EHEALTH COMMISSION MEETING JANUARY 9TH, 2019 JANUARY AGENDA Call - PowerPoint PPT Presentation

EHEALTH COMMISSION MEETING JANUARY 9TH, 2019

JANUARY AGENDA Call to Order Roll Call and Introductions Approval of November Minutes 12:00 December Agenda and Objectives Michelle Mills, Chair and Jason Greer, Co-Chair Announcements OeHI Updates Commission Roles, Responsibilities, Charter, Bylaws and Sunshine Laws 12:05 Budget/Contracting High-level Overview Carrie Paykoc, Interim Director, Office of eHealth Innovation Workgroup Updates, Commissioner Announcements, and Action Items Carrie Paykoc, Interim Director, Office of eHealth Innovation 12:25 Commission Members New Business PDMP Current State, Requirements for SUPPORT ACT, and State Strategy Discussion Carrie Paykoc, Interim Director, Office of eHealth Innovation 12:35 Collin Benjamin, Deputy Director for Programs, Division of Professions and Occupations, Department of Regulatory Agencies (DORA) Workgroup Discussion Item Care Coordination Initiative : High-Level Project Plan Jason Greer, CEO Colorado Community Managed Care Network 1:15 Ann Boyer, MD Chief Medical Information Officer, Denver Health Kim Ball, Health Tech Solutions Carrie Paykoc, Interim Director, Office of eHealth Innovation Public Comment Period 1:45 Closing Remarks Open Discussion Recap Action Items 1:50 February Agenda Adjourn Michelle Mills, Chair and Jason Greer, Co-Chair 2

ANNOUNCEMENTS OeHI UPDATES ▪ February Commission Meeting Rescheduled ▪ Commission Roles, Responsibilities, Charter, Bylaws and Sunshine Laws- Included in Materials, Webinar to be scheduled ▪ Budget/Contracting High-Level Overview ▪ JTC presentation on Tentatively Scheduled Feb 1 COMMISSION UPDATES ▪ Others? 3

CAPITAL CONSTRUCTION APPROPRIATION ▪ State Capital Construction Funds appropriated and released for FY18/19 on November 6 th ▪ OeHI in the process of requesting appropriation for FY 19/20 Fiscal Year 18/19 19/20 20/21 21/22 eCQM $50,000 $5,050,000 $0 $0 Health IT PMO $500,000 $0 $0 $0 MPI/MPD $1,950,000 $1,500,000 $0 $0 Data Gov $500,000 $1,000,000 $2,200,000 $0 Consent $250,000 $1,000,000 $750,000 $0 Consumer $1,350,00 $0 $0 $0 Portal HIE 1,125,000 $1,125,000 $0 $0 Care $550,000 $1,500,000 $1,500,000 $0 Coordination Systems $500,000 $500,000 $0 $0 Integrator Total $6,605,000 $11,508,333 $4,450,000 $0 *Yellow Highlighted funds approved for federal match in approved IAPD as of December 21, 2018. Only 150K requested/approved for care coordination for immediate use. Next federal request to occur in Q1. **Green highlighted state appropriation only. 4

OPERATING BUDGET REQUEST ▪ Office of eHealth Innovation currently funded by HCPF appropriation ▪ In the process of securing operating funds for office and initial operations and maintenance of Roadmap projects Fiscal Year 19/20 20/21 21/22 OeHI $248,686 $248,686 $248,686 eCQM $0 $675,000 $675,000 Health IT PMO $500,000 $930,000 $930,000 MPI/MPD $0 $763,692 $763,692 Data Gov $0 $1,300,000 $1,300,000 Consent $0 $450,000 $450,000 Consumer Portal $250,000 $525,000 $525,000 HIE $500,000 $500,000 $500,000 Care Coordination $0 $450,000 $450,000 Systems Integrator $300,000 $400,000 $400,000 Total $1,759,468 $6,217,159 $6,217,159 5

OEHI CONTRACTS TO DATE ▪ RFP released October 2016 for Master Health IT Consultant ▪ Health Tech Solutions Awarded Contract to support OeHI and HCPF with Health IT projects. Projects are defined and requested by OeHI and HCPF following defined project request order process. Roadmap projects and support encumbered across initiatives, as appropriate. ▪ Mosaica Partners contracted by OeHI to develop requirements for consumer engagement initiative, purchase order executed November 16. Order delayed for several months due to restricted funds. 6

FUNDING PHILOSOPHY ▪ Leverage 90/10 funds for all initiatives except for the Consumer Engagement Initiative. This is defined in the appropriated Capital Construction funds to OeHI. ▪ All 90/10 funds must be reviewed/approved by both Healthcare Policy and Financing and Centers for Medicaid and Medicaid. ▪ Longer term sustainability is a consideration of each funded project. ▪ eHealth Commission agreed the Office should focus on “shovel ready” projects ▪ Roadmap initiatives are focused on leveraging and advancing health information technology and exchange infrastructure 7

PROPOSAL FUNDING REQUEST PROCESS Proposal Funding Request Form Minimum Requirements 8

INITIATIVE FUNDING RATIONALE ▪ Funds for Advance HIE and Data Sharing earmarked for Colorado’s Health Information Exchanges and state infrastructure ▪ Colorado’s Health Information Exchanges are Colorado’s Regional Health Information Organization and Quality Health Network as defined in Colorado’s Health IT Roadmap, Colorado’s State Medicaid Health Plan and draft qualified entity documents. ▪ State data sharing infrastructure investments are focused on allowing broader access of state data for care coordination in Colorado’s Communities. ▪ Funding to the HIEs is being considered for several other initiatives such as identity for individuals to ensure alignment of infrastructure. ▪ No funding has been officially approved to date. 9

ACTION ITEMS Action Item Owner Timeframe Status Define Project Funding OeHI Director/ Nov 2018 High-level Proposal Process State Health IT presentation Coordinator Jan 2019 Annual eHealth Commission OeHI Interim Q1 2019 Training Director/ State Health IT Coordinator Current State of PDMP/ OeHI Interim December 2018 Support Act Requirements Director/ State Health IT Coordinator Budget Overview OeHI Interim December 2018 Director/ State Health IT Coordinator 10

PDMP CURRENT STATE, REQUIREMENTS FOR SUPPORT ACT , AND STATE STRATEGY DISCUSSION CARRIE PAYKOC, INTERIM DIRECTOR, OFFICE OF EHEALTH INNOVATION COLIN BENJAMIN, DEPUTY DIRECTOR FOR PROGRAMS, DIVISION OF PROFESSIONS AND OCCUPATIONS, DEPARTMENT OF REGULATORY AGENCIES

CARE COORDINATION INITIATIVE: HIGH-LEVEL PROJECT PLAN JASON GREER, CEO COLORADO COMMUNITY MANAGED CARE NETWORK ANN BOYER, MD CHIEF MEDICAL INFORMATION OFFICER, DENVER HEALTH CARRIE PAYKOC, INTERIM DIRECTOR, OFFICE OF EHEALTH INNOVATION KIM BALL, HEALTH TECH SOLUTIONS

Care Coordination Working Group Scope • Problem state: Current technology, infrastructure and tools do not support whole person care • Budget: • 150k (IAPD Care Coordination Bucket)

Summary of Workgroup Activity ✓ Charter ✓ Workgroup structure ✓ Environmental scan ✓ Summary of interview spreadsheet ✓ Literature review ✓ Environmental scan action plan (target completion: 1/11/2019)

Care Coordination WG Anchor Areas for 2019 DATA TECHNOLOGY INNOVATION GOVERNANCE INFRASTRUCTURE Technology – Change Management – Sustainable Financing Note: Funding is also available for data governance and technology infrastructure from other sources.

Q1 - 2019 Q2 - 2019 Q3 - 2019 Q4 - 2019 Whole Person Care Coordination Project Roadmap: 2019 Complete Care Coordination Architecture Mapping (OeHI OPs Funds) Align and Leverage JAI Foundation Leverage XGenesis/10.10.10 Process Build Establish Demonstration Project Criteria Support Social HIE System Demonstration Project(s) Hire State Data Scientist- COLAB (DU) Plan and Design Statewide Social HIE Infrastructure (OeHI OPs Funds) Sustain/ Enable Leverage SIM (eCQM) Governance Model for Community Data Governance (IAPD funds) Secure Funding for Statewide Implementation of Social HIE Fund State Data Scientist and Expand COLAB for Community Data Leverage COLAB Efforts (DU) Access Planning for Implementation of Care Coordination and Social HIE Projects Growth OeHI Contracts for SIM (eCQM) and Community Data Governance Implement Care Coordination and Social HIE Projects OeHI Contracts for Legal Framework Milestones LEGEND External Funding and/or Management Submit Request for OeHI/Prime Health Finalize CC Scan Care Coordination Work Group Federal Funds Summit Recommendations Project March 2019 May 7, 2019 January 4, 2019 OeHI Operations/Management

Next Steps • Identify criteria for care coordination social health information exchange (S- HIE) demonstration projects • Define and request federal funding • Create success metrics for demonstration project selection • Leverage XGenesis/10.10.10 process • Define multi-sourced funding strategy

CLOSING REMARKS, JANUARY AGENDA, AND ADJOURN MICHELLE MILLS, CHAIR

FEBRUARY DRAFT AGENDA Call to Order Roll Call and Introductions Approval of January Minutes 12:00 February Agenda and Objectives Michelle Mills, Chair Announcements OeHI Updates Updates, Grant Opportunities, Announcements, Action Items 12:05 Mary Anne Leach, Director, Office of eHealth Innovation Carrie Paykoc, State Health IT Coordinator Commission Members\ New Business 12:25 TBD 12:55 TBD Care Coordination Initiative: Draft recommendations 1:25 Public Comment Period 1:50 Closing Remarks Open Discussion Recap Action Items 1:55 March Agenda Adjourn Michelle Mills, Co-Chair 19

POTENTIAL FUTURE AGENDA TOPICS Topic Presenter Focus Scheduled Shared Practice Kyle Knierim, Associate Director of Sustainability Improvement Learning Practice Transformation at the UC post SIM Tool (SPLIT) Update Department of Family Medicine Julota- Connected Rick Pionkowski, CEO Social health Community information exchange 20