Student Name
Capella University
BUS-FPX4126 Health Care Information Management
Prof. Name:
Date
AxessPointe Community Health Centers, Inc. (API) is seeking proposals from qualified vendors to address its critical needs in compliance, data management, and communication. This RFI outlines AxessPointe’s specific requirements and provides a framework for vendors to respond with suitable solutions. Below are the detailed requirements and strategic needs that vendors are expected to address.
As a HIPAA-covered entity, AxessPointe must ensure the protection of Protected Health Information (PHI). This includes creating a robust Compliance Work Plan for monitoring and auditing PHI use and disclosures, aligning with the Ohio Inspector General’s (OIG) mandates and CMS recommendations (CMS, 2019). Additionally, AxessPointe requires vigilant monitoring of cyber threats to safeguard sensitive data.
Key Expectations:
AxessPointe’s current data storage system relies on client-based servers located at its Kent facility, which are now insufficient to meet operational demands. Migration to a cloud-based server, recommended by the EHR vendor, is considered essential for cost savings and enhanced efficiency (IntakeQ, 2018).
Key Expectations:
AxessPointe prioritizes effective communication to enhance both patient and employee interactions. While improvements have been made to the patient-facing website, additional enhancements are needed for the employee intranet and internal reporting mechanisms. Adopting communication platforms such as Microsoft Teams or Cisco Jabber is recommended for streamlined operations.
Key Expectations:
Key Strategic Needs
Category | Current Status | Strategic Plan |
---|---|---|
Compliance and Privacy | PHI monitoring required by HIPAA, OIG, and CMS. | Develop a comprehensive Compliance Work Plan. |
Data Storage | Overburdened client-based servers. | Transition to cloud-based storage for cost-efficiency. |
Communication | Outdated intranet and reporting mechanisms. | Upgrade communication platforms for internal and external use. |
Billing and Coding | Current Medicaid PPS structure limits revenue. | Transition to an Alternative Payment Method (APM) for optimization. |
AxessPointe’s financial stability depends on optimizing reimbursement rates and diversifying its payer mix. Transitioning from the Medicaid Prospective Payment System (PPS) to an Alternative Payment Method (APM) is crucial for achieving this goal. Additionally, negotiating contracts with insurance providers and expanding the payer mix will contribute to sustainability (API, 2021; NACHC, 2020).
AxessPointe encourages potential vendors to respond to this RFI with tailored solutions that address the outlined needs. The organization values the insights and expertise of vendors to help shape its operational and strategic goals effectively.
AxessPointe Community Health Centers, Inc. (2021a, July 24). Community Health Care | About Us | AxessPointe Health Center. Axesspointe Community Health Centers. https://axesspointe.org/meet-axesspointe/
Centers for Medicare & Medicaid Services. (2019, November 19). Compliance Program Policy and Guidance | CMS. https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance
eClinicalWorks. (2021). Automate Health and Wellness Reminders. https://www.eclinicalworks.com/products-services/patient-engagement/messenger/
Humpert, S. (2019). Denial Prevention: Understanding Common Culprits and How to Avoid Them. American Health Information Management Association. https://bok.ahima.org/doc?oid=302721#.YQa1-45KjIU
IntakeQ. (2018, June 11). Cloud-Based or Client-Server? What to Know About Your EHR System. https://blog.intakeq.com/cloud-based-or-client-server-what-to-know-about-your-ehr-system/
National Association of Community Health Centers. (2020). FQHC Payment. https://www.nachc.org/focus-areas/policy-matters/medicaid-and-medicare/fqhc-payment/
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