Implementation and Optimization Organization Roundtable. June 19, 2012 Weiss Conference Center Westborough, MA

Transcription

1 Implementation and Optimization Organization Roundtable June 19, 2012 Weiss Conference Center Westborough, MA

2 Agenda 1:00-1:15: Welcome Jim Brennan, CRM & Elizabeth Elfman, CRM 1:15-2:00: DPH Immunization Registry Alice Stecko, IT Roll Out Manager, DPH 2:00-2:45: HIE Last Mile Program Joe Kynoch, Project Manager, MeHI 2:45-3:00: Open Discussion Jim Brennan, CRM & Elizabeth Elfman, CRM 2

3 Providers REC SCORECARD Number of Providers Contracted Monthly Cumulative

4 REC SCORECARD PPCPs Contracted with IOO Vendor: Total = 2503 Arcadia Fallon 25 Ficus HealthLens Culbert eclinical Works 172 Beacon 192 MAeHC MassLeague BMC 87 BIDPO UMass MedPlus Steward PPCPs EHR Vendors: Total = Allscripts Amazing Charts Athena eclinical Works E-MDs Epic GE Greenway Ingenix 4

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6 Overview of the MIIS Secure, confidential, web-based system with capabilities for HL7 data exchange or GUI data entry Lifespan registry that supports a complete set of immunization-related functions Helps identify pockets of unimmunized and under-immunized children and adults Assists providers with clinical decision making through forecasting tool Provides practice management tools for providers such as reminder/recall for patients due or overdue for vaccines, immunization coverage and vaccine usage reports Future version of the system will allow for on-line vaccine ordering, replacing current fax method Kick-Off Mtg Slide Deck 6

7 MIIS EHR Roll-Out Started EHR Pilot in Fall sites currently in production 31 sites scheduled for production in June Daily newborn demographic and birth data from the Registry of Vital Records and Statistics (RVRS)

8 Meaningful Use Test Messages If your EHR system can generate HL and transport using Soap UI: Have your EHR Technical Support staff review the HL7 Transfer Specifications, accessible on the link below: Please send an to the MIIS Help Desk at with your contact name and the names of your associated practice(s). 8

9 Transport The SOAP is implemented using a WSDL The SOAP UI tool is open source software which can be downloaded from MDPH will provide sample SOAP WSDL and generic credentials MDPH provides a detailed instruction manual to setup the WSDL The MIIS provides an HL7 Acknowledgment messages via the Virtual Gateway. 9

10 Weekly IT Technical Discussion If your EHR system can transmit HL and you have questions on our Transfer Specifications or Soap message requirements: When: Occurs every Thursday from 10:00 AM to 11:00 AM EST Web: Phone: Dial +1 (312) ; Access Code:

11 Steps for Production Readiness Technical Readiness Providers send HL7 messages to QA environment Sender provides Test Script so that IT can search GUI Test names, CVX, MVX, Site, Route and location If message content does not persist to GUI, IT reviews HL7 Logs for errors and works with Provider to adjust format. Clinical Readiness Gain an understanding for Clinical Integration and the duty to inform patients and their right to limit data sharing. Sites register to use the MIIS via the ContactMIIS Resource Center Training, Clinical Integration and IT resources can be found on the ContactMIIS 11

12 State HIE and MeHI Last Mile Program June 19, 2012 Weiss Conference Center Westborough, MA

13 Statewide Health Information Exchange Goals Improve access to comprehensive, coordinated, person-focused Health Care through widespread provider adoption and meaningful use of Electronic Health Record systems. Demonstrably improve the quality and safety of health care across all providers through Health Information Technology that enables coordinated care, provides useful evidence-based decision support applications and can report data elements that support quality measurement. Slow the growth of Health Care Spending through efficiencies realized through Health Information Technology Improve the health of the Commonwealth s population through public health programs, research and quality improvements enabled through efficient, accurate, reliable and secure health information exchange processes. 13

14 State HIE Implementation EOHHS Responsible for Health Information Exchange Infrastructure MeHI Responsible for HIT/HIE Adoption Last Mile Helping all providers in the Commonwealth connect to and use the Health Information Exchange effectively 14

15 MeHI Last Mile Program Goals Accelerate the adoption and use of the State HIE Ensure that underserved and providers who did not qualify for Meaningful Use Incentives can benefit Drive the integration of Direct Messaging 15

16 Last Mile Deployment Roles MeHI Role 16 Issue the EHR Vendor Grants and Systems Integrator procurement Manage the Last Mile Direct Assistance Grants Coordinate activities between the System Integrator, MassHealth, and the providers Host the knowledge repository for HIE integration EOHHS and HIE Vendor Role Provide testing / certification environment Provide provider enrollment infrastructure and initial training materials Systems Integrator Role Oversee and support the EHR Vendor Direct Implementations Support the Last Mile Direct Assistance programs Develop and maintain the knowledge repository for HIE integration Provider Implementation Teams (IOOs) Provide high-touch in provider practices Efforts modeled on existing REC processes May be supported by Last Mile Direct Assistance grants

17 Direct Messaging Communicating Health Information over the Internet ONC required Transport for communicating among health care participants Set of Standards and Services necessary to push content How to send and receive Structure and format of the content (e.g., Continuity of Care Document Terms used in the content (e.g., LOINC and SNOMED) Secure, Encrypted and Reliable Part of Meaningful Use Stage 2 17

18 MeHI Last Mile Program Suggestions? Questions? Project Management Contacts: Keely Benson (617) x241 Joe Kynoch (617) x242 18