Health IT Council and Advisory Committee Meeting March 19, 2012 One - PowerPoint PPT Presentation

Health IT Council and Advisory Committee Meeting March 19, 2012 One Ashburton Place, 21 st Floor Conference Room 1, Boston

Agenda  Approval of January 30, 12 Minutes (HIT Council Motion)  HIE Strategic and Operational Plan (SOP) Update  REC and Medicaid Updates  Both State and National Perspectives  Request For Responses (RFR) Update  Discuss Workgroup Deliverables and Roadmap  Other 2

Massachusetts Health IT Council and Advisory Committee Meeting HIE SOP UPDATE 3

Health IT Adoption – Last Mile The main components of Health IT Adoption – the Last Mile are connection, education and optimization.  Connection will address the technical integration of EHRs and sub-state HIEs with the statewide HIE backbone, to facilitate stages 1 through 3 of Meaningful Use.  Education will be directed at providers, patients and consumers, to instruct them on the benefits of using health IT for better health outcomes.  Optimization will focus on ensuring that providers use the technology in an effective manner - to maximize efficiency while delivering quality care to the patient 4

Connection  MassHealth and the Health IT Coordinator will have responsibility for overseeing the efforts associated with the technical implementation of HIE deployment across the Commonwealth.  The Massachusetts Technology Collaborative will no longer have any implementation responsibilities under the ONC Cooperative Agreement.  MeHI will be solely responsible for ensuring that Last Mile activities are implemented as planned.  Elements of the Connection component are defined as: - Assessment/Analysis - Managed Vendor Selection/Service Provider Procurement - Implementation 5

Education and Outreach  Education, training and outreach are necessary to promote adoption of health IT and to ensure support of statewide health care reform.  The State will fully engage providers and patients to discover how the adoption and optimization of health IT will be a catalyst for more effective and efficient healthcare delivery.  MeHI will lead the Commonwealth in a statewide outreach, communication and education campaign to: ‒ Target specific populations in the Commonwealth, with a multi-cultural and multi-lingual focus ‒ Leverage contractual relationships and partnerships with other organizations/stakeholders ‒ Monitor the efficacy of social media and other MarCom efforts ‒ Address policy issues inhibiting HIT adoption. 6

Optimization To optimize health IT adoption, Mass Technology Collaborative plans to  Evaluate a practice’s efficiency and effectiveness in the use of health IT and develop a path for improvement and effectiveness o This process of improvement will be continuous, as technology and its usefulness will be ever-evolving.  Develop an evaluation process, based upon tools already developed by the REC and State HIE programs, to:  Determine how healthcare practices use health IT (EHR and HIE)  Work with these practices to improve efficiency and effectiveness.  Develop an annual Report Card for Health IT Adoption in MA o The details of this report card will be defined in coordination with EOHHS, and with input from other stakeholders, to align with the Implementation Advanced Planning Document (IAPD) performance benchmarks that will be provided regularly to CMS and ONC.  Provide links to other information sources who measure effectiveness of healthcare reform and resulting quality. 7

Execution  Hospital information systems and electronic health record vendors report that state HIEs tend to build central infrastructure assuming the endpoints will be able to connect to the HIE on their own.  Most practices lack the technical capability and incentives to do this work, so the value of the HIE is often not realized and sustainability is never achieved.  Massachusetts intends to avoid this failed scenario by actively driving connection and ensuring provider support via the Last Mile program, including: 1. Scope Definition 2. Readiness Assessment 3. System Integration Services 4. Oversight via a Last Mile Program Management Office 5. Education and Training 6. MeHI Staffing Support for Last Mile Services 8

Massachusetts Health IT Council and Advisory Committee Meeting REC AND MEDICAID UPDATES 9

REC SCORECARD Number of Providers Contracted 2500 2231 2263 2275 2060 1851 1875 2000 1463 1536 Providers 1500 Monthly 1056 1118 Cumulative 1000 676 406 380 500 345 315 144 270 258 185 171 138 148 73 62 32 24 6 6 4 12 0 2010 - 2011 Providers who have Reached M2 Providers who have Reached M3 2000 600 1781 1803 1656 1697 1800 484 1564 500 1600 1393 414 1400 1239 400 Providers Providers 332 1200 Monthly Monthly 869 1000 300 Cumulative Cumulative 800 192 573 200 82 109 119 140 600 389 296 370 78 82 400 114 163 80 81 76 226 184 70 100 154 171 92 41 84 22 114 49 27 21 200 10 2 2 2 1 1 0 0 2011 2011 10

PPCPs Contracted with IOO Vendor: PPCPs EHR Vendors: Total = 2275 Total =2081 32 Allscripts Arcadia Fallon Amazing Charts 2 3 9 22 Ficus Athena 1 153 15 2 HealthLens 319 eClinical Works 268 194 7 46 Culbert 186 E-MDs eClinical Works 117 Epic Beacon 172 GE AMS 185 Greenway MAeHC Ingenix MassLeague 571 74 MBA Lytec 364 672 87 BMC McKesson BIDPO 64 NextGen UMass 46 Office Practicum 176 112 MedPlus 9 356 46 Quest 360 Steward 33 Sage 11

Top 21 REC Progress towards M1, M2 and M3 as % of Overall Targets 140% 130% 124% 114% 120% 113% 113% 112% 112% 111% 111% 109% 109% 108% 108% 108% 106% 105% 104% 105% 100% 97% 98% 100% 91% 89% 82% 79% 75% 77% 74% 80% 72% 66% 66% 63% 65% 63% 63% 61% 61% 61% 57% 54% 60% 47% 47% 40% 30% 22% 21% 20% 20% 19% 15% 15% 15% 14% 14% 13% 13% 12% 12% 12% 12% 12% 11% 10% 9% % Signed Up to Overall Target 20% % Live to Overall Target 0% % MU to Overall Target *Massachusetts Statistics:  Total # EP = 2,710 (109%)  M1 = 2,275 (91%)  M2 = 1,803 (72%)  M3 = 493 (20%)  931 MA Medicare EPs have reached MU Stage 1; 493 are REC members (50%) *Based on Federal enrollment goal of 2,487 12

Differences between PPCP M3 Projections and Actuals by REC through Feb 2012 400 200 0 -200 -400 -600 17 RECs meeting or exceeding M3 -800 projections 45 RECs not meeting M3 projections -1000 13

PPCPs at Milestones by Top 21 REC % Signed Up % Live to % MU to Program Name 1: Sign-Up 2: Go-Live 3: Meaningful Use Overall Target to Overall Overall Overall Target Target Target Regional Extension Center of NH 1133 912 296 1000 113% 91% 30% PA REACH East 3147 1988 664 3000 105% 66% 22% Rhode Island Quality Institute 974 655 212 1000 97% 66% 21% Massachusetts eHealth Institute 2710 1803 485 2487 109% 72% 20% Quality Insights of Delaware, Inc. 1242 1043 195 1000 124% 104% 20% Colorado RHIO 2475 1715 438 2295 108% 75% 19% West Virginia Regional Health Information Technology 1127 772 154 1000 113% 77% 15% Extension Center HealthInsight (NV-UT) 1633 923 224 1463 112% 63% 15% VHQC/Virginia HITREC 2611 1809 341 2285 114% 79% 15% PA REACH West 2124 1269 276 2000 106% 63% 14% New York eHealth Collaborative 5553 3126 704 5107 109% 61% 14% North Texas REC 1496 804 201 1498 100% 54% 13% Kansas Foundation for Medical Care 1330 737 152 1200 111% 61% 13% Wide River TEC (NE) 975 613 122 1000 98% 61% 12% Missouri Health Information Technology Assistance Center 1518 865 142 1167 130% 74% 12% District of Columbia REC 951 699 99 850 112% 82% 12% eHealthConnecticut Regional Extension Center 1412 609 152 1308 108% 47% 12% CalOPTIMA Regional Extension Center (COREC) (CA) 888 466 115 1000 89% 47% 12% NJ Healthcare Information Technology Extension Center 5541 3171 545 5000 111% 63% 11% Greater Cincinnati Health Bridge Inc. (OH, KY, IN) 1873 1138 179 1739 108% 65% 10% Ohio Health Information Partnership 6273 3444 552 6000 105% 57% 9% 14

Massachusetts Health IT Council Meeting MEDICAID EHR INCENTIVE PAYMENT PROGRAM UPDATE 15

Massachusetts Medicaid EHR Incentive Payment Program Performance Metrics Total Applications Received & Approved for Payment as of: 2/29/12 3500 Total Applications Received 3000 2272 2272 Total Applications Approved for 2500 Payment 2000 1932 1500 1,599 1000 500 831 630 *Please note: Applications are typically 11 190 worked 2-3 times. Staff may review an 0 application and find discrepancies that December January February Total require correcting prior to final approval. Provider Outreach and Education Statistics as of: Total Incentive Payments as of 2/29/12: 250 2/29/12 $55 Million 222 Eligible Hospitals $45 Association $38.5 200 $40 Eligible Professionals 176 $35 Conference Total: Eligible Call 150 $30 Hospitals 130 Cold Calls Millions Total: Eligible $25 Professionals 94 Webinars $20 100 $17.5 $16.5 $15 $12.5 $11 Site Visits $10 $10 50 25 24 $4 21 16 $5 15 15 12 10 5 4 1 1 1 2 0 0 $0 0 December January February Total December January February Total 16 * Please Note: All Totals are Cumulative .