MX August Newsletter

A monthly roundup of news and updates from MX

August 2024 Edition

Webinar Recap

In a recent webinar, Erica Galvez, Chief Executive Officer at Manifest MedEx, engaged in an insightful discussion with Adam Davis, MD, Physician Informaticist at Sutter Health; David Ford, CEO of the California Medical Association (CMA) Physician Services Organization and Vice President of Health Information Technology at the CMA; and Krishna Ramachandran, Senior Vice President of Health Transformation and Provider Adoption at Blue Shield of California. The conversation focused on the purpose and progress of the CalHHS Data Exchange Framework (DxF), addressing key issues such as implementation challenges, opportunities for improvement, and the collective efforts required to advance health and human services information exchange across California.

The session, attended by over 270 participants, spotlighted significant achievements like data exchange between qualified health information organizations (QHIOs) and growing interest from non-traditional providers, like community and social organizations. It also tackled persistent challenges related to governance, data quality, and validation. We believe these ongoing dialogues among experts from various health sectors are critical to shaping the future trajectory of information exchange in the state.

The recording is now available here. Please feel free to share it with colleagues who might find it valuable.

ICYMI: Manifest MedEx's 2023 Annual Report

Last month, we released our 2023 Annual Report to bring greater transparency to our strategic priorities, key achievements, the volume and quality of health data exchange that MX enables, and the impact our partnerships make in and across CA communities.

Key 2023 achievements included:

  • An increase in the number of individual records securely exchanged on our health data network by more than 10% in 56 of the 58 counties
  • An expansion of the number of individuals with a health record in our network by 8.5% to 38 million, and approximately 82% of our records include critical clinical data
  • Seamless, secure delivery of an average of 1.6 million hospital admission, discharge, and transfer notifications and almost 6 million CCDAs per month — providing robust real-time information to coordinate care and improve outcomes

MX has also been working closely with the state to support Medi-Cal transformation programs, pilot new consent management initiatives, and help hundreds of organizations successfully participate in the CalHHS Data Exchange Framework.

As health data exchange continues to evolve, we thank you for being part of our vision for a vibrant and healthy California and our journey to achieve it! We remain steadfast in our commitment to building the digital health data safety net needed to support our participants, those outside our network, and California more broadly.

Hospitals Can Meet Data Sharing Requirements and
Get More Real-Time Patient Data With MX!

Hospitals can securely send and receive health data with Manifest MedEx to meet their data sharing requirements under the CalHHS DxF and the Centers for Medicaid and Medicare Services (CMS), save time, streamline care coordination, and improve care for their patients and the communities they serve.

As California’s largest nonprofit CalHHS DxF QHIO, MX helps hospitals share required electronic health information, including data elements in United States Core Data for Interoperability (USCDI) Version 2, with other DxF participants. Additionally, through direct integrations with the MX network and/or with the California ADT Network, a no-cost bi-directional acute and post-acute ADT exchange launched and operated by Manifest MedEx, we make it easy for hospitals to send ADT notifications as required by the DxF and CMS Conditions of Participation.

Hospitals also need a thorough picture of their patients’ health information to better address their needs, but patients often visit facilities and sites that use different EHRs than the hospital’s, many of which are not connected to national networks. With longitudinal patient records from MX Access, an easy-to-use web-based platform, hospital care teams can streamline Emergency Department (ED) throughput and optimize population health insights with patients’ medical histories aggregated from EHRs across the state, including recent encounters, a list of your patients’ providers, and lab results from recent doctor visits.

Visit our website and join Manifest MedEx today to get access to the tools and health data needed to comply with your data sharing requirements, reduce costs, save time, and support better care for your patients.

New Updates to MX Participant Policies

Over the last several years, both California and national interoperability requirements have been implemented and expanded upon, resulting in additional requirements on intermediaries such as MX. As continued exchange through secure and robust regional and national networks is a critical component of achieving our collective health goals, MX is updating its Participant Policies to continue effectively supporting Participants through regional and national networks and to provide additional clarity around the use cases supported by new exchange requirements and frameworks. We believe that these changes allow MX to provide more and better information to all our Participants, resulting in better patient care, lower costs, and more efficient and robust exchange. At a high level these policy changes address:
  1. Increased requirements for data sharing. We have included two new policies to align with the California Data Exchange Framework and the national Trusted Exchange Framework and Common Agreement (TEFCA) requirements
  2. Public Health. Specificity around Public Health: (1) role-based access PP-4 “Permitted Uses Of Data And The System” and (2) limitations on use of data: PP-18 “Physical Security” have been included to provide clarity around the public health use case in alignment with HIPAA.
  3. Transparency. Policy PP-7 “Opt-Out” has been updated to explicitly state that MX may initiate a review and validation of Opted-Out patients. Additionally, a description of the MX HEDIS look-back offering has been included in PP-16 “Data and PHI Access” as an explicitly permitted use case. Both updates are in response to a variety of Participant requests.
  4. Clarification and Clean-up. Minor edits have been included throughout to address areas where prior language either: (1) frequently resulted in questions from our Participants or (2) was no longer relevant, was redundant, or required grammatical or other similar corrections.

A redlined version of the updated Participant Policies is available at the above referenced link and will take effect as of December 1, 2024.

These policy changes help MX deliver on its commitment to provide Participants with secure, high value data exchange services that improve the health and wellness of Californians while avoiding any new required action on the part of Participants.

Please contact customersuccess@manifestmedex.org with any questions regarding these changes to MX's Participant Policies.

Reminder – The Deadline for Nominations for the Manifest MedEx Advisory Committee

Is September 6th

The annual call for nominations to join MX’s Advisory Committee is open!

Our Advisory Committee helps Manifest MedEx (MX) understand the needs of its participants, align products, services, and policies with industry developments, and adopt best practices.

The committee acts as a voice for MX users, shares best practices, and proposes new products, technologies, or policy changes for MX consideration.

To nominate a committee member or self-nominate, please submit the following in an email to Advisory Committee Co-Chair Mimi Hall, Vice President, Public Policy & Partnerships at Mimi.Hall@ManifestMedEx.org:

  • Nominee's first and last name;
  • Current position held;
  • Organization;
  • Areas of expertise;
  • Current CV, including all organizational, professional, or advisory positions; and
  • A brief description of the candidate’s qualifications to serve on the committee

The MX Advisory Committee operates in a voluntary capacity and convenes quarterly.

Take part in helping Manifest MedEx support the transformation of health and wellness in California! Nominations are due by September 6, and new members will be announced by September 20. If you have questions, please contact Mimi Hall.

MX Welcomes New Participants

Manifest MedEx is delighted to welcome LaSalle Medical Associates IPA to our ever-growing network! Operating in several counties throughout Central and Southern California, LaSalle Medical Associates IPA has been recognized as one of the top online enrollers for the Healthy Families program for the State of California. LaSalle Medical Associates services more than 306,000 Californians and has many of their primary care physicians participating within our network.

MX has partnered with LaSalle Medical Associates IPA to address the growing need for the IPA to have access to hospital ADTs and medical records. In addition to accessing ADTs and clinical data, the NCQA DAV validated data for HEDIS® reporting available from Manifest MedEx will assist LaSalle with addressing quality measures.

Manifest MedEx looks forward to growing a strong partnership with LaSalle Medical Associates IPA, helping to enable better patient outcomes across California.

FHIR® Readiness Assessment Survey

Manifest MedEx is conducting a FHIR readiness assessment to help guide our efforts in ensuring that your organization's needs are met. We’re interested in learning more about your organization’s FHIR capabilities and interests in using FHIR to exchange data with MX. On August 14, we sent a survey to the technical personnel at participating organizations.

If you are interested in sharing your feedback for this brief survey, please reach out to your Customer Success Account Manager or customersuccess@manifestmedex.org.  We would love to hear from you!

We've Changed our Corporate Address!

Please update your address book with our Riverside office address:

Manifest MedEx
3993 Jurupa Avenue
Riverside, CA 92506

News and Events

2024 CHEAC Annual Meeting

Mark your calendars for the County Health Executives Association of California's (CHEAC's) 2024 Annual Meeting where Mimi Hall, Vice President of Public Policy & Partnerships, Shadi Barfjani, MD, MSc, Senior Deputy Director, San Joaquin County Public Health Services, and Victoria Worthy, Chief Information Officer, Health Plan of San Joaquin will discuss "Leveraging HIEs to Accelerate Robust Health Data Sharing Across CA" on Thursday, October 3 from 2:30 pm – 3:30 pm PT.

Register here to learn how Health Plan of San Joaquin and San Joaquin County leaders collaborated to leverage Manifest MedEx tools and services to meet both the letter and intent of emerging data exchange requirements while accelerating robust health data sharing to advance health equity, public health, and Medicaid outcomes to improve health and wellness for all Californians.

Network Growth

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New data sources available on MX today:

ADTs from the following 9 participants:

Clinica Medica Familiar de Montclair
Kenneth Grier, M.D., Inc.
Mark Twain Health Care District
MoZaic Care, Inc.
Paradise Medical Group, Inc. (2 locations)
PlushCare of California, Inc.
Prime Healthcare Services, Inc. - St Francis Medical Center (PHC)
Rani Elias, M.D., Inc.

CCDAs from the following 17 participants:

Choice Physician's Network, Inc. - Care MD
Clinica Medica Familiar de Montclair
Doctors Without Walls - Santa Barbara Street Medicine
Hope Outreach
Kenneth Grier, M.D., Inc.
Mark Twain Health Care District
MoZaic Care, Inc.
Neighborhood Healthcare (3 locations)
Paradise Medical Group, Inc. (2 locations)
PlushCare of California,  Inc.
Rani Elias, M.D., Inc.
Special Care Clinic
St. John Medical Clinic
Symba Center

Labs from the following 97 participants:

Apple Valley Care Center
Bendito Medical Corporation
Carpinteria Health Care Center
Dr. Mona Shah, a Professional Corporation (2 locations)
Upland Care Center
Franklin Health Care Center
Frank Tortorice, M.D., Inc.
Friends of Family Health Center (5 locations)
Jin M. Kim, M.D., Inc.
La Clinica De La Raza (10 locations)
Lompoc Health Care Center
Mark Twain Health Care District
Mayview Sunnyvale Clinic
MoZaic Care, Inc.
My Pediatric Home
Neighborhood Healthcare (3 locations)
Pacific Clinics (25 locations)
Perpetual Help Medical Center
Prime Healthcare Services, Inc. - St Francis Medical Center (PHC)
Rani Elias, M.D., Inc.
Ravenswood Family Health Network (2 locations)
Rene Lee Medical, Inc.
Santa Barbara Health Care Center
Santa Maria Health Care Center
United Health Centers of the San Joaquin Valley (33 locations)

Observational Results from the following participant:

Prime Healthcare Services, Inc. - St Francis Medical Center (PHC)

Have questions or want to learn more? We're here to help. Reach out.

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