Health IT Council and Advisory Committee Meeting March 19, 2012 One - - PowerPoint PPT Presentation
Health IT Council and Advisory Committee Meeting March 19, 2012 One Ashburton Place, 21 st Floor Conference Room 1, Boston Agenda Approval of January 30, 12 Minutes (HIT Council Motion) HIE Strategic and Operational Plan (SOP) Update
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The main components of Health IT Adoption – the Last Mile are connection, education and optimization.
with the statewide HIE backbone, to facilitate stages 1 through 3 of Meaningful Use.
them on the benefits of using health IT for better health outcomes.
effective manner - to maximize efficiency while delivering quality care to the patient
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deployment across the Commonwealth.
implementation responsibilities under the ONC Cooperative Agreement.
implemented as planned.
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IT and to ensure support of statewide health care reform.
and optimization of health IT will be a catalyst for more effective and efficient healthcare delivery.
education campaign to: ‒ Target specific populations in the Commonwealth, with a multi-cultural and multi-lingual focus ‒ Leverage contractual relationships and partnerships with other
‒ Monitor the efficacy of social media and other MarCom efforts ‒ Address policy issues inhibiting HIT adoption.
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To optimize health IT adoption, Mass Technology Collaborative plans to
develop a path for improvement and effectiveness
usefulness will be ever-evolving.
REC and State HIE programs, to:
with input from other stakeholders, to align with the Implementation Advanced Planning Document (IAPD) performance benchmarks that will be provided regularly to CMS and ONC.
healthcare reform and resulting quality.
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state HIEs tend to build central infrastructure assuming the endpoints will be able to connect to the HIE on their own.
the value of the HIE is often not realized and sustainability is never achieved.
connection and ensuring provider support via the Last Mile program, including:
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10 6 138 4 258 270 380 62 345 73 315 24 185 171 32 12 6 144 148 406 676 1056 1118 1463 1536 1851 1875 2060 2231 2263 2275 500 1000 1500 2000 2500 Providers 2010 - 2011
Number of Providers Contracted
Monthly Cumulative 114 49 226 184 296 370 154 171 92 41 84 22 114 163 389 573 869 1239 1393 1564 1656 1697 1781 1803 200 400 600 800 1000 1200 1400 1600 1800 2000 Providers 2011
Providers who have Reached M2
Monthly Cumulative 2 76 2 1 1 27 10 21 192 82 70 2 78 80 81 82 109 119 140 332 414 484 100 200 300 400 500 600 Providers 2011
Providers who have Reached M3
Monthly Cumulative
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319 117 185 74 87 64 46 46 112 356 9 364 172 186 22 153
PPCPs Contracted with IOO Vendor: Total = 2275
Arcadia Fallon Ficus HealthLens Culbert eClinical Works Beacon AMS MAeHC MassLeague MBA BMC BIDPO UMass MedPlus Steward 268 7 46 672 33 176 571 15 2 3 1 194 2 32 9
PPCPs EHR Vendors: Total =2081
Allscripts Amazing Charts Athena eClinical Works E-MDs Epic GE Greenway Ingenix Lytec McKesson NextGen Office Practicum Quest 360 Sage
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113% 105% 97% 109% 124% 108% 113% 112% 114% 106% 109% 100% 111% 98% 130% 112% 108% 89% 111% 108% 105% 91% 66% 66% 72% 104% 75% 77% 63% 79% 63% 61% 54% 61% 61% 74% 82% 47% 47% 63% 65% 57% 30% 22% 21% 20% 20% 19% 15% 15% 15% 14% 14% 13% 13% 12% 12% 12% 12% 12% 11% 10% 9% 0% 20% 40% 60% 80% 100% 120% 140%
% Signed Up to Overall Target % Live to Overall Target % MU to Overall Target
*Massachusetts Statistics:
reached MU Stage 1; 493 are REC members (50%)
*Based on Federal enrollment goal of 2,487
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200 400
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Program Name 1: Sign-Up 2: Go-Live 3: Meaningful Use Overall Target % Signed Up to Overall Target % Live to Overall Target % MU to Overall Target Regional Extension Center of NH 1133 912 296 1000 113% 91% 30% PA REACH East 3147 1988 664 3000 105% 66% 22% Rhode Island Quality Institute 974 655 212 1000 97% 66% 21% Massachusetts eHealth Institute 2710 1803 485 2487 109% 72% 20% Quality Insights of Delaware, Inc. 1242 1043 195 1000 124% 104% 20% Colorado RHIO 2475 1715 438 2295 108% 75% 19% West Virginia Regional Health Information Technology Extension Center 1127 772 154 1000 113% 77% 15% HealthInsight (NV-UT) 1633 923 224 1463 112% 63% 15% VHQC/Virginia HITREC 2611 1809 341 2285 114% 79% 15% PA REACH West 2124 1269 276 2000 106% 63% 14% New York eHealth Collaborative 5553 3126 704 5107 109% 61% 14% North Texas REC 1496 804 201 1498 100% 54% 13% Kansas Foundation for Medical Care 1330 737 152 1200 111% 61% 13% Wide River TEC (NE) 975 613 122 1000 98% 61% 12% Missouri Health Information Technology Assistance Center 1518 865 142 1167 130% 74% 12% District of Columbia REC 951 699 99 850 112% 82% 12% eHealthConnecticut Regional Extension Center 1412 609 152 1308 108% 47% 12% CalOPTIMA Regional Extension Center (COREC) (CA) 888 466 115 1000 89% 47% 12% NJ Healthcare Information Technology Extension Center 5541 3171 545 5000 111% 63% 11%
Greater Cincinnati Health Bridge Inc. (OH, KY, IN) 1873 1138 179 1739 108% 65% 10% Ohio Health Information Partnership 6273 3444 552 6000 105% 57% 9%
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16 11 190 630 831 1,599 1932 2272 2272 500 1000 1500 2000 2500 3000 3500 December January February Total
Total Applications Received & Approved for Payment as of: 2/29/12
Total Applications Received Total Applications Approved for Payment $11 $17.5 $10 $38.5 $4 $12.5 $16.5 $0 $5 $10 $15 $20 $25 $30 $35 $40 $45 December January February Total Millions
Total Incentive Payments as of 2/29/12: $55 Million
Eligible Hospitals Eligible Professionals Total: Eligible Hospitals Total: Eligible Professionals *Please note: Applications are typically worked 2-3 times. Staff may review an application and find discrepancies that require correcting prior to final approval. 1 15 16 12 24 94 130 25 21 176 222 1 1 2 4 5 10 15 50 100 150 200 250 December January February Total
Provider Outreach and Education Statistics as of: 2/29/12
Association Conference Call Cold Calls Webinars Site Visits
*Please Note: All Totals are Cumulative.
– Full complement of staff. Last Provider Outreach and Enrollment Coordinator position filled 3/1/12. – Staff currently being trained on Stage 1 Meaningful Use requirements. – Bolstering outreach efforts by building relationships with hospitals, providers, organizations, vendors and associations.
– Regarding state and program rules and regulations – To enhance operations
– Collaborate with the Department of Public Health regarding public health measures for Stage 1 Meaningful Use. – Implement Communication Task Force to support:
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CMS approval of the IAPD
the Statewide HIE, future phases will require additional applications for funding RFR was released on February 16th 2012
24th http://www.comm-pass.com Document #: 12RGEHSHIEP1RFR
SOP has been updated to reflect last round of comments and has been submitted to ONC
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12/12/2011
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11/14/2011
Initiative Completion date Submit IAPD and SMHP to CMS Complete Submit updated SOP to ONC Complete EHR/HIE Vendor Roundtable Complete Network Users Roundtable – Eastern MA Complete Network Users Roundtable – Western MA Complete CMS approval of APD-U/SMHP Complete ONC approval of SOP and SOP budget (expected) By early Feb 2012 RFR for Phase 1 services released to Infrastructure Vendors Complete Infrastructure Vendor selected Late April 2012 Infrastructure Vendor under contract Late May 2012 Go-live for phase 1 “Information Highway” (Direct Gateway) Oct 15, 2012 Go-live for Last Mile program Oct 15, 2012 Go-live for Impact program Oct 15, 2012 Go-live for phase 1 Public Health Gateway (CBHI, SS) Dec 14, 2012
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12/12/2011
1. HIE Services will be designed, procured, deployed, and operated by the State Government (EOHHS/MassHealth) according to an already determined timeline a) The HIT Council is providing recommendations and advice to the State Government regarding the implementation and operations of State infrastructure b) The Advisory Committee is providing recommendations and advice to the HIT Council, informed by inputs from the Work Groups 2. In order to most efficiently and effectively provide recommendations to the State Government, Advisory Committee deliverables should aligned with key deliverables of the State’s HIE services activities 3. Work Group contributions to these Advisory Committee deliverables should be structured to have single Work Group accountability for a final deliverable, with key input from other Work Groups as appropriate a) Need lead Work Group to get the ball rolling and to synthesize cross-Work Group inputs into a final consensus document b) Lead Work Group produces final deliverable for Advisory Committee; Contributing Work Groups provide intermediate deliverables as inputs to the Lead Work Group 4. Statewide Policy Recommendations document distills and synthesizes individual WG inputs to serve as reference document and communication vehicle to stakeholders a) Created and updated separate from the activity-specific deliverables to capture “large P” policies and principles
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11/14/2011
Build Infrastructure Configure Phase 1 services Develop User Agreements Recruit Users Go-live Vendor selected
State Government HIE Services Deployment Activities HIT Council Policy and Procedures Focus Areas
Input as requested Standards & architecture HIE service
Policies & procedures Communications & Marketing Input as requested Define HIE Governance Policy and Operations Governance
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11/14/2011
HIE Services Deployment Activity HIT Council Advisory Focus Areas Lead WG
Infrastructure
Vendor selection Input as requested as appropriate in State procurement processes Tech/Imp Design/build/deploy Recommendations on key architecture and technical elements Tech/Imp
Business Model
Policy Governance Recommendations on near-term and longer-term Policy governance of statewide HIE services Legal/Policy Operations Governance Recommendations on near-term and longer-term Operations governance of statewide HIE services Legal/Policy Business Services Recommendations on HIE service offerings, participants, and associated Policies and Procedures Tech/Imp Funding & Pricing Recommendations on funding approaches and pricing policies (not on actual pricing) Sustainability HIE Participation Agreements Recommendations on contractual requirements for HIE services (requirements on State as well as Partcipants) Legal/Policy
Communication, Marketing, and Recruitment
Pilot customers Input as requested on identifying and recruiting Pilot Participants Provider Adoption EHR integration customers Recommendations on outreach and recruitment to EHR integration customers Provider Adoption Web portal customers Recommendations on outreach and recruitment to web portal customers Provider Adoption Consumer customers (tbd) Recommendations on outreach and recruitment to consumer customers (if Phase 1 services available to consumers) Consumer Engagement
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11/14/2011
HIE Services Deployment Activity Consumer Provider Sustainability Legal/Policy Tech/Imp
Infrastructure
Vendor selection Lead Design/build/deploy Lead
Business Model
Policy Governance Support Support Support Lead (end May) Support Operations Governance Support Support Support Lead (end June) Support Business Services Support Support Support Support Lead (early July) Funding & Pricing Support Support Lead (end August) Participation Agreements Support Support Support Lead (late July)
Communication, Marketing, and Recruitment
Pilot customers Lead (early August) Support Support EHR integration customers Support Lead (end August) Support Web portal customers Support Lead (end August) Support Consumer customers (tbd) Lead (end Oct) Support
Lead : Responsible for initiating deliverable, incorporating feedback from other workgroups, and creating final deliverable for AC and HIT Council approval. Support: Responsible for providing formal review/feedback to Lead WG
– Once SOP is approved and timelines are firmly established, can assign WG responsibilities – HIT Council has formal authority over Last Mile Adoption program, which may affect prioritization of AC and WG activities
– Will likely require higher frequency of meetings/calls for all WGs
– Being developed in parallel as overarching document to capture high-level principles and recommendations agreed to across all WGs – Synthesizes and summarizes individual WG deliverables into a single document for future reference and communication to stakeholders – WG inputs on activities to date currently being synthesized and coordinated
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11/14/2011
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