8/3/2017 Health Information Technology Oversight Council August 3 rd , 2017 1 Agenda • Welcome, Introductions & HITOC Business • Oregon Health Policy Board Update • HITOC HIT Strategic Plan – Milestone and key results discussion (small group work) • HIT Commons Update • HITOC Future Workplan and Priorities • HITOC September Report to OHPB • Oregon HIT Program Updates • Public Comment 2 1
8/3/2017 OHPB Update Karen Joplin, Board Liaison to HITOC Susan Otter, Director of HIT 3 OHPB Action Plan for Health Refresh 4 2
8/3/2017 Action Plan for Health: Vision Health is foundational to human existence and quality of life. We believe the best way to achieve this is through better health, better care, and lower costs for all Oregonians. This should be accomplished through Oregon’s coordinated care model, as demonstrated in local CCOs. To sustain this drive towards excellence, we need to develop and ensure engagement of a workforce free of unnecessary administrative complexities. 5 Action Plan for Health: Guiding Principles • Access • Innovation with Accountability • Patient-Centered • Health Equity • Collaborative Partnerships • Social Determinants of Health 6 3
8/3/2017 Action Plan for Health: Foundational Strategies • Pay for outcomes and value • Shift focus upstream • Improve health equity • Increase access to health care • Enhance care coordination • Engage stakeholders and community partners • Measure progress 7 Action Plan for Health: Foundational Strategies and Focus Areas Focus area with specific HIT key actions called out in August Draft Action Plan 8 4
8/3/2017 Action Plan for Health • August 1 st OHPB meeting – discussion and implications for HITOC 9 Strategic Plan General Feedback Sean Carey, Lead Analyst 10 5
8/3/2017 HIT Strategic Plan Key Results and Milestones Sean Carey, Lead Analyst Marta Makarushka, Lead Analyst 11 Milestone Discussion Framework Action Plan for Health Foundational Strategies HIT Priorities Workplan Milestones 12 6
8/3/2017 Key Priorities The Action Plan for Health: Oregon’s HIT Focus Areas and Oregon’s HIT Priorities Foundational strategies Workplan (2017-2020) HIT to support value based care Support alternative payment Pay for outcomes and value and alternative payment models models Shift focus upstream Support social determinants of Support high-value data sources, health data and partners Improve health equity including the social determinants of health Increase access to health Support integration of physical, care behavioral and oral health Spread health information Support sharing information and exchange Enhance care coordination care coordination and Implement core HIT infrastructure Engage stakeholders and Align across stakeholders and Develop shared governance for community partners develop partnerships long-term HIT sustainability and Monitor and adapt to changing alignment Measure progress environment 13 2017 2018 2019 2020+ adoption/use EHR Medicaid EHR Incentive Program Program continues until 2021 (MEHRIP) Oregon Medicaid Meaningful Use Program continues until May 2019 TA Program (OMMUTAP) infrastructure Develop HIT Common Credentialing Implementation and launch Full operations Provider Directory Implementation and launch Full operations Potential Clinical Quality Metrics Registry Implementation and launch Live for CCO/ MEHRIP expansion Spread HIE and HIT for APMs Phase one provider onboarding through 2021 Development, HIE Onboarding Program Launch Phase two provider onboarding through 2021 CareAccord and Flat file directory CareAccord Operational – regular evaluation of effectiveness and value for Direct secure messaging FFD transitions to Provider Directory Planning, coordination and legal Explore future Network of Networks for HIE agreements infrastructure needs Governance EDIE Utility Transition to HIT Commons Shared pilot ends EDIE Utility and PreManage OHA- sponsored Statewide Medicaid subscription to PreManage Initial start-up under HIT Commons Planning Transition to 501(c)(3) OHLC Determine Focus on HIE network of networks, HIT Commons – New Projects Development PDMP gateway, adoption/spread of future High value initiatives (e.g., Open Notes, etc.) priorities data Launch PDMP Access to high-value data (e.g., Offer gateway subscription statewide gateway POLST, PDMP, other public health registries) Ongoing pilots and initiatives to explore expanded access to high value data 14 7
8/3/2017 Milestones Development Question is…“How will we know if we’re successful?” • Looking for the essential milestones that signal progress on broader efforts • Should reflect current strategies and priorities • Eye towards what can be reasonably measured and/or reported on 15 Types of Milestones for Consideration Access, Initiation/ Adoption Value/ROI Availability Launch and Use Achieved • Programs/initiatives most likely to have milestones of each type • Some work unlikely to have milestones of each type • Milestones cover both Oregon HIT Program and HIT environment • Most of the draft milestones are launch/access/ adoption 16 8
8/3/2017 Milestone Development Timeline - Data dashboards - Develop to track progress metrics and - Additional/ methods to - Develop initial refined measure milestones milestones to - Determine capture baseline data complexity • Now • Late 2017- early 2018 • 2018 • Today’s discussion intended to guide future development • Ongoing work expected to be iterative with HITOC discussion 17 Proposed Key Results Goal 2 Cross-cutting Goal 1 Goal 3 Widespread access Widespread use of and use of HIT that EHRs supports: Creation of - Risk stratification forum for culture Widespread access Patients access and trust - Population health and participation in health info through an HIT measurement robust HIE, including: through a Commons - CQM reporting -Care summaries patient portal and use -Referrals -Complex care Patients engage Development of coordination Advance provider care team the "network of -Alerting data alignment through HIT networks" for through provider statewide HIE Widespread access to directory and outside organization common data for APMs credentialing 18 9
8/3/2017 Small Group Discussion • Proposed Key Results – Are these the right Key Results for each goal? Can they point to our overall progress on efforts? • Draft Milestones: – Are they the right essential milestones? Do they point to success on the key results? – Any suggested additions or deletions? – What data sources might be available to help us measure progress towards our goals? Do your organizations have data they would be willing to share? 19 20 10
8/3/2017 HITOC Discussion • Small group report out • Discussion • Takeaways and next steps 21 HIT Commons Update Susan Otter Laureen O’Brien, OHLC 22 11
8/3/2017 Why pursue an HIT Commons? Key Opportunities and Objectives • Establish a stakeholder-led, neutral governance and decision-making process for investing in HIT efforts • Leverage opportunities for shared funding of efforts with statewide impact • Coordinate efforts to enable a network of networks for HIE • Facilitate access to high-value data (e.g., PDMP) • Support core infrastructure needed for care coordination and alternative payment models 23 | Anticipated Benefits of an HIT Commons • Achieve HIT goals more effectively with critical mass – • Coordinate and support shared interests of health care stakeholders and OHA to meet the vision of a transformed health delivery system optimized by HIT • Support cooperation and data sharing to improve care for all Oregonians • Accelerate adoption and spread of HIT initiatives • Stakeholder led process allows those closest to the work ability to govern and direct efforts • Shared equitable funding supports entities that face resource barriers to “raise all boats” • Maximize Oregon’s share of state and federal resources to advance HIT optimized health care 24 | 12
8/3/2017 Building an HIT Commons Business Plan • Goal: Build an HIT Commons model to accelerate Oregon’s progress toward an HIT-optimized health care delivery system • Build on the success of EDIE/PreManage Governance model • OHA grant to OHLC, joint team to staff effort • Sensing Sessions: • Staff-led discussions with advisory committees and individual stakeholders to gather themes, over 50 organizations represented • HIT Commons Interim Advisory Group: Limited duration, interim committee to lead evaluation & merit of Public/Private partnership to govern statewide HIT/HIE efforts • 3-4 meetings, May 3, May 24, August 2, TBD 25 | Recommendations: HIT Management Structure • Initially expand on EDIE governance model, � Leverage OHLC as fiscal agent and management staff � Proposed approach: � Interim Advisory Group continues to meet to nominate the new HIT Commons Board to serve staggered three-year terms � Representative board positions mirror EDIE Utility with some additions. Geographical diversity, positional (e.g., technical, operational, etc.) diversity, consumer representation. • Hospitals/health systems • Hospital association • Health plans/CCOs • OHA • Physicians • At-large community members • Provider representatives (BH, dental, public health/county) • Eventually establish new 501(c)(3) after successful launch 26 | 13
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