Patient Centered Data Home PCDH HIE to HIE

What is PCDH? • A method of exchanging patient data among Health Information Exchange’s

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What do I need to do to get alerted when my patient goes outside

Why Subscription? • Patient Subscription is enabled in many of our organizations connected to

How do I know my patient went to the hospital? • When alerts/subscription are

How can query data from outside organizations? • Local organizations and hospitals that have

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Patient Centered Data Home (PCDH) HIE to HIE Data Exchange Sherri Corey Senior Community Advisor March 25, 2020 © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

What is PCDH? • A method of exchanging patient data among Health Information Exchange’s (HIE) • It is based on triggering episode alerts to notify providers a care event has occurred outside of the patient’s “home” HIE. • It confirms the specific location of the clinical data, enabling providers to initiate an exchange to access real-time information across state and regional lines. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

What do I need to do to get alerted when my patient goes outside of their medical home? • Access to QHN • Ability to query the longitudinal health record (QHN Results) • Receive ADT (Admit, Discharge, Transfer) event notifications • Set up Patient Subscription © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

Why Subscription? • Patient Subscription is enabled in many of our organizations connected to QHN to ensure they are notified when a patient presents to the Emergency Room (ER) or an Inpatient setting (IP). • Subscription allows organizations to enable a patient panel (subscription) for QHN to alert the organization on an event. • Subscription is used for those cases when the treating facility has not properly identified the Primary Care Provider (PCP). • Patient panel list is sent securely to QHN monthly © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

How do I know my patient went to the hospital? • When alerts/subscription are enabled; a real-time message is sent to an individual or group that has been identified by the organization. • QHN Direct Secure E-mail • Interfaced into Electronic Medical Record (EMR) • Other • When querying a patient’s record, encounters are displayed in the Encounter section of QHN Results that will identify where the patient has been to receive care. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

How can query data from outside organizations? • Local organizations and hospitals that have a direct interface with QHN; their data will appear in QHN Results to be reviewed • CORHIO, Arizona, Utah, and the Veterans Administration will appear in the External Document Search © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

Navigate to the Patient Summary section for the patient of interest. In the encounters clinical sections you may note “Admissions” from out of state sources. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

Click on the Encounter for External Document Search instructions and other details. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

This screen opens. External Document Search instructions display. Point of Care information displays. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

To view document(s) from other HIE sources click External Document Search tab. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

Leave these sections as defaulted. The information available from external sources is unknown. The default selections will provide the most clinical information. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

Leave date ranges blank unless you are querying the VA. If querying the VA, please enter a date range. Otherwise, more results than the query can process will try to be retrieved and may cause it to fail. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

Please note: If you receive a message that patient was not found, or nothing is returned, the source may not have yet uploaded any patient documents OR patient has opted-out of the HIE. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

If more than one search External Document Search has been done the newest is the first listed. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.

Select Document to download in XML format to save to folder for EHR import. © 2020 Quality Health Network Ⓡ (QHN) – All rights reserved, QHN proprietary and confidential not for further redistribution.