EHEALTH COMMISSION MEETING JANUARY 9TH, 2019 JANUARY AGENDA Call - - PowerPoint PPT Presentation

EHEALTH COMMISSION MEETING

JANUARY 9TH, 2019

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JANUARY AGENDA

Call to Order Roll Call and Introductions Approval of November Minutes December Agenda and Objectives Michelle Mills, Chair and Jason Greer, Co-Chair 12:00 Announcements OeHI Updates Commission Roles, Responsibilities, Charter, Bylaws and Sunshine Laws Budget/Contracting High-level Overview Carrie Paykoc, Interim Director, Office of eHealth Innovation 12:05 Workgroup Updates, Commissioner Announcements, and Action Items Carrie Paykoc, Interim Director, Office of eHealth Innovation Commission Members 12:25 New Business PDMP Current State, Requirements for SUPPORT ACT, and State Strategy Discussion Carrie Paykoc, Interim Director, Office of eHealth Innovation Collin Benjamin, Deputy Director for Programs, Division of Professions and Occupations, Department of Regulatory Agencies (DORA) 12:35 Workgroup Discussion Item Care Coordination Initiative: High-Level Project Plan Jason Greer, CEO Colorado Community Managed Care Network Ann Boyer, MD Chief Medical Information Officer, Denver Health Kim Ball, Health Tech Solutions Carrie Paykoc, Interim Director, Office of eHealth Innovation 1:15 Public Comment Period 1:45 Closing Remarks Open Discussion Recap Action Items February Agenda Adjourn Michelle Mills, Chair and Jason Greer, Co-Chair 1:50

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ANNOUNCEMENTS

OeHI UPDATES COMMISSION UPDATES

▪ Others? ▪ February Commission Meeting Rescheduled ▪ Commission Roles, Responsibilities, Charter, Bylaws and Sunshine Laws- Included in Materials, Webinar to be scheduled ▪ Budget/Contracting High-Level Overview ▪ JTC presentation on Tentatively Scheduled Feb 1

CAPITAL CONSTRUCTION APPROPRIATION

▪ State Capital Construction Funds appropriated and released for FY18/19 on November 6th ▪ OeHI in the process of requesting appropriation for FY 19/20

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*Yellow Highlighted funds approved for federal match in approved IAPD as of December 21, 2018. Only 150K requested/approved for care coordination for immediate use. Next federal request to occur in Q1. **Green highlighted state appropriation only.

Fiscal Year 18/19 19/20 20/21 21/22 eCQM $50,000 $5,050,000 $0 $0 Health IT PMO $500,000 $0 $0 $0 MPI/MPD $1,950,000 $1,500,000 $0 $0 Data Gov $500,000 $1,000,000 $2,200,000 $0 Consent $250,000 $1,000,000 $750,000 $0 Consumer Portal $1,350,00 $0 $0 $0 HIE 1,125,000 $1,125,000 $0 $0 Care Coordination $550,000 $1,500,000 $1,500,000 $0 Systems Integrator $500,000 $500,000 $0 $0 Total

$6,605,000 $11,508,333 $4,450,000

$0

OPERATING BUDGET REQUEST

▪ Office of eHealth Innovation currently funded by HCPF appropriation ▪ In the process of securing operating funds for office and initial operations and maintenance of Roadmap projects

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Fiscal Year 19/20 20/21 21/22 OeHI $248,686 $248,686 $248,686 eCQM $0 $675,000 $675,000 Health IT PMO $500,000 $930,000 $930,000 MPI/MPD $0 $763,692 $763,692 Data Gov $0 $1,300,000 $1,300,000 Consent $0 $450,000 $450,000 Consumer Portal $250,000 $525,000 $525,000 HIE $500,000 $500,000 $500,000 Care Coordination $0 $450,000 $450,000 Systems Integrator $300,000 $400,000 $400,000 Total $1,759,468 $6,217,159 $6,217,159

OEHI CONTRACTS TO DATE

▪ RFP released October 2016 for Master Health IT Consultant ▪ Health Tech Solutions Awarded Contract to support OeHI and HCPF with Health IT projects. Projects are defined and requested by OeHI and HCPF following defined project request order process. Roadmap projects and support encumbered across initiatives, as appropriate. ▪ Mosaica Partners contracted by OeHI to develop requirements for consumer engagement initiative, purchase order executed November 16. Order delayed for several months due to restricted funds.

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FUNDING PHILOSOPHY

▪ Leverage 90/10 funds for all initiatives except for the Consumer Engagement Initiative. This is defined in the appropriated Capital Construction funds to OeHI. ▪ All 90/10 funds must be reviewed/approved by both Healthcare Policy and Financing and Centers for Medicaid and Medicaid. ▪ Longer term sustainability is a consideration of each funded project. ▪ eHealth Commission agreed the Office should focus on “shovel ready” projects ▪ Roadmap initiatives are focused on leveraging and advancing health information technology and exchange infrastructure

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PROPOSAL FUNDING REQUEST PROCESS

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Proposal Funding Request Form Minimum Requirements

INITIATIVE FUNDING RATIONALE

▪ Funds for Advance HIE and Data Sharing earmarked for Colorado’s Health Information Exchanges and state infrastructure ▪ Colorado’s Health Information Exchanges are Colorado’s Regional Health Information Organization and Quality Health Network as defined in Colorado’s Health IT Roadmap, Colorado’s State Medicaid Health Plan and draft qualified entity documents. ▪ State data sharing infrastructure investments are focused on allowing broader access of state data for care coordination in Colorado’s Communities. ▪ Funding to the HIEs is being considered for several other initiatives such as identity for individuals to ensure alignment

• f infrastructure.

▪ No funding has been officially approved to date.

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ACTION ITEMS

Action Item Owner Timeframe Status

Define Project Funding Proposal Process OeHI Director/ State Health IT Coordinator Nov 2018 High-level presentation Jan 2019 Annual eHealth Commission Training OeHI Interim Director/ State Health IT Coordinator Q1 2019 Current State of PDMP/ Support Act Requirements OeHI Interim Director/ State Health IT Coordinator December 2018 Budget Overview OeHI Interim Director/ State Health IT Coordinator December 2018

PDMP CURRENT STATE, REQUIREMENTS FOR SUPPORT ACT , AND STATE STRATEGY DISCUSSION

CARRIE PAYKOC, INTERIM DIRECTOR, OFFICE OF EHEALTH INNOVATION COLIN BENJAMIN, DEPUTY DIRECTOR FOR PROGRAMS, DIVISION OF PROFESSIONS AND OCCUPATIONS, DEPARTMENT OF REGULATORY AGENCIES

CARE COORDINATION INITIATIVE: HIGH-LEVEL PROJECT PLAN

JASON GREER, CEO COLORADO COMMUNITY MANAGED CARE NETWORK ANN BOYER, MD CHIEF MEDICAL INFORMATION OFFICER, DENVER HEALTH CARRIE PAYKOC, INTERIM DIRECTOR, OFFICE OF EHEALTH INNOVATION KIM BALL, HEALTH TECH SOLUTIONS

Care Coordination Working Group Scope

• Problem state: Current technology, infrastructure and tools do not

support whole person care

• Budget:
• 150k (IAPD Care Coordination Bucket)

Summary of Workgroup Activity

✓ Charter ✓ Workgroup structure ✓ Environmental scan ✓ Summary of interview spreadsheet ✓ Literature review ✓ Environmental scan action plan (target completion: 1/11/2019)

Care Coordination WG Anchor Areas for 2019

DATA GOVERNANCE TECHNOLOGY INFRASTRUCTURE INNOVATION Technology – Change Management – Sustainable Financing Note: Funding is also available for data governance and technology infrastructure from other sources.

Whole Person Care Coordination Project Roadmap: 2019

Q1 - 2019 Q2 - 2019 Q3 - 2019 Q4 - 2019

Milestones Sustain/ Enable Finalize CC Scan Recommendations January 4, 2019 Build Foundation Growth OeHI/Prime Health Summit May 7, 2019 Leverage SIM (eCQM) Governance Model for Community Data Governance (IAPD funds) Leverage XGenesis/10.10.10 Process Complete Care Coordination Architecture Mapping (OeHI OPs Funds) Support Social HIE System Demonstration Project(s) Plan and Design Statewide Social HIE Infrastructure (OeHI OPs Funds) Implement Care Coordination and Social HIE Projects Secure Funding for Statewide Implementation of Social HIE OeHI Contracts for SIM (eCQM) and Community Data Governance Hire State Data Scientist- COLAB (DU) Fund State Data Scientist and Expand COLAB for Community Data Access Leverage COLAB Efforts (DU) OeHI Contracts for Legal Framework LEGEND External Funding and/or Management Care Coordination Work Group Project OeHI Operations/Management Submit Request for Federal Funds March 2019 Planning for Implementation of Care Coordination and Social HIE Projects Establish Demonstration Project Criteria Align and Leverage JAI

Next Steps

• Identify criteria for care coordination social health information exchange (S-

HIE) demonstration projects

• Define and request federal funding
• Create success metrics for demonstration project selection
• Leverage XGenesis/10.10.10 process
• Define multi-sourced funding strategy

CLOSING REMARKS, JANUARY AGENDA, AND ADJOURN

MICHELLE MILLS, CHAIR

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FEBRUARY DRAFT AGENDA

Call to Order Roll Call and Introductions Approval of January Minutes February Agenda and Objectives Michelle Mills, Chair 12:00 Announcements OeHI Updates Updates, Grant Opportunities, Announcements, Action Items Mary Anne Leach, Director, Office of eHealth Innovation Carrie Paykoc, State Health IT Coordinator Commission Members\ 12:05 New Business

TBD

12:25

TBD 12:55

Care Coordination Initiative: Draft recommendations 1:25 Public Comment Period 1:50 Closing Remarks Open Discussion Recap Action Items March Agenda Adjourn Michelle Mills, Co-Chair 1:55

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POTENTIAL FUTURE AGENDA TOPICS

Topic Presenter Focus Scheduled

Shared Practice Improvement Learning Tool (SPLIT) Update Kyle Knierim, Associate Director of Practice Transformation at the UC Department of Family Medicine Sustainability post SIM Julota- Connected Community Rick Pionkowski, CEO Social health information exchange