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The Great Migration

HealtHIE Nevada, the nonprofit, statewide, community-based health information exchange (HIE), has been upgraded recently to improve functionality and add new features to enhance clients’ experience. Current HIE participants are being migrated from the old system to this upgraded platform.

HealtHIE Nevada, the nonprofit, statewide, community-based health information exchange (HIE), has been upgraded recently to improve functionality and add new features to enhance clients’ experience. Current HIE participants are being migrated from the old system to this upgraded platform. All new clients will automatically receive the benefits of the upgraded system.

The HIE now has more capabilities and methods to deliver laboratory reports, radiology reports and images, along with greater filtering granularity and detail. The HIE Web Access application, the Web-based portal into the HIE, has also been outfitted with improved usability, including a streamlined appearance and navigation to display the longitudinal patient record. These enhancements provide more detail for providers to make better-informed decisions for their patients with improved efficiency and effectiveness.

In addition to the improvement of existing functionality, the upgrade provides new ways to interact with the exchange. The HIE now offers Direct Secure Messaging capabilities, along with the previously offered electronic health record (EHR) interfaces, to provide true interoperability and connectivity with HIE Web Access. The upgrade also provides the ability to connect to the Nationwide Health Information Network (NwHIN), opening access to Veteran’s Affairs and Department of Defense patient information to provide a comprehensive view of the patient’s health history. Finally, the upgrade allows the HIE to provide a wide range of notifications, including hospital admissions and discharges, notifications about physician office visits, and laboratory and radiology results and reports.

These new functionalities enable point-to-point delivery of clinical patient information to other providers of care, medical educators and consultations for a patient, supporting the ability to meet the electronic referrals requirement of meaningful use. Access to national data sources increases the view of the patient’s medical history, and notifications enable providers to understand patient patterns and needs earlier to promote interventions in the changing pay-for-value environment.

Participants will need to migrate to the upgraded system to have full access to the HIE and the data contained within. Access to the old HIE environment will end after September 2016. Users will no longer be able to access patient records via HIE Web Access unless they have completed the online training course and registered for a new username and password. Interoperability and receipt of records directly into EHR technology will cease for users who have not upgraded to the new platform. Finally, as clients move to the upgraded HIE, data added to the old environment will dwindle as the upgraded environment grows.

Please contact HIE Support hiesupport@healthinsight.org if you have questions or to begin your migration.

View all news articles on healthienevada.org

Five ways support desk tickets help you

The HealtHIE Nevada support desk is designed to enable the support staff to work more efficiently and effectively to meet the needs of our users. To consistently meet the variety of needs of our users, we employ a reliable tickThe HealtHIE Nevada support desk is designed to enable the support staff to work more efficiently and effectively to meet the needs of our users. To consistently meet the variety of needs of our users, we employ a reliable ticketing system that assists the support staff in providing excellent customer service that our users have come to expect.

When the support desk receives a ticket, the issue is automatically logged and assigned a case number, at which point the user will receive a confirmation that their email has been received and the issue has been assigned to one of our specialists. The convenience of having an automated ticketing system helps both support staff and users streamline communication and sends timely updates on the progress of the request.

Here are five ways a support desk ticket helps you:

1. It helps to work more efficiently
Keeping track of all submitted issues in one place allows for quicker response and resolution times. Emails aren’t lost in individual inboxes, and issues can continued to be worked by any of the support staff regardless of the initial assignment. Support staff share the knowledge set for all issues allowing for faster turn-around of future issues.

2. It prioritizes tasks
A ticket system is specifically designed to organize reported issues and keep track of the progress, as different problems require different priorities. When the support specialist can easily visualize all the tickets in the queue, it helps to prioritize their work and important tickets are less likely to fall through the cracks.

3. It helps to tracks repeat issues
Working with many users across multiple health care organizations, it is not unusual to find recurring problems or questions. When this happens, the support specialist can quickly search old tickets, and find the solution to quickly solve the issue based on work done previously.

4. It helps us to multitask
HealtHIE Nevada has a busy support desk, and takes pride in assisting our users in a timely matter. To consistently meet your needs, the support desk prioritizes and organizes all issues as they are submitted, while simultaneously moving forward with issues they are currently troubleshooting. Timely resolution is of the utmost importance and we strive to meet your expectations daily.

5. It keeps all details in one location
When troubleshooting, it is very beneficial to have all the relevant information in one location, cutting down on time the support team would spend searching for applicable information to deal effectively with issues. The time saved translates to faster resolution of a problem for you.

You can contact HealtHIE Nevada support by creating a ticket directly from our website , send an email to HIESupport@HealthInsight.org, or if you prefer, call us at 855-484-3443 and select option 1. We’ll take it from there!

New HIE features highlighted in User Group meeting

On May 19, the HealtHIE Nevada User Group convened for the quarterly meeting at HealthInsight Nevada.

Training Specialist Tom Cooper reviewed the new HIE-Learning Portal and discussed how it can help users to navigate Web Access on their own time, via self-help videos and quizzes.

Project Manager Summer Sweeney presented the new HealtHIE Nevada website and demonstrated the site’s search functions and updated list of HIE participants; and Project Manager Aaron Hubbard led a discussion on direct messaging, an exciting upcoming feature of the HIE.

HealtHIE Nevada’s new direct messaging will offer a standard, secure messaging method, providing efficient point-to-point exchange of timely patient data. Via the direct messaging system, a primary care provider can send clinical data to a specialist to initiate a referral and the specialist can send completed consultation notes and data back to the referring provider.

In addition to in-person attendance, the User Group members were able to meet online using Adobe Connect. In a new development for this series, there were two meeting times available to accommodate the schedules of participants.

The next HealtHIE Nevada User Group meeting will be held September 15. Please contact
Kristin Cederlind at kcederlind@healthinsight.org or 702-948-0313 if you wish to be updated on upcoming meetings.

Access to training made easier with the HIE Learning Portal

HIE-Learning Portal

In March 2016, HealtHIE Nevada launched the HIE-Learning Portal, a training site using video courses and quizzes embedded into an open-source Learning Management System (LMS) called Moodle. This online LMS allows HIE users to access and complete training at their convenience.

The HIE-Learning Portal’s training modules are designed to help new users learn about the HIE Web Access program and how to navigate the system. Users will learn why patient consent is necessary, how to manage patient consent and how to receive access to the program.

The comprehensive course enables a new HIE user to gain understanding and quickly begin to use the system, as well as refreshing more seasoned users on the ins and outs of HIE Web Access.

The HIE-Learning Portal is now online, and access is provided during your implementation or your upgrade. Please contact us at HIElearning@healthinsight.org if you would like to learn more about the Portal or if you wish to have access to complete the course content.

HIE version 2.0 coming to HealtHIE Nevada

In case you hadn’t heard, HealtHIE Nevada has been working over the last year to plan and update the software that makes the HIE run. HIE 2.0 will bring with it some exciting changes and improvements. Among them will be a new master patient index with an improved matching algorithm that will help reduce the incidence of duplicate patient records. Another more obvious and immediate improvement will be the replacement of the Virtual Health Record (VHR) with the Community Patient Profile (CPP). The CPP will offer users an improved and updated user interface that will be easier to navigate, thus saving physicians and staff time finding the information they need to support patients.

We are working hard to make the transition to HIE 2.0 as seamless as possible for our end users. However, to make the complete move from the VHR to the CPP, there are a couple of important things you need to know about.

  1. All users will be required to have a unique email address. In the past, the use of an email address has not been required for access, and as a result, not all users have an email address on file. To use the CPP, new user names and passwords will be issued to all users. These usernames and passwords will require a unique email from all participants. In the coming weeks, HIE project managers will be reaching out to contacts at participating offices to verify the user information on file and make relevant updates, to include requesting an email address from all users.
  2. Users will have to go through training for access to the CPP. The CPP is new and different and we want to make sure all of our users are equipped to use the features and functionality to their greatest potential. To facilitate this, we will require that all users participate in training before being granted access. Once we have confirmed user information and obtained unique email addresses for participants, HIE staff will reach out to share training and education schedules.

Please be watching for emails and phone calls from HealtHIE Nevada in the coming weeks to prepare you for HIE 2.0! Through the end of the year you will be hearing more about additional changes and improvements coming to your existing HealtHIE Nevada services. 

A Demonstration of HealtHIE Nevada’s Health Information Exchange For a Physician And United States Congressman

Deborah Huber, Executive Director, HealthInsight Nevada

Congressman Joe Heck Congressman Joe Heck (R, NV-3) is a physician with an extensive background working in emergency medical care at the University Medical Center of Southern Nevada as well as in settings related to his work as a Colonel in the U. S. Army Reserves – serving 3 active duty terms, including a deployment to Iraq. HealthInsight Nevada staff recently met with the Congressman to discuss a variety of health care initiatives underway in his district and across the state of Nevada. Because of his background, Dr. Heck expressed a particular interest in learning more about HealtHIE Nevada, the community-based, statewide health information exchange in our State. Dr. Heck described a common emergency situation:

A patient comes to an emergency room. S/he is unknown to the physician. Today, the doctor must interview the patient (if they are conscious or able to answer questions) or the family or individuals who accompany the patient, to learn about possible allergies, their medical history, and medications the individual is taking. Of course, in this type of stressful situation, it is highly likely that the patient and/or their friends and family may not have all of this information, or may forget key pieces of information that could help the physician treat the patient. This is today’s emergency room reality. In the absence of this critical information, the physician will generally order all the blood tests, X-rays, scans, and other examinations that could help her/him make a diagnosis and effectively treat the patient. Of course, this takes time, can be painful to the patient, requires the involvement of numerous hospital staff, and may result in hundreds, if not thousands of dollars in costs.

heck4But imagine another scenario: A patient comes to an emergency department. S/he has consented to having their personal health information shared on the HealtHIE Nevada Health Information Exchange. The physician logs on to a secure website, types in the patient’s name and date of birth, and within seconds, all of the patient’s information (insurance, allergies, current medications) shows up on the screen. In addition, all the results from blood tests, radiology exams (X-ray’s, CAT scans, MRIs), previous doctor visits, and hospital stays are visible to the physician. The physician now has the most up to date and complete medical history on this patient. This may cause him to eliminate some tests that may have recently been conducted, or include tests that a unique medical history might indicate. In either case, this scenario provides the physician with real-time information about the patient; no need to rely on a stressed family member’s recollection or to reorder unnecessary tests. This information gives the physician more accurate and real-time information so s/he can make more timely and better informed decisions at the patient’s bedside. This same kind of immediate information is beneficial to other providers that participate in the HealtHIE Nevada health Information, including primary care doctors who are seeing a patient for the first time in their office, or for a specialist phyheck3sician who is seeing a patient for a specific concern. After the demonstration of the health information exchange’s capabilities, Dr. Heck expressed that this kind of information would be invaluable to emergency room physicians. He noted that as it is now, physicians do the very best they can with the information available. However, he pointed out that physicians rarely have complete information about a patient’s medical history, allergies, or medications. Consequently, s/he may have to order a number of costly tests and procedures that might be unnecessary if they were equipped with additional patient information from other health care providers (not just the patient and family.) The Congressman indicated that having the information provided by HealtHIE Nevada has the potential to improve a physician’s ability to provide appropriate, timely, and cost effective care to his/her patients.

Healthcare in Nevada: Prognosis Encouraging

Nevada’s 2013 healthcare checkup reveals an industry under an unprecedented combination of pressures – little surprise there – but also one that is holding its own, moving quickly to adapt, gearing up to provide the best patient care possible, and looking confidently to the future. “Nevada’s healthcare industry is in a state of flux as a result of the changes occurring on a national level,” says Dr. Sherif Abdou, president and CEO of HealthCare Partners Nevada, a network of 245 physicians. Read more…

HealtHIE Nevada In Your Post-Acute Care Setting!

Opportunities to help define Post-Acute Care HIE

Here at HealtHIE Nevada we recognize the value added to the Post-Acute Care settings in participating in the Health Information Exchange (HIE). We understand the
day-to-day workflow is different from that of a hospital, physician, or other healthcare setting. HealtHIE Nevada involves our community inplanning the growth of the HIE. We are conducting onsite process observations and focus groups for these settings throughout April 2013. The primary focus is to learn about your workflow in the Post-Acute care setting. By understanding the workflow in your facility, i.e. the admit, discharge, and referral process, we will be able to customize the services offered by HealtHIE Nevada.
 
In mid-April we will host focus groups to summarize the results of the onsite process observations, discuss popular EHR’s in post-acute settings, and identify barriers and solutions to implementing the HIE. In keeping with that tradition, we would like to schedule one or two appointments to have a member of our staff visit your facility and observe. If you would like to recommend your facility or any other, provide us with contact details. We look forward to sharing the outcomes of this process with you in an upcoming edition of the HealtHIE Nevada Chronicle.

How Will the Health Information Exchange Benefit Your Patients?

Faster, More Accurate Care

You may know the benefits of a Health Information Exchange (HIE), but do your patients know? As a key component for a successful HIE, we need patient involvement. Education is the key, and we need your help to get the word out.

Why do your patients need the HIE?

Your patient’s medical care team needs health information to correctly diagnose and treat them. Each member of the team may have a piece of the patient’s medical history. If the entire team can see the complete medical history, patients receive better care.

What are the key benefits for my patients?

• HealtHIE Nevada gives you a quick and easy way to see your patient’s health information. Health information can be lab, x-ray, and other test results that make up a medical history.

• As the information becomes available, the HIE will quickly send the data to you. A complete medical history lets you make faster and more correct choices when caring for your patients.

• When you share your patient’s medical history, you can manage their care better. Specialists will have the information they need faster. The emergency room staff can care for your patients even if they cannot answer questions.

• The HIE is safe and secure and can only be seen by the people who are caring for your patients.

• Patients will repeat the same tests less often.

• Patient records will still be safe and available if there is an emergency or natural disaster.

Who can see your patients’ health information?

Only doctors, hospitals, laboratories, radiologists, and pharmacies that are members of the HIE can see your personal information. The medical team can use your information only to diagnose and treat your medical problems.

HealtHIE Nevada Provides eHGT’s eHealth Image Exchange Capability to Community-Based Health Information Exchange Users

Steinberg Diagnostic leads, reducing costly duplicate exams and unnecessary radiation exposure for patients

Rochester, NY August 28, 2012 – HealthInsight, Steinberg Diagnostic Medical Imaging Centers, and eHealth Global Technologies (eHGT) announce the successful go-live for HealtHIE Nevada of eHealth Image Exchange™, a service that enables authorized health information exchange (HIE) participants to seamlessly share diagnostic quality images.

Physicians, with a single click on a patients’ report, can view associated X-rays, MRI’s, CT-scans, PET scans and ultrasounds images instantly, from the context of the patient’s full medical history. Participating HIE providers can access current and past diagnostic imaging exams to assist them in providing more effective diagnosis, care planning and delivery of healthcare services, taking advantage of a variety of tools within a state-of-the-art, zero-footprint viewing platform – eHealthViewer® ZF.

“We are excited to be the first imaging center in Nevada to provide this service and its benefits to our care community,” said Don Shackley, CIO, Steinberg Diagnostic Medical Imaging Center. “Patients no longer need to retrieve and transport X-ray films or images on CDs from location to location, as reports are always accessible via the HIE. Patient records are more complete, which reduces the need for costly duplicate exams and unnecessary radiation exposure for patients, while improving the efficiency of delivering patient treatment.”

“Having one of the largest providers of images in the state of Nevada take the lead on this initiative is a testament to the value eHealth Image Exchange provides,” said HealthInsight Executive Director, Deborah Huber. “Ordering physicians can access reports and images immediately as they are available so that patients get more timely care with reduced risk due to incomplete medical records.”

“When a patient presents, physicians need a variety of medical information quickly and easily to provide accurate, timely care,” said Gary Larson, COO and General Manager, Health Information Exchange Services for eHealth Global Technologies. “Diagnostic quality images are an essential element of the patient record and we are thrilled to provide this service to patients across Nevada – improving their care process and reducing the spiraling cost of care.”

HealtHIE Nevada is powered by Optum Health Information Exchange. Optum’s partner, eHealth Global Technologies provides eHealth Image Exchange via the Optum Image Gateway.

About eHealth Global Technologies

eHealth Global Technologies (eHGT) is a leading referral management and diagnostic image exchange service provider, serving over half of the nation’s top 100 hospitals and leading health information exchanges (HIEs), including 13 of the top 17 hospitals selected to the prominent Honor Roll of the Best Hospitals from the 2011-2012 U.S. News & World Report. The company’s services include the eHealth Referral Management Solution™ and the eHealth Image Exchange™. These solutions utilize innovative health information technology to access medical records, pathology slides and diagnostic images in any format, and then securely deliver them to providers and clinicians in a digital format to improve continuity of care. Visit www.eHGT.com

About HealtHIE Nevada

HealtHIE Nevada is a private, Nevada non-profit, community-based organization dedicated to connecting the Nevada healthcare community by managing real time, secure, and accurate exchange of clinical information to improve the quality and continuum of healthcare for the patient.

Management of HealtHIE Nevada and its services are performed by HealthInsight, a recognized leader in quality improvement; transparency and public reporting; health information technology programs; health-care system delivery and payment reform efforts; and human factors science research and application. HealthInsight has offices in Albuquerque, New Mexico, Las Vegas, Nevada, and Salt Lake City, Utah.

About Steinberg Diagnostic Medical Imaging Centers

Steinberg Diagnostic Medical Imaging developed out of Dr. Leon Steinberg’s radiology practice which has served physicians, hospitals and residents of Las Vegas for the past 30 years. As a pioneering radiologist, Dr. Steinberg dreamed of a complete state-of-the-art outpatient imaging center in Las Vegas. The center would be equipped with the most advanced diagnostic tools, all conveniently located under one roof. Imaging studies that traditionally were only found in hospitals and major medical centers would be available here. Steinberg Diagnostic Medical Imaging Centers were built with these goals in mind. Our primary facility at 2950 South Maryland Parkway was opened on February 29, 1988. Since then, SDMI has kept pace with the area’s growth by opening additional facilities. Today, Steinberg Diagnostic Medical Imaging is on the cutting edge of radiology, offering the most comprehensive diagnostic services available anywhere in the world. Our five convenient imaging centers are staffed by board certified radiologists that are friendly and sympathetic of patient concerns. Our team of technologists and support staff provide the highest level of service, insuring that patients receive the courtesy and care they deserve.