Patient-Authorized Release of Information to a Trusted Entity TUESDAY, 11:00 – 11:20AM Patient-Authorized Release of Information to a Trusted Entity Martin Prahl, Health IT Architect Contractor, Social Security Administration Michael Matthews, CEO, MedVirginia

The Face of Disability HIMSS 2010

Disability Statistics Annual Disability Statistics 3 million initial disability applications per year 1 million additional medical disability decisions 15 million requests for medical evidence each year (3-4 per case) 500,000 sources: doctors, hospitals $500 million in payment for evidence Over 11.7 million adults and children are receiving benefits based on their disabilities Over $11 billion paid each month to these individuals HIMSS 2010

Authorized Release of Information to a Trusted Entity Potential Purposes of Use Applying for disability benefits Applying for life insurance or long term care insurance Use in a civil court case Attorney use Use for a school camp Immunization records to enter school Demonstration of need for translators, transportation, housing and other services Copy to a friend or relative as a backup record Copy to a relative for assistance or to set up a family history HIMSS 2010

SSA Authorized Release of Information Value Case All stakeholders can see value Operational reduction in release of information (locating records, printing/copying records, assembly, delivery) Decrease in turnaround timeframe Increase in response rate Impacts to disability determinations Approval leads to monthly benefit Insurance coverage under Medicare/Medicaid HIMSS 2010

MEGAHIT Technical Overview MEGAHIT - Medical Evidence Gathering and Analysis through Health IT Analysis of structured medical information to identify pertinent information in the medical record that may support an impairment listing Initial Health IT Partner (August 2008) - Beth Israel Deaconess Medical Center, Boston, MA HIMSS 2010

The SSA – MedVirginia Partnership Members of the Nationwide Health Information Network Cooperative Started Production Pilot in February 2009 First production use of the NHIN HIMSS 2010

About 1,500 disability cases Partnership Results About 1,500 disability cases Same or next day decisions in 11% of HIT-enabled cases Average case processing time ~40% less in HIT-enabled cases HIMSS 2010

Patient-Authorized Release of Information to a Trusted Entity TUESDAY, 11:00 – 11:20AM Patient-Authorized Release of Information to a Trusted Entity Michael Matthews, CEO, MedVirginia

Commonweath of Virginia New Communities Safety Net NHIN Richmond Chesterfield Hanover Henrico H Commonwealth Of Virginia Commonweath of Virginia HIMSS 2010

First to DURSA HIMSS 2010

Ave disability determination With MedVirginia First to NHIN Ave disability determination 84 days With MedVirginia 46 days CCD to SSA Algorithms by SSA Replication of model HIMSS 2010

Case Study: SSA / MedVirginia Use of MEGAHIT Commissioned by SSA Conducted by Kay Center for eHealth Research Perspectives: Claimant Provider SSA ROI HIMSS 2010

Helping More Disableds Proposal to SSA Sept. 2009 GATEWAY HIMSS 2010

Photo from Sheltering Arms C-HIEP Normalize data collection Rehab SNF Home health One of 3 sub-contractors Submission via NHIN Photo from Sheltering Arms HIMSS 2010

CommonwealthRx HIMSS 2010

Focus on Safety Net Providers Clinical data Hospital results Labs Medications Secure messaging Practice management Interfaced with MedVirginia Clinical documentation Meds, allergies, problem lists, vitals E-prescribing Eligibility screening tool HIMSS 2010

Alignment: Medical Home and Meaningful Use Information Management Care Coordination HRA PHR EHR ERX HIL PHYTEL Health Information Patient Education Health Coaching Disease Management Referral Coordination Post-Discharge CM Medical Home Information System HIMSS 2010

No patient left behind… Veterans Active military Uninsured Minority Rural Mental health Correctional facilities HIMSS 2010

Thank You The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal Health Architecture or the Department of Health and Human Services. HIMSS 2010