Faxing via Apex

1. Faxing via Apex Outstanding Issues and Resolution Plan

2. #1 – System functionality and content scope for faxing of clinical documentation not formally defined • Findings & Recommendations: • Providers have unrestricted access to send clinical documentation from APeX via RightFax to external PCPs and referring providers • Time needed to evaluate other options, including secure email • Reassess in six to nine months

3. #2 – Operational requirements and system capabilities for restricting provider notifications based on patient wishes not formally defined • Findings and Recommendations: Work Group under ARC with representatives from Pediatrics, Women’s Health, APeX, and Revenue Cycle assessing basic needs in order to support HiTech compliance in Patient Access Areas. Initial Findings: • Insufficient or non-existent APeX training provided to patient access staff; lack of clarity about who does what and why • Outdated workflow diagram (APeX) and Med Ctr Policy (5.02.01—Appendix A – HiTech) • Current process flow has Registration, Patient Relations and SBO performing HiTech related activities from HIPAA regulation onset through IDX; streamlining with APeX needed • Variable workflows; some ambulatory practices (Women’s Options, Pre-natal Testing) handling with many manual steps, while others like Pediatrics, unaware of processes, requirements, and flow. Plan: • Workgroup continue to sort out; engage Privacy, Patient Relations, and SBO. • Engage ARC and AWG in reviewing workgroup recommendations; refer to other governance committees as indicated. • Complete revised workflows, communications, and training in 60-90 days.

4. #3 – Inaccuarate PCP and Referring Physician data in Apex may inhibit appropriate routing of ADT notifications and clinical documentation • Findings & Recommendations: