Keeping Up With Interop Regulations
The WIEUG Keeping Up With Interop Regulations Pillar
The leadership teams were unanimous! Keeping up with regulations, especially those that have an impact on the ability for health care organizations to effectively and efficiently exchange patient data to support treatment and continuity of care remains the number one priority of Wisconsin Epic organizations. See below for details of the program, links to session documents and notes and check out the WIEUG calendar and registration form to participate in these important initiatives!
WHY DOES THIS MATTER?
State and federal regulations that impact interoperability are an ever morphing consideration for health care organizations are required not only to identify, but also ensure adherence prior to specific attestation dates. This can lead to confusion, missed dates and a spectrum of inconsistent interpretations across a region. Given the impact that different interpretations can have on the quantity and quality of data exchange, it is beneficial to have a collaborative view of the regulatory environment that we all have to answer to. The goal of this strategic pillar is to have all organizations aligned and live on solutions that meet regulations by key dates as defined by state, federal and other deadlines, while still ensuring that the region is not unintentionally blocking information from being exchanged due to Epic build decisions.
WHAT ARE THE GOALS?
- Create a common understanding of regulatory impacts on HIE
- Create consistent views and expectations in MyChart for shared patients, especially as it relates to proxy governance and CE opt outs
- Establish optimized CE Authorization settings to maximize data exchange
- Define data exchange rules of the road and how to monitor / audit
- Create a forum to keep up with morphing regulations
WHAT IS THE TIMING/CADENCE?
- August 2025 ongoing
- Monthly Sessions
- Please consider only picking those focus series that pertain to you, and if you can, be a consistent contributor and participant.
WHO SHOULD ATTEND?
This series is open to anyone, but is mainly geared towards the following roles:
- Legal / Compliance and Privacy
- MyChart
- HIM
- CE
- Quality
WHAT IS THE PLAN FOR THE PROGRAM?
We have scheduled multiple workstreams to discuss the following topics:
- CMS Audits Regulation Updates
- Data Exchange Regulations
- MyChart Proxy Governance
- CE Authorizations
- MyChart CE Opt Out Standardization
- SUDS Regulatory updates and impacts to build and workflows
LEGAL / REGULATORY PROGRAMS:
MAIN OBJECTIVES:
Join this group to discuss interoperability workflows that are impacted by regulations. Some examples of applicable topics include: 42 CFR Part 2; HIPAA Harmonization; BH/MH Encounter Exchange; prospective / point of care authorizations; and, EpicCare link access.
CADENCE:
Monthly until August then Bi-Monthly
KEEPING UP WITH INTEROP REGUATIONS
CE OPT OUT SCREEN STANDARDIZATION - MYCHART
MAIN OBJECTIVES:
Join this group to define and develop recommendations for how to best honor patient requested HIE restrictions
determine the pros and cons of enabling self-service CE and authorization restrictions; develop end-user and patient education materials on how restrictions impact HIE.
CADENCE:
Bi-monthly
MAIN OBJECTIVES:
Join this group to contribute to best practice sharing and workflow comparison for MyChart workflows and functionality that have a legal/ reg / HIM component. Initially, this will focus on teen and adult proxy management and the policies and automation used to support efficient MyChart proxy assignments and updates.
CADENCE:
Quarterly
PROXY GOVERNANCE
