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What is in store for KHIN and its members during 2013? First and foremost is to bring as many KHIN Participants into production or "live data exchange" as possible. The more data that an exchange has available to its members the more valuable it is in improving patient safety and care. This also includes connecting with surrounding states and other HIOs to ensure as much data as possible is available.
Second, KHIN will actively work to establish connectivity to all of the public health data sets that will be required in Stage 2 MU. KHIN has already successfully connected to WebIZ (immunization registry) and BioSense (syndromic surveillance). KHIN is actively working with KDHE to begin the connection to EpiTrax for reportable lab results.
Third, KHIN will connect and send data to the Kansas Cancer Registry and the Kansas Birth Defect Registry at KDHE. These are meaningful use measures for eligible providers.
KHIN will also be connecting to a Patient Portal so that patients can access their health information in one location and KHIN Participants can use the patient portal to meet Stage 2 MU requirements to involve patients in their health care.
Finally, toward the end of 2013 KHIN will begin to implement a variety of "Alerts" that will let providers know when a significant event has occurred with one of their patients. For example if a patient has a hospital ED visit or discharge. Additionally, in late 2013 there will be enough data in the exchange to begin providing analytics to KHIN members to assist them in emerging health care initiatives such as Patient Centered Medical Homes (PCMH) or Accountable Care Organizations (ACOs).
For more information concerning the KHIN 2013 roadmap please contact Laura McCrary at email@example.com.
Laura McCrary Ed.D
The last two months have been monumental for the Kansas Health Information Network (KHIN). On November 28th KHIN became the first health information organization to send de-identified patient data to the CDC for purposes of monitoring disease outbreaks. This allows Kansas providers to meet the Stage 2 MU requirement but more importantly it helps to ensure the safety of Kansas patients by assisting in the identification of disease outbreaks in real time (see article below).
KHIN now has a significant amount of data in the exchange. This makes the exchange very valuable for providers when they search for their patients. KHIN has 19 health care organizations that are "live" sharing data with KHIN. This includes 17 hospitals with 35 affiliated clinics, an ambulatory clinic with 14 locations across Kansas and a FQHC with six locations. As this is going to press there is data on over 140,000 patients in KHIN and it is growing by about 20,000 patients per month.
KHIN is now sending immunization data to WebIZ to assist providers in meeting the MU2 requirement as well as improve the validity and reliability of the data in WebIZ.
And at the conclusion of 2012, KHIN is proud to count 60 hospital members, 161 clinic members (including 34 optometry practices), six Federally Qualified Health Center members, four Public Health Department members, three Long Term Care Facility members, two Community Mental Health Center members and our first Pharmacy member.
Happy Holidays, and thank you to all that have worked so hard to make KHIN a reality. All the staff at KHIN/WHIE are looking forward to our partnership with you in 2013.
As always, if you have questions or would like for me to visit your facility as I continue to drive across our beautiful state please reach out and contact me at firstname.lastname@example.org.
In late November 2012, the BioSense/CDC team informed KHIN and ICA that we had achieved a "first" in the nation. On November 15th KHIN became the first health information organization to send de-identified health information to the CDC for purposes of syndromic surveillance. Previously just one Kansas hospital was connected to the CDC system, which keeps constant tabs on 89 syndrome categories as mandated by the Public Health Security and Bioterrorism Preparedness Response Act of 2002.
When KHIN started sending data, the 10 Kansas hospitals connected to KHIN began electronically submitting surveillance data to BioSense in real time. As more Kansas hospitals connect to KHIN, outbreak surveillance in the state will continue to expand.
Kansas state epidemiologist Charlie Hunt said, "The highway was built but there was only one car on it. Now there are a lot more cars traveling the highway and we'll be able to utilize the information better. As more facilities begin submitting data to BioSense through KHIN obviously the scope, the breadth and depth of information will be better for us."
KHIN is one of the few health information exchange organizations in the nation that is actively working toward the inclusion of behavioral health information in the health information exchange. As such, KHIN has been invited to participate in an ONC (Office of the National Coordinator for Health Information Technology) and SAMHSA (Substance Abuse and Mental Health Services Administration) sponsored workgroup to ensure appropriate safeguards are in place regarding the sharing of protected health information, including substance abuse data. KHIN would like to begin with the exchange of two behavioral health data sets; diagnosis and medications. KHIN is seeking behavioral health providers that can assist in developing policies and procedures (contact email@example.com).
Kansas is unique in that there has been considerable thought regarding the inclusion of behavioral health data in the exchange. KHIE, the Kansas HIE regulatory body gave much consideration to this topic and gathered a great deal of input over several years. KHIE reached the conclusion that it was critical to the safety of Kansas patients to include behavioral health data in the exchange.
To support this, the Kansas Health Information Technology, Act K.S.A. 2011 Supp. 65-6821 et seq (KHITE) was passed in 2011 by the Kansas legislature. This legislation simplified and clarified the rules regarding the use and disclosure of health information in Kansas (including behavioral health information). In essence, KHITE harmonized Kansas law with HIPAA.With KHITE in place health care professionals (including behavioral health professionals) operate under the predictability of a set of well-defined rules regarding the confidentiality and disclosure of health information. However, it is important to note that the release of substance abuse data has additional requirements under federal law.
View KHIN's Current & LIVE Participating Hospitals and Clincis through our Interactive Maps and Downloads.
We assist providers to adapt to changing expectations about quality, patient safety and efficiency in a patient-centered medical practice environment.
We facilitate the secure exchange of health information that will enhance the quality and reduce the cost of health care, and help achieve meaningful use.
We help health professionals at safety net clinics and federally qualified health centers better adapt to changing expectations about quality, patient safety and efficiency.
We promise you will have a better understanding of your health and your family's health by providing you with a means to manage your health information.
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