MX May Newsletter

A monthly roundup of news and updates from MX

May 2023 Edition

Mark Your Calendars!

All eyes are on California this year as the country’s largest, most populous, and most diverse state tackles big goals to advance health data interoperability and improve health and wellness for nearly 40 million Californians. Our state’s investment in health data infrastructure through the CalHHS Data Exchange Framework and CalAIM initiatives could improve health and health equity for generations of Californians. But this is achievable only if all providers across the care continuum – small and large, rural and urban – can seamlessly exchange health information for all Californians, including the most vulnerable who rely on Medi-Cal, Medicare, and public health support.

Like California, other states have bold goals for transforming care, with some of the most advanced states pursuing a health data utility model (HDU). Health data utilities are locally governed, public-private resources serving as intermediaries for the exchange of robust clinical and non-clinical data. Much like our electricity, water, and gas utilities today, HDUs ensure health information is protected and shared safely and securely for permitted purposes, and that the enabling infrastructure is accessible equitably, regardless of the geographic location and technical sophistication of the organizations that need to use it.

Join our panel of experts on Thursday, June 8 from 12 pm – 1:00 pm PT to learn more about the HDU model/framework, alignment between state and federal health infrastructure efforts, and bold possibilities for the future of interoperability in California and across the country.

Data Sharing Agreement (DSA): Signatory Grant Applications Now Open; QHIOs Soon to Follow

On May 16 the CalHHS Center for Data Insights and Innovation (CDII) opened the first round of applications for the DSA Signatory Grant Program through the Data Exchange Framework (DxF) Grant Portal. This first round runs through June 17 and is limited to required DSA signatories who are mandated to begin exchanging or making health information available by January 31, 2024. Manifest MedEx encourages all required signatories who need technical support or capabilities to meet their DSA obligations—including hospitals, ambulatory providers, and health plans—to learn more about the grant opportunity by viewing the recent CDII town hall and our earlier webinar. We also recommend that interested signatories review the Application Template, detailed Grant Guidance Document, and short portal tutorial video produced by CDII. Note: If you are a current participant of Manifest MedEx and currently share all required clinical data through our HIE, you may be ineligible for the DSA signatory grants.

Closely related and on the heels of the Grant Program’s launch will be another crucial DxF milestone: the application and selection of Qualified Health Information Organizations (QHIOs). QHIOs will be designated by CDII as having demonstrated their ability to meet DxF requirements and assist signatories to comply with the DSA. They are also one of the main technology solutions eligible for DSA Signatory Grant funding to cover the initial costs of onboarding and implementation.

Manifest MedEx fully intends to become a QHIO this year. We are confident we will meet all final organizational and functional requirements, which we strongly believe should include rigorous security, financial stability, infrastructure, and capabilities to reflect the trust that signatories will place in QHIOs to appropriately manage millions of Californians’ protected health information. We recently submitted public comments to CDII on the draft QHIO application and policy along with a letter from our CEO Erica Galvez highlighting these important concepts. Our overarching recommendation is for CDII to require QHIOs to be non-profit health data utilities, which are mission-driven to serve every DSA signatory that must rely on a digital health data safety net.

Follow us on social media @ManifestMedEx and visit our DxF Resources Page to stay up to date on future webinars and materials covering the QHIO and DSA Signatory Grant Programs.


Check out our new DxF resource center to stay updated on the Data Exchange Framework, Data Sharing Agreement, policy updates, and upcoming events!

Manifest MedEx and Leading California Health Plan Speed Care Coordination and Improve Member Experience with Hospital ADT Notifications

Over the past few years, health plans large and small have been transitioning to new roles in the healthcare landscape, serving as crucial hubs for information, care coordination, population health management, and even public health measures such as COVID-19 vaccination. One of the state’s leading health plans recognizes the value of health data sharing in their evolution. The health plan has, for a long time, had a big vision for health data exchange and its ability to improve the quality of care and member experience while reducing administrative burden for its contracted hospitals and providers.

Since 2018, Manifest MedEx has been working to equip the large health plan with the clinical data it needs to improve care coordination, reduce inefficiencies, address gaps in care, and enhance the member experience. In this case study, we’ll review how the health plan is using admission, discharge, transfer (ADT) notifications delivered by Manifest MedEx, including:

  • Receiving near real-time notifications when members are seen in the emergency room or admitted to the hospital;
  • Receiving near real-time notifications that members are being discharged from an inpatient stay, prompting care teams to follow up as needed;
  • Helping members transition to home and/or help them in their home environment, as well as managing those members transferred to a lower level of care, such as a skilled nursing facility.
Within just the first few months of going live with notifications from MX, the health plan saw:
  • A reduction in outbound calls to hospitals of 20 percent per month;
  • A daily savings of 9.7 hours of staff time due to reduced calls to hospitals
Visit our website to learn how participating in California’s largest nonprofit health data network streamlines post-discharge care coordination, reduces readmissions, and improves member outcomes and experience.

News and Events

ICYMI: The Role of Admission, Discharge, Transfer (ADT) Notifications in Improving Care Coordination

Optum, formerly NAMM California, is an independent physician association (IPA) that develops and manages provider networks, representing a network of more than 600 primary care providers and 2,000 specialists in Riverside, San Bernardino, and San Diego Counties.

In August 2022, Optum’s case management team launched a pilot focused on Transitions of Care to improve post discharge follow-up and reduce 30-Day Emergency Department (ED) bounce backs and inpatient readmissions. The goal was to increase the outreach rate to high-risk patients while also reducing readmission rates. To achieve this, Optum joined Manifest MedEx with a goal of reducing the rate of utilization by utilizing MX’s real-time admission, discharge, and transfer (ADT) notifications and longitudinal patient medical records.

Read the full case study to learn how IPAs like Optum can integrate MX tools into their workflow to improve care coordination and reduce ED and inpatient readmissions.


Advancing Health Data Exchange for a "Healthy California for All"

As California transforms health care through data exchange, interoperability, and integration, the state is at a pivotal moment where health care organizations can collaborate to build and strengthen digital health infrastructure. Manifest MedEx's Vice President of Public Policy & Partnerships, Mimi Hall, will join John Ohanian, Chief Data Officer of the California Health and Human Services Agency, and Kristine Toppe, Assistant Vice President of State Affairs at the National Committee for Quality Assurance (NCQA), in a discussion on "Advancing Health Data Exchange for a 'Healthy California for All'" for Civitas for Health's Virtual Pre-Conference sessions.

Register for the Civitas for Health 2023 Annual Conference to learn more!

Voices for Change: 30 Years of Championing Health Equity

Manifest MedEx is a proud sponsor of California Pan-Ethnic Health Network's (CPEHN) biennial Voices for Change Conference themed "30 Years of Championing Health Equity" on June 22, 2023! Visit our booth to gain insight on how health information exchanges play an integral role in strengthening the health data infrastructure, enhancing data interoperability, exchange, and integration in California, and advancing health equity and whole-person care.

Mark your calendars and register here to join MX and over 200 health equity advocates share best practices in policy, research successes and challenges, and opportunities to advance health equity across all sectors of health care. 

CAHP Seminar: Improving Health Care Data Sharing and Exchange

Earlier this month, Jason Buckner, Chief Information Officer, Manifest MedEx, joined Suzan Mora Dalen, MPA, CHCA, CEO & Founder at QMetrics, Jim Dalen, MA, Chief Health Economist at QMetrics, and Megan Dallas-Hunting, Director of Quality Programs at QMetrics for the panel, “Electronic Data and the Importance of Quality Controls” at the California Association of Health Plans' Seminar: Improving Health Care Data Sharing and Exchange.

Panelists discussed how health Information Exchanges (HIEs) and other data aggregators play an integral role in healthcare. They emphasized that although there are opportunities to integrate more health data, more data does not always mean that it is accurate or complete. Overall, the panel shared best practices in assessing and improving electronic data quality such as establishing data governance processes that set the framework for measurable and sustained quality standards and outcomes and conducting workflow analysis.

California Medical Association's Health IT Conference: Powering Value-Based Care

Erica Galvez, CEO, Manifest MedEx, joined Mark Elson, Ph.D., CEO, Intrepid Ascent; Dan Chavez, Executive Director, Serving Communities Health Information Organization, and John Helvey, Executive Director, SacValley Medshare, at the CMA Health IT Conference: Powering Value-Based Care. These health leaders had a robust discussion on health information exchanges and how HIOs can help health organizations improve care.

2023 Northern California State of Reform Health Policy Conference

State of Reform held their Northern California Health Policy Conference where Mimi Hall, MPH, Vice President, Public Policy & Partnerships at Manifest MedEx; Bill Barcellona, Executive Vice President, Government Affairs at America's Physician Groups; Dan Chavez, Executive Director at Serving Communities Health Information Organization; Jennifer Inden, Senior Program Manager, Health Information Technology at Aliados Health; and Timi Leslie,  President, BluePath Health and Connecting for Better Health served as panelists in the “Interoperability & Data Exchange Town Hall” where they discussed methods on how to improve access to data for patients and providers and what interoperability can look like in our state.

Network Growth

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New data sources available on MX today:

ADTs from the following participant:

Vien D. Doan, D.O.

CCDAs from the following 6 participants:

Arthur E. Jimenez, M.D., Inc. (2 locations)
Chorng Lii Hwang, M.D.
Hedyeh M. Golshan, M.D. And Associates, Inc.
New Hope Medical Group, A Professional Corporation

Lab data from the following 11 participants:

Choice Physician's Network Inc.
Dr. Jimmy Phan Medical Corporation
Dr. Michael Chai, M.D., Inc.
Los Angeles Christian Health Centers
Mahmoud A Ibrahim, M.D.
Mark R. Whyte, Inc.
Monica Cepin, M.D., A Medical Corporation
North County Internists
Pedro L. Cajator Professional Corporation
Southern California GI & Liver Centers
Yangdong He Medical Corporation

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