Alabama s One Health Record AQAF Health Information Technology Forum Leveraging Electronic Exchange to Benefit Alabama Outcomes Gary D. Parker, Presenting August 13, 2013
Today s Roadmap Agenda Alabama s One Health Record A HIE Primer Current Events A Look Ahead A Dick Tracy Demo Next Steps Engagement Questions
Conflict of Interest Disclosure Gary D. Parker, MBA, JD Has no real or apparent conflict of interest to report and I understand this presentation is for educational purposes only.
Technology is the making, usage, and knowledge of tools, machines, techniques, crafts, systems or methods of organization in order to solve a problem or perform a specific function..to the collection of such tools, machinery, and procedures. Greek (techologia) techne meaning craft, art, skill and logia meaning the study of.
Alabama One Health Record Alabama s state-wide Health Information Exchange (HIE). The Alabama HIE is not associated with and not part of the Affordable Care Act (ACA) or the Health Insurance Exchange. In April 2012, One Health Record became fully operational for live PHI exchange and now stands ready for large-scale utilization. Alabama state-wide initiative (Multiple Stakeholders) Three integrated parts ( Bicycle Wheel ) HIE Core Framework ( Hub ) Provider EHR/EMR systems ( Rim ) Interface links between the Hub and Rim ( Spokes ) Information can be exchanged in either of two ways: Pushes patient information using Direct Message (Secured E-mail with attachments). Pulls PHI using the Patient Search Process (Query more Robust)
Alabama One Health Record Alabama s state-wide Health Information Exchange (HIE). Serves as the intermediary Trusted-Provider-in-Fact for electronic PHI exchange. The system and framework to permit all health care providers to securely share patient PHI electronically to improve outcomes through improved care coordination using Electronic Health Record (EHR) systems. It is a certified, standards-base technology that is HIPAA and MU2 compliant. It is connected to Federal Health Information Network (The ehealth Exchange). Directly supports the EHR Meaningful Use Incentive Payment program Money to Providers and Hospitals to buy EHR systems 131 Payments to Eligible Hospitals (EH) totaling : $ 80M 1,438 Payments to Eligible Providers (EP) totaling : $ 28M
CORE SERVICE COMPONENTS CDA utilization ( Interoperable EHR systems) MPI (Patient HI Locator-1 st Ping ) Central Repository (CDA Storage and Access Buffer) ehealth Exchange Node (National Gateway Point on Feds network) Query & Response (Patients & Provider Information) ADPH Queries & Reporting(IMZ s, Labs, Bio-surveillance MU2) Analytics Population Health Web Accounts Direct Secure Messaging (Healthcare E-mail w/o encryption) Master Provider Directory (allows Provider queries for DSM)
So.Why One Health Record Integration? Landscape Factors Patient Care through electronic PHI Health Payment Reform Incentivize Community Care to prevent unnecessary Hospitalization Better Care Coordination = Better Outcomes Life cycle of care Complete Care programs Improve Care Delivery (Remember Technology) Tele-health Telemedicine continues to grow MU 2 requires CCDA sharing outside own system (DSM or Publication) 29 State HIE s will be Nodes on ehealth Exchange by CY 2013. Ala, Ga, SC, WV, PA all have the same Tech platform. Transitions of Care 1. EHR approach Publish CCDA to the HIE. 2. Use DSM (PHI e-mail) for a point-to-point exchange.
One Health Record -Today In operation since April 2012 Current patient population: 1,000,000 Production Node on ehealth Exchange (national network) Jackson and EAMC are live; UAB mid-september. East Alabama Care Network (health home) connected (DSM) North Alabama CC Network moving to DSM) 5 CMHC s 2 more in the Queue (DSM) 700+ PHI exchange DSM s since March 2013, 106 Queries We our connected to Fla, SC, WV, Ga for DSM. National Provider Directory HIE Analytics Utilization and Population Health.
Alabama One Health Record Beyond Today the Next Phase
One Health Record Phase II (Tomorrow) Brookwood, Huntsville, Infirmary Health, connections possible by 1/1/2014 Children s, Eliza Coffee/Shoals, Highlands DSM by September 2013 All the above plus DW McMillian full exchange w/i 12 months Connectivity Grants July-October 2013 ADPH Registries connected for queries and reporting Tele-Medicine use will increase Virtual Travel with Virtual Records Patient Portal and expansion of Provider Directory functionality Interstate HIE connections with Fla and Ga within 12 months. DSM connections with Miss, Michigan, and La by Fall 2013. RCO s home health networks will be connected to One Health Record Quality Rpt Document Architecture (QRDA) component to the CCDA framework CQM capture.
One Health Record Phase II Challenges of Tomorrow HIE Sustainability and Governance Industry Landscape (CommonWell& EPIC) All Payers involved Transition to value-based care models Provider Workflow integration Productivity impact Engagement ( Adoption and Use) Building the Spokes Waiting for True Plug & Play Standards Provider EMR/EHR interoperability Adapter for each vendor system (61 used in Alabama).
One Health Record MPI CDA EHR PCP CARDIOLOGIST EHR
The Next Steps.. Review the One Health Record Polices and Procedures. These are available in the documents section on the One Health Record web site, www.onehealthrecord.alabama.gov. After the review of the Policies and Procedures, please sign and return the following documents to via e-mail to info@onehealthrecord.alabama.gov. We only one set of documents per provide practice, not for each provider within the practice. One Health Record Participation Agreement One Health Record BA Agreement Qualified Services Organization Agreement (QSOA) (42 CFR part II for sensitive data). Please include a list of your top three referring specialist providers. These can be any providers including community hospitals and mental health providers. Once we receive the three signed document and a provider list, we will set up a Provider HIE Administration Web Account and schedule a HIE System Administrator Training session on how to use the HIE Web account and Direct secure messaging. After the training session, we can follow up and help you set up your clinician accounts and help send a DIRECT secure message.
QUESTIONS? Gary D. Parker Alabama Medicaid Agency gary.parker@medicaid.alabama.gov. Phone: (334) 242-5011 Meghan Youngpeter meghan.youngpeter@medicaid.alabama.gov. Phone: (334) 353-4463 www.onehealthrecord.alabama.gov