MS PPS IT Strategy- Partner Education Materials (Volume 1, edition1) August 2015

Transcription

1 MS PPS IT Strategy- Partner Education Materials (Volume 1, edition1) August 2015

2 Why are we here? The IT Committee has assigned 20 champions to ~356 organizations Goal of the champions is to: Develop relationships with PPS partners Share key centralized IT strategies Extend critical information to partner organizations Current IT strategy Targeted partner engagement 2

3 Mount Sinai PPS Vision The goal of the Vision is to create: Population health focused, Integrated delivery system for Manhattan, Queens and Brooklyn that, Improves the quality of care and health outcomes for our most vulnerable populations, While reducing overall costs The Delivery System Reform Incentive Payment (DSRIP) Program is a tool by which our PPS can build its population health infrastructure over the next five years. 3

4 DSRIP Overview & Goals Delivery System Reform Incentive Payment (DSRIP) Program has three key goals: 1 Safety Net care delivery transformation at the state and system level 2 25% reduction in avoidable hospital use 3 Value-based payment and population health sustainability 4

5 How do we achieve these goals? 1. Participate in the 10 DSRIP projects below, selected from a list of project options provided by the state: 2.a.i. Create Evidence Based Integrated Delivery Systems 2.b.iv Care transitions intervention model 2.b.viii Hospital- Home Care Collaboration 2.c.i. Communitybased health navigation services 3.a.i Integration of Primary Care and Behavioral Health 3.a.iii. Medication Adherence Program in Community Sites 3.b.i. Evidencebased strategies for disease management (cardiovascular) 3.c.i Evidencebased strategies for disease management (diabetes) 4.b.ii. Chronic Disease Prevention 4.c.ii Increase early access to, and retention in HIV care 2. Leverage these projects to achieve DSRIP project metrics and milestones 5

6 How do we achieve these goals? A key role for IT is to enable the achievement of project goals and clinical outcomes DY 1 3 focus on building infrastructure, thus most incentive payments are tied to process and system infrastructure measures most IT measures must be met in these three years Funding Breakdown DY 1 DY 2 DY 3 DY 4 DY 5 Total DSRIP Annual Funding % 15.84% 16.88% 27.29% 24.16% 15.84% 100% DY 1 April 2015 March 2016 DY 2 April 2016 March 2017 DY 3 April 2017 March 2018 DY 4 April 2018 March 2019 DY 5 April 2019 March 2020 DY 3 5 focus on clinical outcome thus, most incentive payments are dependent on achieving set clinical outcome measures 6

7 3-Tier IT Services Structure Although the MS PPS will utilize services provided by the state, central PPS and partner level in order to achieve DSRIP milestones, this presentation will focus on the IT strategy of centralized services State Level Services SHIN-NY state-wide look-up service MS PPS Centralized Services Centralized Services Partner technology capabilities Partner Investments/ tech needs 7

8 MS PPS IT Strategy 8

9 MS PPS IT Strategy Framework Enhance data sharing at the point of care Comprehensive population and patient level analytics Support DSRIP project design implementation Capture and manage DSRIP project goals and partner performance 9

10 Key Assumptions for Centralized IT Services Strategy Complete set of Centralized Services designed to perform the four functions listed in the previous slide All services in this presentation and the associated materials only contain the technology aspect of these services. The operational and clinical aspects will be informed by the other PPS committees. The Centralized Services Strategy is currently in draft form. All services and scope are subject to funding allocated to support the current strategy, validation from clinical and project teams, and further clarification of state services/requirements 10

11 Centralized Services 11

12 Bi-directional Clinical Data-Sharing GOAL: Exchange patient information (medical, behavioral health, and social) across the continuum of care (all PPS Partners) MSPPS HIE & RHIO Connectivity Bi-directional data sharing across all partners SHIN-NY services MSPPS Partner Portal Web portal to access key centralized services applications 12

13 GOAL: Population Health Perform population health activities & analytics Data Analytics Patient registries Provider clinical performance Care Coordination Platform 360 degree patient navigation Risk stratification 13

14 GOAL: DSRIP Projects Technology solutions that will specifically enable DSRIP project intervention design Telemedicine Learning Management DSRIP project enablement Referral Tracking Call Center Support 14

15 DSRIP Reporting Goal Examples Technology Solution Support DSRIP Reporting for measures that are reported by the PPS PCMH Certification MU Certification Training Lists Customer Relationship Management Platform 15

16 Partner Engagement & Next Steps 16

17 Why is this important for you? We succeed if you succeed All partners MUST perform for the entire PPS to succeed. If one partner fails in meetings metrics, that impact will potentially result in reduced funding available for the entire PPS Assessments Partner investments/ requirements 17

18 Data Sharing Pathways MSPPS IT Committee has developed data sharing pathways that will help facilitate successful patient lookup/ query, alerts, and messaging, subject to constraint by the partner s level of IT maturity: 1. Pathway A Partner organization has EHR and its connected to an HIE/RHIO (bi-directional) 2. Pathway B Partner organization has EHR or HIE that is capable of sending data (uni-directional) 3. Pathway C Partner organization has EHR but no HIE or the HIE is not capable of sending data 4. Pathway D Partner does not have an EHR or an electronic platform 18

19 PATHWAY A (BLUE) PATHWAY B (RED) PATHWAY C (GREEN) PATHWAY D (PURPLE) 119

20 Pathway A Pathway A Partner organization has EHR and its connected to an HIE/RHIO (bi-directional) Characteristics/Capabilities: High level of IT sophistication Bidirectional data sharing Capable of sharing and storing structured data Meaningful Use-eligible EHR Advanced analytics Also has access to MSPPS HIE data via MSPPS Partner Portal LEGEND: Community Partners Local HIE/RHIOs MSPPS HIE/ Analytics Core MSPPS Partner Portal Bidirectional data sharing Unidirectional data sharing Read access through partner portal 20

21 Pathway B Pathway B Partner organization has EHR or HIE that is capable of sending data Characteristics/Capabilities: Moderately high level of IT sophistication Capable of sharing data Not capable of receiving data, except patient look-up Capable of sending structured data Meaningful Use eligible EHR Access to data from other partners in MSPPS HIE via MSPPS Partner Portal LEGEND: Community Partners Local HIE/RHIOs MSPPS HIE/ Analytics Core MSPPS Partner Portal Bi-directional data sharing Uni-directional data sharing Read access through partner portal 21

22 Pathway C Pathway C Partner organization has EHR but no HIE or the HIE is not capable of sending data Characteristics/Capabilities: Moderate level of IT sophistication Some EHR, possible homegrown Not capable of sharing and receiving data into EHR Capable of generating Excel/CSV file for reporting Also able to access and enter information into MSPPS HIE data via MSPPS Partner Portal LEGEND: Community Partners Local HIE/RHIOs MSPPS HIE/ Analytics Core MSPPS Partner Portal Bi-directional data sharing Uni-directional data sharing Read access through partner portal 22

23 Pathway D Pathway D Partner organization has EHR but no HIE or the HIE is not capable of sending data Characteristics/Capabilities: Lower level of IT sophistication No EHR or electronic platform capable of connecting to an HIE Not capable of sharing or receiving data Able to use MS Office (perhaps Excel) for tracking patient facing operations Paper-based form and manual data entry Access to MSPPS Partner Portal for read access to HIE data and to submit reports and forms LEGEND: Community Partners Local HIE/RHIOs MSPPS HIE/ Analytics Core MSPPS Partner Portal Bi-directional data sharing Uni-directional data sharing Read access through partner portal 23

24 Next Steps Partner Assessments -Surveys -Site Visits -Technology pathways Partner Engagement -Town Halls -Committee Meetings -Website -PPS Summit -Weekly Newsletter -Champions Partner Requirement -Phase 1 Contract agree to participate in DSRIP (completed) -Phase 2 Contract (TBD) DY1 Partner Requirements (future) 24

25 What to expect in future editions of Partner educational materials for MSPPS IT Strategy This first set of educational materials aim to introduce partners to: Overview of MSPPS IT Strategy Key terms Centralized Services Data Sharing pathways As we learn more about our DSRIP project requirements and our partners through the assessments, we hope to provide detail around: Changes to this strategy Detail around each centralized service Partner level requirements or investments that may be needed to utilize these services Timelines and plans for implementation of these services 25

26 Questions & More Information 26

27 Contact IT first line of communication (questions): IT Champion For additional information, please contact for clarity around the following areas: Finance Finance Committee HIPAA Security and Compliance Clinical Workforce DSRIP 101: Stakeholder Engagement Workgroup 27

28 DSRIP Reading: More Information Project Guidelines: NYS DOH defined Domain 1 project requirements for all DSRIP projects. /domain_1_project_requirements_milestones_metrics_ pdf Project Toolkit: Contains descriptions including key goals and requirements for all DSRIP projects as defined by NYS DOH. project_toolkit.pdf MSPPS Website: all published MSPPS materials, including submissions to the state and various committees information and materials mountsinaipps.org 28