1. Electronic Transition of Care 2014 “Normal Operations” (about time) Electronic Transition of Care 2014 “Normal Operations” (about time) Stasia Kahn MD Symphony Medical Group

2. ToC Normal Operations Is it possible? Is it possible? Yes! 14 Consulting Physicians, 2 Facilities both outbound and inbound electronic messages Yes! 14 Consulting Physicians, 2 Facilities both outbound and inbound electronic messages Is the bar set to high? Too soon to tell for most EP’s but for this provider the data is promising (42 days into 90 day reporting period) Is the bar set to high? Too soon to tell for most EP’s but for this provider the data is promising (42 days into 90 day reporting period) Part 1- 82% (required 50%) Part 1- 82% (required 50%) Part 2 -27% (required 10%) Part 2 -27% (required 10%)

3. Necessary Tools Vendor Supplied Transition of Care Tool Functionalities: provider search, referral document, attachment selection based on the unique needs of the problem being addressed Vendor Supplied Transition of Care Tool Functionalities: provider search, referral document, attachment selection based on the unique needs of the problem being addressed Vendor Supported Provider Network Vendor Supported Provider Network Tenacious Physician Champion (see handouts P2P MD and Facility Work Flow and P2P follow-up letter) Tenacious Physician Champion (see handouts P2P MD and Facility Work Flow and P2P follow-up letter)

4. Nice to have Tools Access to HISP to HISP exchange Access to HISP to HISP exchange Widespread Community Participation in State or Regional HIE Widespread Community Participation in State or Regional HIE

5. Obstacles to Success Obstacles to Success Physicians hesitant to accept role of medical records technician Physicians hesitant to accept role of medical records technician Lack of HIE participation among local community Lack of HIE participation among local community Physician/vendor community has limited understanding of the terms “direct”, “bundles of trust”, “HISP to HISP” exchange Physician/vendor community has limited understanding of the terms “direct”, “bundles of trust”, “HISP to HISP” exchange Vendor Fees Vendor Fees

6. Questions Welcomed Stasia Kahn MD stasiakahn@gmail.com EMRSurvival.com