HIT/HIE Community and Organizational Panel Office of Health - - PDF document
10/13/2016 HIT/HIE Community and Organizational Panel Office of Health Information Technology October 13, 2016 Welcome, Introductions, and Agenda Review 1 10/13/2016 Agenda New Member Introduction and Discussion Regarding Membership
Type Examples Level of information able to be shared
Intra-system Sharing Kaiser, Legacy, Providence High Preferred Provider Networks (sharing EHR) Legacy, Providence High Association Networks IPAs High Intra-vendor Sharing EpicCareEverywhere High Collaboratives/ Integration Commonwell, Carequality Medium - High HIE JHIE, RHIC Medium - High Direct Secure Messaging CareAccord, DSM within EHRs Low - Medium Payer-based CCOs, BCBS claims-level: High case management: Low- Medium Subscription-based EDIE/ PreManage Low - Medium Personal Health Records Humetrix, Medyear, caresync Medium - High Public Health Registries Syndromic surveillance, PDMP Low - Medium This matrix is illustrative, not exhaustive. Gap Dimension Highlighted Examples of Largest Gaps Impact/Importance Examples Availability of Resources Critical access hospitals, high Medicaid members, nonprofits, behavioral health, long-term services and supports Organizations may be limited by low/negative margins or business models that preclude IT investment Urban-rural Small/solo practitioners, specialty/complex care Rural areas more likely to have one dominant system/network which creates both opportunities and gaps; rural trading partners likely to be outside of local area Eligible professional Behavioral health, LTSS, social services, corrections, EMS EP status directly tied to incentive payment availability Practice size Small/solo practitioners, independent specialists Organizations may lack scale to achieve efficiencies from IT adoption/use Patient acuity Less sick/privately insured patients less likely to be affected/ interested Higher acuity patients typically involve substantially more organizations but receive higher attention from Medicaid/ payers; low acuity patients may have lower coordination needs but also receive much less support Types of data shared Complex/unstructured data, setting- specific data formats and definitions More complex/less structured data typically more difficult to exchange but likely to have higher value
This matrix of gap dimensions follows from the August 2016 HITOC discussion of HIE gaps. It is illustrative, not exhaustive.
Potential March Meeting/ Retreat
Governance Entity CareAccord Provider Directory TBD (MPI, query, etc.) ADT/ Hospital Notifications Regional HIE Shared Funding (including HIE Onboarding Funding) Shared Principles, Policies, Agreements Hospital Behavioral health Corrections LTC Clinic PDMP (Gateway) CCO Shared Accountability (Oversight and Reporting) Large Health System Clinic EMS CCO Hospital Behavioral health Hosted EHR or
Hospital Clinic Shared Services
The diagram is highly simplified, not exhaustive, and represents HIE relationships to a governance entity and not necessarily between each other
HITOC Member Survey
N=9
Importance Rating Low Medium High Highest High or Highest
Medications*
4 5 9
Medication Allergies*
1 2 6 8
Diagnoses
1 4 4 8
Discharge Summary
1 4 4 8
Allergies
1 5 3 8
Laboratory Value(s)/Result(s)*
1 5 3 8
POLST Registry (Physician Orders for Life-Sustaining Treatment)
1 5 3 8
Advance Directives
1 1 4 3 7
Imaging results
1 1 5 2 7
Medication History
2 6 1 7
Prescription Drug Monitoring Program (PDMP) (i.e. opioid prescription history)
2 6 1 7
Hospital Event (ADT)
1 1 2 4 6
Social Determinants (e.g. food/ housing instability, ACE score, income)
3 3 3 6
Problem list*
1 2 3 3 6
Vital Signs*
3 4 1 5
Care plan*
4 4 1 5
Procedures*
4 4 1 5
Behavioral Health Plan
3 5 5
Referrals
4 5 5
*ONC- Identified Near-term Priority Data Domain
Name/Title Organization Maili Boynay, IT Director Legacy Bud Garrison, Dir. of Clinical Informatics OHSU Brandon Gatke, CIO Cascadia Behavioral Health Mark Hetz, CIO Asante Linda Mann, Dir. of Community Outreach Capitol Dental Care Sonney Sapra, CIO Tuality Healthcare Gina Seufert, VP Physician & Clinic Services Tillamook Adventist Kim Whitley, VP/COO IHN CCO Andy Zechnich, MD Providence Additional Recruiting Underway LTSS, Tribes, supported housing, HIE, and additional behavioral health representation
Priorities Org/Provider Types Region Activities/ Services
Priorities Org/Provider Types Region Activities/ Services