MX December Newsletter

A monthly roundup of news and updates from MX

December 2020 Edition

MX Welcomes Adventist Health

MX is excited to welcome Adventist Health System to the MX network! Adventist’s participation brings 20 new hospitals and hundreds of clinics across California to the MX network, enhancing the care and coordination that patients receive around the state. There are now more than 120 hospitals across the state on the MX network.

Mark Your Calendars for this Federal Mandate

Under its new Condition of Participation (CoP) regulation, CMS is requiring nearly all hospitals to deliver admit, discharge, transfer (ADT) notifications to community providers as a condition of participation by May 1, 2021. If you already have an ADT feed live with MX, we’ve got you covered for this CMS ADT requirement. A recorded version of our webinar on this topic can be found by clicking the link below.

MX Advocates for Statewide HIE Expansion

On November 10th, the California Assembly Committee on Health held a hearing on the health information exchange landscape in California. Manifest MedEx CEO Claudia Williams, as well as MX board members Dolores Green and Deven McGraw, joined many other commenters in voicing their support for legislation to expand HIE participation statewide. The hearing suggests there may be significant action on this topic in the upcoming legislative session, and Manifest MedEx will continue to advocate on behalf of our participants for further state commitment to HIE.

Product Updates

MX Connects to CURES

MX Access is now connected to California’s Prescription Drug Monitoring Program (PDMP), the Controlled Substance Utilization Review and Evaluation System (CURES). The integration between CURES and MX Access allows users to look up and review a patient’s Schedule II, III and IV controlled substance prescriptions directly from the MX Access portal alongside the patient's other health history available in MX Access.

This new feature was made possible by the California Health Information Exchange Onboarding Program (Cal-HOP). The goals of Cal-HOP are to rapidly expand Medicaid provider participation in HIEs and connect HIEs to CURES. Click Here to learn more about Cal-HOP.

Prescribing physicians must enter their DEA and NPI numbers in the account details section of the MX Access portal to turn on the CURES feature. Once a physician's DEA and NPI is logged on their account in MX Access, the information does not have to be re-entered for each individual CURES search. Click Here to learn more about adding DEA and NPI numbers.

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MX Helps Hospitals Log Discharges for Patients Experiencing Homelessness

The Senate Bill (SB) 1152 hospital patient discharge process includes provisions intended to help patients experiencing homelessness prepare for return to the community by connecting them with available community resources. Requirements for hospitals include the creation of a log of discharged patients experiencing homelessness and documentation of compliance with various other measures. Manifest MedEx can help hospitals meet this requirement with an automated monthly audit report that documents the admission and discharge of patients identified as experiencing homelessness. If your facility is interested in receiving these reports, please contact customersuccess@manifestmedex.org to get set up.

New Risk Scores for MX Analyze

MX is adding risk scores to the longitudinal health records available in MX Access to help users better understand the risk profiles of patients for whom they’re managing and providing care.

Users can now see the first 2 risk scores below in MX Access, and will be able to see the third risk score later this month. These risk scores come from MX Analyze and are generated by our partner HBI Analytics using the claims and clinical data in MX’s system for the patient.

  1. IP Admission in the Future 12 Months: The probability the patient will have an inpatient admission within the next 12 months
  2. ED Visit Risk in the Future 12 Months: The probability the patient will have an emergency department visit within the next 12 months
  3. COVID-19 Related Mortality: The risk of death during a COVID-19 episode of illness if the patient is infected.

MX has also integrated the following 5 new risk scores in MX Access for IEHP members

  1. Probability of High Total Cost: The probability that the member will have costs in the top 5% of the population in the next 12 months.
  2. Probability of Persistent High User: The probability that the member will be in the top 20% of users for 2 consecutive years.
  3. Risk Score: The risk associated with the individual member compared to 1, where 1 is defined as an average risk based off of a large external reference population.
  4. Chronic Condition Count: The number of chronic conditions identified for the member.
  5. Care Management Risk Stratification: Risk Stratification of IEHP Membership based on Care Coordination, Diagnosis Based Markers and Risk Modeling.

Sending Real-Time Critical Information to Emergency Departments

On December 4th, MX launched a new Alerts Viewer as part of the +EMS program to send critical information real-time on inbound patients to emergency departments. The Alerts Viewer is currently being utilized by 9 hospitals. +EMS SAFR is currently being implemented in 5 counties across California. MX is the first +EMS grantee to complete Milestone 1-b in the state across any active +EMS grants with Cal EMSA, and has been granted two expansion awards for the grant to include more hospitals and portable medical orders (POLST).

Network Growth

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New data sources available on MX today:

Lab data from the following 30 participants

5 Prospect Medical Holdings Hospitals:
Alta Los Angeles Hospitals, Inc. dba Los Angeles Community Hospital
Alta Newport Hospital Inc., dba Foothill Regional Medical Center
Los Angeles Community Hospital at Norwalk
Southern California Hospital at Culver City
Southern California Hospital at Hollywood

20 Bay Area Community Health Clinics:
Bay Area Community Health-Irvington Dave Clinic
Bay Area Community Health-Liberty Clinic
Bay Area Community Health-MOWRY I
Bay Area Community Health-MOWRY II
Bay Area Community Health-MAIN STREET VILLAGE
Bay Area Community Health-IRVINGTON DAVE CLINIC II
Bay Area Community Health-Glen View Clinic
Bay Area Community Health-Center Silver Creek High School
Bay Area Community Health-Momentum at the Crossroads
Bay Area Community Health-Momentum at the Alameda
Bay Area Community Health-Andrew Hill High School
Bay Area Community Health-Family Clinic
Bay Area Community Health-Mt. Pleasant Health Center
Bay Area Community Health-Montpelier Health Center - Dental
Bay Area Community Health-Monterey Plaza Health Clinic
Bay Area Community Health-Gilroy
Bay Area Community Health-Gilroy(Dental)
Bay Area Community Health-Monterey Dental
Bay Area Community Health-Mt. Pleasant Dental
Bear Valley Community Healthcare District

5 Other Participants:
Medical Group of Paramount, Inc. dba Clinica Medica Hispana Medical Corp
Medicor Medical Group Inc
Springhill Medical Group (AKA Pittsburg-Antioch Medical Group)-Brentwood
Springhill Medical Group (AKA Pittsburg-Antioch Medical Group)-Pittsburg
Troy H Niguidula MD Inc

Radiology reports from the following 4 participants

Bear Valley Community Healthcare District
Medical Group of Paramount, Inc. dba Clinica Medica Hispana Medical Corp
Springhill Medical Group (AKA Pittsburg-Antioch Medical Group)-Pittsburg
Springhill Medical Group (AKA Pittsburg-Antioch Medical Group)-Brentwood

Care summaries from the following 5 participants

San Gorgonio Memorial Hospital
Medical Group of Paramount, Inc.
Tri Valley Medical Group
San Bernardino Physicians Associates
Rancho Physicians Choice a Medical Corporation

ADT data from the following 4 participants

Medical Group of Paramount, Inc.
Tri Valley Medical Group
San Bernardino Physicians Associates
Rancho Physicians Choice a Medical Corporation

Additional types of clinical data from the following 3 participants

Bear Valley Community Healthcare District
Loma Linda University Heart & Surgical Hospital
Loma Linda University Medical Center East Campus

Helping Patients Stay Home from the Hospital with Community Health Data

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How one post-acute home health agency is using data from MX to provide high quality care to patients at home during the pandemic. 

MX is on eHealth Exchange and Carequality

MX is live on Carequality through the eHealth Exchange hub, which significantly expands how MX can receive and share health information to support your care delivery and care coordination efforts.  For organizations that have had challenges sharing care summaries (CCDA) with MX in the past, we have good news!  You can now meet the MX participation requirements through these national networks without additional coordination or effort to build interfaces with MX.  If your organization is on the eHealth Exchange hub or Carequality, MX will query your organization for care summaries before the end of 2020.

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