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Success Stories

Bloomington Medical Services Case Study

11-Jul-2017

Contribute patient data for continuity of care:
Bloomington Medical Services case study

by Dottie Howe, M.Ed., M.A.

 

If you didn’t know it as a tech fact, you’d never realize that Bloomington Medical Services in Wooster automatically publishes data on some 19,000 patients to the CliniSync Health Information Exchange (HIE) on a secure, uninterrupted basis.

“CCD publishing is just happening; we don’t even know that it’s happening – it’s very smooth,” says Angela Steiner, Ambulatory Practice Manager at Bloomington Medical Services. “The process doesn’t slow the system down or return error messages.”

The Continuity of Care Document – CCD for short – tells you about the patient’s demographics, allergies, medications, problems, procedures, results, family history, immunizations, alcohol and tobacco use, care plans and other pertinent clinical information.

Angela worked with CliniSync staff to create a standard, direct interface so any time a medical record is updated within the practice’s electronic health record system, it automatically updates it in the CliniSync HIE. For instance, if a clinician changed a medication, it would then be updated within CliniSync. Prior to implementation, Angela worked to define the data to be shared before the project went live so it’s clear what would be updated.

You can Read More below or click here for a PDF of the case study.
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Bloomington Medical Services Case Study
Lower Lights Christian Health Center Case Study

07-Jul-2017

Contributing data for patient-centric care:
Lower Lights Christian Health Center case study

by Dottie Howe, M.Ed., M.A.

At Lower Lights Christian Health Center in Columbus, health care isn’t solely medical. Whole-person wellness care offered at Lower Lights is more comprehensive so that it connects a patient to community resources that can result in a better quality of life for that individual.

 

That’s why this federally qualified health center serving lower-income patients wants to contribute as much patient data as possible for other clinicians and providers to get a comprehensive picture of a patient’s health and well-being. And it encourages other facilities and practices to follow its lead.

“In this day and age, sharing of health information is critical to ensuring our patients are receiving the best possible care,” says Dana Vallangeon, M.D., Chief Executive Officer of Lower Lights, who has ensured that the health center is a patient-centered medical home, serving some 11,000 patients, mostly at or below the federal poverty level.

“By sending and receiving records, we can prevent the duplication of labs, ensure our patients medication lists stay up-to-date and current as well as collaborate with other entities the patient might have seen for care other than us,” Dr. Vallangeon says. “It allows us to see the whole picture instead of just a few pieces of the puzzle which results in better, more comprehensive care for our patient that is also cost effective.”

To read the full story, click here on the PDF.

 

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Lower Lights Christian Health Center Case Study
Dublin Family Care Case Study

05-Jul-2017

Dublin Family Care Case Study

Use CliniSync's Notify solution:
Increase income and provide better patient care

by Dottie Howe, M.Ed., M.A.

You need to know when your patient is admitted to or discharged from the hospital or Emergency Department (ED), and yet for many primary care physicians, weeks can go by before they ever find out their patient went into the hospital.

A new service offered by the statewide CliniSync Health Information Exchange (HIE) allows practices to submit a patient panel with basic demographics, and then receive alerts or notifications when one of their patients visits the ED or gets admitted or discharged as an inpatient within any hospital in the CliniSync network.

By using this solution – known as Notify – you not only can receive reimbursement for timely follow-up but you also provide great patient care.

Why coding correctly makes a financial difference

“Transitions of Care Management (TCM) requires that you make a telephone call within two days after a hospital discharge and then schedule a face-to-face visit within 7 or 14 days,” says Patti Rolan, Clinical Nurse Manager at Dublin Family Care in Franklin County. “Often, you don’t find out a patient has been hospitalized for anywhere between 10 days to a month.”

Timeliness means a difference in coding that then allows the practice to be reimbursed for this Transition of Care Management, she says. The TCM codes provide a higher level of reimbursement for the primary care provider that is nearly two times that of a normal visit from Medicare and private insurance companies. Conversely, the more readmissions to the hospital, the higher the risk score for the practice, costing loss of revenue for both the practice and the hospital.

You can READ more below or click here for a PDF of the story.
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Dublin Family Care Case Study
Improving Ohio's Health: Patient Engagement = Better Outcomes

20-Mar-2017

Effective Use of the Patient Portal; Creating a “Buzz” to Engage Your Patients

by Scott Mash, MSLIT, CPHIMS, FHIMSS
Director, Consulting Operations & HIE Outreach
and Kevin Waller, Director, Communications, Holzer Health System

“Improving Ohio’s Health” is an ongoing series of articles and webinars that are developed to help providers in the care management of patients with hypertension and/or diabetes.

This article explores the patient portal as one of the easiest ways to engage patients in managing their chronic conditions and identifies the importance of marketing portal use to patients by creating a “buzz” about the portal and thereby increasing a patient’s knowledge about improving their health.

This article on the patient portal focuses on:

Potential barriers to success that must be addressed early in a project plan

Practical advice provided by Holzer Health System staff on marketing and patient adoption tactics that led to their very successful and highly utilized portal.

Research showing why the portal should be the central technology tool for patient engagement

 




 


 

 

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Improving Ohio's Health: Patient Engagement = Better Outcomes
Kroger Pharmacists Join CliniSync Health Information Exchange

13-Feb-2017

By Dorothea Howe, M.Ed., M.A.

Communications Director

It’s February and you’re a month into your New Year, New Me resolutions. Don’t get discouraged. It’s not too late to watch your waistline and budget by making sure you and your family are eating the healthiest foods at the lowest cost.

And believe it or not, your pharmacist can help.

Kroger pharmacists in 120 stores throughout Central Ohio can now electronically communicate with doctors’ offices to provide better patient care – whether it’s healthy foods for diabetics, immunizations for children, vaccinations for those who travel abroad, or smoking cessation for those who want to quit.

“Our goal is to leverage our convenient locations in a grocery store to be an important resource for Ohio’s health systems to improve the long-term health and wellness of patients in Ohio,” says Steve Burson, Pharmacy Clinical Sales Manager for the Kroger Columbus Division. “Kroger pharmacists are trained experts on proper medication use and immunizations. Plus, we have pharmacists specially trained on other services, such as health coaching and travel health."

Using referrals for patient care

CliniSync is a Hilliard-based nonprofit network that electronically connects different hospitals, health systems and practices with one another to securely exchange patient health information.

The referral pattern varies according to the needs of each person. For instance, a doctor who is treating a patient for diabetes, hypertension or any chronic condition can refer a person to a Kroger pharmacist to learn how to make the right food choices during a free, healthy nutrition tour.

Perhaps an individual who is starting to experience symptoms of chronic obstructive pulmonary disease (COPD) or another lung disease needs specialized coaching to stop smoking.

Maybe a family that is generally healthy just needs some tips on how to select more nutritious food that they can afford.

The CliniSync technology allows the doctor or clinician who made the referral to electronically see that the Kroger Pharmacy has followed up on that patient’s care, closing the loop around that patient so everyone is a part of that person’s care team.

The pharmacist also can access a patient’s health care summary to better understand an individual’s current health condition. Known as a Community Health Record, this summary allows a pharmacist to view treatment and care plans when necessary. They also can communicate directly with physicians using direct, secure emails within a closed network only accessible to that patient’s doctors.

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Kroger Pharmacists Join CliniSync Health Information Exchange
Prediabetic Screening and Coding

10-Feb-2017

Prediabetic Screening and Coding: How to Easily Include Both into Your Chronic Care Management Program

by Cathy Costello, JD, CPHIMS, Director, CliniSyncPLUS Services

Diane Zucker, M.Ed., CCS-P

Anyone who has worked in a medical practice knows that one of the toughest types of patients to code correctly are patients who are prediabetic. What to do with these patients—how to make sure you are capturing all your charges correctly—is a real issue. The American Diabetes Association (ADA) has reported that 86 million American adults have prediabetes as of 2012. There is not a practice in the country that doesn’t treat patients with prediabetes.

New Code - New Approach to Chronic Care

What makes the coding dilemma easier now is that on October 1, 2016, CMS introduced a new ICD10 code specifically identifying a patient with prediabetes. This code, R73.03, should be used in place of R73.09, a non-specific code for abnormal blood glucose that was previously used to identify potential prediabetes in a patient. By establishing a more specific code, the process is simplified for tracking these patients within your EHR. It also assures correct payment by Medicare and commercial insurance plans/payers for care provided to patients who are at increased risk of diabetes.

Correctly identifying someone as having prediabetes is important for your chronic care management. All new payment models require practices to provide increased assessment of patients for existing and potential chronic conditions. Accurately coding patients with prediabetes will allow you to create a prediabetes registry and work with these patients to prevent the onset of type 2 diabetes. Additionally, using the prediabetes ICD10 code will give you a tracking mechanism for referring and monitoring these patients’ participation in a Diabetes Prevention Program (DPP).

The technical definition of the R73.03 Prediabetes is an interim diagnosis used to describe an elevated blood glucose level that is higher than normal but not yet high enough to be considered type 2 diabetes. With no intervention, the condition is expected to become type 2 diabetes within 10 years. A fasting blood glucose level of 100 to 125 mg/dl typically warrants a diagnosis of prediabetes, and the patient is then referred to a DPP to be educated about diet and exercise patterns for preventing the progression of prediabetes to type 2 diabetes. This definition is not age specific.

 

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Prediabetic Screening and Coding

 

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