MX July Newsletter

A monthly roundup of news and updates from MX

July 2021 Edition

MX Welcomes New Hospital and Health Plan Participants

MX is excited to welcome three new hospital and health plan participants to the network: Dameron Hospital, Palmdale Regional Medical Center, and Aetna.

Dameron Hospital (managed by Adventist Health) is a fully accredited, non-profit, 200+ bed community hospital providing acute and tertiary level care to San Joaquin County residents. Their commitment to providing the highest quality care has earned Dameron Hospital various state and national recognitions, as well as numerous awards and accolades. Dameron Hospital is the county’s leading orthopedic hospital, designated STEMI (heart attack) receiving center, and certified stroke center. Dameron Hospital has also been recognized as a Top Performer for its Quality Metrics by The Joint Commission.

Palmdale Regional Medical Center serves the region by providing high quality medical services to residents of the Antelope Valley, Santa Clarita Valley, and surrounding communities with a total population of approximately 476,845 people. The hospital features 184 licensed acute care beds as well as inpatient and outpatient surgery, cardiac services featuring a STEMI Receiving Center (heart attack), and a 35-bed 24-hour emergency department. Palmdale Regional Medical Center will soon welcome expecting mothers to its new OB and maternity unit, the Birth Place, a 30,000-square-foot state of the art unit scheduled to open later in 2021.

Last but not least, as one of the nation’s leading diversified health care benefits companies, Aetna provides people with information and resources to help them make better informed decisions about their health care- and the financial side of health care. Over the coming months, the MX network will benefit from the rich claims data from Aetna's Medicare and Medi-Cal patients.

MX to Begin NCQA Data Aggregator Validation for Measure Year 2021

MX will soon begin the process of validating participant data for the NCQA Data Aggregator Validation (DAV) program again, following our successful completion and validation for MY 2020. This program involves audits of MX data, policies, and procedures to benefit the data quality for the entire network. Receiving NCQA DAV status demonstrates that data within MX is substantiated by the original EHR source and allows MX data to be used by our health plan participants as standard supplemental data for HEDIS measurements, reducing the plan’s audit burden and the necessity for each plan to individually retrieve charts from clinical provider participants. MX is one of only four data aggregators in the country with validation status. MX will be engaging with provider participants selected by our NCQA auditor in August to retrieve clinical charts. We appreciate your help and collaboration on our data quality initiatives.

The MX Team is Growing!

To continue to serve our growing network and provide exceptional service to our customers, MX is expanding its data science team and hiring for several new positions. We’re committed to providing the best data platform and currently have openings for Data Scientists, Data Architects, Data Engineers, and more. If you know someone who is passionate about transforming health care, please share our open positions with them.

Upcoming Mental Health Data Exchange Roundtables

Supporting California’s CalAIM priorities and providing the best possible care to some of our most complex patients requires us all to get better at exchanging mental health data.

MX will be hosting a series of roundtable discussions in August and September to better understand participants’ needs, concerns, and challenges with respect to exchanging mental health data in an effort to identify the most important and impactful ways we can enable this important aspect of data sharing together.

Please contact Rachel Goldberg or Karen Ostrowski if you’d like to join these important conversations.

calaim

CMS ADT Event Notifications

As a result of our enhancement to MX Notify to support the CMS ADT event notification regulation that went into effect on May 1, some providers are reporting that they are receiving duplicate notifications from MX. If you or your providers are receiving duplicate notifications from MX, please contact customersuccess@manifestmedex.org to provide your NPI or list of provider NPIs. Doing so will allow us to use your NPI to prevent our notification service from sending duplicate notifications via direct secure message (DSM).

Manifest MedEx Supports California’s Bold Move to Require Data Sharing Between Healthcare Entities by 2024

Passage of AB 133 Marks First Step Towards Statewide Health Information Exchange Network

This week, Governor Gavin Newsom signed into law health care trailer bill AB 133, which boldly aims to transform healthcare for Californians  by expanding Medi-Cal eligibility, investing in behavioral health initiatives, and requiring providers and health plans to share data with each other by 2024.

Manifest MedEx (MX) applauds the passage of AB 133 and its goals to create a framework for the seamless and secure exchange of crucial and life-saving data in real time between healthcare entities across the state.

As California’s largest nonprofit health data network, sharing data for 27 million Californians across 120+ hospitals, 9 health plans, and more than 1,200 providers, Manifest MedEx has been championing data sharing to support seamless, high quality, and affordable care for all Californians.

“Our mission is to give health teams across California the information they need to improve care, enhance health, and lower costs,” said Claudia Williams, CEO, Manifest MedEx. “We know that if we can breakdown silos and share health information, we can make healthcare better for Californians. This marks an exciting step forward in building the health data infrastructure we need in our state.”

Manifest MedEx thanks Governor Newsom, Assemblymember Jim Wood, and all who supported and voted to pass this legislation. We look forward to collaborating with California’s providers, hospitals, and health plans to meet these new requirements and build the health information network Californians deserve.

News and Events

A new issue brief from Duke-Margolis Center for Health Policy highlights the critical role that HIEs play in efficiently identifying and engaging unvaccinated populations. Organizations like Manifest MedEx improve interoperability and timely data exchange to support targeted COVID-19 vaccination outreach. In fact, MX partnered with a Medicaid plan and combined weekly Immunization Information Systems (IIS) data with additional data including Medicaid claims, demographics, and health data, and shared this information with the plan in an easy-to-use format. The robust data set allowed the plan to filter and sort by members’ ZIP code, language, race and ethnicity, and other factors, which supported outreach efforts to populations with higher risks of exposure and severe COVID-19.


Last year, the CDC held a Listening Session on Real-World Testing of 21st Century Cures Act Requirements that identified HIEs as “particularly well-positioned to assist state and local public health agencies in accessing identifiable, patient level-data, particularly social determinants of health and longitudinal data needed to evaluate health outcomes.” Read the Executive Summary to learn more about the session, what’s coming in 2022, and what opportunities this presents for public health.

Network Growth

july-newsletter

New data sources available on MX today:

ADTs from the following 2 hospitals

Adventist Health Delano

Adventist Health Mendocino Coast

CCDAs from the following 441 participants

Adventist Health System/West Hospitals (16)
Adventist Health System/West Ambulatory Sites (366)
Bella Vista ENT & Facial Plastic Surgery
California Cardiovascular & Thoracic Surgeons
Chulhwe Koo, M.D.
County of Riverside Ambulatory Sites (13)
Couture Medical Group
Desert Primary Care Medical Associates, Inc.
Dr. Mike's Walk-In Clinic (4 Locations)
Dr. Rupinder K. Mann
Ira R. Braverman, M.D., Inc.
Kumar Desai, M.D., Inc.
Massen Medical, Inc.
North Coast Cardiology, Inc.

Orthopedic Associates of Northern California, A Medical Group
Senior's Choice Medical Group, Inc.
Simi Obstetrics & Gynecology Medical Group
Singh A. Boun, M.D. & Nick Lee, M.D., A Professional Corporation (2 Locations)
Southland Neurologic Associates
Spasoje M. Neskovic, M.D.
Sylvia A. Gisi, M.D., Inc.
Tejaskumar Naik, M.D., A Medical Corporation
Theodore Gerard A. Caspe M.D., A Medical Corporation
Saint Agnes Medical Foundation Ambulatory Sites (22)

Lab data from the following 48 participants

Advanced Gastroenterology, Inc.
Badran Madani, M.D.
California Cardiovascular & Thoracic Surgeons
Comcare Primary Medical Group Ambulatory Sites (7)
Cucamonga Valley Medical Group, Inc. Ambulatory Sites (5)
Desert Heart and Rhythm Consultants
Dr. Ana R. Reyna, A Professional Corporation
Erik Spayde M.D., Inc. Ambulatory Sites (3)
General Surgery Medical Group of Ventura County Ambulatory Sites (4)
Indroj Medical Group
Internal Medicine Specialists, Inc.
Khurram Abbass, M.D., Inc.
La Mer Holistic Medicine

Loma Vista Endocrinology
Mario Carcamo, M.D., Inc.
North Coast Cardiology, Inc.
Orthopedic Associates of Northern California, A Medical Group
Priti Desai, M.D., Inc.
Radhey S. Bansal, M.D., Inc.
Ravi Thiruvengadam, M.D. Ambulatory Sites (2)
Regional Heart Center Cardiology
Sivalingam Medical Corporation, Inc. Ambulatory (7)
Southland Neurologic Associates
Spasoje M. Neskovic, M.D.
Stuart L. Silverman, M.D., A Medical Corporation
Valley Oak Family Practice Medical Group, Inc.

ORUs from the following hospital

Kaweah Health Medical Center

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