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Has anyone used Kriptiq's or Qvera's auto TOC sending via secure messaging with direct addresses??
Posted : February 25, 2016 12:19 pm
I use the SM-TOC encounter to send ours. Is this what your referring too?
Posted : February 25, 2016 12:24 pm
We have been trying to get surescripts acm to work with our clinic for the past year, and have never been able to get our workflow to work properly with it. Our providers don't select where the referral will go, and the save to file method doesn't count for sending through a HISP. We're in the process of moving back to using the manual process of creating the TOC and sending it using messaging.
Posted : February 25, 2016 1:02 pm
We have been using the ACM TOC automatic process for a long while. I would be happy to discuss with you. We are very happy with the product.
Amanda Koenig
Posted : February 25, 2016 1:10 pm
We use the Qvera solution and love it - it even allowed us to fix some of the TOC bugs way ahead of GE so we could actually use it back last winter (when we thought MU would be a full 2015 reporting period).
Feel free to reach out.
Posted : March 1, 2016 7:11 am
Bruins1986 - So how does the Qvera solution work exactly?
Linda
Posted : March 1, 2016 10:24 am
The response to that particular question could be very long so I'll keep it higher level/more to the point:
Effectively Qvera has a direct connection into the database. In our set up, every 10 minutes it basically checks if a (new) order has been entered and if it is marked "Create TOC". If so it does some verification steps (checks authorizing user direct address, service provider direct address etc). We use the Mass HIway so we also have it evaluate an observation term we need that shows patient consent.
Once it passes the checks it extracts the standard GE CCDA. At this point we worked with Qvera to perform some edits to make the document usable (removed unnecessary fields, changed the "responsible practice" to the actual practice that sent the CCDA, not just the practice in the patients registration etc).
It then encrypts the TOC and sends it out. Qvera is HISP neutral as they code to the specifications required.
Coming back we basically gave our HISP an end point IP and port that they send to. Qvera listens on that port and IP. When it receives activity it checks to valid certs. If that is passed it decrypts the TOC, saves off the XML to a folder and then creates and sends an HL7 ADT to our system. If it matches the patient demographics (standard linklogic mapping) it associates the saved XML to that patient and imports the document into the patients chart/flags the provider it is supposed to go to. If it doesn't we get an error message (our choice, instead of creating potentially duplicate charts).
Thanks
Mike
Posted : March 1, 2016 10:49 am
We are also using ACM (Surescripts) and am very pleased with it.
Posted : March 3, 2016 4:52 am
ACM is a third party solution from surescripts. In a nutshell, all the user has to do is create a referral order. When the order is signed, ACM automatically creates a CCDA document and sends it electronically to the target provider (assuming that provider has secure messaging.) If the provider does not have SM, ACM can be configured to drop the CCDA to a PDF file which can then be printed and faxed to the target provider.
IMHO, the only downside to ACM is that you cannot choose the target provider by searching the HISP's provider list. Because this is done through the orders module, the providers need to be added to the service provider dictionary (Go->Setup->Settings->Orders->Service Providers). This can be a fairly huge undertaking, and the service provider list needs constant maintenance.
-Eric
Posted : March 3, 2016 11:55 am
That was our biggest problem with ACM and why we have stopped using it. Our providers don't pick the service provider. Our referrals are put into admin hold, then processed by referral coordinators where the SP is selected and the order is placed in process. Since ACM looks at the document signature and not the order status, all we could ever do was save to file which doesn't meet the measure of sending thru the HISP.
Posted : March 3, 2016 12:06 pm
Our providers don't enter the service provider either. Our referrals are set to the Admin Hold status when the providers enters the order in their office visit. Our Orders Administrator will then "process" the order by choosing the service provider and entering a referral reason. Once she has completed her process, she changes the order to the "In Process" status. ACM will then automatically create the TOC. This workflow has been working seamlessly for our office for over a year.
Hope that helps.
Amanda Koenig
Posted : March 7, 2016 12:32 pm
That would be using secure messaging in GE, not Qvera automatic direct messaging protocol. If you use Qvera, the TOC is generated when changing the order. You need to select Create Transition of Care and change the order status to In Process (after ensuring there is a direct address). Then Qvera will watch and listen for the referral and generate the TOC, delivering it to a recognized direct address. (very simplified explanation).
Our issue is that we are lacking direct addresses for many of the providers to whom we refer. We are on the WISHIN HISP and can only get direct addresses for other providers in WISHIN. I would love to know how we could get Surescripts HISP addresses to add to our system.
Wendy Walecka, MS, RN
Ascension WI-Ascension Information Systems
Solutions Development Analyst
Posted : August 25, 2016 9:33 am
