Thursday, June 9, 2016

Using HIEs To Increase Admissions Productivity

     
Admissions still remains one of the most difficult times during the transition to hospice care. These first few hours are a delicate balance of patient and family education combined with a seemingly endless set of questions. As length of stays have decreased in recent years hospices have had to contend with higher admission rates to avoid a decrease in total census. This has put increased pressure on the teams that handle these transitions, and in many cases shifted the focus from patient education to documentation. There isn't a quick fix for solving this imbalance, but Health Information Exchanges (HIEs) can increasingly help lower the initial set of documentation required for admissions.

Many state HIEs support the ability to lookup a patient medical record in real-time for member organizations. With many patients transitioning to hospice from the acute care setting this data can be very recent and include: demographics, medications, and advanced directives. As Meaningful Use continues to push adoption of advanced integration into the acute care setting this data will only become richer and more valuable. Another powerful benefit of HIEs is the ability to get active "push" notifications on patients for specific events. Setting up alerts on palliative care program patients can allow your organization to stay in the loop, getting notifications on admission, discharge, and transfer for patients you are currently servicing. This allows your organization to be far more proactive during this critical transition period.

Unfortunately, hospice EHR vendors often provide very limited, if any, HIE integration support. Getting this data into your system can be arduous, but knowing the data is available can be half the battle. Moving this data entry process from the admissions nurse to your intake or referral teams can provide increased productivity for your nurses in the field. It allows them to change their questioning, focusing more on data validation, instead of extraction. This can help shift the focus of the visit back to patient and family education.

While hospice is currently exempt from Meaningful Use, more and more hospices have made the jump to EHRs to keep pace with increasing regulatory requirements. In many cases these systems are far less capable than their acute care brethren. As hospices look for new revenue streams in ACO's partnerships, integration capabilities will move from a nice to have to a key business differentiator.

State Health Information Exchanges

State HIE Website
AlabamaOne Health Record
AlaskaAlaska E-Health Network
ArizonaArizona Health-e Connection
ArkansasSHARE
CaliforniaCalifornia eHealth Initiative
ColoradoCORHIO
Connecticut
DelawareDHIN
FloridaFlorida HIE
GeorgiaGAHIN
HawaiiHawaii HIE
IdahoIHDE
IllinoisILHIE
IndianaIHIE
IowaIHIN
KansasKHIN
KentuckyKHIE
LouisianaLaHIE
MaineHealthInfoNet
MarylandCRISP
MassachusettsMeHI
MichiganMiHIN
MinnesotaMN e-Health
MississippiMS-HIN
MissouriMissouri Health Connection
Montana
NebraskaNeHII
NevadaHealtHIE Nevada
New HampshireNHHIO
New JerseyJersey Health Connect
New MexicoNMHIC
New YorkSHIN-NY
North CarolinaNCHIE
North DakotaNDHIN
OhioCliniSync
OklahomaCoordinated Care OK
OregonCare Accord
PennsylvaniaPA eHealth
Rhode IslandCurrent Care
South CarolinaSCHIEx
South DakotaHealth Link
TennesseeHealth eShare
TexasHIETexas
UtahUHIN
VermontVITL
VirginiaConnect Virginia
WashingtonOneHealthPort
West VirginiaWVHIN
WisconsinWISHIN
Wyoming