Board of Directors Operational Update June 17 th, 2015 To facilitate the meaningful exchange of health information among your network of health care providers that enable high quality and affordable health care statewide
What is in Health enet Today?(5/2015) QMC Phase I 6/8/2015 2
Community Health Record Implementation* QMC ADT and RAD 5/2015 QMC PATH* 6/2015 Re-Engage HPH to start clinical interface development** 6/2015 CMC RCI ADT, RAD, TRANS, PATH 7/2015 2015 May Jun Jul 2015 Today *Conceptual Based on Medicity/Data Contributor Resolution **QMC Transcription interface progress based on QMC/Epic timeline. QMC Pathology expected mid-june. ***HPH Implementation timeline based on start date and approach 6/8/2015 3
Health enet On-Boarding Metrics 19 Organizations 30 Providers 50 Users 6/8/2015 4
Health enet Upcoming Events 6/10/2015 Hawai i IPA Webinar Health enet Community Health Record: Improving Care and Reducing Costs 6/11/2015 CHR Maui Roll-Out Begins 6/29/15 Resume QCIPN On-Boarding 19 Practices 64 Providers 6/8/2015 5
Direct Secure Messages Sent from Hawai i HIE HISP (9/14 to 5/15) 1600 1400 6 1200 1000 800 600 400 200 33 181 705 19 167 851 40 191 753 8 256 832 28 291 620 10 278 726 387 1051 15 510 724 33 444 534 Staff Organization Providers 0 6/8/2015 7
Messages 2500 Direct Secure Messaging Transition of Care Messages Sent 2000 270 279 266 298 287 296 298 261 Hilo HPH 1500 1000 500 0 179 52 229 348 198 753 215 383 617 193 611 834 251 1124 849 1200 1379 1175 588 565 595 720 529 536 597 1220 747 1182 1242 582 598 Queens Connected to other HISPs: eclinicalworks SES Inpriva (Wahiawa) Cerner Surescripts MedAllies 6/8/2015 8
Direct Secure Messaging Utilization by DOH Through 4/2015 Epidemiology Communications For reporting by hospital (Kuakini) Diseases investigation Behavioral Health (CAMHD) For communications with contracted providers Expressed interest in migrating to Referral Non-TOC Usage (Sent) Oct-14 Nov-14 Dec-14 Jan-15 FEB-15 Mar-15 Apr-15 May-15 DOH Count 151 151 182 230 271 531 447 341 Total (non- Pharm2Pharm) 343 360 348 387 387 688 608 585 DOH % 44% 42% 52% 59% 70% 77% 74% 58% 6/8/2015 9
Community Health Record Statistics Through May 2015 Total Patients Since Inception: 829950 6/8/2015 10
Community Health Record Statistics Through May 2015 Over 12.3 Million record in the enet Total Message by Receiver (A Receiver is an interface process handling inbound messages): 6/8/2015 11
Community Health Record Statistics Three Months: March Through May 2015 6/8/2015 12
QCIPN Contract - Executed 1. Professional Services: Referral Management and Community Health Record Training 2. Executed Contract: June 12 th, 2015 3. Trainers: Medicity and Hawaii HIE 4. Period of Performance: June-November 2015 5. Targeted Physician Practices: 509 in 3 Phases 6. Weekly Target/Trainer = 12 Practices/Week 7. Completed Phase I = 11 practices/31 users 1. Results: Accessing the CHR and Referrals Management Network provides value in supporting improved patient care with the ability to now view community health data and have a closed-loop referral process.
Medicaid Contract - Pending 1. Execute HIE-IAPD Contract with DHS-MQD by 6/30/2015 2. SOW 1 Hospital Interfaces: 1. build clinical data interfaces with remaining 4 hospital system s EHRs (Wahiawa, Kahuku, Kuakini and North Hawai`i) 2. allows for secure clinical data exchange between the hospital EHRs, HHIE, and MQD and supports MU attestation including transitions of care 3. build inbound interfaces to MQD 3. SOW 2 On-boarding of Medicaid Providers: 1. On-board Medicaid providers to connect to Hawai`i HIE s Health enet (CHR and Referral System) and subsequently successfully exchange data and uses Hawai`i HIE s services to meet Meaningful Use Criteria.
DoH Contract Amendment - Pending Execute Contract Amendment by 6/30/2015 to: 1. Connect Mental Health Providers to the CHR 1. Onboard the Child Adolescent & Mental Health Division s network of Providers (CAMHD) 2. Expand IT Network for Public Health Reporting 1. Immunization Registry (supports CMS meaningful use) 2. Electronic Lab Reporting (supports CMS meaningful use 3. Expand HIE network to the Health enet 1. 4 Additional Data contributors = Admission/Discharge, Transcription, Radiology 2. Enhancement of Data Management Services
Joint Health IT Program Steering Committee JHIT Steering: 6/10/15 19
POLST: First Steps Established a connection with Kokua Mau Jeannette Koijane, Dr. Loengard, Dr. Fischberg, Dr. Seitz Meet with operations staff from Oregon s POLST Registry Goal: solicit practical knowledge and read-world expectations What is working well and what is not? Get some real staffing and budget numbers Scheduled for June 18 th Figure out what we do know and still need to learn Get a group together for a brainstorming session Include Kokua Mau, ER, EMT s and ICU Representation Ensure we understand the problem we are trying to solve JHIT Steering: 6/10/15 20
POLST: Proposed Team Members JHIT Steering: 6/10/15 21
Identify Steering Workstream Champions Top-Priority Workstreams: POLST ACO Metrics Improvements ADT Notifications Expectations of a Workstream Champion: Strong sense of ownership and committed to outcomes Advocate for success beyond just HHIE JHIT Available to provide leadership and guidance Facilitates timely decisions when needed Responsive to issues arising between Steering meetings JHIT Steering: 6/10/15 22
Action Item Review JHIT Steering: 6/10/15 23
Mahalo!