MX February Newsletter

A monthly roundup of news and updates from MX

February 2023 Edition

Mark Your Calendars!

Join us on March 16, 2023 from 12:00 PM to 1:00 PM PST for our webinar, "ADT Notifications: The 'Small But Mighty' Keystone to Improving Care Coordination,"  where panelists will discuss use cases that demonstrate how different health care entities have used Admission, Discharge, and Transfer (ADT) notifications, in conjunction with longitudinal patient records to execute more tailored, timely, and effective care coordination.  

Register here to learn how these simple, yet powerful alerts can improve quality, lower costs, and positively impact your patients.

eHealth Exchange Approved as Qualified Health Information Network (QHIN) Candidate

Join Manifest MedEx in congratulating eHealth Exchange for their approved Qualified Health Information Network (QHIN) application under the Trusted Exchange Framework and Common Agreement (TEFCA). Health and Human Services Secretary Xavier Becerra recognized eHealth Exchange as an approved QHIN candidate and as an organization that has agreed to meet the stringent TEFCA eligibility requirements, which include a 12-month go-live timeline. This approval positions eHealth Exchange’s electronic data-sharing network to be among the first QHINs.

Manifest MedEx looks forward to participating in TEFCA through eHealth Exchange as they move forward in the QHIN process. Read the full article here.

MX Celebrates Data Sharing Agreement (DSA) Signatories

Earlier this month, the California Health & Human Services Agency announced that more than 1,400 organizations have joined the Data Exchange Framework (DxF), represented by nearly 1,000 entities that signed the Data Sharing Agreement (DSA)!

Manifest MedEx celebrates this historic achievement along with more than 200 MX participants who have signed the DSA, and we encourage all our participants to sign the agreement.

A few MX participants who have signed already include:

Aetna, a CVS Health Company
Anthem, Inc.
Barstow Community Hospital
Beaver Medical Group
Blue Shield of California
Brown & Toland Physicians
Central Neighborhood Health Foundation
Central Valley Health Plan
Corona Regional Medical Center
County of Ventura
Desert Regional Medical Center
Gold Coast Health Plan
Health Net

Health Plan of San Joaquin
Hill Physicians Medical Group
Hollywood Presbyterian Medical Center
Inland Empire Health Plan
JFK Memorial Hospital, Inc.
Monarch Healthcare
Mountains Community Hospital
Pioneers Memorial Healthcare District
PrimeCare Medical, Inc.
Prospect Medical Systems
Redlands Community Hospital
Riverside Community Physician Network
San Joaquin General Hospital

You may view the full list of DSA signatories here!

Data Sharing Agreement: Spotlight on Qualified Health Information Organizations (QHIOs)

This month, the CalHHS Center for Data Insights and Innovation (CDII) held two online events highlighting its upcoming release of applications for organizations to become QHIOs. QHIOs will be designated by the State as having demonstrated their ability to meet Data Exchange Framework (DxF) requirements and help all signatories of the Data Sharing Agreement (DSA)—including providers, health plans, social service and public health agencies—successfully participate in the DxF. Manifest MedEx is fully committed to becoming a QHIO this year to support all our current and future participants in meeting their requirements and benefiting from opportunities under the DSA.

The first event was a “QHIO Town Hall,” for which CDII invited all members of its two stakeholder advisory committees to join as panelists. On behalf of Manifest MedEx, our Chief Information Officer, Jason Buckner, and Director of Health Policy, Felix Su, (who co-presented our recent webinar overview of the DxF/DSA) participated in the Town Hall discussion. We emphasized the importance for QHIOs to be connected to national networks that can send and retrieve clinical information from multiple EHR sources. We also stressed the need for the DSA to require hospitals to send ADT alerts to QHIOs, so these important notifications can reach care teams beyond those covered under current federal rules. More detailed recommendations from Manifest MedEx may be found in our submitted public comments on the draft DSA Policies and Procedures.

CDII also held the February installment of its “Information Is Power” webinar series, titled “DxF Data Sharing Agreement Fact vs. Fiction, DxF Grant Applications, & QHIO Applications.” During this webinar, CDII staff dispelled misconceptions about the DxF/DSA, such as the DSA signing requirement being subject to delay or negotiation. (In fact, state law requires major categories of health care organizations to have executed the DSA by January 31, 2023. The DSA Signing Portal remains open for mandatary signatories that haven’t yet done so to fulfill this requirement.) CDII also clarified that while joining a QHIO can enable signatories to comply with the DSA, those signatories must still take action to abide by DSA requirements—for instance, making sure they are contributing all required information for QHIOs to share on their behalf.

The webinar also previewed three rounds of State funding that will be made available to support signatories with implementing the DSA, including QHIO Onboarding grants.

Visit the CDII’s website to view additional recordings and materials for more information!

Manifest MedEx Successfully Implements New Data System for the California Department of Public Health's Surveillance and Public Health Information Reporting and Exchange (SaPHIRE)


Manifest MedEx is excited to announce the successful migration of electronic lab results and data feeds from more than 400 labs and other entities that submit lab results to the California Department of Public Health (CDPH) to a single secure and streamlined system ‒ the California Department of Public Health’s Surveillance and Public Health Information Reporting and Exchange (SaPHIRE).

In 2022, through a competitive application process, MX was awarded a three-year contract to build and maintain this 24-hour-a-day, 7-day-a-week secure health data solution that normalizes and integrates lab data from across the state to ensure usability, scalability, and extensibility as these lab results supplement CalREDIE, California’s disease registry system.

“We are honored to provide SaPHIRE infrastructure to CDPH and elated to have completed this massive migration of lab data feeds from across the state. We look forward to continuing to improve lab data quality in collaboration with our partner, Availity Clinical Solutions (formerly Diameter Health) and supporting CDPH’s initiatives to create a healthier California,” said Erica Galvez, CEO of Manifest MedEx.

Clinical Notes for Risk Adjustment: New Format Available!

Manifest MedEx is committed to providing exceptional value and the best experience for our participants. In response to participant feedback, we have enhanced the MX Clinical Notes for Risk Adjustment data service with output in PDF format, in addition to .txt files, so that clinical notes can be easily read and referenced by clinical reviewers and coders.

MX’s Clinical Notes for Risk Adjustment data service helps participants streamline the chart retrieval and risk adjustment process by providing easy-to-consume, aggregated clinical chart notes from providers sharing data with our network that may contain information about uncoded and/or under-coded conditions and diagnoses.

For more information on this service, contact your Customer Success Account Manager or email

News and Events

13th Annual 2023 State HIT Connect Summit 

Register for Healthcare IT Connect's 13th Annual State HIT Connect Summit where Manifest MedEx's CEO, Erica Galvez, will serve as a panelist on Tuesday, March 7, 2023 at 10:45 EST discussing "Improving MCO, Program Performance Through Clinical, SDoH Data Integration" which will introduce the policy, data, and infrastructure considerations, as well as the challenges and opportunities that must be met, in order to ensure clinical and SDoH data is captured, integrated, and made actionable between agencies and with MCO partners and CBOs that can be most impactful in improving the lives of beneficiaries and for all Californians.

ACHE 2023 Congress

Leveraging the significant HITECH-funded investments, many states are partnering with HIEs to rapidly accelerate value for state Medicaid agencies and state departments of public health. Some states are using a health data utility model, where a nonprofit HIE is designated to operate a regulated network where everyone transmits clinical information across the healthcare ecosystem. Other states are relying on the HIE to provide advanced analytics for important data and reporting objectives of their programs.

On March 20th, Mimi Hall, Vice President of Public Policy and Partnerships at Manifest MedEx, will join Ako Quammie, Vice President of Data Management at Contexture, as they discuss, "Health Data Utility: Solving Today’s Healthcare and Public Health Challenges."

Register here to learn about the health data utility model, how it can help solve pressing health and public health challenges, and the role of the health data utility model as a regulated network where everyone transmits clinical information across the healthcare ecosystem.


ViVE 2023

On Monday, March 27, 2023, Erica Galvez, CEO, Manifest MedEx will join other health data experts at ViVE2023 in a discussion titled, "You Will Never Break the Data Chain." Panelists will discuss the importance of collaboration among data exchange platforms to ensure stakeholder alignment in the development and implementation of interoperable systems that result in effectively exchanged data and improved needs of patients, providers, payers, and regulators. 

Register here to learn more about this session. You don't want to miss it!


California Advancing and Innovating Medi-Cal (CalAIM): 2023

CalAIM’s mission is to align all elements of Medi-Cal into a system that is standardized, simplified, and focused on helping enrollees live healthier lives. Since CalAIM launched in January 2022, several program rollouts have been implemented while others will be incrementally phased-in over the coming years.

On March 29th, on a panel sponsored by Connecting for Better Health, Manifest MedEx's Vice President of Public Policy and Partnerships, Mimi Hall, and fellow health experts will discuss use cases to what we have learned thus far in the implementation of CalAIM and how those learnings can help guide future program and policy development.

Register here for more information!

Network Growth


New data sources available on MX today:

ADTs from the following participant:

Lumeris Healthcare Outcomes, LLC

All ORUs data from the following 12 participants:

Chula Vista Internal Medicine
Desert Foot & Ankle - Imperial
Dr. Michael Chai, M.D., Inc.
Gateway Medical Center (3 locations)
Kevin C. Considine, D.O.
Lisa M. Considine, D.O., Inc.
Parktree Community Health Center (3 locations)
Romana Usman, M.D.

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

We want to hear from you! Let us know how we're doing.