RELATES TO:
KRS
194A.030(1)(d),
311.621(10),
42 C.F.R. Part 495,
45
C.F.R. 160.103, Part 164
NECESSITY, FUNCTION, AND CONFORMITY:
KRS
194A.030(1)(d) requires the
Governor's Office of Electronic Health Information (GOEHI) within the Cabinet
for Health and Family Services to improve patient care, reduce medical errors,
and make more efficient use of health care dollars by reducing redundant
services. EO 2018-325 abolished GOEHI and transferred its functions to the
Office of Health Data and Analytics (OHDA) within the Cabinet for Health and
Family Services. To support the health care delivery system using electronic
information technology as directed by
KRS
194A.030(1)(d) and EO
2018-325, the Office of Health Data and Analytics, Division of Health
Information (DHI) has implemented the Kentucky Health Information Exchange
(KHIE). This administrative regulation establishes the procedures for
participation by health care providers in the KHIE.
Section 1. Definitions.
(1) "CCD" means the Continuity of Care
Document, which is:
(a) Defined by the Health
Information Technology Standards Panel (HITSP); and
(b) Found in the HL7 Implementation Guide:
CDA Release 2 - Continuity of Care Document (CCD).
(2) "Edge services" means hardware and
software technology used in the storage and transmission of participant
data.
(3) "Health care provider" is
defined by
KRS
311.621(10).
(4) "HL7 transaction" means the
specifications for electronic data exchange by health care environments as
defined by HITSP.
(5) "Interface"
means the point of interaction or communication between the participant's
health information system and the KHIE.
Section 2. Participation in the KHIE. In
order to participate in the KHIE, the health care provider shall:
(1) Have entered into an agreement, using:
(a) DHI - Form 1A, Kentucky Office of Health
Data and Analytics, Division of Health Information, Hospital Participation
Agreement;
(b) DHI - Form 1B,
Kentucky Office of Health Data and Analytics, Division of Health Information,
Other Provider Participation Agreement; or
(c) DHI - Form 1C, Kentucky Office of Health
Data and Analytics, Division of Health Information, Pharmacy Participation
Agreement;
(2) Continue
to operate under the agreement entered into under subsection (1) of this
section without the agreement being terminated; and
(3) Be:
(a)
A covered entity as defined by
45
C.F.R.
160.103;
(b) The Kentucky Department for Medicaid
Services; or
(c) The Kentucky State
Laboratory, Division of Laboratory Services, Department of Public
Health.
Section
3. Kentucky Health Information Exchange services. KHIE shall
provide information sharing and software for the following:
(1) A CCD interface using web services to
support data exchange with participants;
(2) Support for a standard series of HL7
transactions sent from the health care provider's health information system via
secure edge services for storage and retrieval; and
(3) Collaboration with participants to
support development of the interfaces required for participants to connect to
KHIE.
Section 4.
Participant responsibilities. Participants shall be responsible for building
interfaces to connect to the KHIE.
Section
5. Data exchanged by the Kentucky Health Information Exchange.
KHIE may exchange data and make data available consisting of patient admission,
discharge and transfer systems, laboratory systems, diagnostic imaging systems,
medication histories, allergies, and technologically available patient
information required to support data exchange.
Section 6. Access to data by participants.
Participants may access data through the KHIE as well as provide data through
the KHIE for access by other participants.
Section 7. Access to other health information
exchanges. DHI may establish arrangements with other health information
exchanges to allow participants access to data permitted by DHI -Form 1A, DHI -
Form 1B, or DHI - Form 1C.
Section
8. Recipient of Kentucky Health Information Exchange Services. A
health care provider that is participating in the KHIE shall qualify to become
a recipient of KHIE services upon:
(1)
Validation of any KHIE Go-Live transaction by the participant and DHI;
and
(2) The sending of electronic
notification of Go-Live approval by DHI to the participant.
Section 9. Incorporation by
Reference.
(1) The following material is
incorporated by reference:
(a) DHI - Form 1A,
"Kentucky Office of Health Data and Analytics, Division of Health Information,
Hospital Participation Agreement", January, 2019;
(b) DHI - Form 1B, "Kentucky Office of Health
Data and Analytics, Division of Health Information, Other Provider
Participation Agreement ", January, 2019;
(c) DHI - Form 1C, "Kentucky Office of Health
Data and Analytics, Division of Health Information, Pharmacy Participation
Agreement", January, 2019; and
(d)
"HL7 Implementation Guide: CDA Release 2 - Continuity of Care Document (CCD)",
April 01, 2007.
(2) This
material may be inspected, copied, or obtained, subject to applicable copyright
law, at the Cabinet for Health and Family Services, Office of Health Data and
Analytics, 8 Mill Creek Park, Frankfort, Kentucky 40601, Monday through Friday,
8 a.m. to 4:30 p.m.
