New Hampshire Health Information Organization Board of Directors Meeting Minutes November 12, Airport Road Concord, NH 03301

Transcription

1 New Hampshire Health Information Organization Board of Directors Meeting Minutes November 12, Airport Road Concord, NH I. Call to order Ms. Eldredge called to order the regular meeting of the New Hampshire Health Information Organization (NHHIO) Board of Directors at 8:03 am on November 12, II. Roll call The following members were present: Mary Beth Eldredge, Richard Lafleur MD, Lorraine Nichols, Carol LaCross, Deb Mullen, Denise Purington, David Briden, David Querusio, Dan Waszkowski MD, Mark Guptill, Mike Lehrman, Patricia Witthaus, and Kirsten Platte. The following members were present by phone: Christine Rosenwasser MD, and Charles Fanaras. The following members were absent: Victor St. Pierre and Bill Baggeroer. The following non-members were present: Jeffrey Loughlin, Jackie Baldaro, Elizabeth Shields, Nancy Fennell, and Jaime Dupuis. Name Dec-13 Feb-14 Feb-14 Mar-14 May-14 Jul-14 Aug-14 Sep-14 Nov-14 Bill Baggeroer A A Carol LaCross Christine Rosenwasser, MD A A A A R Daniel Waszkowski, MD (NHMS) A A R David Briden (NHHA) A A A R R David Querusio R R Deb Mullen (Home Care) Denise Purington R R Kirsten Platte (BSPC) R R R Lorraine Nichols A R Mark Guptil (BH) R R A Mary Beth Eldredge Michael Lehrman R A Patricia Witthaus (CAH) A A Richard Lafleur, MD R R Victor St. Pierre R R A A A Charles Fanaras, RPh (Pharm) R Approval of minutes from the September 10, 2014 meeting: Ms. LaCross requested an adjustment be made to the last paragraph of the finance committee report. The minutes were approved with adjustments noted; 14 in favor; 0 opposed; 1 abstention. III. New business Ms. Eldredge welcomed new board member representing pharmacy, Charles Fanares. IV. Updates and committee reports

2 Board Chair Ms. Eldredge reported that the executive committee has invited Bill Baggeroer to participate on the committee for the next five (5) months, January May 2015, in anticipation of Ms. LaCross and Ms. Purington s absence due to vacation. Ms. Eldredge opened a discussion regarding the active role(s) of board members and the key activities board members feel are essential to guide the strategic and operational activities of the NHHIO. Engagement was discussed as one of the most important roles such as active participation in committees and advisory groups, serving as a liaison between stakeholder groups and the NHHIO. The group placed particular emphasis on continual communication with these stakeholder groups with a focus on marketing and outreach as a key activity. The group discussed the recruitment of new board members taking the place of current members rolling off of service terms as another key activity. The group would like to see other types of individuals recruited to become board members beyond technically focused individuals such as chief operating officers, health information management, nursing informatics, and clinical staff. Ms. Eldredge cautioned against getting too hospital-centric in choices and expressed support of looking for potentials members with varying skills and experiences in many types of settings. Ms. Nichols advised the group that within the next year 7 of the 17 current board members will be ending terms and the recruitment process will be a large undertaking. The group emphasized that supporting the transition of new members by providing education is essential for a successful transition. Mr. Lehrman commented that in order to not lose the expertise and knowledge base of exiting members, a possible approach would be to ask those exiting members to remain on advisory groups. Dr. Waszkowski advised that it would be helpful to have advocacy and education individuals join the board. The group agreed to discuss recruitment opportunities on a regular basis at future meetings. Project Updates Mr. Loughlin reviewed the current status of the project. He provided a report on the Orion Health s response to the recent contract breach notification letter submitted to Orion Health. He reviewed the details of the letter response that he received from Mr. Sean Donoghue, Orion Health. Orion Health is applying a $50,000 service credit for lack of monitoring of the LAND appliances. In addition, Orion has created and shared with the NHHIO a defined timeline and written project plan for implementation of a new monitoring system for the LAND appliances. Orion would also like to pilot a solution using the large LAND appliance to solve some of the gateway timeout issues that participants have been experiencing. Mr. Loughlin reported that some key issues with the Epic linking incoming messages to the appropriate patients have been resolved. The NHHIO webmail users who were having issues and unable to download and use the CCDAs from a few EHR vendors has also been resolved except for one vendor. Mr. Loughlin reviewed the current monitoring project plan and timeline that is starting this week. He provided a high level review of what Orion will be monitoring and also the alert chain of notices. He noted that Orion is bringing support from New Zealand to the United States to be housed in the Scottsdale, Arizona offices. Mr. Briden inquired if the single point of contact structure was still in place with Orion and asked if the Rhapsody teams have become more coordinated with the health information exchange team. Mr. Loughlin reported that Ms. Peg Denness has taken over as the NHHIO s single point

3 of contact at Orion Health and Mr. David Leach has taken over responsibility for Intelligent Integration at Orion Health and is responsible for all of Direct Secure Messaging (DSM). Mr. Paul de Basin, one of the primary architects of Orion s Direct Secure messaging, met recently with the NHHIO team to discuss creating a plan to move away from the use of the LAND appliances. Mr. Loughlin described a recent down event the NHHIO experienced and how Orion Health handled the event. Ms. Platt commented that she is feeling frustration about the continual lack of reliability of the service. Ms. Mullen commented that technical difficulties are not unique to Orion Health, noting that her electronic health record (EHR) vendor is experiencing issues with implementing and communicating using the DIRECT standards. Ms. Eldredge noted that it is extremely difficult to locate exactly where the problems lie, e.g. with the EHR vendor, the Health Exchange or elsewhere and fault cannot be laid solely in one place. The group discussed experiences across the United States with vendors struggling with navigating the Direct Standards successfully. The group discussed that the technical headaches remain the same across health information service provider (HISP) vendors and EHR vendors. Mr. Loughlin provided updates on other efforts including that status of the eclinicalworks HISP to HISP connection with the NHHIO. He reported that an agreement has been executed with Massachusetts health information exchange and we are connected. The NHHIO can send messages to Massachusetts successfully however Massachusetts cannot decrypt our messages. He noted that there is a pilot project with Elliot Hospital and Southern New Hampshire kicking off that is very exciting. Additional project updates included the NHHIO is moving forward with participating with the Asthma Collaborative grant program and working towards kicking off a project with School Nurse program pilot. The enterprise master patient index (EMPI) project is moving forward and the team is now waiting for an initial data file from the pilot participant, Dartmouth Hitchcock Medical Center. Mr. Loughlin reported that the NHHIO has moved forward with the design of the new web site and reviewed the new site with the group. The NHHIO team will be reviewing site content and also migrating staff s over to new NHHIO based addresses by the end of December He noted that Aria Marketing will be assisting with the web site content creation and review effort. Other Business, Advisory Group and Committee Reports a) Governance Committee Ms. Platte reported there are no new updates. b) Nominating Committee Ms. Nichols reported that the proposed slate of officers has been ed to the board. The 2015 proposed slate of officers is: Marybeth Eldredge, chair; Deb Mullen, vice-chair; Kirsten Platte, secretary; Carol LaCross, treasurer. Ms. Denise Purington remains on the executive committee as ex-officio or past-chair. The NHHIO board performed a roll call vote to elect the proposed slate of executive committee officers for 2015; 15 in favor, 0 opposed, 0 abstentions. f) Finance Committee

4 Ms. LaCross reviewed the 2015 budget with the group. Mr. Loughlin noted that the auditors will be arriving on December 7 th and has requested a detailed engagement letter for specific dates of the audit. Ms. LaCross reviewed the balance sheet and year to date profit and loss statement reporting that the budget is on trend. g) Technology Advisory Group Mr. Loughlin reported that there is an opportunity to think about reaching out to Medicaid for funding to manage the statewide health information exchange. A group met to discuss possible uses of this potential funding. Funds can be used to support adoption of the health information exchange for Medicaid patients. There would be a 90/10 matching of funds requirement and the funds would be used by the NHHIO who would enter into an agreement with the New Hampshire Department of Health and Human Services. Dr. Rosenwasser commented that managing the Medicaid population of patients is very challenging and these funds would be welcome to assist in movement forward with this population of patients. The NHHIO boards voted to authorize the executive committee pursue this project: 15 in favor; 0 opposed; 0 abstentions. h) Outreach & Education Group Ms. Mullen reported that the Web site redesign project has officially kicked off. Mr. Loughlin reported that there are two events happening this week; the NHHIO s legal counsel is hosting an evening educational event to discuss health information exchange. Ms. Purington and Mr. Loughlin will be presenting at this event. Ms. Jackie Baldaro will be presenting to the Cheshire Medical Center s Community Advisory group about what the NHHIO is and what the NHHIO is doing to support the secure connecting of care communities to support quality care for patients across the state of New Hampshire. Mr. Loughlin reported that Harvard Pilgrim communicated to him that their participation with the NHHIO is currently on hold pending Harvard Pilgrim resolving issues with the LAND appliance that they are experiencing with the Massachusetts health information exchange at this time. i) Legislation Advisory Group Mr. Loughlin reported on a recent discussion with Senator Kirk regarding the opt-out requirement and public health reporting. He communicated to Senator Kirk that the NHHIO s understanding is that public health trumps the opt-out requirement. V. Next Board of Director s meeting a) Ms. Eldredge reported that the next NHHIO Board meeting scheduled to take place in December may be cancelled. The December executive committee meeting will be cancelled. VI. Adjournment

5 With no further business to be discussed, Ms. Eldredge requested that the meeting be adjourned at 9:27am. Minutes respectfully submitted by: Jackie Baldaro