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.
- 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
News and Events
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