Mass HIway 2018 Attestation & Connection Requirements

June 18, 2018
Source 
Mass HIway

 

The Mass HIway is the Commonwealth’s statewide Health Information Exchange. Mass HIway Regulations require that specified healthcare organizations connect to and use the Mass HIway. The 2018 HIway connection requirement is not the same for each type of Provider Organization.

If your organization is one of the following types of organizations, as defined by the Mass HIway Regulations (101 CMR 20.00), then it has a 2018 HIway connection requirement:

  • Medium and Large Medical Ambulatory Practice
  • Large Community Health Center (CHC)
  • Acute Care Hospital

Your organization will need to submit documentation (via an online Attestation Form) attesting to compliance with its 2018 HIway connection and use requirements, in accordance with the Mass HIway Regulations (101 CMR 20.00). The deadline is July 1, 2018.  If your organization has not fulfilled its 2018 HIway connection requirements, it must contact the Mass HIway with the information specified below.

We recognize that your organization may have questions about the Mass HIway, the HIway connection requirements, the Attestation Form, or (if the requirements have not yet been met) providing information to the Mass HIway. For more information, see the FAQs regarding the Mass HIway Regulations and connection requirements. The Mass HIway website features educational presentations and other useful background information. You can also submit additional questions directly to the Mass HIway team at MassHIway@state.ma.us.

Medium and Large Medical Ambulatory Practices & Large Community Health Centers

The regulations (101 CMR 20.00) governing the Mass HIway define Medium/Large Medical Ambulatory Practices and Large Community Health Centers as those with 10 or more licensed providers that participate in providing health care to patients(see the bottom of this email for more details). For 2018, these Provider Organizations need to submit a Year 1 Attestation Form.

In order to meet the 2018 HIway connection requirement, Medium and Large Medical Ambulatory Practices and Large Community Health Centers are required to connect to the 

Mass HIway and use it by either sending or receiving HIway direct messages for at least one use case. Any single use case of utilizing the HIway can fulfill the Year 1 HIway connection requirement, including a use case where an organization engages in Public Health Reporting. If your organization has implemented a use case to report public health information using the HIway, this use case can be described on the Year 1 Attestation Form. For example, submitting immunization information to MIIS using the Mass HIway qualifies as a use case.

If you are required to submit a Year 1 Attestation Form by July 1st, 2018, a PDF version of the form (which includes guidance for completion and submission) can be accessed here. The PDF version can be used to prepare information prior to submitting the information via the online attestation form, which can be accessed here.

Acute Care Hospitals

For 2018, an Acute Care Hospital (“ACH”) needs to submit a Year 2 Attestation Form. In order to meet the 2018 HIway connection requirement, ACHs are required to use the HIway by either sending or receiving HIway direct messages to engage in a provider-to-provider use case. Each ACH is required to submit a Year 2 Attestation Form by July 1st, 2018 in order to describe how it has satisfied the Year 2 HIway connection requirement.

A PDF version of the Year 2 Attestation Form, which includes guidance for completion and submission, can be accessed here. The PDF version can be used to prepare information prior to submitting the information via the online attestation form, which can be accessed here.

Instructions for Organizations That Do Not Meet the 2018 HIway Connection Requirement

If your organization does not meet its 2018 HIway connection requirement, an authorized representative of the organization is required to email the Mass HIway at MassHIwayAttestation@state.ma.us by July 1st, 2018 with the following information:

  1. Legal name of the organization
  2. Street address(es) for the organization
  3. Type of organization (i.e. Large or Medium Medical Ambulatory Practice, Large CHC, Acute Care Hospital)
  4. Reason for not complying with the HIway connection requirement
  5. The EMR/EHR system(s) that your organization is using, including name(s) and version number(s)
  6. Brief description of the organization’s plan to comply with the HIway connection requirement. The plan should include an estimated timeline.
  7. Contact information of person(s) at the organization (including names, phone number, email address, and title/role for each contact person)

Definitions from Mass HIway Regulations (section 20.06)

Definition of a Medium/Large Medical Ambulatory Practice:

Practices with a total of at least 10 medical doctors, doctors of osteopathy, nurse practitioners, or physician assistants that provide health care services to patients on behalf of the practice, regardless of employment status (e.g., including licensed providers that are full-time and part-time, permanent and temporary, seasonal and non-seasonal, per-diem and non-per-diem, contractor, and employee) in the month of June prior to the practice’s initial required HIway connection date.

Definition of a Large Community Health Center:

CHCs with a total of at least 10 medical doctors, doctors of osteopathy, nurse practitioners, or physician assistants that provide health care services to patients on behalf of the CHC, regardless of employment status (e.g., including licensed providers that are full-time and part-time, permanent and temporary, seasonal and non-seasonal, per-diem and non-per-diem, contractor, and employee) in the month of June prior to the practice’s initial required HIway connection date.

Definition of an Acute Care Hospital:

A hospital licensed under M.G.L. c. 111, s. 51, and the teaching hospital of the University of Massachusetts Medical School, which contains a majority of medical-surgical, pediatric, obstetric, and maternity beds, as defined by the department. Hospitals that meet this definition of acute care hospital can be found in the Massachusetts Licensed or Certified Health Care Facility/Agency Listing, which is maintained by the Department of Public Health and is publicly available on the Department of Public Health’s website.