Update on Health IT & FPAR 2.0

Transcription

1 Slide 1 + Update on Health IT & FPAR 2.0 Christina Lachance, MPH Public Health Advisor FPAR2.0@hhs.gov December 9, Title X Grantee Webinar

2 Slide 2 + Stay up-to-date on the latest news 2 Follow our blog FPAR2.0@hhs.gov with subscribe in the subject line These slides & the handout available on the blog

3 Slide 3 Converge 3 Give back Takeoff Today, we ll focus on 3 themes: 1 Work we are leading to make sure the network will converge on the data elements and formats we will use for FPAR Highlights from the activities designed to ensure that FPAR 2.0 will have a safe takeoff 3 Work that supports our long term goal to give you back your data via clinically relevant performance measures

4 Slide 4 + Converge comments from 80+ organizations! Broke IHE records! Technical partners 12% Advocacy 9% Federal partner 7% End-user needs 14% Nature of the comments Minor correction 5% Clarification 44% Clinical provider or site 72% Data elements, value sets, definitions, conformance, method 37% Created the Family Planning Profile in a public domain (IHE) that sets the standard for structuring these data elements in and transmission format from EHRs. Thank you! The 600 plus comments submitted broke IHE s 16 year record! Purple graph shows almost ¾ of the comments came from the clinic level and 12% from technical partners, including EHR vendors. Your comments will directly influence the final FPAR 2.0 guidance. We will work in the coming year to make executive decisions on the more complex comment domains with the goal of resubmitting a revised version of the profile in August If you didn t already submit comments, please contact us, so that we can incorporate them into the revised profile.

5 Slide 5 + Converge 5 Our testing partners at Connectathon: And beyond: Goal: Improved version of IHE Family Planning Profile for August 2015 review cycle Next month we re going to Connectathon (the big testing event where the EHR vendors will construct the FP profile within their systems and exchange fake family planning data with our testing platform). We are sponsoring 3 EHR vendors who are competing before and during Connectathon to be the most successful at exchanging this data. Four other systems also signed up to test our profile (one is a state health department). Additionally, we have 4 more systems who will work in our longer term FPAR 2.0 Standards Collaborative. The sponsored vendor with the highest score at Connectathon will win a free ride to demonstrate exchanging data with the mock FPAR system at the HIMSS Interoperability Showcase next April. Connectathon and the Interoperability Showcase are important because we will learn: what vendors are capable of, what might be missing from their systems, how to address workflow concerns, what they are willing to improve in their systems, and what they want for FPAR 2.0. We will incorporate these lessons to improve the profile by next August.

6 Slide 6 + Takeoff 6 Data Element Site 1 Site 2 Site 3 Site 4 Site 5 Site 6 Site 7 Site 8 Site 9 Client ID Family planning provider Service site ID Subrecipient ID n/a n/a n/a n/a n/a Visit date Birth date Race Ethnicity Sex Limited English proficiency status Household size Household income Principal insurance status Systolic BP & diastolic BP Height Weight Chlamydia test performed Chlamydia test result GC test performed GC test result HIV screening test ordered HIV supplemental test - positive result received by provider HIV supplemental test - positive result communicated to client HIV supplemental test - positive result - linked to HIV medical care Pap test performed HPV test performed Date of last Pap test Current pregnancy status Pregnancy intentions Pregnancy history Contraceptive method at entry Reason for no method at entry Contraceptive method at exit Reason for no method at exit Smoking status JSI feasibility study 9 sites participated in case studies: 5 health depts, 2 FQHCs, 1 PP, and 1 non-profit. This table shows how well the 2.0 data elements match to what s currently in Title X systems. Good news the green cells represent those 2.0 data elements that are already being captured electronically that exactly match the proposed FPAR 2.0 formats. JSI plans to conduct a survey in March, providing another opportunity to give your feedback on the 2.0 data elements, definitions, and formats. Green - Electronic data that match the 2.0 response categories/formats Orange - Electronic data that do not match the 2.0 response categories/formats (very conservative assessment of match; may only be off by 1 response option) Yellow - Data captured on paper only (including those that match and do not match 2.0 response categories) Red - Data not collected

7 Slide 7 + Takeoff 7 May 2015 March November 2015 New Privacy and Security work The team has been working with experts to create this Privacy and Security Road Map. Roadmap lays out the tasks to complete in order to have a healthy privacy and security risk mitigation plan for FPAR 2.0 Also working with a committee who will help OPA write guidance for how to deidentify the 2.0 data to comply with best practices and state and federal regulations Expect a brief survey in May 2015 to help us determine your current privacy and security practices to manage and transmit encounter-level data so we can best write this guidance and respond to your concerns.

8 Slide 8 + Give Back 8 Output Activities the data that will come out of the 2.0 repository in the form of clinically-relevant family planning performance metrics. Biggest benefit of collecting encounter-level data at the national level. This example from the Million Hearts Campaign is what such performance data could look like.

9 Slide 9 + Give Back 9 library CMS153_CQM version '2' using QUICK parameter MeasurementPeriod default interval[ DateTime(2013, 1, 1, 0, 0, 0, 0), DateTime(2014, 1, 1, 0, 0, 0, 0) ) valueset "Female Administrative Sex" = ' '... context Patient define InDemographic = AgeInYearsAt(start of MeasurementPeriod) >= 16 and AgeInYearsAt(start of MeasurementPeriod) < 24 and Patient.gender in "Female Administrative Sex" Innovative clinical quality measurement work to see if we can get performance metrics to show up inside your EHRs We are working with experts to create the code that will live in a public database so that all EHR vendors can copy and use it when they are trying to implement CQMs for meaningful use. Vendors are asking for help with this; we re happy to give it. The code standardizes up to a certain point, but then allows each vendor to tailor it for their clients needs. Chlamydia screening was the first CQM we tackled. We are submitting a final report describing this pilot project to ONC in January We will post some features on our blog about this work and the partners who are engaging with us in it.

10 Slide 10 + We love hearing from you! 10 To reach the HIT Team All of us FPAR2.0@hhs.gov Christina Christina.Lachance@hhs.gov Johanna Johanna.GoderreJones@hhs.gov Lauren Lauren.Corboy@hhs.gov Tweet at Get your staff more involved in the development of FPAR 2.0 guidance and plans: FPAR2.0@hhs.gov Here s all the ways you can reach us

11 Slide 11 + Upcoming asks & Opportunities 11 to engage Health IT Community of Practice - run by the National Training Centers Early 2015 JSI s FPAR 2.0 Data Element Feedback Survey March 2015 Privacy and Security Capacity Improvement Survey May 2015 Feedback on De-identification Guidance Summer 2015 Feedback on revised Family Planning Profile Spring 2016 The schedule of things we ll be asking of you or opportunities to further engage with us in the coming months

12 Slide Things to remember from today Subscribe to the blog 2. Continue to engage - we can t do this without you! 3. Our foundational work is paying off - positioning us for safe takeoff and readying us to give you back relevant metrics

13 Slide 13 + Thank you! FPAR2.0@hhs.gov If we didn t get to your question, please us at FPAR2.0@hhs.gov