The availability, use, and exchange of information capabilities are crucial for a Beechwood to begin care and coordinate care with other service providers. Information exchange occurs in multiple different methods -- via phone, photocopies, fax and e-mail as well as through access to the hospital EHR, customized portals and the HIE.
This section describes the providers that were interviewed during the site visit, describes both the internal Beechwood view of HIE activities and the point of view from Beechwood's community partners. HIE information flows are summarized in a matrix at the end of this section.
Health Information Exchange -- Perspectives from Beechwood Business Units
During the site visit, interviews were conducted with Beechwood staff to discuss key processes/workflows that require the exchange of information. Interviews were conducted with the department representatives from admissions, nursing, social service, rehab, Medicare liaisons and billing, and HIM. Based on the interviews Table I-3 summarizes discussions by workflow process, highlights the information exchange process, and shares other notes/insights.
TABLE I-3. Skilled Nursing Facility (SNF) Workflow Processes
Health Information Exchange Partners -- Perspectives From Non-Affiliated Community Partners
During the site visit, interviews were conducted with Beechwood's HIE community partners -- non-affiliated organizations that provide health care and/or services. Table I-4 summarizes the key organizations that Beechwood shares information with, identifies the type of information exchanged with each organization, and summarizes discussions on the exchange process and information sent/received.
TABLE I-4. Perspectives from Non-Affiliated Community Partners
Health Information Exchange Information Flow
Table I-5 describes the information exchange activities for Beechwood in three areas: (1) hand-offs in care; (2) shared care; and (3) other administrative exchange. The exchange scenarios are not limited to electronic exchange of information, but encompass any exchange workflow. The summary table provides a synopsis of the HIE activities from the perspective of a nursing home/SNF using the framework established by Westat.
TABLE I-5. HIE by Care Coordination Function and Partners, Beechwood Homes
TABLE I-6. Shared Care Information Exchange Activities
TABLE I-7. Other Information Exchange Activities