1 jim whicker, cpam wedi chair intermountain healthcare introduction to wedi workgroup for...
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Jim Whicker, CPAMWEDI Chair
Intermountain Healthcare
Introduction to WEDI
Workgroup for Electronic Data Interchange
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CORE PURPOSE Improve the quality of healthcare
through effective and efficient information exchange and
management
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WEDI MISSION To provide leadership and guidance to the
healthcare industry on how to use and leverage the industry’s collective
knowledge, expertise and information resources to improve the quality, affordability and availability of
healthcare.
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A non-profit organization, started in 1991 by HHS Secretary Louis Sullivan
Statutorily named in the HIPAA enabling legislation as an advisor to the US Department of Health and Human Services
1993 WEDI report– http://www.wedi.org/public/articles/full1993report.doc
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Topics that appear to be on the forefront: Workers Compensation!! HIPAA Version 5010 ICD-10 Implementation Timeline Real Time Adjudication Standard Acknowledgements Standard Health ID Card Electronic/Personal Health Records Health Saving Accounts Ongoing input to industry to help improve 835
and other transaction adoption rates
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Who are we? Individuals (including an eMembership), Providers, Health Plans, Government
Organizations, Standards Organizations, Vendors, etc.
How does it affect you? Direct contact with Government officials, testimony regarding industry issues and
recommendations Forum for facilitating improvements in information exchange and management Resolution of implementation issues Education and training programs Assisting healthcare leaders to define, prioritize, build consensus and make decisions Ensure thoughtful development and implementation of healthcare industry standards,
policies and regulations A primary catalyst for the identification, communication and resolution of obstacles that
impede the growth of information exchange and management within healthcare
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Other benefits: Opportunities to network Access to industry leaders White papers to help understand and implement Forum to ask questions and be made aware of issues before
they affect you As advisor to HHS – input carries significant weight in
HIPAA related regulations
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Membership is a broad mix of:
Payers: • National (United, Aetna, AHIP, Wellpoint, etc.)• Government (VA, Tricare, CMS, state Medicaids, etc.)• Blues, local TPA’s, etc.
Vendors/Clearinghouses:– GE Healthcare, Siemens, Availity, Emdeon, MedAvant, CareMedic,
American Express, Bank of America, Ingenix, Edifecs, EDS, Epic, IBM, PriceWaterhouseCoopers, etc.
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Providers:• Large national provider organizations
– AMA, AHA, ADA, MGMA, Kaiser, LabCorp, National Home Infusion etc.
• Regional provider organizations– Allina, Mayo, Intermountain Healthcare, BJC, Geisinger,
Providence, Catholic Healthcare West, Trinity Health, etc.
• Individual/Local providers:– Cincinnati Childrens Hospital, Montifiore, Cleveland Clinic,
Georgetown University, Vanderbilt University, etc.
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List Serve Examples:– Various 835 workgroups– Transaction Acknowledgements– Business Issues– Claims Attachments– Coordination of Benefits Claims and Remittances– Health Savings Accounts– NPI– Privacy and Security– Testing, Transactions, Translations, Code Sets
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Two annual conference17th Annual WEDI National Conference
Hyatt Regency Baltimore on the Inner Harbor Baltimore, MD May 19-22, 2008
WEDI Fall Conference Renaissance Esmeralda Resort and Spa Palm Springs, CA November 17-20, 2008
Policy Advisory Groups (PAG’s) and Hearings as needed
Workshops, Webinars/Audio-casts as needed
Committee conference calls
Testimony, recommendations to Federal Agencies
Etc.
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WEDI - Affiliates
ID Idaho HIPAA Coordinating Council www2.state.id.us/dhw/hipaa/
IN Indiana HIPAA Workgroup www.indianahipaa.org/
IA Iowa HIPAA SNIP www.iowasnip.org
MA Massachusetts Health Data Consortium www.mahealthdata.org
VA VaHIMSS-MAHI www.vahimss.org
MO Missouri SNIP (MOSNIP) www.mosnip.com
NC NCHICA: NC Healthcare Information & Communications Alliance
www.nchica.org
NE Nebraska SNIP www.nesnip.org
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WEDI - Affiliates
NJ NJSHORE: New Jersey Strategic HIPAA www.njshore.org
NM NM CHILI: New Mexico Coalition for Healthcare Information Leadership Initiatives
www.healthlinknm.org/nmchili
NY GNYSNIP, Greater New York SNIP Consortium
NY-Upstate UNYPHIED Project: Upstate New York Professional Healthcare Info. & Education Demonstration Project
www.unyphied.org
OH OHIO for EDI: Ohio HIPAA Implementation Organization www.ohiohipaa.org
OR Oregon & Southwest Washington Healthcare, Privacy & Security Forum
www.oregonhipaaforum.org
GA, FL, SC SHARP: Southern Healthcare Administration of Regulatory Programs
www.sharpworkgroup.com
UT UHIN: Utah Health Information Network www.uhin.com
WA,OR,WY,MT
CHITA: Community Health Info. Technology Alliance Foundation for Helath Care Quality
www.chita.org
WI HIPAA-COW www.HIPAACOW.org
PR & US VI Puerto Rico Healthcare Information Communications Alliance
HI HHRC: Hawaii HIPAA Readiness Collaborative www.hhic.org
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Why? Good Electronic Data Interchange standards which promote efficient
exchange of accurate data contribute to better healthcare and reduce costs More input means better standards Don’t assume “Someone is taking care of it” Contribute your knowledge Influence - need to be there early in the process Learn about changes that are coming in standards, technology, business
models, regulations, code sets Improve own use of standards by better understanding Communicate with subject matter experts in industry Provides opportunities to join focus groups and pilots Builds relationships with representatives from other industry sectors Promotes mutual understanding of EDI problems and needs
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Who should participate? Not just “techies” - Also need expertise to
participate in the process with experience in business processes clinical data needs regulatory processes and requirements marketing
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Contact informationo WEDI Offices
12020 Sunrise Valley Drive, Suite 100 Reston, VA 20191
o Executive Vice President/CEO - James A. Schuping, CAE 703-391-2716; fax 703-391-2759 e-mail - [email protected]
o Vice President Education & Industry Outreach - Kristin Fettermanphone: 703-391-2714 e-mail - [email protected]
o Vice President Administration & Member Services - Lisa Berrettaphone: 703-391-2743 e-mail - [email protected]
o Vice President Regional & NPI Education/Operations - Ann Marie Railingphone: 703-391-2718 email: [email protected]
o Assistant Director Programs & Services - Patti Brownphone: 703-391-2717 e-mail - [email protected]
WWW.WEDI.ORG