eHealth Exchange Integration – Pilot testing in UAT was successfully completed in 2023; however, the IJIS team is unable to move to production since the remaining work cannot be performed until the DURSA is signed by BJA. That said, there have been discussions between IJIS and TTAC teams and a few states to consider the feasibility of doing a state DURSA for a reduced fee to get the project into production and to demonstrate value. A call will be scheduled with Nebraska and the CDC in mid-July to explore this option.
Title V Tribal Integrations
IJIS and PDMP TTAC team members have had ongoing conversations with several state PDMP administrators and integration vendors regarding EHR integrations, working to define technical or logistical barriers while identifying potential system resources for future integration. IJIS has also continued to engage with the CDC and ONC regarding their continued promotion of state PDMP EHR integrations with non-IHS tribal health care systems.
Denver Indian Health and Family Services (DIHFS)
DIHFS integration vendor eClinical Works (eCW) refused a request from DIHFS to do the RxCheck integration, so the CDC advised that a complaint be brought to the OIG for information blocking.
On January 22nd, Kirk Sripinyo, Deputy Branch Chief, Affirmative Litigation Branch, Office of Counsel to the Inspector General, U.S. Department of Health and Human Services, provided an email response to IJIS’s claim regarding eClinicalWorks (eCW) data blocking and their unwillingness to engage in discussions or participation in the CDC’s Tribal Heath Care pilot project for PDMP/EHR integration with the Denver Indian Health & Family Services (DIHFS). In Mr. Sripinyo’s email response, he stated: “I’ve reviewed and discussed this situation with my team and upper management; unfortunately, we are not presently able to take further action here.” Mr. Sripinyo’s email response was forwarded to the CDC’s pilot project team members.
A follow-up meeting was held with Wes Sargent, EdD, MA (CDC) and PDMP TTAC and IJIS staff members to discuss alternatives to providing PDMP/EHR integration to DIHFS and other Tribal HCE utilizing the eCW EMRs platform. Whereas, eCW has provisioned for only two PDMP/EHR vendors, Bamboo Health (BH) & LogiCoy Health (LCY), to provide EHR/PDMP integration services and LCY, has established EHR integrations utilizing the RxCheck Hub, it was agreed upon that the 3rd party EHR vendor “LogiCoy”, would be the alternative option for eCW EHR integrations in this pilot project until such time as eCW provides additional EHR vendors or other integration options.
IJIS held discussions with DIHFS regarding the only available option for participation within the CDC’s PDMP/EHR pilot project – for DIFHS to contract with LCY to provide the 3rd party vendor services within the eCW EMRs platform. DIHFS agreed to have follow up discussions with LCY and further evaluation of participation within the pilot project. Several meetings were held with DIHFS, LCY, and IJIS staff members. LCY provided demonstrations of their EHR integration services to include both patient risk assessment prescription dashboard and healthcare provider user authentication and audit analytics.
In June, DIHFS notified IJIS that they wanted to proceed with the integration services provided by LCY and they would follow up by entering an 18-month contract period with LCY for the PDMP/EHR integration services. At the end of this reporting period, DIHFS was still finalizing the MOU so that integration efforts with LCY can begin.
Other Tribal Integrations
IJIS staff has made considerable progress in contacting and meeting with PDMP administrators in the following states to promote Title V Tribal HCE integrations: Colorado, New York, Utah, Washington, and Wisconsin. State administrators have been provided a list of potential Title V HCE within their respective states that IJIS would like to make further contact with to evaluate their ability to participate in this program. A slide presentation of the goals of the tribal integration project was prepared and is being shown on calls to inform the administrators of what the project is all about. As of this report, no administrator has refused to move forward.
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