Contracted Accountable Care Organizations (ACO), Behavioral Health (BH) and Long Term Services and Supports (LTSS) organizations have been working on technology changes related to the requirements of the Community Partners (CP) program that launched on July 1, 2018, including:
- Updating existing or implementing new EHR and/or Care Management solutions,
- Implementing automated communication protocols with external partners and the state,
- Developing new reporting and tracking systems to support the CP program, and
- Ensuring that claims billing systems are set up to bill for CP touchpoints and reconcile with PMPM payments.
Now that the CP program is underway, data exchange has started, the new EHR/Care Management solutions are tracking referrals and service activity, and the new protocols, processes, and procedures are being put to the test. Based on the first 90 days of the program, typical issues organizations are encountering include:
- Complications with data exchange, communication and document sharing,
- Challenges with tracking and reporting,
- Accommodating updates/coordinating enhancements to EHR and Care Management solutions,
- Challenges with identifying and mitigating potential security vulnerabilities, and
- Preparing for new requirements in 2019.
With State funds available to pay for improvements to better align operations with program goals and contractual requirements, now is the time to review your implementation and address challenges and barriers. You might also be looking to improve your progress toward demonstrating the CP program TA competencies with regard to Health Information Technology / Health Information Exchange (HIT/HIE).
Ninestone is prepared to assist you in evaluating current issues within your program implementation and partner with you to plan and execute enhancements. Our consultants have the technical expertise, creative problem-solving skills, and operational experience to successfully deliver the results you are looking for.