Kansas Health Information Network (KHIN ) Key Statistics 1.Over - - PowerPoint PPT Presentation

1.Over 3.7 million unique patients in KHIN 2.Over 25 million patients available for query 3.9800 providers 4.900+ healthcare

• rganizations in

production

Kansas Health Information Network (KHIN) Key Statistics

Ambulatory Center

Fragmented Clinical Data

Office Visit Hospital Stay Specialist Referral Post-Acute Care

High-cost patients see 10+ providers annually with data spread across care settings Unified, Normalized Clinical Data Ready for Analytics

KHIN products/services 2016-2017

• Health Information Exchange
• Bi-directional in EHR
• Web Based Portal
• Secure Clinical Messaging/DIRECT
• DIRECT Provider Directory
• ONC Certified Personal Health Record
• View Download & Transmit
• Patient Education
• Secure Messaging
• Patient Electronic Access
• Certified Immunization Record
• Patient Generated Data

8

• State level interfaces
• Immunizations
• Syndromic surveillance
• Reportable diseases
• Cancer registry
• Infectious disease registry
• Birth Defect registry
• Diabetes registry
• Business Intelligence and Analytics

– Dashboards

• High Risk
• Quality Metrics
• Readmissions
• Disease Registries
• Population Health
• Controlled Substances*

– Data Extracts – Alerts

Two Dimensions of Data Quality

Were the data included within a section/entry of a clinical document?

Syntax

For included data, did it support semantic interoperability?

Completeness

Distribution of Scores for Largest Facilities

50% 55% 60% 65% 70% 75% 80% 85% 90% 78% 80% 82% 84% 86% 88% 90% 92% 94%

Facility C Facility E

Document Completeness Document Syntax

Facility A Facility D Facility B

Lowest Scoring Facilities

C-CDAs S C S C S C S C S C S C S C S C S C S C S C S C S C Facility A 11,037 92 54 60 68 87 68 100 100 100 58 71 36 100 29 100 0 100 41 100 17 94 46 100 17 100 64 Facility B 60,812 91 55 60 68 82 78 100 100 100 58 73 36 100 29 100 0 100 41 100 17 91 48 100 17 100 65 Facility C 48,303 82 55 84 68 57 52 100 12 100 58 66 36 100 29 100 0 80 71 61 100 80 72 92 17 92 41 Facility D 12,148 93 57 60 68 90 63 100 100 100 58 85 36 100 29 100 0 99 80 97 22 95 44 100 17 100 64 Facility E 39,649 87 60 75 71 87 65 92 24 99 69 87 64 87 36 86 56 93 59 79 69 86 69 87 38 86 45 Total

From left to right: total score, demographics, allergies, encounters, immunizations, medications, payers, plan of care, problems, procedures, results, social history, vital signs

We are receiving 5+ million clinical documents annually.

1 S- Syntax; C- Completeness

1

– Quality – Clinical Practice Improvement – Advancing Care Information

KHIN Can Help Physicians Succeed!

THREE AREAS OF MIPS MEASUREMENT-2017 Percent of Score

60% of Total Score 15% of Total Score 25% of Total Score

MIPS Financial Model

Consider : MIPS Potential Impact on $250,000 Annual Medicare Reimbursement per physician.

Kansas Health Information Network Products

ACI Base Score: Required = 50 Points

Protect Patient Health Information, ePrescribing, Send Summary of Care Record, Accept Summary of Care Record & Patient Electronic Access

• 1. Secure Clinical Messaging/DIRECT
• 2. HIE Longitudinal Patient View
• Within EHR
• Web-based Access
• 3. ONC Certified Personal Health Record
• Patient Electronic Access

Kansas Health Information Network Products

ACI Performance Score: Up to 90 Points

Patient Specific Education, Patient View, Download or Transmit, Patient Secure Messaging, Patient Electronic Access, Send Summary of Care Record, Request Summary of Care Record, Immunization Registry Reporting & Clinical Data Registry Reporting

ONC Certified Personal Health Record

• View Download & Transmit
• Patient Education
• Secure Messaging
• Patient Electronic Access

Public Health Interfaces

• Immunizations
• Syndromic Surveillance
• Clinical Data Registry

Secure Clinical Messaging/DIRECT HIE Longitudinal Patient View

• Within EHR
• Web-based Access

CPI Activity (choose four) How KHIN Supports

 Participate in HIE Health Information Exchange  Enhanced Patient Portal Personal Health Record  Provide patient self management materials at appropriate literacy level and language Personal Health Record  Regular review of targeted physicians Preventive Care Dashboards  Empanel patients for providers Preventive Care Dashboards  Proactively manage patient care Preventive Care Dashboards  Identify high risk patients High Risk Dashboard  Improve health status of communities Population Health Dashboard  Measure and improve quality Population Health Dashboard  Participate in research De-identified data extracts

Kansas Health Information Network Products

Clinical Practice Improvement = 15% of MIPS score

 Screening for Osteoporosis  Influenza immunization  Pneumococcal vaccination  Breast Cancer Screening  Diabetes A1c >9  Colorectal Cancer Screening  Cervical Cancer Screening

KHIN Products Quality = 60% of MIPS score

NCQA CERTIFIED QUALITY DASHBOARDS

NCQA Certified eClinical Quality Measures

# CMS ID HEDIS Abbreviation Measure Clinical Process/Effectiveness 16 CMS159 DRR Depression Remission at Twelve Months 17 CMS160 DMS Depression Utilization of the PHQ-9 Tool 18 CMS165 CBP Controlling High Blood Pressure Efficient Use of Healthcare Resources 19 CMS146 CWP Appropriate Testing for Children with Pharyngitis 20 CMS154 URI Appropriate Treatment for Children with Upper Respiratory Infection 21 CMS166 LBP Use of Imaging Studies for Low Back Pain Patient Safety 22 CMS156 DAE Use of High-Risk Medications in the Elderly Population/Public Health 23 CMS117 CIS Childhood Immunization Status 24 CMS153 CHL Chlamydia Screening for Women 25 CMS155 WCC Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents # CMS ID HEDIS Abbreviation Measure Clinical Process/Effectiveness 1 CMS74

• Primary Caries Prevention Intervention as Offered by Primary Care Providers,

including Dentists 2 CMS82

• Maternal Depression Screening

3 CMS2 DSF Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 4 CMS122 CDC Diabetes: Hemoglobin A1c Poor Control 5 CMS123 CDC Diabetes: Foot Exam 6 CMS124 CCS Cervical Cancer Screening 7 CMS125 BCS Breast Cancer Screening 8 CMS126 ASM Use of Appropriate Medications for Asthma 9 CMS127 PNU Pneumonia Vaccination Status for Older Adults 10 CMS128 AMM Anti-depressant Medication Management 11 CMS130 COL Colorectal Cancer Screening 12 CMS131 CDC Diabetes: Eye Exam 13 CMS134 CDC Diabetes: Urine Protein Screening 14 CMS136 ADD ADHD: Follow-Up Care for Children Prescribed Attention-Deficit/ Hyperactivity Disorder (ADHD) Medication 15 CMS137 IET Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

Identifies patients with 3 or more chronic disease conditions and 5 or more ED visits in the last 12 months across 128 provider groups. MIPS & APM CPIA Requirement: Identify High Risk Patients = 10 points

Identifies patients from one facility that have 7+ chronic diseases and have visited the ED 51+ times in 12 months. MIPS & APM CPIA Requirement: Identify High Risk Patients = 10 points

Provides patient level drill down with name and number of ED visits, at home ED and other EDs. MIPS & APM CPIA Requirements: Routine and Timely Follow Up to ED visits = 10 points

Provides patient level drill down of ED utilization patterns across all EDs. MIPS & APM CPIA Requirements: Routine and Timely Follow Up to ED visits = 10 points

Provides patient level drill down for diagnosis, procedures and insurance provider.

Provides number of chronic diseases by patient age for patients with 5 or more ED visits. MIPS & APM CPIA Requirements: Proactively manage chronic care = 10 points

Provides patient level drill down by chronic disease condition and age. MIPS & APM CPIA Requirements: Proactively manage chronic care = 10 points

MIPS & APM CPIA Requirements: Measure and Improve Quality at the Practice Level = 10 points Provides real time, preventive care patient level drill down identifying where patients received preventative care, if outside of PCP, for quality reporting.

MIPS & APM CPIA Requirements: Measure and Improve Quality at the Practice Level = 10 points Provides description of the preventative care received. More detailed information is available in the HIE.

Provides real time readmission information aggregated across multiple hospitals. MIPS & APM Quality Requirements: All cause hospital readmission.

Provides real time hospital specific information by disease and trend line. MIPS & APM Quality Requirements: All cause hospital readmission.

Provides real time patient specific information regarding readmit facility and readmit diagnosis.

Provides real time heat map of disease prevalence by provider. MIPS & APMs CPIA Requirement: Improve Health Status

• f Communities = 10 points

Provides patient level drill down of disease prevalence by provider MIPS & APMs CPIA Requirement: Improve Health Status

• f Communities = 10 points

Provides real time, zip code specific information by disease prevalence, gender and age as permitted by HIPPA.

QUESTIONS Laura McCrary Ed.D Executive Director Office: 785-861-7490 lmccrary@khinonline.org