The Mass HIway Overview of the State-wide Health Information Exchange

Transcription

1 The Mass HIway Overview of the State-wide Health Information Exchange

2 Agenda MeHI Introduction Health Information Exchange 101 Mass HIway Overview Last Mile Program Example Use Cases 2

3 Massachusetts ehealth Institute Introduction 3

4 MeHI Overview MeHI is designated state agency for: Coordinating health care innovation, technology and competitiveness MeHI is a division of the Massachusetts Technology Collaborative, a public economic development agency Accelerating the adoption of health information technologies Promoting health IT to improve the safety, quality and efficiency of health care in Massachusetts Advancing the dissemination of electronic health records systems in all health care provider settings Connecting providers through the statewide HIE Managing HIE and REC grants from Office of National Coordinator 4

5 Healthcare Reform American Recovery Reinvestment Act of 2009 ARRA Funds HITECH Electronic Health Record Systems Health Information Exchange (HIE) is foundation for Accountable Care Meaningful Use Stage 1, 2, 3 5

6 Massachusetts Healthcare Reform State Health Insurance Reform Chapter MeHI established by Chapter MeHI designated as Statewide HIE 2010 HITECH Act passed 2010 Chapter 224 passed Chapter 305 created MeHI in 2008 Focused on cost containment, Chapter 224 refined MeHI s focus and established funding for Provisions of the Chapter 224 legislation are specific to Behavioral Health organizations MeHI will support Behavioral Health, Long Term Care, Community Hospitals and providers that do not qualify for federal incentives. 6

7 MeHI Approach and Programs Education EHRs HIway Innovation MeHI Website HIT Community REC IOO Program Medicaid Incentive Payment Program BORIM Support Chapter 224 Grant Program HIway Last Mile Adoption Program Vendors Technical Support Provider Communities Implementatio n Stories and Support ehealth Roundtable Identify and Promote Technology Charge from 224 Outreach Communication 7

8 MeHI Current Programs Regional Extension Center Support priority primary care providers implement and meaningfully use EHRs and engage in HIE Medicaid Partnership with EOHHS to support key operational components of the Medicaid Incentive Payment Program Health Information Exchange Connects participants to, enables integration with, and maximizes adoption of the Mass HIway 8

9 9 Health Information Exchange 101

10 Health Information Exchange 101 what is it? Electronic sharing of health information among varied healthcare systems while maintaining meaning HIE model types 10 Push versus pull (query) consent implications Data frequently exchanged CCD Continuity of Care Document Common MU Data Set HISP Health Information Service Provider, i.e. trust fabric, message delivery, gateway, directory The MA state-wide HIE The Mass HIway 1. Patient name 2. Sex. 3. Date of birth 4. Race. 5. Ethnicity 6. Preferred language. 7. Smoking status 8. Problems. 9. Medications 10. Medication allergies. 11. Laboratory test(s) 12. Laboratory value(s)/result(s). 13. Vital signs (height, weight, BP, BMI) 14. Care plan field(s), including goals and instructions. 15. Procedures 16. Care team members.

11 Mass HIway Overview Benefits Security + Privacy Roadmap Services 11

12 Massachusetts Health Information HIway A collaboration between EOHHS and MeHI to deploy a secure statewide health information exchange. EOHHS leads infrastructure development and operation MeHI leads the Last Mile Program: Connection & Adoption Catalyze innovation Demonstrate measurable improvements in care quality, population health and health care costs Funded through CMS & ONC with State matches sustained through private sector contributions 12

13 Governance and Advisory Groups HIT Council Consumer Advisory Group Provider Advisory Group Technology Advisory Group Legal & Policy Advisory Group 13

14 October 16, 2012: Golden Spike Day! 14

15 Golden Spike Participants Use Case From To Content Eastern Hospital to Western Hospital ACO to ACO Massachusetts General Hospital Beth Israel Deaconess Medical Center Baystate Medical Center Massachusetts General Hospital Governor Patrick medical record (CCD) Patient summary record (CCD) Hospital to Practice Childrens Hospital Atrius Health Patient summary record (CCD) Suburban Hospital to Academic Medical Center (bi-directional) ACO to Quality Data Warehouse Hospital to Referring PCP ACO to Health Plan MetroWest (Vanguard) Beth Israel Deaconess Physician Organization Beth Israel Deaconess Medical Center Beth Israel Deaconess Medical Center Tufts Medical Center Massachusetts ehealth Collaborative Dr. Ayobami Ojutalayo (Lawrence) Network Health Plan Patient summary record (CCD) Encounter summary (CCD) Patient summary record (CCD) Patient summary record (CCD) 15

16 Mass HIway Hub for Health Information Exchange The Mass HIway enables the secure electronic exchange of health information among diverse participants in the Commonwealth: Health System The Benefits of HIE Patient Hospital Improve & Streamline Care Coordination Fewer Medical Errors / Improved Patient Safety Reduce duplication Pharmacy Mass HIway Small Practice Supports achieving Meaningful Use Reduce Costs Throughout the Care Delivery System Ease & Improve Public Health Reporting & Analytics Labs Public Health Foundation for Accountable Care Organizations & Value-based Healthcare Models 16

17 Mass HIway Trust Fabric The Mass HIway trust fabric is achieved through the combination of technical security standards + legal policies to which all participants agree Security Encryption Authentication Trust Privacy Participation Packet Patient Consent 17

18 Mass HIway Roadmap Phase 1 Information Highway Phase 2 Registries + Query Health State assumes HISP role Provider-directed exchange of electronic health information Provider can push health information to another provider Query-based exchanged enabled Development of registries, analytical repositories 18

19 Mass HIway Connection Options & Services User Types HIway Services Physician practice Hospital EHR Connect directly Connect with local gateway Connection Options Participant directory Certificate repository Secure messaging Long-term care Other providers Public health Health plans Connect through LAND (Local Application for Network Distribution) Message Transformation Secure web mail 19 Labs and imaging centers Browser access to webmail inbox

20 Mass HIway Last Mile Program Mission Goals Environment Approach & Initiatives 20

21 Last Mile Program Mission Grow adoption of the Mass HIway by all eligible participants, while catalyzing innovation ultimately demonstrating measurable improvements in care quality, population health and health care costs 21

22 Last Mile Program Goals GOAL 1: Connect and Integrate Connect participants to and enable integration with the Mass HIway by all eligible participants GOAL 2: Maximize Adoption Optimize Mass HIway services and grow utilization GOAL 3: Impact Healthcare Demonstrate measurable improvements in care quality (better care), population health (healthy people and communities) and health care costs (affordable care) 22

23 Last Mile Program Our Environment Barriers EHR technology interfaces & product timelines Consumer on-ramps & workflows Consent infrastructure Evolving HIway infrastructure Evolving policies (consent, HISP-HISP) HIway awareness Meaningful use Incentives Enablers Chapter 224 force of law to require connectivity (patients, providers, etc) Pioneer Accountable Care Organizations (ACOs) Penalties Chapter 224 Penalties for non-participation in HIE (1/1/2017) CMS readmission penalty Community-based care transition programs BORIM meaningful use licensure (1/1/2015) Patient Centered Medical Home (PCHM) Mergers & Acquisitions Innovation & outcome funding 23

24 Last Mile Program Initiatives Connection Adoption Impact Healthcare EHR Vendor Interface Grants Implementation & Support Community of Practice for Consent Community Collaboration Program HIway Implementation Grant Program Outreach Marketing Education 24

25 Mass HIway Get Connected Join our list and Community 25

26 Connection - Pricing 26

27 27 HIway Use Case Examples

28 Use Case # 1 - Discharge Summary From Hospital to Provider Hospital Discharge Summary or Notification Care Team Member PCP, Specialist 28

29 Use Case #2 - Provider Refers Patient for Services PCP Request for Referral Diagnostic Services Specialty Services close the loop 29

30 Use Case #3 - Support Service Sends Summary Care Record to Provider Diagnostic Services Specialty Services Summary of Care Record Care Team Member PCP, Specialist 30

31 Use Case #4 - Provider Sends Summary to Patient Coming Soon! Hospital or Specialty Service Discharge Summary or Summary of Care Patient 31

32 Connect with MeHI & Last Mile Massachusetts ehealth Institute (fax) Twitter MeHI Community Mass HIway Last Mile Program MA-HIWAY ( ) Option 1 MassHiway@mehi.masstech.org mehi.masstech.org/what-we-do/mass-hiway 32