Clinical Document Exchange PnR & QnR
Document Sharing and Cross-Community Access IHE (XDS.b/XCA)
Document sharing in a Health Information Exchange (HIE) is accomplished via Integration with electronic record systems. With integration for clinical document exchange, healthcare providers can query KHIE from within their own electronic record system to quickly access the patient health information from multiple healthcare sources such as participating hospitals, physician practices, and clinics. KHIE's PnR and QnR features access to real-time clinical data plus Medicaid claims data.
Data integration into EMR/EHR patient charts is available, depending on the Participant's EMR/EHR system capabilities.
The KHIE Portal
The KHIE Portal is a view-only portal that offers healthcare clinicians a view of patient clinical data from multiple healthcare sources. The display of essential patient data is in a functional and easy-to-use format that results in real-time information at your fingertips. The KHIE Portal features access to real-time clinical data, images, event notification information via Population Explorer tool, Medicaid claims data (not real time), and KASPER PDMP data (only authorized KASPER users).
Event Notification Service
Partnering with KHIE for Event Notifications keeps providers 'in the know' as their patients transition from various healthcare settings back to the practice. The use of Event Notifications to inform healthcare providers supports care coordination across disparate providers. Clinicians can see notifications about patients on their panel in the Population Explorer application within the KHIE Portal. When a notification is received, the clinician will see the notification and also view any clinical information - such as discharge and follow-up instructions related to the encounter - that has been shared with KHIE,
Social Determinants of Health (SDoH)
Know the socioeconomic conditions that influence your patient's health. KHIE makes social determinants of health data available.
Image Exchange Service
KHIE's Image Exchange Service affords healthcare providers the ability to view high-resolution medical images in KHIE. This innovative service enables KHIE Participants to contribute medical images and also export images to a destination Picture Archiving and Communication System (PACS).
eHealth Exchange (National Network)
The connection to the national eHealth Exchange not only enables KHIE to share healthcare information from the Commonwealth's provider and hospital organizations, but from other healthcare organizations and HIEs located outside of Kentucky.
Reporting Positive Toxicology Screens
Statutory and regulatory requirements mandate that Kentucky hospitals electronically report positive toxicology screen results to the Cabinet for Health and Family Services (CHFS) via the Kentucky Health Information Exchange (KHIE).
KRS218A.202 (4) requires "a Kentucky-licensed acute care hospital or critical access hospital shall report to the Cabinet all positive toxicology screens that were performed by the hospital's emergency department to evaluate the patient's suspected drug overdose."
Public Health Registries and Reporting
KHIE serves as the data intermediary for healthcare providers seeking to electronically submit immunization data, syndromic surveillance data, cancer case reporting, and communicable disease reporting. As the designated public health authority in Kentucky, KHIE supports objectives for Promoting Interoperability and QPP.
Immunization Submission
In Kentucky, we strive to achieve a single source for immunization information. The Kentucky Immunization Registry (KYIR) offers healthcare providers up-to-date patient immunization history, which can help reduce vaccine-preventable diseases and over-vaccination. Through KHIE, healthcare providers can submit immunization information directly from their electronic medical/health record system, saving time and ensuring immunization information is timely and accurate.
Immunization Query
Immunization Query allows healthcare providers the ability to look at the Kentucky Immunization Registry (KYIR) information directly from their electronic medical/health record system. This connection eliminates the need to navigate to the KYIR website separately to log in, saving time and more quickly informing the provider of the vital immunization information.
Reportable Labs (ELR)
Electronic Laboratory Reporting (ELR) is the automated reporting of communicable diseases to the Kentucky Department for Public Health, in accordance with 902 KAR 2:020. The benefits of ELR include improved timeliness of reports and reduction of manual errors.
Syndromic Surveillance
Syndromic Surveillance is the use of data collection and analysis with the intent of detecting and monitoring trends or disease outbreaks. KHIE helps healthcare providers seeking to electronically submit syndromic surveillance data to the CDC National Syndromic Surveillance Program.
Direct Data Entry (DDE)
KHIE is designated to facilitate the automation of public health reporting for the state of Kentucky. Direct Data Entry is the quasi-modernization of the manual entry of lab results for certain communicable diseases and their associated case reports. Participating healthcare organizations can utilize KHIE's online webforms to manually enter these laboratory results and case reports. This process replaces traditional paper-based methods for reportable conditions, minimizing administrative reporting burdens.
Click to review the communicable disease lab results and case reports that can be reported through DDE.
Electronic Case Reporting (eCR)
Electronic Case Reporting is the secure, automatic creation of case reports from an electronic health record system (EHR/EMR) that is transmitted through KHIE via Direct Secure Messaging to KDPH for communicable disease monitoring. eCR captures rich clinical data including demographics, comorbidities, immunizations, medications, and other socio-economic determinants of health.
Participants can engage with KHIE to establish a Direct Secure Messaging (DSM) connection to electronically submit case reports directly from their EMR/EHR systems. Participant organizations unable to establish a DSM connection or are waiting for the connection to be established can use the ePartnerViewer DDE platform to manually enter certain case reports.
The availability of this service not only enhances the Electronic Laboratory Reporting (ELR) Service that KHIE already offers but further streamlines Participant workflow and minimizes the burden of reporting requirements.
Direct Secure Messaging
Direct Secure Messaging is the simple and secure way for providers to send authenticated and encrypted patient health information (PHI) to known and trusted recipients over a secure and encrypted network. Providers can utilize KHIE's Health Information Service Provider (HISP) and Direct Secure Messaging web portal to improve care coordination efforts.
KHIE facilitates a Direct Email Catalog where healthcare providers can submit and share their Direct Secure email address with the community at large. Participants can utilize this tool to search for referral partners across the Commonwealth and bordering states.
Clinical Data Registry Reporting
KHIE supports Clinical Data Registry reporting objectives for Promoting Interoperability.
Health Information Exchange
KHIE Participants in active engagement with KHIE (PnR and QnR) can utilize the Kentucky Health Information Exchange as a Clinical Data Registry.
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