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BUS FPX 4126 Assessment 2 Requesting Information

Student Name

Capella University

BUS-FPX4126 Health Care Information Management

Prof. Name:

Date

Request for Information (RFI) for Compliance, Data Management, and Communication Solutions for AxessPointe Community Health Centers, Inc.

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.


Compliance and Privacy Needs and Requirements

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:

  • Comprehensive compliance solutions.
  • Risk assessments and mitigation plans.
  • Cybersecurity threat monitoring and management.

Data Storage

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:

  • Cloud-based data storage migration.
  • Improved server capacity and efficiency.
  • Cost-effectiveness and scalability.

Communication Needs and Requirements

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:

  • User-friendly communication tools.
  • Enhanced intranet for employee access.
  • Advanced mass communication systems for patient outreach.

Key Strategic Needs

CategoryCurrent StatusStrategic Plan
Compliance and PrivacyPHI monitoring required by HIPAA, OIG, and CMS.Develop a comprehensive Compliance Work Plan.
Data StorageOverburdened client-based servers.Transition to cloud-based storage for cost-efficiency.
CommunicationOutdated intranet and reporting mechanisms.Upgrade communication platforms for internal and external use.
Billing and CodingCurrent Medicaid PPS structure limits revenue.Transition to an Alternative Payment Method (APM) for optimization.

Billing and Coding Needs and Requirements

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).


Conclusion

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.

BUS FPX 4126 Assessment 2 Requesting Information


References

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

BUS FPX 4126 Assessment 2 Requesting Information

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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