CHCNet 3.0 AC ACCELERATING DATA GOVERNANCE AND INNOVATION by by - PowerPoint PPT Presentation

CHCNet FY19 Summer Learning Retreat Follow Up CHCNet 3.0 AC ACCELERATING DATA GOVERNANCE AND INNOVATION by by Rhonda Metze, Founder/CEO Health Initiatives HEALTH INITIATIVES CONSULTING: Optimizing Health Outcomes Through, People, Process, and Technology

“Everything you do in the moment should be paving the way for your next step.”

We We Are CH CHCN CNet (MP (MPCA) OUR HISTORY The Maine Primary Care Association (MPCA) operates a Health Center Controlled Network (HCCN), the Community Health Center Network of Maine (CHCNet), which launched in 2005. Recognized as an important source of HIT related value, CHCNet has expanded to include 17 participating community health centers (PHCs) with a total of 84 sites, which are moving forward collaboratively on their mission “to strengthen and improve population health outcomes by leveraging health information technologies and building strong systems of care. OUR MISSION To strengthen and improve population health outcomes by leveraging health information technologies and building strong systems of care.

What’s New About CHCNet 3.0

CHCNet Now FY19 -22 17 PHCs Bucksport Community DFD Russell Eastport Health Fish River Rural Harrington Family Regional Health Clinical Services Medical Center Care, Inc Health Health Center Center Health Reach Islands Health Access Katahdin Valley Maine Migrant Pines Health Community Health Community Network Health Center Programs Services Centers Medical Services Sebasticook Family Portland St Croix Regional York County Regional Medical Sacopee Valley Doctor Community Health Family Health Community Action (Hometown) Center at Lubec Health Center Center Corporation Health ) Other Maine Primary Health Initiatives Collaborative Care Association Consulting Stakeholders

HRSA FY19-22 HCCN HCCN Focus Areas (3) Core Focus Areas (3) Focus Areas C: Focus Areas B: Focus Areas A: Advance Use Data to Enhance the Patient and Provider Interoperability Enhance Value Experience Focus Area B1: Data Focus Area A1: Patient Access Focus Area C1: Data Analytics Protection Focus Area A2: Patient Focus Area B2: Health Focus Area C2: Social Risk Engagement Information Exchange Factor Intervention Focus Area A3: Provider Focus Area B3: Data Applicant Choice Burden Integration (CHCNet - OUD) HRSA HCCN FY19 funds must be used by the HCCN to support Participating Health Centers (PHCs) in leveraging health information technology (health IT) to enhance the patient and provider experience, advance interoperability, and use data to enhance value

HRSA FY15-19 HCCN HCCN Core Objectives Core Objectives (3) Core Objective A: Core Objective B: Core Objective C: Enhance the Advance Use Data to Patient and Interoperability Enhance Value Provider Experience 1 2 3 HRSA HCCN FY19 funds must be used by the HCCN to support Participating Health Centers (PHCs) in leveraging health information technology (health IT) to enhance the patient and provider experience, advance interoperability, and use data to enhance value

New Opportunity New round of HCCN funding and programming goals align with the strategic and operational priorities established by CHCNe including: 1. Leverage and expand existing HIT infrastructure and best practices 2. Foster opportunities to optimize CHCNet technology and data analytics capabilities 3. Accelerated approaches leading to multi-program and VBC/P success

CHCNet 3.0 Self Assessment

Ready to Act! CHCNet members want support and solutions they can use. Providers and their care teams need actionable data in order to meet the complexity and urgency in the safety-net environment. As one health center put it, “we need to move as quickly as possible to data that can be acted upon at the care team level.” The PHCs are seeking information that allows them to better understand and manage the patients for whom they are responsible.

Have we been data driven? A 2017 study published in JAALAS (lab animal science) found that wheel running by mice leads to pronounced and permanent circling behavior with route-tracing. Data In Ave. Private ACOs Data Grants Churn Health Plans QI H C C N UDS Data Out Blvd. Or just report fatigued?

Evaluate All- HIT Integration Macro-level Data Programs and VBP Discovery Discovery Crosswalk / HIT Optimization Assess Data Data Discovery and Population- Governance and Review and Based Impact Practices Training Analysis

MP MPCA-CHCNe CHCNet Cu Current State Ou Outcome omes & Imp Impact (HCCN Program FY15-19) SUCCESSES CHALLENGES BEST PRACTICES “OUR UNIQUE PAST PREPARES US FOR OUR UNIQUE FUTURE” by Mr. Positively Inclined, Ervin Welsh

Lack of Resources at the Macro and Micro-Levels Competing Priorities and Multi-Program Alignment Lack of Clarity Around HCCNs Strategic Mission, Vision and Value Proposition Inability to Capture and Use “Whole-Person” Data Which Impacts Outcome and Income CHALLENGES An Ever-Changing and Highly Complex Healthcare Market Is Ever Present Health IT Continues to be Disruptive (Implementations/Migrations/Vendors) The Adoption of Formalized Data Governance and Stewardship is Lacking Supporting Core Goals and VBP Is Lacking Decline In MU Incentives Due to Challenges with HIT nteroperability, Data Validity, and Patient Engagement (HCCN Program FY15-19)

Stakeholder Buy in and Collaboration Are Ever Present Data-Driven Innovations and Outcomes Success Are Measurable and Numerous A Cohesive Desire to Optimize HIT and Use Data to Accelerate Strategic Success Exists Growth in Stakeholder Participation in FY19 CHCNet Program is Compelling SUCCESSES Apparent Trust In and Appreciation of New Leadership at the Macro Level Evident State and National Level Certification and/or Recognition Are Widespread Stakeholder Identified Core Priority Areas of Focus Are 1) Data Governance/Stewardship, 2) Analytics Insight/Training, 3) TA/Training and Education (HCCN Program FY15-19)

Development of a Data Strategy Patient Safety Organizations (PSOs) Health IT User Groups (UGMs) Data Sharing and Transparency: Advanced HIT and PHM Integrations BEST PRACTICES Meaningful Use Incentive Program HIPAA Compliance and Security Network Forums and Peer-Learning Data Governance and Stewardship Strategy Workshops

MEPCA CQM 2018 Report Meeting or Exceeding (out of 11): UDS 2017 National HP2020 Target UDS 2018 PopIQ NA UDS 2017 State 11 8 11 9

3. Ac Achieving Ou Outcomes s and De Demonstr tratin ting Va Value Pr Proposition MEPCA CQM 2018 Report Meeting or Exceeding (out of 11): UDS 2017 National HP2020 Target UDS 2018 PopIQ NA UDS 2017 State 8 9 3 4

HRSA Health Center QI FY18 Awards (ME) Total Funding to Maine: 18 awards totaling $1,447,920 Electronic Health Record (EHR) Reporters Awards: 17/18 awards totaling $85,000 (94%) Clinical Quality Improver Awards: 14/18 awards totaling $240,133 (78%) Health Center Quality Leader Awards: 5/18 awards totaling $148,998 (83%) National Quality Leader Awards: 1/18 awards totaling $89,289 (18%) Enhancing Access to Care Awards: 4/18 awards totaling $75,000 (22%) Delivering High Value Health Care Awards: 0/18 awards totaling $0 (0%) Addressing Health Disparities Awards: 4/18 awards totaling $37,500 (22%) Advancing Health Information Technology (HIT) for Quality Awards: 18/18 totaling $92,000 (100%) Achieving PCMH Recognition Awards: 16/18 awards totaling $680,000 (89%) Sources: Return to FY2018 Health Center Quality Improvement Awards index

HRSA Health Center QI FY19 Awards (ME) Total Funding to Maine: 18 health centers received awards totaling $1,494,737 Access Enhancers: 7/18 awards totaling $120,000 (39%) Advancing Health Information Technology (HIT) for Quality: 18/18 awards totaling $91,000 (100%) Clinical Quality Improvers: 15/18 awards totaling $189,608 (83%) Health Center Quality Leaders: 10/18 awards totaling $305,556 (56%) Health Disparities Reducers: 5/18 awards totaling $47,500 (28%) National Quality Leaders: 3/18 awards totaling $91,073 (17%) Patient Centered Medical Home (PCMH) Recognition: 15/18 awards totaling $650,000 (83%) Value Enhancers: 0/18 awards totaling $0 (0%) Sources: Return to FY2018 Health Center Quality Improvement Awards index

FY18 FY19 FY18 Award FY19 Award $ FY 18 FY19 Award Award # Award # $ Award % % Total Funding to Maine 18 18 $1,447,920 $1,494,737 100 % 100 Electronic Health Record (EHR) 17 $85,000 $ 94 % Reporters Clinical Quality Improvers 14 15 $240,133 $189,608 78 % 83 % Health Center Quality Leader 5 10 $148,998 $305,556 28 % 56 % National Quality Leader 1 3 $89,289 $91,073 .05% 17% Enhancing Access to Care 4 7 $75,000 $120,000 22 % 39 % Delivering High Value Health Care 0 0 $0.00 $0.00 0 % 0 % Addressing Health Disparities 4 5 $37,500 $47,500 22 % 28 % Advancing Health Information 18 18 $92,500 $91,000 100 % 100 % Technology (HIT) for Quality Achieving PCMH Recognition 16 15 $680,000 $650,00 89 % 83 %

CHCNet 3.0 Creating a Data-Driven Culture

POWER to Accelerate Data-Driven Innovation has the PO Value-Based Payment and Modernize Healthcare