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Case Studies

South Dakota Health Link - Division of Long Term Services

Division of Long Term Services and Supports (LTSS) provides home and community-based service options to individuals 60 years of age and older and 18 years of age and older with disabilities. In accordance with the Older Americans Act and other applicable state and federal laws, LTSS provides or purchases services for South Dakotans who meet program eligibility.

The mission of the Division of Long Term Services and Supports (LTSS) is "To provide opportunities to enable older South Dakotans and adults who are disabled to live independent, meaningful, and dignified lives while maintaining close family and community ties by promoting in-home and community-based services to prevent or delay premature or inappropriate institutionalization."

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South Dakota Health Link - Medication Therapy Management

Pharmacists use Medication Therapy Management (MTM) program services to do in-depth medication reviews, follow-up phone calls to assess and promote patient adherence to medications, and other clinical services as determined by the patient’s insurance plan. MTM services ensure patients are receiving optimal therapeutic outcomes for all medications they may be taking. MTM also helps health providers limit patient medication abuse and misuse through patient education to ensure patients are able to use the prescription properly for their specific condition.

With the shift towards value-based care, pharmacists are expanding their role as essential members of the health care team. Community pharmacy practice is also evolving from a principal focus on medication distribution to expanded clinically-oriented patient care services. The need for access to clinical information and to improve care collaboration with other providers is essential for a patient-centered approach, enhancing patient health and medication outcomes.

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Advocate Physician Partners

Advocate Physician Partners (APP) brings together more than 4,900 physicians who are committed to improving health care quality, safety and outcomes for patients across Chicagoland and Central Illinois. Formed as a care management collaboration with Advocate Health Care, APP is a leader in population health management and has garnered national recognition for its innovative clinical integration program. Its comprehensive approach coordinates patient care across the continuum—ensuring care is delivered at the right place and at the right time. This results in more efficiency, improved health outcomes and significant cost savings.

Formed as a care management collaboration with Advocate Health Care, APP is a leader in population health management and has garnered national recognition for its innovative clinical integration program. Its comprehensive approach coordinates patient care across the continuum—ensuring care is delivered at the right place and at the right time. This results in more efficiency, improved health outcomes and significant cost savings.

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CliniSync: The Ohio Health Information Partnership

Promoting Data Sharing And Collaboration To Meet Value-Based Care Goals

Established in 2011, the Ohio Health Information Partnership, a statewide health information exchange (HIE) powered by Medicity is successfully sharing health data with the medical community.

Branded as CliniSync, the HIE shares data for more than 11.5 million Ohio citizens, which means it is serving 92 percent of the state. Gaining excellent provider participation with 148 hospitals, the HIE recently sought to expand its network to payers. To date, CliniSync has contracted with seven payers and accountable care organizations (ACOs) and is in negotiations with several more.

By The Numbers


Hospitals Contracted


Physicians/Clinicians Connected


Physicians/Clinicians Using Community Health Record


Direct Email Addresses Available


Long-term and Post-acute Facilities Connected


Payers/ACOs Contracted


Patient Records Accessible

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South Dakota Health Link – Mastering the Art of the HIE

South Dakota Health Link has become one of the nation’s most successful state health information exchanges (HIE), thriving when other state HIEs have struggled or disbanded.

Health Link, which is provided by the South Dakota Department of Health, has strategically developed service offerings that are designed to spur member adoption and ensure the organization’s ongoing sustainability. These include direct services, query-based services and health information service provider services, all provided by Health Link’s technology provider, Medicity.

South Dakota’s state HIE has achieved notable levels of participation, including:

  • 150 organizations representing 2,200 providers using Direct services
  • 95 percent of hospitals and 75 percent of primary care clinics using Point of Care Exchange (querybased services)
  • First state in the nation to link with a local Veterans Affairs facility
By The Numbers

Direct Services150member organizations across

6 States

Point of Care Exchange63hospitals

300+primary care clinics

With member organizations in5 States

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Lincoln Land Health Information Exchange Helps Providers Improve Collaboration and Efficiency with Timely Access to Patient Information

While many providers now use electronic health records (EHRs) as a part of health care reform, communication is still largely paper-based. Many of them still rely on paper-based orders, test results, referrals and care transitions. In fact, a recent study shows only 14 percent of doctors electronically share patient information with other providers outside of their facility.1

As a result, staff members spend much of their day on time-consuming faxes, paperwork and calls. These tasks reduce productivity. They also often lead to delays, miscommunications and low patient and doctor satisfaction.

Springfield, Illinois-based Lincoln Land Health Information Exchange (LLHIE) aims to help providers overcome these issues in the transition to value-based models. Formed in August 2011, LLHIE has more than 15 health care organizations across central Illinois participating in the HIE, including:

  • Acute and critical access hospitals;
  • Primary care practices;
  • Multi-specialty clinics;
  • Home health providers; and
  • Ambulance service providers.
By The Numbers

15+health care organizations across central IL

7,000patient transfers each year

Improved billing cycle time by50%

Reduced claims submission TAT by67%

Accelerated claims payment by20 days

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Trinity Health Streamlines the Secure, Timely Transmission of Information through Medicity HISP

Medicity has worked with Trinity since 2010, providing electronic orders and results delivery, clinical summary exchange, closed loop referrals management capabilities and a Secure Messaging solution (using Direct protocol) to improve the exchange of information during transitions of care and meet Stage 2 Meaningful Use (MU2) requirements.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving people in 20 states through 86 hospitals and 109 continuing care facilities, home health and hospice programs.

Why Trinity Chose the Medicity HISP

As part of Trinity’s attestation for MU2, the health system was required to implement a Secure Messaging solution to improve the exchange of information during transitions of care.

The fact that the Medicity HISP is a part of the DirectTrust anchor bundle was an added benefit for Trinity. Through DirectTrust, the Medicity HISP service provides a broad, national network of secure Direct connectivity, allowing providers to send secure emails between the Medicity HISP and other HISPs. The rapidlygrowing DirectTrust network serves more than 5,000 health care organizations and 200,000+ individual Direct users. 

By The Numbers

350EHR systems integrated

5,000health care organizations and over

200,000 individual Direct users connected

2,500 Direct e-mail addresses plus

2,000 addresses for the Trinity HISP, owned facilities and other state HIEs managed


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Intermountain Healthcare Transforms its Lab Business with Medicity Exchange

Regulatory policies have prompted greater use of core health information exchange (HIE) services. Since Stage 2 Meaningful Use requirements have been enacted, many hospitals have implemented notification systems for better care transitions, Direct, secure messaging, exchange of lab results and public health reporting. According to a 2014 Survey on Health Data Exchange, most hospitals surveyed report that access to external organization data is a challenge and that interoperability continues to be an obstacle as organizations work to integrate with multiple EHR vendors.

Intermountain Healthcare is a large integrated delivery system and internationally recognized nonprofit health system based in Salt Lake City serving the health care needs of Utah and southeastern Idaho residents. The system, which employs more than 33,000 people, includes 22 hospitals, a medical group with more than 185 physician clinics and an affiliated health insurance company.

Intermountain began working with Medicity in 2007 to support growing lab services outreach efforts with the electronic delivery of lab results and reports. The relationship began as a pilot, but over the years has evolved with the addition of new functionalities and technology advancements.

Medicity has facilitated the exchange of more than seven million reports and results for Intermountain in just the last five years.

By The Numbers

33,000people employed

22hospitals connected & medical groups with

185 physicians

7 million+ reports and results exchanged

Reassigning 3 FTE’s who previously managed lab results

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CliniSync: The Ohio Health Information Partnership

The Ohio Health Information Partnership, an industry-leading nonprofit organization, supports 141 hospitals and their physician employees, plus more than 2,000 independent physicians spanning 77 counties. In launching its HIE initiative, CliniSync, the Partnership needed technical and strategic guidance in building a technology infrastructure that would support the diverse workflows and systems of a wide variety of community care providers. Read how Medicity solutions helped the Partnership facilitate clinical document delivery and clinical data exchange across Ohio and beyond.

Branded as CliniSync, the HIE, powered by Medicity, has contracted with 141 hospitals and their employed physicians throughout 77 of Ohio’s 88 counties. More than 2,000 independent physicians are also participating in the network, and that number continues to rise.

Thanks in large part to this participation, approximately 87 percent of Ohio’s 11.5 million residents can now benefit from a clinical data exchange program. This widespread adoption is especially beneficial during the coordination and management of care transitions, one of the most critical periods in the continuum of care.

By The Numbers

141 hospitals connected

2,000 independent physicians connected

2.6 million+ clinical results transimitted

60 million patient records accessible

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Connecting Colorado through Transitions of Care

The Colorado Regional Health Information Organization (CORHIO) understands that long-term and post-acute care (LTPAC) facilities are slower to adopt EHR technology which limits their ability to connect electronically to the state’s health care ecosystem. CORHIO wanted the functionality necessary to connect Colorado’s LTPAC providers to its HIE network. Read how Medicity solutions helped CORHIO give LTPACs the ability to view the clinical history of patients and securely send and receive clinical information and summaries using a web-based clinician portal.

A growing number of hospitals, physician practices and health systems have implemented electronic health records (EHRs) to comply with Meaningful Use guidelines, receiving incentive payments to help defray the expense. However, there are no Meaningful Use incentives or requirements for long-term and post-acute care (LTPAC) facilities, which has resulted in slower adoption and limited connections to the care ecosystem.

It is critical that LTPAC and acute care facilities communicate effectively and securely to ensure proper patient care and reduce unnecessary tests and costs, especially during care transitions.

By The Numbers

140 LTPAC facilities connected

6 minutes for patient information delivery

1 million+ queries processed

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