Chapter Advocacy Roundtable (CAR) Monthly Call Pam Varhol CAR - PowerPoint PPT Presentation

Chapter Advocacy Roundtable (CAR) Monthly Call Pam Varhol CAR Chair New England Chapter Ma rc h 20, 2020 1 1

Agenda • U.S. Federal & State Actions: COVID -19 • CAR Round Robin • Federal Updates: CMS & ONC Final Rules • Announcements 2

Cha p te r Ad v o c a c y Ro und ta b le Mo nthly Ca ll U.S. Federal & State Actions: COVID -19 3

Quick poll! • Ar e you wor king dir e c tly with your sta te to pr ovide he a lth IT solutions to the outbr e a k? • Wha t a r e the pr ima r y a r e a s of the COVID-19 r e sponse r e quir ing sta te he a lth IT suppor t? • Wha t sta te -foc use d public polic y infor ma tion would you like to se e on the HIMSS COVID-19 Re sour c e Pa g e ? 4

5 Source: World Health Organization

U.S. Cases of COVID-19: 14,631 Total deaths: 210 Source: https://coronavirus.jhu.edu/map.html As of 3/20/20 13

Canada COVID -19 Cases • 569 c onfir me d c a se s • 8 de a ths Sour c e : Wor ld He a lth Or g a niza tion (a s of Ma r c h 19, 2020) 7

F o llow COVID-19 U.S. Federal Actions: Telehealth in up da te s a t https://www.hi mss.org/ the Spotlight ne ws/c o ronavirus • CMS relea sed g uida nc e on Medic a re telehea lth efforts to c omba t sprea d of COVID-19: • Ge o g raphi c re stri c ti o ns are wai ve d fo r all urban and rural are as and the pati e nts ho m e was i nc lude d as an e li g i ble o ri g i nati ng si te • CMS wi ll no t e nfo rc e any re qui re m e nt fo r an e stabli she d re lati o nshi p, whi c h i s c ri ti c ally i m po rtant, de spi te the statuto ry re qui re m e nt that a pati e nt m ust have a re lati o nshi p wi th the i r pro vi de r wi thi n the last thre e ye ars • T he se ne w wai ve rs o n te le he alth se rvi c e s wi ll no t be li m i te d to pati e nts wi th COVI D-19, and i nste ad wi ll bro ade n thi s fle xi bi li ty wi tho ut re g ard to the di ag no si s o f the Me di c are be ne fi c i ary • More work still a hea d • Me di c are m ust e nsure pro vi de rs are able to use re m o te physi o lo g i c al m o ni to ri ng to tre at pati e nts and fre e up valuable re so urc e s fo r ho spi tals to tre at m o st at-ri sk pati e nts • He althc are pro vi de rs wo rki ng i n F QHCs and RHCs are sti ll no t e li g i ble to pro vi de te le he alth se rvi c e s. T he y c an o nly se rve as di stant si te s, no t o ri g i nati ng . T hi s sho uld be update d to i nc lude the i r e li g i bi li ty. L ea rn more: https:/ / www.himss.or g / news/ telehea lth-c ovid-19-spotlig ht 8

HHS Announces Funding for Initial Resources to a limited Number of State and Local Jurisdictions in Response to COVID -19 • Using funds pr ovide d to CDC thr ough the HHS Se c r e tar y's T r ansfe r , CDC will: • Awa rd a n initial $25 million c o o p e rative a gre e me nt to the sta te s a nd lo c al jurisdic tio ns who ha ve b o rne the la rge st b urd e n o f re sp o nse a nd p re p a red ness a c tivitie s to d a te . T his is a n initial a ward fo r tho se jurisd ic tio ns who re q uire immedia te a ssistanc e fo r a c tivitie s suc h a s mo nitoring o f tra vele rs, d a ta ma na ge me nt, la b e q uipme nt, infe c tio n c o ntrol, a nd surge sta ffing. Onc e sup p le me ntal fund ing is p ro vid ed , sup p o rt will b e p ro vid ed to a ll sta te s a nd lo c a l jurisdic tio ns fo r a variety o f c ritic al p ub lic he a lth a c tivitie s. • Awar d an initial $10 million c ooper ative agr e eme nt to state and loc al jur isdic tions to be gin imple me ntation of c or onavir us sur ve illanc e ac r oss the U.S., building on e xisting influe nza ve illance syste ms . ac tivities and othe r sur T his initial a ward is fo r a limite d numb e r o f jurisdic tions. Onc e sup p le mental fund ing is p ro vide d, a d d itio nal sup p o rt will b e p ro vid e d to a ll sta te s a nd lo c a l jurisdic tio ns to e nha nc ing te sting a nd surveilla nc e. 9

HIMSS Supports Global Health IT Preparedness & Response Efforts for the COVID-19 Outbreak • HIMSS c o ntinue s to mo nito r c urre nt CDC re c o mme nda tio ns fin re spo nse to CO VID-19 a nd c linic a l b e st pra c tic e s a nd ide ntifying mo de l pra c tic e s fo r tre a tme nt • Re c e ntly, HIMSS e ng a g e d the O NC a nd E HRA to de te rmine ho w to impro v e o utb re a k ma na g e me nt func tio ning (like e le c tro nic c o nta c t tra c ing ) within c o mme rc ia l a nd CDC G O T S (NE DSS Ba se Syste m) surv e illa nc e syste ms HIMSS China T e a m is mo nito ring the re sp o nse o f this issue o n the g ro und a nd d o c ume nting le sso ns le a rne d a ro und • v ita l stra te g ie s  T he te a m is le v e ra g ing b ig da ta fo r sc re e ning lo w-risk g ro ups with a po ssib le c o nta c t histo ry a nd is a lso c o nside ring ho w inte rne t b a se d a pps a nd pla tfo rms c a n b e e mplo ye d to de liv e r c o st-e ffe c tiv e o nline sc re e ning a nd c o nsulta tio n to a la rg e r lo w-risk po pula tio n  Wo rking to c o mb ine o the r so urc e s o f da ta , c o uld he lp tra c k do wn a nd ma na g e the hig h-risk po pula tio n with pre c isio n  T he te a m re le a se d a re c e nt a rtic le a b o ut c urre nt e ffo rts using b ig da ta a nd sc re e ning to o ls tha t c a n b e fo und a t https:/ / mp.we ixin.q q .c o m/ s/ N36WQ DJf3Mq hjCWuuHK v 8Q • HIMSS wa s suc c e ssful in he lping to se c ure $50 millio n fo r the first ye a r o f a multi-ye a r e ffo rt to suppo rt the mo de rniza tio n o f pub lic he a lth da ta surv e illa nc e a nd a na lytic s a t CDC a nd sta te a nd lo c a l le v e l.  E xplo re with HIMSS PPC o n the b e st use o f the se funds to a ddre ss imme dia te thre a ts inc luding CO VID-19 a nd tha t suppo rt fo unda tio na l infra struc ture tha t he lps a ll c o nditio ns/ ha za rds? . 10

HIMSS’ Supports State Local Preparedness Through Congressional Action Public He alth Infr astr uc tur e inve stment c ampaig n –T he Data C ampaig n L e tter to the Ho use and Se nate A ppr o pr iator s c alling fo r an inc r e ase o f $950 millio n in appr o pr iatio ns fo r PH Infr astr uc tur e as par t o f the late st C O VI D-19 Supple mental A ppr o pr iatio ns. COVI D- 19 Data Challe nge Public He alth Data Mode rnization Solution Core Public He alth Data Syste m for I nve stme nt Data on COVI D- 19 c ase s is c olle c te d and transmitte d by pe n and pape r, spre adshe e ts, phone c alls, and e mails; data is ofte n re - ke ye d to Auto ma te d e le c tr o nic d a ta syste ms tha t a r e inte r o p e r a b le a nd e xc ha nge b e tw e e n sta te he a lth d e p a r tme nts a nd CDC re port c ritic al de tails from state s to the CDC; manual e fforts are so time Na tio na l No tifia b le Dise a se Sur v e illa nc e Syste m in r e a l-time c onsuming data may not be re porte d for days de spite it be ing store d in an e le c tronic syste m Re a l-time , se c ur e , a nd a uto ma te d r e p o r ting fr o m e le c tr o nic Basic c linic al data of COVI D- 19 patie nts (symptoms, pre gnanc y status, hospitalization, I CU status) store d in e le c tronic he alth re c ords c annot be he a lth r e c o r d s to p ub lic he a lth d e p a r tme nts; institute a Ele c tr o nic c a se r e p o r ting se amle ssly transmitte d to public he alth de partme nts na tio na l sc a le -up Patie nts pre se nting with re spiratory illne ss in e me rge nc y de partme nts are not flagge d to public he alth as pote ntial c ase s, c luste rs or outbre aks Pr e d ic tiv e a na lytic s a nd a r tific ia l inte llige nc e p r o v id e ho ur ly Synd r o mic sur v e illa nc e d e te c tio n a nd c o ntinuo us mo nito r ing fo r p o te ntia l o utb r e a ks as 30% of e me rge nc y de partme nts don’t submit any data; urge nt c are data is almost e ntire ly abse nt 11

HIMSS’ Supports State Local Preparedness Through Congressional Action Cont’d De aths c ause d by CO VID- 19 ar e not linke d to c linic al Inte r ope r able and r e al- tim e r e por ting of de ath data or m e dic al e xam ine r / c or one r data syste m s, or E le c tr onic vital r e c or ds syste m s data fr om m ultiple sour c e s c ase r e por ting syste m s CO VID- 19 labor ator y te sts ar e or de r e d by phone and via We b p o rta ls fo r a ll he a lth c a re p ro vide rs to L a b o ra to ry info rma tio n ma na ge me nt pape r r e que sts; spe c im e ns ar e ofte n se nt to m ultiple e nte r a nd tra c k COVI D-19 sp e c ime n syste ms (L I MS) a nd r e fe r e nc e labs and slow data de lays te st r e sults, whic h sub missio n to p ub lic he a lth la bo ra to rie s m ust be shar e d by phone or on spr e adshe e ts CO VID- 19 te st r e sults sit in c linic al L abor ator y Infor m ation Manage m e nt Syste m s, stagnating and ar e ne ve r se nt to Ele c tro nic la b o ra to ry re p o rting (EL R) o f state / loc al public he alth de par tm e nts to initiate c ase Auto ma te d re p o rting o f re sults to p ub lic te st re sults fro m c linic a l c a re to p ub li c inve stigations and c ontac t tr ac ing he a lth e p id e mio l o gists o r d ise a se d e te c tive s he a lth a nd fro m CDC to sta te / lo c a l a s so o n a s the y a re a va ila ble p ub lic he a lth 12