HIT PIC. February 24th, AM-12PM

Transcription

1 HIT PIC February 24th, AM-12PM

2 Welcome & Introductions Joseph Reilly, CNYCC CIO Michele Jacobson, CNYCC Project Manager Peter Nolan, CNYCC Project Manager Kris Hebert, CNYCC System Analyst Raymond Barnes, CNYCC Sr. Systems Analyst

3 Agenda Recap & Review Planning Payments Implementation Plan Updates PHM Implementation Update Near Term Goals Partner Engagement Partner Readiness Demo and Kickoff Reporting Actively Engaged Patient Reporting Changes Data Request Process

4 Recap & Review Planning Payments

5 Assessment and Planning Process: Overview By developing processes to assess the current state and needs of partners, CNYCC can provide the right oversight, align the right IT resources according to need, and help ensure partners are on the path to achieve CNYCC DSRIP goals and objectives. CNYCC IT Gap Assessment Start Initial HIT Assessment (Survey/Site Visits/HIE) Partners Clarify/validate/collect additional information 2 nd Round Current State Assessment We are Here Implementation Update and Tracking Cycles End $ Payment Triggered Distribute Implementation Plans Tier 0 Tier 1 Tier 2

6 Recap & Review Implementation Plan Updates

7 Implementation Plans: Partner Engagement Timeline We are Here 02/24/2016 January 2017 March 2017 Update 3 Update 5 September 2017 Update 2 Completed February 2017 April 2017 Work Plan Integration with PMO June 2017 Update 4

8 Implementation Plans: Tracking Progress Key: Partner CNYCC Submit Project Implementation Plans Submit Web Forms ( ) We are Here Both Upload Initial Data DSRIP Tracker (Performance Logic) Generate Report on Current Status Generate Web Forms for Update ( ) Execution of Project Plans Generate Report on Current Status Continue Execution of Project Plans Generate Web Forms for Update Gathering of Supporting Documentation Inform Partners of Status, Milestones and Project Updates

9 Implementation Plans: Working With the PMO DSRIP Project Requirements Project Implementation Plans (PMO) HIT Implementation Plans Comprehensive Implementation Plans in DSRIP Tracker (Performance Logic) New PMO Director, Wendy Knight Working with PMO to Coordinate All Project Requirements and Implementation Plans into Comprehensive Plans Goal is to Harmonize Project Planning Eliminate Duplication of Effort Streamline Process for Partner Outreach

10 Implementation Plans: Statistics December HIT Implementation Plan Updates: 56 Partner Implementation Plans Were Sent Out 39 Updates Received 17 Updates Still Outstanding

11 Next Steps Work with Project Managers and PMO to harmonize requirements Evaluate DY3 and DY4 Goals and Documentation Requirements and Milestones Implement partner feedback into plans Implement project manager feedback into plans Send out implementation plan Update 3 DY3Q1

12 Population Health Management Updates

13 Population Health Management Updates Near Term Goals

14 Near Term Goals

15 Near Term Goals: Todays Discussion

16 Near Term Goals Todays Discussion Integration Process Identification Prioritization Initialization Implementation Partner Assessment Medicaid Patient Volumes Partner Kick off Meeting Install HDG or sftp DSRIP Engagement Availability of Resources Begin Technical Readiness Create and Test Connection Vendor EMR Experience Finalization of Pilots/Cohorts Begin Clinical Readiness Integrate Data Set

17 Population Health Management Updates Partner Integration Prioritization

18 Partner Integration Prioritization CNYCC Readiness Analysis Perform Partner Integration Readiness Assessments based on currently available data Previous EMR Integration History with PHM Vendor Partner resource bandwidth Relative Medicaid Population Vendor Readiness Requirements Technical Operational Willingness to adopt platform Expected Integration Method Flat File Direct Integration Define Partner Integration Phases Based on Outcomes of Integration Capabilities

19 Partner Integration Prioritization Readiness Questions Is your organization willing and ready to be an early adaptor of the IBM Watson Health Platform? Does your organization have the available resources to commit to data integration? Leadership commitment to data integration with PPS Operational resource willing to oversee project planning efforts from your organization Technical Resource with experience in ETL (Extraction Transformation and Loading) Clinical SMEs, subject matter experts willing to extend their expertise to aid in the design and testing of the PHM system. Does not need to be a provider

20 Partner Integration Prioritization Process to Get Started Reach out to with the following information List of Contacts your organization would like to take part in our initial discussion Name Title Phone Validate Current EMR Information Vendor Version Upgrade Plans Locally or Vendor Hosted Next Steps Triage partner requests Evaluate integration variables Schedule partner integration calls

21 Population Health Management Updates Partner Integration Toolkit and Engagement Kickoff

22 Partner Integration Toolkit and Engagement Kickoff Partner Demo of IBM Watson Health Join CNYCC for a virtual demonstration of the IBM Watson Health Platform, and the elements that will be utilized in CNYCC's Population Health Management effort. Products to be demonstrated include: IBM Watson Care Manager Explorys EPM Application Suite Phytel Transition Phytel Engage When: 03/10/2017 9:30 AM - 11:30 AM Where: This is a virtual webinar. n?id= Access PIN: watson Bridge Call: participant code:

23 Partner Integration Toolkit and Engagement Kickoff Partner Kickoffs Partner Kickoff Session Date: TBD Information Covered: Overview of Project Goals and Objectives Overview of Partner Governance High Level Timelines and Project Plan High Level Data Integration Requirements. Partner Integration Kickoff Sessions Date: Determined by Each Organization and CNYCC Information Covered: Administrative Requirements Project Resource Requirements Partner Specific Project Tasks and Milestones Partner Specific Timeline

24 Partner Integration Toolkit and Engagement Kickoff Partner Integration Toolkit Resources Partner Integration and Readiness Toolkit Resources Overview Documents DSRIP 101 Population Health Approach/Overview Integration Methodology Data Sharing and Security Documentation Data Sharing Agreement 1:1 RHIO Agreement Where Applicable Security Requirements Implementation Documentation Partner Integration Overview Partner Project Team and Resource Requirements Partner Project Plan Including Tasks and Milestones IBM Assessments Partner Readiness Assessment Clinical Documentation Guides Technical Integration Readiness Assessment and Specifications

25 Population Health Management Updates Communications Planning

26 Communications Planning Project Webpage and Newsletter Project Webpage Member side of CNYCC website rd/phm/ Project Description Status Updates (Periodic) Project Forecast or Upcoming Milestones Partner Resources Project Team Project News Letter Project progress and informational updates on a regular cadence Meetings Partner Specific Meetings Committee Meetings PPS Wide Sessions

27 Population Health Management Updates Partner Data Source Integrations

28 Partner Data Source Integrations Data Source Integrations are set to begin following the completion of Partner Integration Prioritization Integration Method Determined Development of Integration toolkit Communications Planning Partner Engagement Kickoff(s) Partner Kickoff Session Partner Integration Kickoff Session Completion of Necessary data Sharing Agreements Kickoff of technical, operational and clinical readiness

29 Reporting

30 Reporting Actively Engaged Patient Reporting Updates

31 Reporting Project Updates Updated Project Exhibit C s impacting AEP Rosters Project Name ED Care Triage Care Transitions Patient Activation Behavioral Health/Primary Care Integration Palliative Care Integration Project Number 2.b.iii 2.b.iv 2.d.i 3.a.i 3.g.i Notable Change Patients can be scheduled at PCP or existing Health Home following ED Discharge; Appointment does not need to be within 30 days DischargedTo Location in Roster needs to reflect Discharge Disposition Codes in Appendix C Updated Reporting Requirements Spreadsheet with limited data elements to collect Coaching for Activation Activities List of acceptable screens reduced to align with new Standards of Care Actively Engaged Patient Rosters will be released soon Training for ipos Tool will be conducted on March 2, 2017 from 11 to 12 Register Here Effective Immediately Immediately April 1, 2017 April 1, 2017 March 1, 2017

32 Reporting Project Updates Project Attestations CNYCC allows partners who are designated at Federally Assisted Drug and Alcohol Treatment Program to report de-identified actively engaged patient rosters by utilizing an attestation for Behavioral Health/Primary Care Integration and Behavioral Health Crisis Stabilization CNYCC has updated the attestation process and will be reaching out to the following organizations: Crouse Hospital Farnham Family Services Syracuse Behavioral Health Partner attestations will auto-populate based on information entered into the document CNYCC will provide explicit instructions regarding the new attestations New attestations need to be implemented for April 2017 Patients, May 2017 AEP Reporting

33 Actively Engaged Reporting - Updates Beginning with April 2017 Actively Engaged Patient Rosters, Partners will have to include a Unique Identifier that is assigned to them by CNYCC which will replace the Partner Name The Unique Identifier will be 6 alphanumeric characters used to ID files uploaded to sftp Site CNYCC will be contacting organizations directly with Unique Identifier No Rosters will be accepted without proper naming convention 3ai April 2017 CNY104 Actively Engaged Patient Roster.xlsx 3ai April 2017 CNY104 AEP Roster.xlsx In order to assist Partners with the new naming convention, Partners will be able to submit AEP Rosters 5 days before deadline to check file for correct naming conventions Adjusted timeline allows for partners to resubmit patient files if necessary

34 Updated Actively Engaged Patient Roster Processing Timeline Monday Following First Thursday Roster Submission (Monday following 2 nd Thursday) Payments sent to Processing (Friday following Roster submission) Roster Reconciliation Reports Delivered to Partners (Week after Roster Creation) Partners may submit AEP files for Name Validation Rejection s sent (within 2 days of Processing) Roster Reconciliation Reports Created (Week after Roster Submission) AEP Reporting Cycle Complete

35 Reporting Data Request Process

36 MAPP Dashboard Data Request and Transmission Process Partners will be able to request de-identified MAPP Dashboard data through CNYCC Staff Members CNYCC will be releasing a comprehensive document in the coming weeks that outlines data available CNYCC Staff Members will be responsible for logging request in online tool CNYCC Data & Performance Staff will communicate directly with Partners in the event of questions, concerns, issues Partners will receive requested data via with explicit instructions regarding dissemination

37 Next HIT PIC April 28th AM 12 PM

38 Partner Integration Toolkit and Engagement Kickoff Partner Demo of IBM Watson Health Join CNYCC for a virtual demonstration of the IBM Watson Health Platform, and the elements that will be utilized in CNYCC's Population Health Management effort. Products to be demonstrated include: IBM Watson Care Manager Explorys EPM Application Suite Phytel Transition Phytel Engage When: 03/10/2017 9:30 AM - 11:30 AM Where: This is a virtual webinar. n?id= Access PIN: watson Bridge Call: participant code:

39 QA

40 FIN

41 HIT PIC Notes Questions and Answers When have identified issues/questions in our implementation plan (both initial and update) but get no response from CNYCC. Why is that? o CNYCC will work to give more appropriate and timely responses to feedback from Implementation Plans Thank you very much for including today's slides in Handouts. Just wondering if these materials are also available on CNYCC's website? o Slides will be available on the calendar page within 2 business days I am having a little bit of a hard time following, could you please break down on a very basic level from the implementation plans we submitted, how it evolves? o Information within the implementation plans and HIT surveys have provided valuable information in planning process for the PHM system as it has helped prioritize integrations on bullets from slide #18 With the focus on the EMR, are you looking for agencies with an established EMR platform? o CNYCC will look to organizations beyond ones with EMR for insight into the build of all care management related modules is there additional information or resources available we can share with the staff about IBM Watson Care Manager so for those that are regularly participating in the HIT PIC understand the background and context before this virtual meeting on 3.10? o CNYCC will share documents on the project webpage Will roster recon be occurring monthly? o Yes My understanding from presentation to the board was that partners would receive $15,000 per organization. This has changed? o CNYCC has funds that carryover from the DY1 funds flow for PHM, actual distribution details and final amounts will be determined as part for DY2 funds flow policies. Just so I'm clear - is implementation/integration with this Watson software a requirement? o Data sharing is a requirement of the 2ai project, and it is a goal to integrate as many partners as possible into the PHM system Is there any advantage to being an early adopter either financially or in terms of assistance from CNYCC? o Having access to data in the Watson program is vital to the success of DSRIP and having organization level insight we feel will be valuable. Specific financial advantages have not been discussed. IPOS training isn't on the CNYCC calendar...? thanks o Will follow up with Tammy VanEpps Who would you recommend attend the demo webinar? Staff roles? o Any staff that may be interested and staff related to slide #19 Do you have an estimate of the amount of provider IT time that will be necessary to commit to implementation?

42 o We are working with IBM to determine resource commitments Are partner payments linked to implementation mileposts? o New funds flow policies are currently being created Deadline for late adopters? o No specific deadline, however 2ai data sharing milestone completion date is 3/31/19 What will be the estimated turnaround times for data requests? o CNYCC to consider SLA