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HRA Ad for TMA - January 2014.pdf 1 12/5/2013 4:04:16 PM


SAIL SMOOTHLY


as we can into providers’ hands,” saying eventually the Medicaid portal will link to local HIEs. But for now, “we are ask- ing them to incorporate this consent into what they are already doing, so we hope it’s not additional work.”


Because the portal would display only high-level diagnosis and procedure codes for any sensitive health informa- tion, as opposed to detailed chart notes, for instance, state officials hope most pa- tients will agree to share the information. In turn, they hope the enhancements will encourage physicians to use the tool more widely and continue to seek physi- cian input on the consent process and through the pilots before launching the portal statewide. “On the forefront of this whole discus- sion is making sure this is not a burden to providers,” Ms. Kauffman said. “We are very excited about being able to pro- vide this information to clinicians, and we think it has great potential to im- prove the quality of care for our [Med- icaid] clients.”


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HRA is an advisory firm, not a plaintiff’s law firm.


Eliminating hassles


TMA leaders say the portal could give physicians at least some helpful health information on Medicaid patients, par- ticularly when actual medical records are unavailable. But they also encourage HHSC to continue to fine-tune the por- tal to make it as user-friendly as possible, including improving the consent process. Association staff caution, too, that due to antitrust concerns, physicians and physician groups must independently decide whether to participate in the por- tal, which is voluntary. “Having documentation of a patient’s health history is critically important to providing the right care at the right time,” said Keller pediatrician Jason V. Terk, MD, a member of TMA’s Select Committee on Medicaid, CHIP, and the Uninsured and Council on Legislation. He added that it’s not uncommon for physicians to have to treat Medicaid pa- tients in the emergency department, in an urgent care facility, or at first-time office visits without access to their past medical history. For patients consistently on Medic- aid, the new portal also could be what


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January 2014 TEXAS MEDICINE 41


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