Health IT Initiatives at HCA Health Care Authority Health - PowerPoint PPT Presentation

Health IT Initiatives at HCA Health Care Authority Health Information Technology Section Dennis Worrell Health IT Partner Entertainment Manager May, 2019

Agenda • EHR incentive background • EHR incentive program, and how-to • CDR overview • CDR web portal view • Costs • Next steps

How did we get here? Need for info ARRA$ 2002: OneHealthPort info exchange founded HITECH$ 2009: WA appoints HCA lead agency driving interoperability 2009: OneHealthPort wins competitive bid to 2016: submissions begin! host WA’s Health To date: 6,000+ providers Information Exchange and 88 hospitals = $355 (HIE) million + in funding 3

EHR incentive program Email Got EHR funds Contact healthit@hca.wa.gov before? HIT to see Might be eligible how much. for more. HIT primary references: Great HCA-produced video for attesting (very good!): https://www.youtube.com/watch?v=T4SLGlFWeUA&feature=youtu.be eMIPP user guide (log attestation for HCA): https://www.hca.wa.gov/assets/program/EP-eMIPP-User-Guide_0.pdf Yes, it can be tricky getting attestation Modified stage 2 reference (high- level for what you’re attesting to): data from RPMS https://www.hca.wa.gov/assets/program/2018-mod-stage-2.pdf Tribal attestations, HCA site (tribal-friendly): https://www.hca.wa.gov/assets/program/Tribal-Attestations.pdf Documentation checklist (complete): https://www.hca.wa.gov/assets/program/white-paper-9-Documentation_0.pdf

EHR next steps • Thru CMS website, check if Register your info is current HCA HIT • User guide for eligible hospital site or provider ProviderOne • Follow your guide for attesting portal HIT secondary references: CMS user guide (for updating credentials): https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/QualityNetUserGuide.pdf HCA landing page (step by step, how to, scroll to eligible hospital or eligible provider guide): https://www.hca.wa.gov/about-hca/health-information-technology/electronic-health-records ProviderOne (if you need to update your credentials): provideronesecurity@hca.wa.gov

What is the Clinical Data Repository? CDR Health Improved Information Provider Secure, web- Care at Exchange EHR based database the Point Secure storing clinical of Care connection and claims info for Apple Health (Medicaid) enrollees OneHealthPort Provider maintained maintained Future State! -Other data sets after consent mgt. tools (SUD, STI, etc.) -Only data from physical health providers now 6

What’s in the CDR? Active client Clients in system: coverage: 2.2 million about 50% as of (active & inactive) November 2018 Clients with Future State! Claims Data: -Mental health data over 94% - SUD data (incl. CDR methadone) with CFR42 part 2 consent mgt. solution

How to access CDR data. Client 1 Info CDR EHR EHR Client 2 Info Client 3 Info Future State! Providers can Provider query (auto-pull) Tablet or PC info from the CDR View-only web portal to their EHRs 8

Web Portal: Summary View 9

Web portal results graph

CDR supports role based access (RBA) • Stitches, set limb, office visit Normal • Front office? • Stigmatizing info Restricted • MD, RN, MA? • Stigmatizing info: STI info, BH Very or SUD diagnosis restricted • MD, RN, MA? Sending provider sets restriction level

Summary of current & future benefits Common place, Standards- providers Vendor-neutral based working with many MCOs Additional Aggregates No EHR? Web sponsors data portal! (DSHS, PEB, private) Future New features: Patient history reporting PMP link+ (HEDIS?) more!

Costs Cost? CDR use? Annual Join HIE, sign trust Based on annual framework net patient revenue First year portal Connecting? user, view-only? No Work with your EHR cost, contact vendor and OHP on OneHealthPort for connecting details Organization level Annual Net Patient Revenue Annual Subscription fee Entry $0 - $10 Million $600 Small $10 Million - $100 Million $6,000 Mid-size $100 Million - $500 Million $12,000 Large $500 Million - $1 Billion $24,000 Leadership $1 Billion Plus $48,000

Next Steps • Questions about EHR incentive payment program: healthit@hca.wa.gov • Dennis’ desk phone: 360 -725-1514 Find more about the CDR initiative at: • www.onehealthport.com/hca-cdr 14

Appendices, just in case. 15

What is OneHealthPort’s HIE? DOH Electronic Lab Reporting Submitting Health Syndromic Surveillance Organization (Electronic Information PDMP System) Cancer Event Reporting Exchange About 1,400 trading Secure partners (most connection LNI NRAA), plus all hospitals Activity Prescription Form OneHealthPort Provider maintained maintained 16

What is a HIPAA covered entity? Health care Health care Health plan provider clearinghouse • Doctors, clinics, • Health ins • Entities psychologists, companies, processing dentists, HMOs, company nonstandard nursing homes, health plans health info pharmacies standard health • Government info • …if they paid-for health transmit care (Medicaid, electronic info Medicare, etc.) HHS has a standard for As defined by HHS

What Info gets in the CDR? Problems Allergies Medi- Social cations E-Version: History Clinical Immuniz- ations Care Procedures Mental Record Status Patient Family demo- History graphics Results Functional Payers Nutrition Status Plan of Advance Vital care Directives Signs Medical Equipment 18

Incentive for Providers to participate? Part of MCO provider network MCO contracts with providers: serving Apple Health Clients? If an organization answers yes to all three, it is required to participate in the CDR. Have a “Certified EHR”? Can’t say yes to all three? Participation is not Received Medicaid or Medicare EHR required ...at this time Incentive Payment Funding 19

Alternatives Take the Wait ?? Do Nothing ?? Lead! • Not really an • Hope vendors • Create Data option... create Base interfaces • Vendor-neutral between • Standards- disparate based Electronic • Supports Health Records national Systems certification standard • CMS & ONC 20