Common use of Health Information Systems Clause in Contracts

Health Information Systems. The Contractor shall establish and maintain, and shall require Subcontractors to maintain, a health information system that complies with the requirements of OCIO Security Standard 141.10, and the Data, Security and Confidentiality Exhibit, and provides the information necessary to meet the Contractor’s obligations under this Contract. OCIO Security Standards are available at: ▇▇▇▇▇://▇▇▇▇.▇▇.▇▇▇. The Contractor shall have in place mechanisms to verify the health information received from Subcontractors. The Contractor shall: Collect, analyze, integrate, and report data. The system must provide information on areas including, but not limited to utilization, and fund availability by service type and fund source. Verifying the accuracy and timeliness of reported data; Screening the data for completeness, logic and consistency; and Collecting service information on standardized formats to the extent feasible and appropriate. Make all collected data available to HCA upon request, to the extent permitted by the HIPAA Privacy Rule (45 C.F.R. Part 160 and Subparts A and E of Part 164 and RCW 70.02.005). Establish and maintain protocols to support timely and accurate data exchange with any Subcontractor that will perform any delegated functions under the Contract. Adding information to the portal shall not be a barrier to providing a necessary Crisis Service. Establish and maintain web-based portals with appropriate security features that allow referrals, requests for prior authorizations, claims/encounters submission, and claims/encounters status updates. Have information systems that enable paperless submission, automated processing, and status updates for prior authorization and other utilization management related requests. Maintain behavioral health content on a website that meets the following minimum requirements. Public and secure access via multi-level portals for providing web-based training, standard reporting, and data access for the effective management and evaluation of the performance of the Contract and the service delivery system as described under this Contract. The Contractor shall organize the website to allow for easy access of information by Individuals, family members, network providers, stakeholders and the public in compliance with the Americans with Disabilities Act. The Contractor shall include on its website, at a minimum, the following information or links: Hours of operations; How to access information on Contracted Services and toll-free crisis telephone numbers; Telecommunications device for the deaf/text telephone numbers; Information on the right to choose a qualified behavioral health service provider, when available and medically necessary; and An overview of the range of behavioral health services being provided.