Joint Public Health Forum & CDC Nationwide Webinar. March 19, 2015
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1 Joint Public Health Forum & CDC Nationwide Webinar March 19,
2 Joint Public Health Forum & CDC Nationwide Agenda Announcements (CDC and ONC) A Meaningful Use Coordination Module for the Massachusetts IIS Tricia Charles (Massachusetts Department of Public Health) Data Exchange Partnership Solution: HL7 Testing Tool & Project Management Kim Gulliver (Colorado Department of Public Health & Environment) Question & Answer Session 2
3 For public comment Connecting Health and Care for the Nation: A Shared Nationwide Interoperability Roadmap Draft Version Public comment period ends at April 3, 2015 at 5PM Interoperability Standards Advisory Public comment period ends May 1 st, 2015 at 5PM. 3
4 S&I Public Health Education Committee Next meeting: April 1, 2015, 4-5:00PM EST TITLE: Backgrounder on Military Health Surveillance PROPOSED SPEAKERS: Col. Carol Fisher / Dr. Julie Pavlin (DoD) Information is available on the Public Health Tiger Team (PHTT) wiki at: Direct link to Education series page: For additional information Interoperability@cdc.gov 4
5 PH - EHR Vendors Collaboration Initiative Disclaimer The views expressed by the presenters and panelists during this meeting are their own and don t represent the official position of the Office of the National Coordinator for Health Information Technology (ONC), and the Centers for Disease Control & Prevention (CDC). 5
6 A Meaningful Use Coordination Module for Massachusetts IIS Tricia Charles MIIS User Support Associate Massachusetts Immunization Information System Immunization Program, MDPH
7 Agenda Massachusetts IIS (MIIS) Context MIIS and Meaningful Use Stage 2 (MU2) Implementation Challenges Customized MU2 Module: Registration of Intent Onboarding Queue Ongoing submissions MU2 Report Card Enhancements Questions 7
8 Massachusetts IIS (MIIS) Context 2010: Legislation passed mandating that all healthcare providers must report administered immunizations to the state. 2011: Launched MIIS and completed direct data exchange pilot through the user interface. 2011: Initiated statewide rollout efforts, using AMCI s isiis Vision Outreach Management System to facilitate provider site/user registration, activity tracking and clinical/technical support. 2012: Completed electronic data exchange pilot through established connection with EHRs. 2013: Start of Meaningful Use Stage 2 (MU2) and development of AMCI s MU2 Coordination Module. 8
9 Millions MIIS Context Con t Sites 2.37 Million Patients 13.6 Million Immunizations 626 Sites 2.39 Million Patients 14.3 Million Immunizations 10 Meaningful Use Stage Sites 1.54 Million Patients 7.3 Million Immunizations Sites 82,000 Patients 70,000 Immunizations 201 Sites 820,000 Patients 3.4 Million Immunizations Meaningful Use Stage (March) 9
10 MIIS and Meaningful Use As a part of the American Recovery and Reinvestment Act (ARRA), the meaningful use initiative requires participating healthcare providers to meet established public health criteria to receive EHR-MU incentives. One of three possible public health components involves testing and establishing a connection from the provider site EHR to the appropriate Immunization Information System (IIS)* MU Stage 1: send test message to IIS MU Stage 2: ongoing submissions (umbrella) ** Ongoing submission was already achieved for an EHR reporting period in a prior program year and continues throughout the current EHR reporting period. Registration of Intent for ongoing submission was submitted within 60 days of the start of your EHR reporting period, and ongoing submission was achieved. Registration of Intent for ongoing submission was submitted by the deadline and you are still engaged in testing and validation of ongoing electronic submission. Registration of Intent for ongoing submission was submitted to MDPH by the deadline and you are awaiting an invitation to begin testing and validation. * ** 10
11 MU2 Implementation Challenges Hundreds of providers to manage and track System to allow registrations of intent, for individual practices/medical groups/ehrs Invitation to onboard and other requests for action (technical and clinical) Documentation for attestation 11
12 MU2 Coordination Module Launched October 1, 2013 Built upon existing isiis Vision to develop MU2 Coordination Module Automated processes, queues, and tracking for site/group/ehr management and documentation Accessible to MIIS Team as well as MU Coordinators, hand-in-hand with established roll-out steps 12
13 Coming on Board with the MIIS Intent Registration Onboarding Queue Ongoing Submission 13
14 14
15 Registration of Intent Single Site 15
16 Registration of Intent Group 16
17 Internal CMS 17
18 Internal Intent Registration Queue 18
19 Internal Onboarding Queue 19
20 Internal Ongoing Submissions 20
21 Internal Site Profile: MU 21
22 MU2 Report Card Single or Group 22
23 CMS and MU2 Module Stats (as of March 17, 2015) MIIS Provider Site Registrations: 1903 Total Sites reporting data to MIIS: 637 MU Registrations of Intent: 650 MU Onboarding Queue: 138 MU Ongoing Submissions:
24 Enhancements Non-Compliant vs Non- Responsive Queue Automated s and activity tracking Onboard tracking for sites that are not attesting for MU 24
25 25
26 Data Exchange Partnership Solution HL7 Testing Tool & Project Management
27 Agenda CIIS Overview Data Exchange Challenges AMCI Partnership Anticipated CIIS Workflow HL7 Testing Tool EHR Vendor Project Management 27
28 CIIS Overview CIIS Milestones 1996 CDC 5-year grant (local databases live at 13 sites) 1999 site specific databases combined into regional database 2001 became web-based SQL server database 2011 registry platform replacement (WebIZ) CIIS Statistics Total Patients: > 4.5 million patient records Total Vaccinations: > 48.8 million immunizations 28
29 Data Exchange Challenges Manual Interface Process Limited Staff Resources Extensive Wait List Length of Implementation Projects Communication Delays Completed Local Guide in January 2015 Project Management/Tracking Data Exchange & Meaningful Use 5 spreadsheets for tracking Failure to Respond 29
30 CIIS AMCI Partnership Immunization Data Exchange (IDx) Module: Self-serve, automated HL7 Testing tool and on-boarding support Meaningful Use Public Health Reporting Module: MU2 tracking for Public Health Reporting Objectives IIS Outreach Management System (OMS) Module: Provider and vendor contact information management Support Ticketing System (STS) Module: CIIS Help Desk tracking and documenting resolutions 30
31 Database Comparison External vs. Internal Resources 31
32 Anticipated CIIS Workflow Pre-Testing occurs before connectivity is established. Available to EHR Vendors, HIE staff and Technical Contacts from Group or Practice. Not Dependent on IIS resources or staff availability 32
33 CIIS Resource Center HL7 Testing Tool -EHR Vendor 33
34 Validating EHR Products Ability to validate VXU and QBP messages for each EHR product 34 Ability to easily check pass/fail status
35 Validating Groups Displays all clinic sites within group Ability to validate for group or each individual clinic and view pass/fail status 35
36 Validating Clients All practices with EHR selected will be displayed 36
37 Client Status Screen Easily track # of passed messages vs. minimum criteria 37
38 Summary Report Quick summary review of results Detailed information related to each segment with an error or warning 38
39 Detail Report Quick summary review of results Detailed information related to all segments within message 39
40 Detail Report 40
41 isiis Vision Data Exchange Ability to view organizations that are pre-testing and the result of the message(s) 41
42 Anticipated CIIS Workflow 42
43 isiis Vision Interface Project Queue Immunization Reporting Status changed to: Invited, CIIS awaiting response 43
44 Anticipated CIIS Workflow 44
45 isiis Vision Practice Data Exchange Information Easy access to starting new on-boarding projects Quick view of on-boarding and HL7 pre-testing status
46 Anticipated CIIS Workflow 46
47 isiis Vision - Interface Project Management Increased visibility of Interface Projects and Status Exportable report Quick access to Projects. 47
48 isiis Vision - Interface Project Management Quick glance status update for interface, contact information CIIS staff can track communications, tasks, and specific information related to project, including Action Requests
49 Anticipated CIIS Workflow 49
50 isiis Vision - Meaningful User Report Card 50
51 Questions? Kim Gulliver, MS Interoperability Coordinator Colorado Immunization Information System (303) AMCI Health Informatics (877)
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