Mississippi Division of Medicaid Remains the First to Establish Clinical Data Exchange
Each year, state Medicaid leaders from all over the country gather at the Medicaid Enterprise Systems Conference (MESC) to talk about the role of technology in meeting Medicaid and industry initiatives, like value-based care. Our client, Mississippi Division of Medicaid (DOM), spoke on their use of the consolidated clinical document architecture (C-CDA) standard to coordinate care and improve outcomes for their Medicaid beneficiaries. DOM is the first Medicaid agency in the nation to establish clinical data exchange with healthcare providers to directly benefit patients and physicians at the point of care. DOM has successfully exchanged data with University of Mississippi Medical Center (UMMC) which resulted in more than two million clinical summaries. They also recently partnered with Hattiesburg Clinic and shared more than 100,000 clinical summaries.
To achieve this level of connectivity, DOM faced many challenges such as differences in vendor implementation of industry standards and providers’ use of unexpected medical codes. We connected with Ian Morris, Project Manager for the State of Mississippi DOM, to get his take on the overall lessons learned from this project and what fellow government organizations need to keep in mind for similar undertakings. Here are three key takeaways:
- Rely on Vendors’ Expertise – DOM would not be able to achieve this level of success without qualified vendors who have the expertise to develop and support the technology infrastructure and needs of real-time data exchange for hundreds of thousands of beneficiaries.
- Be Realistic – These projects are time and labor intensive and can take years to achieve. Be patient and work around your trading partner’s various schedules and technologies.
- Collaborate – Every stakeholder has different end-goals but these projects are a joint effort. This means that the conversation needs to move away from “my data” and towards “our data” to better coordinate care.
Looking ahead, DOM plans to continue integration with Medicaid-focused health systems, Health Information Exchanges and state and federal agencies. In fact, just last month they went live with their third clinical data exchange connection – Singing River Health System.
To learn more on UMMC and DOM’s success, read our announcement here.
Mississippi Division of Medicaid to Become First Medicaid Agency to Exchange Clinical Data
In March, MedeAnalytics announced that the Mississippi Division of Medicaid (DOM) had become the nation’s first Medicaid agency to send and receive clinical data in real-time. The agency worked with MedeAnalytics and Epic to share Medicaid data with the state’s largest provider of care to Medicaid patients, the University of Mississippi Medical Center (UMMC).
Following the announcement, Rita Rutland, deputy administrator for the division’s Office of Information Technology Management, and several others associated with the project spoke to HealthLeaders and StateScoop on the topic. If you missed it, here is a glimpse of what they said:
HIMSS16: Revenue Cycle Improvement, Performance Management & Clinical Data Infrastructure, Oh My!
This week, 43,000 healthcare industry experts, from CEOs to clinicians and IT professionals, will descend into Las Vegas for the HIMSS Conference & Exhibition, the largest event in the health information technology field in the U.S.
From meeting and networking with health IT expects to keynotes from Sylvia Mathews Burwell, Secretary of Health & Human Services, and Peyton Manning, Quarterback for the Denver Broncos, MedeAnalytics is looking forward to the action packed and educational event.
We’re presenting at MESC 2015 to share our success with the Mississippi Division of Medicaid
Tomorrow at MESC Conference 2015, we will be presenting the success of Mississippi DOM’s Medicaid Clinical Provider Portal with the Mississippi Division of Medicaid. If you’re attending come see us at 9:30 a.m. ET in Room 319.
The session will cover how the Mississippi Division of Medicaid (DOM) deployed Provider Access, a clinical portal that gives Medicaid physicians real-time access to a single source of clinical data from multiple health systems on DOM beneficiaries. Medicaid providers now have insight into a patient’s longitudinal health record for all DOM beneficiaries with the ability to export Medicaid clinical data from the portal directly into their EMRs (a Meaningful Use Stage 2 requirement). This clinical portal leverages DOM’s EMPI—a critical component as DOM moves toward MITA 3.0—that manages over 2.3 million potential beneficiaries’ identities.
Award-Winning Baptist Health System Converts to Epic with MedeAnalytics
In a climate of growing requirements for population health management and changing reimbursement models, Baptist Health System recently converted to Epic in an effort to manage clinical outcomes, improve revenue cycle productivity, and ultimately ensure financial viability. Although system conversions come with challenges of their own, MedeAnalytics Business Office gave the organization quality, credible data analysis that enabled them to convert to Epic with confidence.
Before implementing MedeAnalytics in 2005, Janice Ridling, Vice President of Revenue Management at Baptist Health System, noticed a lack of quality, credible data analysis. “It was difficult to get the information we needed,” she said. “What we did get were canned reports that weren’t timely. Plus, we were always reporting on the past. We had no predictive analysis and no ability to slice and dice the data.”
With MedeAnalytics, Baptist Health System gained access to real-time insight into the revenue lifecycle, identifying bottlenecks, delays, black-hole accounts and more. The data analytics solution enables the health system to proactively trend AR data, perform comparative benchmarking and drill down into detailed patient accounts and transaction detail.
Baptist Health System came to trust this data over the years and that trust was strengthened during their conversion to Epic. Analyzing the complex data stored within Epic can be time consuming, often requiring assistance from IT. Epic performs at its best when complemented by self-service data analytics solutions, like those from MedeAnalytics. Having easy access to these data insights proved vital to the organization in their attempts to identify and plug revenue gaps.