Push the Message

•Order Placed

•Technical Configuration Implemented

•Enrollment Documentation Emailed

•Education Situation

CPSI Process

Meaningful Use Webcast November 7, 2013

•Designate an Administrator

•Enroll with Inpriva

•Administrator

•Organization

On-boarding Process

Meaningful Use Webcast November 7, 2013

•Enrollment

•Medical Mailbox

Enrollment with Inpriva

Meaningful Use Webcast November 7, 2013

•Designate Administrator

•Enroll with Inpriva

•Provide Identity Proofing and On-boarding Requirements

Enrollment with Inpriva

Meaningful Use Webcast November 7, 2013

•Medical Mailbox

•Patients transitioned to facilities that do not have an EHR; or EHR with Direct Messaging.

Enrollment with Inpriva

Meaningful Use Webcast November 7, 2013

•Table Maintenance

•Control

•Physicians – CPSI Community Health – Page 5 – Field 5

•Direct Message

Entering a Direct Address

Meaningful Use Webcast November 7, 2013

•Requirements for Direct in 2014

•Transfer/Summary of Care-TOC

•View, Download, Transmit-VDT

Objectives and Incorporation

Meaningful Use Webcast November 7, 2013

•Measure A: The eligible hospital that transitions or refers their patient to another setting of care or referral provides a summary of care record for more than 50% of transitions/referrals.

Transfer/Summary of Care

Meaningful Use Webcast November 7, 2013

• Measure B: The eligible hospital that transitions or refers their patient to another setting of care or referral provides a summary of care record for more than 10% of such transitions and referrals electronically (via Direct).

Transfer/Summary of Care

Meaningful Use Webcast November 7, 2013

•Table Maintenance

•Business Office

•Referring Physician Table

•Direct Messaging Address

Referring Provider Table

Meaningful Use Webcast November 7, 2013

• Measure C: The eligible hospital must satisfy one of the following Criteria:

• Conducts a successful electronic exchange of measure B with a recipient who has EHR technology designed by a different vendor than the senders OR

• Conducts a successful electronic exchange of measure B with the CMS designated test EHR during the reporting period. (EHR-Randomizer).

Transfer/Summary of Care

Meaningful Use Webcast November 7, 2013

•Import from Inbox

•Requires security

•Not a measured objective

Transfer/Summary of Care

Meaningful Use Webcast November 7, 2013

•Measure A: More than 50% of all unique patients discharged during the reporting period have their information available online within 36 hours of discharge.

View, Download, Transmit

Meaningful Use Webcast November 7, 2013

•Utilizes email address

•Patient Email Address

•Authorized Representative Email Address.

•Sends notification to Patient or Authorized Representative

View, Download, Transmit

Meaningful Use Webcast November 7, 2013

•Identity Proofing of Patient

•Facility Policy re: change requests

•Date of Birth

•SSN

•Amendment to EHR

View, Download, Transmit

Meaningful Use Webcast November 7, 2013

• Measure B (Stage 2 Only): More than 5% of all patients (or authorized representatives) who are discharged view, download or transmit to a 3rd party their information during the reporting period.

View, Download, Transmit

Meaningful Use Webcast November 7, 2013

•Patient Summary Viewed, Downloaded, or Transmitted

•Transmit - Patient obtains receiver’s Direct Messaging Address

View, Download, Transmit

Meaningful Use Webcast November 7, 2013

Direct Messaging

Questions

Meaningful Use Webcast

November 7, 2013