Chapter Advocacy Roundtable (CAR) Monthly Call Pam Varhol CAR - - PowerPoint PPT Presentation

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Chapter Advocacy Roundtable (CAR) Monthly Call

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Pam Varhol CAR Chair New England Chapter

Ma y 15, 2020

Agenda

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• Review of COVID
• 19 Discussions
• State Telehealth Update
• CAR Open Discussion
• Announcements

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COVID

• 19 Discussion Review

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Valerie Rogers, MPH

Dire c to r, G o v e rnme nt Re la tio ns

Key Takeaways from CAR & Chapter Leader Discussions

• Pe rm ane nt e xpansio n o f te le he alth (inc luding re m o te patie nt m o nito ring )
• Im pro ve d public he alth infrastruc ture inc luding the e xpansio n o f m o de rnize d

public he alth surve illanc e and use o f m o bile and dig ital so lutio ns to suppo rt public he alth c o ntac t trac ing e ffo rts

• Mo de rnizatio n o f privac y and se c urity laws, data e xc hang e po lic ie s and busine ss

pro c e sse s ac ro ss and be twe e n g o ve rnme nts and the ir private he althc are partne rs

• Addre ssing so c ial de te rm inants o f he alth and dise ase pre ve ntio n and c o ntro l thro ug h

the e ng ag e m e nt o f affe c te d po pulatio ns using c o nne c te d he alth applic atio ns

• Pro m o tio n o f the HIMSS Dig ital He alth Inde x and o the r m o de rnize d busine ss pro c e sse s

to raise the visibility in the c o m munity, and inc re ase the pe rc e ive d value to the public , po lic ymake rs, funde rs, and o the r ke y stake ho lde rs.

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Testing

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Testing the most vulnerable populations Testing the most vulnerable populations

• E

xpand te sting c apac ity ac r

• ss state s and population c e nte r

s

• Ke y sugge sti
• ns fo r te sti

ng e ve ry p e rso n d i a gno se d w i th p ne umo ni a

• He a lth c a re w o rke rs/ fi

rst re sp o nd e rs

• Pe o p le i

n nursi ng ho me s a nd o the r c o ngre ga te fa c i li ti e s, the i r sta ff a nd c o nta c ts

• Pe o p le i

d e nti fi e d a s a p a rt o f a c luste r o f d i se a se tha t c o uld b e Co vi d -19 (e .g. fa c to ry w o rke rs)

• Str

e ngthe n public and pr ivate c ollabor ations

• Exp a nsi
• n a nd c o o rd i

na ti

• n a c ro ss p ub li

c la b o ra to ri e s, uni ve rsi ty la b a nd p ri va te fa c i li ti e s

• Co mmuni

ty-b a se d te sti ng…d ri ve -thro ugh a nd w a lk-up te sti ng si te s

• Co st sha ri

ng a nd c o o p e ra ti ve p urc ha si ng a nd d i stri b uti

• n o f te st ki

ts/ te sts

• Standar

dization ac r

• ss diffe r

e nt type s of te sting

• Ne w te c hno lo gi

e s fo r p o i nt-o f-c a re a nti ge n te sti ng a nd se lf-a d mi ni ste re d te sts

• Se ro lo gy (a nti

b o d y) te sti ng

E nsur ing public he alth r e por ting!

https:/ / www.ng a .o rg / c e nte r/ public a tio ns/ he a lth/ ro a dma p-to -rec o ve r y /

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Contact Tracing & Surveillance

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Strengthen the public health and health data infrastructure by using current Strengthen the public health and health data infrastructure by using current relief funding to prioritize syndromic surveillance, emergency response, and relief funding to prioritize syndromic surveillance, emergency response, and environmental data with clinical care documentation using standards environmental data with clinical care documentation using standards

• based

based platforms (e.g. FHIR, etc.). platforms (e.g. FHIR, etc.).

• Pr

ior itize Syndr

• mic

Sur ve illanc e

(e .g. a dmission, disc ha rge , a nd tr a nsfer (ADT ) no tific a tio ns from all ho spitals. T his da ta c a n sup po rt e fforts to develop situational a wa re nessre late d to COVID-19

• Sta tes sho uld c onside r the use of smar

t he alth tec hnologie s such as ar tific ial inte lligence and machine le ar ning to pr

• vide pr

e dic tive analytics with hour ly detec tion as well a s

c o ntinuo us mo nitor ing fo r po tential outb reaks leading to grea te r situatio nal awa r e ness a nd timelie rinter ventio ns.

• Public he alth c ommunic ations infr

a struc tur e is similar ly imp o r tant, and state s should take

advantage of the gr

• wing availability of mobile phones and inte r

ne t- base d r e por ting tools that may infor m contac t tr ac ing, outbr e ak and diagnostic r e por ting, p artic ular

ly whe r e tra d itio nalsurveilla nc e syste msa re o utd a te d .

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Member Recommendations/ Evidence-based Strategies Cont’d

• Wo rk with lo c a l to g lo b a l g o ve rnme nt o ffic ia ls to a ddre ss e xisting po lic y b a rrie rs

tha t ma y pre ve nt the use o f I nte rne t-b a se d to o ls a nd mo b ile te c hno lo g ie s fo r c o nta c t tra c ing a nd pub lic he a lth surve illa nc e b y e sta b lishing c le a rly writte n po lic ie s a nd pro c e dure s fo r the a ppro pria te use o f I nte rne t-b a se d to o ls a nd mo b ile te c hno lo g ie s, inc luding sta nda rds to e nsure c o nfide ntia lity a nd c o mplia nc e with fe de ra l, sta te a nd lo c a l la ws.

• De ve lo p a nd disse mina te fie ld-te ste d, e vide nc e -b a se d pra c tic e s, po lic ie s, a nd

g uide line s fo r using I nte rne t-b a se d to o ls a nd mo b ile te c hno lo g ie s. Re f. https:/ / www.linke din.c o m/ po sts/ the -o nta rio -c ha pte r-o f-himss_mo b ile - ne two rk-o pe ra to rs-ro le -in-c o vid-19-a c tivity-6661228887231602689-iyn

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Member Recommendations/Evidence-based Strategies Cont’d

• E

nc o ura g e s jo int lo c a l-sta te -fe de ra l de c isio n-ma king whe n pla nning a nd a llo c a ting the use o f fe de ra l, sta te , a nd lo c a l re so urc e s to e xpa nd o r e nha nc e he a lth info rma tio n te c hno lo g ie s fo r COVI D-19 a nd future dise a se o utb re a ks.

• Also urg e e xpa nde d invo lve me nt o f he a lthc a re pa rtne rs (HI

E s, ho spita l syste ms, F QHCs, te c hno lo g ists, e tc .) in the ro utine pla nning a nd de ve lo pme nt o f multi-ye a r e me rg e nc y pre pa re dne ss pla ns, sta te he a lth I T ro a dma ps o r o the r stra te g ic pla ns with a c o nc urre nc e pro c e ss b a se d o n the princ iple s o f c la rity, e q uity, tra nspa re nc y, a nd c o lla b o ra tio n a mo ng sta ke ho lde rs.

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Ga ps in COVID-19 Na tio na l Da ta Co lle c tio n & Sha ring

L imite d Public R e po rting o n R a c e / E thnic ity Da ta

Ne e d to a d d re ss ra c ia l d isp a ritie s re la te d to a c c e ss to he a lthc a re / testing, id e nti fying imp lic it b ia s in me d ic a l c a re , p ro vid ing ta ilo re d p re ve ntio n me ssa ging, a nd p a inti ng a mo re a c c ura te ima ge o f ga p s to info rm d e c isio n ma ke rs

L a c k o f Inte ro pe r a bility o f Syste ms

Ne e d me c ha nisms tha t a llo w e xc hange

• f he a lth info rma tio n a c ro ss

ge o gra p hic a l/ p ub l ic / private d a ta b o und a rie s, imp ro ved d ata a na l ytic s, a nd b o lste r c a p a bilitie s fo r mo re re a l- time info rma tio n o n COVI D19 thro ugh e ffic ie nt, no n-b urde nso me re p o rting & d a ta c o lle c tio n

Multiple Spre a dshe ets & T

• o ls

Multip le silo e d e ffo rts und e rwa y to a c c o mp lish simila r wo rk - ta xing a lre a d y inund ated p ub li c he a lth a nd he a lth c a re p ro vi d e rs to sp e nd a d d itio nal time -sha ring simila r info rma tio n to d iffe re nt e ntitie s

Ne e d to Stre ng the n the Public He a lth Info rma tic s Infra struc ture

Susta ina b l e funding to sup p o rt inte ro p e ra b ili ty initi a ti ve s that c o nne c t syste ms a nd fo r whic h a ggre ga te d d e -id e nti fie d d ata c a n b e ma d e wid e ly a vailab l e (o p e n so urc e )

Member Recommendations/ Evidence-based Strategies

T e le he a lth & RPM E xpa nsion

• De velo p the b usiness c a se (c o st-be ne fits) fo rthe p e rma ne nt e xp a nsio n o f te le he alth

a nd sta nd a rdize d re imbur se me nt ra te s o f a p p ro priate tele he alth se rvic es sa me a s in- p e rso n.

• Build c o nse nsus o n wha t to mo nito r

, a nd ho w to c ura te the d a ta fo r c ha nge , a nd the n und e rsta nd ho w to e nga ge p a tie nts/ the p ub lic to ke e p p a tie nts sa fe .

• E

mp ha size the ne e d fo r e xp a nd e d re mo te p atie nt mo nito r ing fo r me nta l he alth given the a fte rma th o f the so c ial a nd e c o no mic impac ts o f COVI D-19 a nd inte grate RPM d a ta into e le c tronic he a lth re c o rd s to e liminate silos.

• Sup p o rt o ngo ing e ffo rts to e xp a nd b ro a d b and to sup p o rt te le health se rvic es a nd o the r

virtual c a re a c c e ss.

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State Telehealth Response to COVID

• 19

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Alana Lerer

Ma na g e r, G o v e rnme nt Re la tio ns

State Telehealth Changes

• L

ic e nsure Re quire me nts

• Me dic aid c ove rage
• Comme rc ial insuranc e

c ove rage

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Licensure Waivers for Telehealth

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Be for e e me r g e nc y de c la r a tion...

...49 sta te s a nd D.C. re q uire d tha t pro vide rs de live ring te le he a lth must b e lic e nse d in the sta te whe re the pa tie nt is lo c a te d

Dur ing de c la r a tion... ...a ll 50 sta te s a nd D.C. a re te mpo ra rily wa iving lic e nsing re q uire me nts fo r te le he a lth,

inc luding o ne o r mo re o f the fo llo wing :

• Pro vide rs c a n pra c tic e a c ro ss sta te line s
• Pro c e ss e xpe dite d to pro vide te mpo ra ry lic e nse s to q ua lifie d me dic a l pro fe ssio na ls

Medicaid Telehealth Policy Changes

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Be for e the e me r g e nc y de c la r a tion...

...a ll 50 sta te s a nd D.C. pro vide d re imb urse me nt fo r so me fo rm o f te le he a lth (i.e . live vide o ) in Me dic a id fe e -fo r-se rvic e .

Dur ing the de c la r a tion...

... All 50 sta te s a nd D.C. ha ve te mpo ra rily e xpa nde d a c c e ss to te le he a lth fo r Me dic a id re c ipie nts. I nc lude s o ne o r mo re o f the fo llo wing c ha ng e s:

• Pa tie nt c a n b e a t ho me (o rig ina ting site )
• Pa yme nt pa rity b e twe e n in-pe rso n a nd

virtua l

• Adding a dditio na l c o ve re d se rvic e s
• Allo wing fo r te le pho ne witho ut vide o
• Re mo ving re q uire me nt o f in-pe rso n initia l

a ppo intme nt

Commercial Insurer Telehealth Policy Changes

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Be for e de c la r e d e me r g e nc y... …40 sta te s a nd D.C. go ve rn c o mme rc ial insur e rs. Othe r sta te s c a n c re a te guid a nc e sfo r te le he alth se rvic e s. Only six sta te s a llo wed te le health re imburse me nt to b e e q ua l to tha t o f a n in-p e rso n visit. Dur ing de c la r e d e me r g e nc y... (As o f Ma y 5) c o mmerc ial insurers in 32 state s a re inc re asing a c c e ss to te le he alth, o n the ir o wn o r thro ugh a go ve rnme nt ma nd ate.

Immediate State & Local Strategies for Consideration in response to public health emergency

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http s:/ / w ww.hi mss.o rg/ re so urc e s/ i mme d i a te -sta te -a nd -lo c al-strate gi e s-p ub li c -he a lth-e me rge nc y

HIMSS COVID

• 19 Connected Care Policy

Resources

• L

ea rning Center Webina r: T he T ra nsforma tion of T elehea lth: Public Polic y & Pra c tic e in the midst of COVID-19

• Sta tes T

a c kling COVID-19 Using Informa tion a nd T ec hnolog y

• Immedia te Sta te a nd L
• c a l Stra teg ies for a Public Hea lth E

merg enc y

• CARE

S Ac t (PL 116-136) Hea lth Provisions

• CARE

S Ac t- Support for Da ta E lementa l to Hea lth Ca mpa ig n

• T

elehea lth in the COVID-19 Spotlig ht

• Remote Pa tient Monitoring : COVID-19 Applic a tions a nd Polic y Cha lleng es
• HIMSS a nd PCHAllia nc e Submit L

etter in Support of FCC Ac tions to Address COVID-19

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HIMSS Policy Resources

COVID- 19

• Imme dia te Stra te g ie s fo r Sta te s a nd L
• c a litie s to

Addre ss COVID- 19

• Sta te s T

a c kling COVID- 19 Using Info rma tio n a nd T e c hnolog y

• CAR

E S Ac t (PL 116- 136) He a lth Pro visio ns

• CAR

E S Ac t- Suppo rt fo rDa ta E le me nta l to He a lth Ca mpa ig n

• T

e le he alth in the COVID- 19 Spo tlig ht(Fe de ra l Ac tio ns)

• R

e mo te Pa tie nt Mo nito ring : COVID- 19 Applic a tio ns a nd Po lic y Cha lle ng e s

• In T

ime s o f Crisis, HIE s a re Fro nt a nd Ce nte r

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ONC & CMS Inte r

• pe r

ability F inal R ule s

• Fina l ONC Inte ro pera bility R

e g ula tio n: Wha t Yo u Ne e d to Kno w

• Fina l CMS Inte ro pe r

a bility R e g ula tio n: Wha t Yo u Ne e d to Kno w

• CMS Inte ro pe r

a bility R e g ula tio n: Co nditio ns o f Pa rtic ipa tio n Fa c t She e t

• ONC Inte ro pe r

a bility R e g ula tio n: Pro visio ns R e la te d to Qua lity Pro g ra m R e po rting fo r Ce rtifie d E HR T e c hnolo gy

R e c e ntly Submitte d Public Comme nt L e tte r s

• HIMSS a nd PCHAllia nc e Co mment o n Fe de r

a l He a lth IT Stra te g ic Pla n

Open Discussion

Que stions for you and your

• r

ganizations/ Chapte r s:

• How has your

advoc ac y tac tic s and foc us ar e as c hange d be c ause of COVID-19?

• What ar

e the c halle nge s, r

• adbloc ks, and fr

ustr ations (polic y, te c hnic al, wor kfor c e , e tc .) that you have e xpe r ie nc e d in your COVID-19 r e sponse ?

• What have you se e n fr
• m your

state / loc al gove r nme nt’s r e sponse to the se c halle nge s and what ar e the r e late d oppor tunitie s and insights for the he alth IT c ommunity?

• What ar

e the oppor tunitie s, le ssons le ar ne d, insights, you have e xpe r ie nc e d with your COVID-19 r e sponse ?

• If you ar

e utilizing te le he alth, what have be e n some of the r

• llout c halle nge s or
• bstac le s? What have be e n

your bigge st suc c e sse s? Have you be e n able to c aptur e any data/ how ar e you me asur ing suc c e ss or r e sults?

Spe c ific to HIMSS a nd the GR te a m:

• What r

e sour c e s or tools do you wish we r e out the r e that you do not have / se e e lse whe r e ?

• Re gar

ding oppor tunitie s to e duc ate c ongr e ssional, state and fe de r al staff for futur e le gislation/ age nc y ac tion, what issue s should we be foc using on? How c an we take your e xpe r ie nc e s and br ing the m to the se stake holde r s?

• How c an HIMSS he lp you make c onne c tions, dome stic ally or

globally, with public or pr ivate se c tor c ontac ts?

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Announcements

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Alana Lerer

Ma na g e r, G o v e rnme nt Re la tio ns

Webinar at 1pm ET today

COVID- 19 R e gulator y Modific ation: Pote ntial Game changerfor the He althc ar e Community?

Ma y 15th a t 1:00p m E T

Wi th the o nse t o f the COVID-19 Pa nd e mi c , the US go ve rnme nt q ui c kly mo ve d to re mo ve o r c urta i l re gula to ry

• r a d mi

ni stra ti ve p ro c e sse s p e rc e i ve d a s i mp e d i ng he a lthc a re d e li ve ry o r re c e i p t fo r c li ni c i a ns a nd p a ti e nts struggli ng w i th COVID-19. Re gula to ry c ha nge s fro m HHS Offi c e fo r Ci vi l Ri ghts, Offi c e o f Insp e c to r Ge ne ra l, a nd CMS a ll fi gure p ro mi ne ntly i n the ne w he a lthc a re d e li ve ry p a ra d i gm b ro ught a b o ut b y COVID-19. T he c ha nge s a re a c c e le ra ti ng the use o f d i gi ta l he a lth so luti

• ns a nd b a la nc i

ng the re i mb urse me nt fi e ld , a ll o f w hi c h a p p e a r to b e w e ll re c e i ve d b y the i nd ustry. Jo i n thre e p ro mi ne nt he a lthc a re a tto rne ys to d i sc uss the se i ssue s i n mo re d e p th. T hi s se ssi

• n w i

ll p ro vi d e a fo rum to le a rn w ha t c li ni c i a ns, d e ve lo p e rs, i nno va to rs, a nd p a ti e nts a re e nc o unte ri ng a t p re se nt; the e vo luti

• n
• c c urri

ng a c ro ss a ll he a lthc a re sta ke ho ld e rs; a nd , ho w to p re p a re no w fo r a future p o st-p a nd e mi c p e ri

• d .

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Chapter Advocate Recognition

You did a ll the work. Now it’s time to be re c og nize d!

• Submit your FY20 Advoc a c y Rec og nition form by July 1, 2020. GR

tea m will review a nd send your c ha pter a c ertific a te a nd emblem upon meeting qua lific a tions.

• Key a spec ts: Advoc a c y Ac tivities c ompleted;

Pa rtic ipa tion/ Attenda nc e on CAR Ca lls; Communic a tion with HIMSS Sta ff a nd/ or CAR L ea ders a s needed

• Doc umenta tion of a dvoc a c y a c tivities required
• Clic k here for

mor e infor mation and submission for m!

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Chapter Leader Webinars

• Intr
• duc tion to HIMSS Ne w Br

a nd Guide line s, Br a nd Por ta l, a nd E ma il T

• ol: Ma y 29 |

11:00 AM CT

• Ac c ounta bility Re por

ting : Re ima g ine d Annua l Sta nda r ds Re por t: June 3 | 12:00 PM CT

• HIMSS Unve ils the Dig ita l He a lth Indic a tor

: June 10 |12:00 PM CT

• Cha pte r Ye a r
• E

nd Wr a p Up & Suc c e ssful Ne w Boa r d Kic k-Off: June 24 | 12:00 PM CT

F ull sc he dule and r e c or dings/ slides on the CL R A.

25

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• Sug g e ste d monthly ta sks:
• Sta rt thinking a b o ut a nd g a the ring

do c ume nta tio n fo r yo ur a dvo c a c y a c tivitie s fo r Advo c ac y r

e c o g nitio n.

• R

e vie w CAR c a ll slide s a nd re c ording s poste d on the CL R A.

(Ge t Invo lve d  CAR Calls)

• Ne xt monthly c a ll: June 19th a t

12pm ET

Thank you!