1. 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

2. The Face of Disability
HIMSS 2010

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

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

11. First to DURSA
HIMSS 2010

12. 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

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

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

15. 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

16. CommonwealthRx
HIMSS 2010

17. 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

18. 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

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

20. 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