Minutes Massachusetts Health Information Technology Council Meeting - PDF document

Minutes Massachusetts Health Information Technology Council Meeting November 14, 2011 3:30 – 5:00 p.m. One Ashburton Place, 21 st Floor Conference Room 3 Boston 1

Minutes Massachusetts Health Information Technology Council November 14, 2011 Attendees: JudyAnn Bigby, MD – ( Chair) Secretary of Health and Human Services Council Members: Deborah Adair – Director of Health Information Services/Privacy Officer, Massachusetts General Hospital Meg Aranow – VP and Chief Information Officer, Boston Medical Center Karen Bell, MD – Chair of the Certification Commission for Health Information Technology (CCHIT) James Ermillo - Special Council to Secretary Gregory Bialecki, representing EOHED Lisa Fenichel, MPH – E-Health Consumer Advocate Julian Harris, MD – Director of Medicaid, Commonwealth of Massachusetts John Letchford – Chief Information Officer, Commonwealth of Massachusetts Abigail Moncrieff, JD – Peter Paul Career Development Professor and Associate Profess of Law, Boston University School of Law HIE-HIT Advisory Committee: John Halamka, Co-Chair Manu Tandon, Co-Chair Nicolaos Athienites Rita Battles Peter Bristol (TP) Kathleen Donaher (TP) Steven Fox (TP) Larry Garber Gillian Haney Michael Lee Wendy Mariner Daniel Mumbauer (TP) Barbara Popper (TP) Naomi Prendergast Janet Rico (TP) Gillian Haney John Merantza (TP) (TP) participated by telephone 2

MTC: Pamela Goldberg Rick Shoup Carole Rodenstein Bethany Gilboard Donna Nehme Tarsha Weaver Matt Schemmel Bridgett Scrimenti Marie Fell-Remmers David Smith – Massachusetts Hospital Association Other: Claudia Boldman – Administration and Finance Deb Schiel – EOHHS/MassHealth Venkat Jegadeesan – Executive Office, Health & Human Services Foster Kerrison – Royal College of Surgeons of Edinburgh Christina Moran – Massachusetts eHealth Collaborative Beth Marsden – ICA Informatics Adam Delmolino – Massachusetts Hospital Association Micky Tripathi – Massachusetts eHealth Collaborative Michal Regunberg – Solomon McCown & Company Helene Solomon – Solomon McCown & Company Mark Belanger – Massachusetts eHealth Collaborative Scott MacCloy – Verizon Business Carolyn Jussaume – Verizon Business Keith Puls – Verizon Business The thirty eighth meeting of the Massachusetts Health Information Technology Council was held on November 14, 2011 at One Ashburton Place, 21 st Floor, Conference Room 3, Boston, Massachusetts. Secretary Bigby called the meeting to order at 3:35 p.m. I. Approval of the October 17, 2011 Meeting Minutes: After motions were made, seconded, and approved with no abstentions, it was agreed to accept the draft minutes as the official minutes of the October 17, 2011 meeting. II. Overview of Statewide Communications Plan (see PowerPoint Presentation slides 3-23), presented by Helene Solomon of SolomonMcCown& (Please refer to Slide Presentation; “Health IT Council and Advisory Committee Meeting” dated November 14, 2011 when reviewing meeting notes.) 3

Question re slide 15: How will the broad provider community know what messages will be conveyed to the consumers? Answer: The plan is to inform providers about messages and tactics to consumers ahead of their release. Comment: Social media will be used appropriately and thoroughly to advertise messages to providers and consumers. III. Health Information Exchange Strategy: Updates and Recommendations Overview of activity since October 17 Advisory Committee meeting  All 5 workgroups have met twice, have given feedback on the HIE strategy and the Advanced Planning Document (APD) and are now working through the concrete details of the phases in each domain and engagement area.  Centers for Medicare and Medicaid Services (CMS)/Office of the National Coordinator (ONC) Meeting – October 24, Washington DC, Manu Tandon, John Halamka, Rick Shoup, and Micky Tripathi presented the strategy to representatives from CMS and ONC. ‒ The response to the updated strategy was very positive from both agencies (CMS and ONC). ‒ Support for the strategy that unifies Medicaid and HIE plans, resources and initiatives. ‒ Support for the proposed Fair Share cost allocation approach – offered additional ideas and approach refinement. ‒ Next steps: CMS and ONC leaders suggested that we move rapidly forward as with the following  Update to the SMHP  Update of APD  Update to HIE Strategic and Operational Plan  Plan Updates: Executive Office of Health and Human Services (EOHHS) and MeHI are in process of updating the State Medicaid Health Plan (SMHP), APD, and HIE Strategic and Operational Plan (SOP) with input from the workgroups. All documents will be ready by end of this week.  APD Update  The Medicaid APD update draft which updates the APD approved by CMS on 8/26/11 was completed on November 8, 2011.  The APD was sent to workgroup members for input on 11/8/11. Feedback received by 11/11 and incorporated into the current draft.  EOHHS will submit a courtesy draft to CMS on November 15 and will conduct an early feedback call with CMS on November 17, and will submit the final APD on November 21.  The SMHP that was approved by CMS on June 13, 2011 has been updated and will be submitted to CMS with the APD.  SOP Update 4

 The HIE Strategic and Operational Plan that was approved by ONC on November 3, 2010 has been updated and a draft copy will be submitted to ONC at the same time as the SMHP and the APD. High Level Timelines for the Next 12 months Initiative Completion 1. Submit IAPD and SMHP to CMS and updated draft SOP ONC 11/18/11 2. High level planning and approvals completed 01/15/12 3. Design, launch, and go live for phase 1 “Information Highway” 10/15/12 4. Design, launch, and go live for End User Adoption Program 10/15/12 5. Design, launch, and go live for Impact Program 10/15/12 6. Design, launch, and go live for Phase 1 Public Health Gateway 12/14/12 Recommendation to Approve Updated HIE Strategy  Recommendation to the HIT Council to approve the HIE strategy: the Advisory Committee recommends approval of the proposed MA Statewide HIE Strategy.  The current strategy includes updates from the workgroups and the October 24, 2011 CMS/ONC meeting is in Appendix A. (see slide 37 PowerPoint Presentation)  Core elements of the proposed strategy: ‒ Three-phase HIE plan beginning with creating the statewide Information Highway as a foundation for richer applications and services from 2012-2014. ‒ Aligned with national interoperability standards and emerging Meaningful Use (MU) stage 2 requirements ‒ Maximizing Medicaid SMHP/Medicaid Management Information System (MMIS) 90/10 Federal Finance Participation (FFP) funding ‒ Focusing Medicaid funding on building infrastructure for statewide services, and ONC Cooperative Agreement funding on maximizing end-user adoption of those statewide services. The Secretary thanked John Halamka, Rick Shoup, Manu Tandon, and Micky Tripathi for their work and success at this unique and great opportunity, and for getting a meeting with CMS and ONC. 5