MX April Newsletter

A monthly roundup of news and updates from MX

April 2022 Edition

March Webinar Recording Available

With all eyes on CalAIM and California’s pressing public health and health equity challenges, Manifest MedEx facilitated a discussion last month on how Inland Empire Health Plan (IEHP) and other Inland Empire stakeholders are preparing to seize this opportunity for healthcare transformation.

This informative conversation was moderated by MX’s CEO, Claudia Williams, with:

  • Dolores Green, Executive Director, Riverside County Medical Association; CEO, Inland Empire Foundation for Medical Care; CEO, Inland Empire Health Information Organization (IEHIO)
  • Ed Juhn, M.D., Chief Quality Officer, Inland Empire Health Plan
  • Judi Nightingale, DrPH, RN, Director, Population Health, Riverside University Health System

The recording is live on our website! Please feel free to share with colleagues who may be interested.

A list of resources discussed in the webinar is available here and we encourage you to stay updated and sign up for future webinar updates!

Data Exchange Framework Stakeholder Advisory Recap

Different views on Data Exchange Framework (DxF) governance...and positive news from state officials on urgent priorities

In the most recent Data Exchange Framework (DxF) Stakeholder Advisory Group meeting earlier this month, members of the DxF Stakeholder Advisory Group discussed California Health and Human Services Agency’s (CalHHS) proposal to delegate DxF oversight, enforcement, and/or rulemaking authority to a separately appointed “HIE Policy Board” that would not include affected organizations. While agreeing that governance is important, Advisory Group members were concerned that it is too early to select a governance model as the items that will be “governed”—the data sharing agreement and policies—have not yet been defined.

On a separate note, we were pleased to see CalHHS revise its presentation materials from the last meeting to “integrate the concept that providers can meet their obligations under the DxF by connecting to a Qualified Data Exchange Intermediary.” MX has consistently stated that leveraging qualified intermediaries is the only realistic way for the thousands of health care entities in California to verifiably execute the DxF.

Another welcome development was CalHHS’s explicit recognition of a key common ingredient to data-sharing successes in New York, Maryland, and Michigan: federal funding. Federal funding for HIE infrastructure and provider data sharing incentives are precisely the goals of the $95 million Data Sharing EQUITY budget proposal that MX is advocating for, along with more than 20 other HIEs, health plans, and provider organizations.

For more on this meeting, please check out our recap on our website.

Participant Bright Spot

Improving Public Health and Communicable Disease Control with Health Information Exchange

The San Bernardino County Department of Public Health (SBCDPH) works in partnership with their communities to promote and improve health, wellness, safety, and quality of life in San Bernardino County, the largest geographic county in the U.S. The Communicable Disease Section (CDS) of SBCDPH is responsible for disease surveillance, infection control measures, and education to reduce or manage the incidence of infectious diseases. The team, which includes RN case managers, provides a wide range of personalized services, such as working directly with residents who have communicable disease conditions and referring them to health care providers.

Since 2013, San Bernardino County CDS has seen a 366% increase of reported pregnant women exposed to syphilis and an 891% increase of congenital syphilis (CS), when a baby is born with syphilis passed by the mother during pregnancy. In 2019, the county ranked seventh in California for CS, double the incidence rate of California overall, and more than four times the incidence rate in the U.S.

Proactive opportunities for the prevention of CS include early maternal screening and adequate treatment, but facilitating timely communication of information between public health agencies and health care providers is a major challenge, often resulting in inadequate treatment prior to and after delivery of the newborn.

MX Notify and MX Access helped San Bernardino County take preventative action much faster than traditional methods of data exchange, like fax or email, between hospitals and public health departments, improving their efforts to control CS and saving valuable time (30 to 60 minutes per case).

Visit our website to learn how the largest county in the U.S. launched an innovative CS prevention effort using ADT alerts and longitudinal patient records to coordinate care for vulnerable pregnant women.

CURES Update in MX Access

As of April 11, 2022, The CA Department of Justice (DOJ) implemented changes to optimize the CURES database, and as a result, physicians are required to update their account details in the MX portal. To view CURES data within MX Access, physicians are required to go to “Account Details” and enter their Practitioner State License Number and NPI. DEA is now an optional field and is no longer required to view CURES data.
Please follow this document on how to view CURES data, enter Practitioner State License Number, and enter NPI  within MX Access.

Upcoming Changes to MX Participant Policies

Over the last several years, national and regional interoperability networks have become increasingly critical components of a robust exchange of health information and MX’s ability to provide the most comprehensive patient data to its customers possible.
We will be updating our policies effective July 31, 2022 to more explicitly describe how MX participates in these exchange frameworks and clearly align our practices with evolving state and nationwide norms, especially in support of CalAIM and the data sharing requirements mandated in the AB 133 legislation passed last summer. We believe that these changes will allow us to provide more and better information to all our participants, resulting in better patient care, lower costs, and more efficient and robust exchange. Participants will receive a notice summarizing the changes by the end of April, and a redlined version of the updated Participant Policies will be available on our website this Friday, April 29, 2022.

Network Growth


New data sources available on MX today:

ADTs from the following 6 participants:

Florence Health (6 locations)

CCDAs from the following 7 participants:

Florence Health (6 locations)
Global Transitional Care Medical Group LLC

Lab data from the following 36 participants:

Camarena Health (10 locations)
Florence Health (6 locations)
Golden Valley Health Centers, Inc. (2 locations)
Kaweah Health (11 locations)
Maria Flora G. Trimor-Tamoria, M.D.
North Orange County Regional Health Foundation
TeleMed2U, Inc.
Valerie C. Altavas, M.D., A.M.C.
West Coast Kidney (3 locations)

Have questions or want to learn more? We're here to help. Reach out.

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