patient consent before VA can retrieve authorization to participate in the exchange the results thru exchange? of eHealth Exchange data. VA authorization Yes No covers a 10 year period. If your organization does not require patient Yes No consent/authorization to electronically release If Yes, please describe how a patient’s information to an external partner, are there health records be obtained from certain restricted departments or that will ‘VIPs’ these restricted departments or ‘VIPs’. not be provided? VA requires a patient authorization to release If Yes, please provide a list of information to a non-VA partner; all Veterans are restricted departments and a definition required to sign an authorization to participate in for ‘VIPs’. the exchange of eHealth Exchange data. VA authorization covers a 10 year period. Do you have nightly auto-query activated? Yes No What time (CST) does your auto-query run Time (CST): nightly? Always send to the VA How is your auto-query configured? Only send within a certain radius Will you include the VA in your auto query? Yes No For VA, planned for calendar year 2017 Does your organization have the capability to Inpatient data Outpatient data provide inpatient and/or outpatient data? VA provides both inpatient and outpatient data. Do you currently participate or plan on Yes No participating in more than one health If yes, please list the networks information sharing network? eHealth Exchange CommonWell CareQuality Other/s________ What is the scope of your organization? HIE/HIN Please indicate if it is an HIE (state, regional), a Regional HIO Health Care Network, a Health Care Facility, or Health Care System
authorization to participate in the exchange of eHealth Exchange data. VA authorization covers a 10 year period. patient consent before VA can retrieve the results thru exchange? Yes No If your organization does not require patient consent/authorization to electronically release information to an external partner, are there certain restricted departments or ‘VIPs’ that will not be provided? VA requires a patient authorization to release information to a non-VA partner; all Veterans are required to sign an authorization to participate in the exchange of eHealth Exchange data. VA authorization covers a 10 year period. Yes No If Yes, please describe how a patient’s health records be obtained from these restricted departments or ‘VIPs’. If Yes, please provide a list of restricted departments and a definition for ‘VIPs’. Do you have nightly auto-query activated? What time (CST) does your auto-query run nightly? How is your auto-query configured? Will you include the VA in your auto query? For VA, planned for calendar year 2017 Yes No Time (CST): Always send to the VA Only send within a certain radius Yes No Does your organization have the capability to provide inpatient and/or outpatient data? VA provides both inpatient and outpatient data. Inpatient data Outpatient data Do you currently participate or plan on participating in more than one health information sharing network? Yes No If yes, please list the networks eHealth Exchange CommonWell CareQuality Other/s________ What is the scope of your organization? Please indicate if it is an HIE (state, regional), a Health Care Network, a Health Care Facility, or HIE/HIN Regional HIO Health Care System