Health Information Technology Oversight Council December 1, 2016 1
Agenda 12:30 pm Welcome, Introductions and HITOC Business 12:50 pm HIE Onboarding Program and HIE Strategic Planning Implications 1:45 pm Break 1:55 pm HIT Governance 3:00 pm HIT Fee Landscape 3:35 pm Public Comment 3:40 pm Closing Remarks 2
Goals of HIT-Optimized Health Care 1. Sharing Patient 2. Using Aggregated 3. Patient Access to Information Across Data for System Their Own Health the Care Team Improvement Information • Providers have access to • Systems (health systems, • Individuals and their meaningful, timely, CCOs, health plans) families access their relevant and actionable effectively and efficiently clinical information and patient information to collect and use use it as a tool to improve coordinate and deliver aggregated clinical data their health and engage “whole person” care. for quality improvement, with their providers. population management and incentivizing health and prevention. • In turn, policymakers use aggregated data and metrics to provide transparency into the health and quality of care in the state, and to inform policy development. 4
Oregon Health Policy Board (OHPB) Update • SB440 Report to Legislature – Bill required OHPB to develop a statewide plan for the collection of use of healthcare data across OHA, DHS and Division of Consumer and Business Services (DCBS) – Quality Corp. was contracted to conduct an environmental scan, gap analysis and prepare recommendations – OHPB presented reflections on ten high-priority recommendations as a foundation for further work • Action Plan for Health: Refresh – Published in 2010, setting foundation for coordinated care model, expanded coverage, and health equity for Oregonians – OHPB is currently working toward refreshing the plan 4
OHPB (cont.) • Health IT-related recommendations in SB440 report: – Advance transparency and break down information silos (e.g., across OHA/DHS) – Social determinants of health – develop a data collection framework – Partner across agencies to identify higher-priority programs to maximize impact on social determinants of health – Robust provider directory that is widely available for analysis – Data quality enhancement and validation efforts on high-value data sets – Statewide public / private partnership model for comprehensive HIE – Clinical Quality Metrics Registry – expand beyond Medicaid 5
HIE Onboarding Program (HOP) Update Kristin Bork, Lead Policy Analyst 6
Parallel Bodies of Work HIE Strategy — HITOC Governance Model — OHA and OHLC HIE Onboarding Program Development — HOP-Advisory Group 7
HIE Onboarding Program (HOP) Goals • Accelerate HIE and fill gaps for critical Medicaid providers ’ ability to coordinate care through connecting to HIE entities • Incentivize cross-organizational HIE by supporting Oregon’s HIE entities that make up its network of networks by funding onboarding for critical Medicaid providers • Establish and formalize the Oregon HIE network of networks by ensuring HIE entities in Oregon are able to support HITOC’s HIE objectives and OHA’s Medicaid objectives by setting criteria that entities would need to meet to be eligible for funding 8
Stakeholder Engagement to inform HOP • OHA has met with a wide array of stakeholders already • OHA convened the HOP Advisory Group (HOP-AG) to help with initial program development • OHA will continue meeting with stakeholders prior to launch and for the duration of HOP 9
Stakeholder Engagement: Completed and Planned Area Completed Planned • • Behavioral Assoc. of Community Mental Focus Group: CMHPs and Health Health Programs (CMHP) Certified Community Behavioral • Oregon State Hospital Health Clinics • • HOP-AG rep Behavioral Health HIT Scan • • Oral Health Advantage Dental TBD • HOP-AG rep • • Long Term Leading Age Focus Group: Leading Age Services and members Support • • Corrections Oregon Youth Authority Assoc. of Counties • • Health Dept. of Corrections Oregon Sheriffs Assoc. • Assoc. of Community Corrections Directors • • HIE Jefferson HIE TBD • organization Regional Health Information s Collaborative • Advantage Dental Information Network • EDIE/PreManage 10
Stakeholder Engagement: Completed and Planned (cont.) Completed Planned Area • • Supported Housing with Services Additional as other models • Housing HOP-AG Rep emerge • • Social Services Central City Concern Outside In • HOP-AG Rep • Individual Focus group Providers • • CCOs November HITAG January Open HITAG • • Coordinated CHP Council and internal Continue on CHP Council and Health workgroup internal workgroup • Partnerships Gorge Health Council (CHP) • • Standing OHA October HCOP Ongoing communication with • Groups November HITAG relevant groups 11
Stakeholder Engagement: Completed and Planned (cont.) • Government to government: tribal liaison transition precluded HOP-AG participation, engagement work continues • Additional contacts needed? 12
HOP Advisory Group (HOP-AG) • Meet in late 2016/early 2017 – may reconvene as needed • Advisory only — no consensus requirement • Share deliverables with internal/external stakeholders • Use output to inform HOP plan • May help OHA develop a staged HOP approach • Input may be relevant for the HIE Strategic Plan 13
HOP-Advisory Group: Participants Name/Title Organization Maili Boynay, IT Director Legacy Bud Garrison, Dir. of Clinical Informatics OHSU Brandon Gatke, CIO Cascadia Behavioral Health Mark Hetz, CIO Asante Ryan Freeman, Data Analyst Capitol Dental Care Sonney Sapra, CIO Tuality Healthcare Gina Seufert, VP Physician & Clinic Services Tillamook Adventist Kim Whitley, VP/COO IHN CCO Andy Zechnich, CMIO Providence Michael Heidenreich, HIE Coordinator PacificSource Jeremy Wood, CIO Central City Concern David Caress, Director of Quality Management Central City Concern Howard Klink, Executive Director Housing with Services 14
HOP-AG: HOP Framework • Draft HOP Framework – Fundamental Principles – HIE Onboarding Program Objectives/Goals – HIE Entity Criteria – HIE Minimum Services/Data Expectations – Measures of Success – Priority Provider Types and Phasing – Approach to Statewide Network of Networks – Risks and Mitigations – Assumptions 15
HITOC Input on HIE Onboarding Program • Review/discuss framework handout • Thoughts on how we should best leverage HIE Onboarding funding: – If we are successful with HOP – and bring Medicaid providers onboard HIEs in Oregon - what will change in the next 3-5 years? 16
HIE Onboarding Program Tentative Schedule 17
HOP-AG: Themes • HIE Onboarding must support HIE that has meaningful value for participants • Prioritization – Balance expansion (harder providers) and enhancement (traditional/easier providers) – Incentives for challenges such as new data types, new EHRs, geographic location, etc. • Data – Varied minimum data sets, depending on org type, provider type, use case, etc. • Other Challenges – How do organizations determine what the options are and what the costs/benefits of joining an HIE are? – Lack of information about landscape 18
HIE Onboarding Program (HOP) and HIE Strategic Planning Implications Sean Carey, Lead Policy Analyst 1. Sharing Patient 2. Using Aggregated 3. Patient Access to Information Across Data for System Their Own Health the Care Team Improvement Information
Larger Issues/ Opportunities from HOP Stakeholder Engagement Some identified needs / opportunities fall outside the scope of HOP, have larger strategic implications, or could serve to complement and support HOP – Exchange is multi-faceted, complex and involves many different entities and usages • Varied minimum data sets, depending on org type, provider type, use case, etc. – To be successful, HIE onboarding may require additional enablers and supports: • EHR upgrades, vendor requirements, high-speed internet access • Support for providers’ EHR costs – Implications for governance and HIT Commons: • Coordination of learning and cross-organizational assistance • Sharing best practices in HIE • Large health systems and organizations could support resources for onboarding providers — training, etc. 20
Strategic planning process and progress Step in the process Status Timeframe Goals (confirm) Completed December 2015 Aims/objectives Completed December 2015 State’s role In process Summer 2016 Prioritizing objectives and Drafted Fall 2016 outcomes Assess environment: Ongoing Ongoing • Identify current state • Identify changing policies, etc. Define/refine strategies: End of 2016/2017 • Technology • Governance/Finance • Policy, legal, education, etc. • Pilots/initiatives Roadmap/Final Plan Initial draft 2017 roadmap 21
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