ncchca conference june 22, 2012. right on!!! what’s going on?

NCCHCA Conference June 22, 2012

Right On!!!

What’s Going On?

Healthcare Current State

Fragmented Inefficient Inconsistent Expensive

Reform Drivers

Office National Coordinator in 2004

Standards organizations HITSP, CCHIT

American Recovery and Reinvestment Act of 2008

Increasing availability of Information Technology

NCCHCA Recognition

Goal: Use information and data intelligently to strategically position HealthCenters to respond to the changing Healthcare environment.

Objectives

Increased performance transparency

Drive data driven quality improvement

Promote collaboration

Provide for sharing of access among membership

Meaningful Use Stage

Stage 1: Capture of Health Information Electronically

Stage 2: Mobilizing the Data

Stage 3: Sustainability through Quality Improvement

Goals for Project

Goal 1

Establish Connectivity to practice EMR and PMS systems.

Goal 2

Create a centralized repository of collected data.

Goal 3

Develop systems for reporting clinical and financial information.

Aligned Values, Mission, and Vision

CCNC and NCCHCA….We’re in this together!

Every FQHC in NC is a participant in CCNC

FQHCs provide a primary care medical home for 8% of our Medicaid enrollees (91,600 out of 1.2 million) FQHCs disproportionately care for our highest risk/ highest

cost patients: 12% of the aged/blind/disabled population

FQHCs are caring for a large proportion of uninsured patients who will come into Medicaid in 2014

2007-2008• Pharmacy

Home• IC Reports

Site

2009• Chart Audit

System• Data Warehouse• Weekly Medicaid

Feeds • CMIS • Pharmacy Home

v.2

2010• Provider Portal• Meducation• Reports Expansion• 646 Demonstration• Medicare Data• Surescripts Data• LabCorp Data.• Care Alerts• HealthNet eligibility

and referral management.

2011• Hospital ADT (48

hospitals)• Treo/3M – Risk

analytics • CMIS expansion• LHD, LME reporting• Birth certificate data• UNC data feed.

2012• Mirth (CDR and eMPI)• PBH Mental Health

Data• NCIR data• Multipayer Demo:

BCBS, Mcare• First in Health: Aetna,

United• CHS, Novant data

feeds.• Medication

Management Module• IC Report expansion.• NCHIE QO• MU reporting• Public Health Portal

and geomapping report interface

Informatics Center Timeline

762 CMIS Users215 Pharmacy Home Users70,000 patients accessed per monthReporting Services for 14 Networks

1,600 CMIS Users 1,800 Provider Portal Users130,000 patients accessed every monthReporting for 1,584 primary care practices, LMEs, LHDs, hospitals, OB and specialty practices

Health Information Exchange

Health Information Exchange (HIE) is the sharing of appropriate clinical data between two or more parties, using common, agreed upon technology for the purpose of patient care.

Nonprofit organization established as a Statewide Designated Entity (SDE) in April 2010

Board of directors: 25 CEOs and health care leaders in the North Carolina community

Initial strategy and policy developed by community of experts on

Clinical and technical operations Governance

Finance

Legal and policy

NC HIE Overview

Qualified Organization

As a QO, CCNC is a unique “Participant” designated by the NC HIE to:

contract with other “Participants” (providers or practices) on NC HIE’s behalf

facilitate the other Participants’ use of the HIE Network.

Policy Framework

Legal Framework

Technical Framework

N3CN CDR

eMPI CDRNormalization

NCHIE Bus

Hospital

PracticeQO 1 QO 2 QO 3

VQO

Hospital Practice Hospital Practice Hospital Practice

NCHIE Proposed Data Flow

ADTEncounterAllergiesProblemsResultsOrdersProceduresImmunizationMedications

Eligible Practice Eligible Hospital

Virtual Qualified Organization

NCHIE

Qualified Organization

Eligible HospitalEligible Practice

CCNC CDR

QO Technology

Virtual Qualified Organization

Early Recognition

1. Project Complexity

2. Foundation built on Connectivity

Selection Criteria

1. Willingness to participate

2. EMR maturity

3. Readiness to connect

4. IT support

NCCHCA Pilot Practices

Caswell Family Medical Center

Gaston Family Health Services, Inc.

Piedmont Health

Rural Health Group

Stedman Wade

Participating EMR

NCCHCA Connectivity Project

Phase 1

Development

Develop QO

Select 5 Pilot Practices

Purchase Hardware/Software

Phase 2

Pilot

Create Data Normalization WG

Establish Pilot Connections

Pilot Sign-off

Phase 3

Analysis

Analysis of Pilot Data

Analysis of Project Timeline

Lessons Learned

Phase 4

Rollout

Practice Engagement

Establish Connectivity

Meaningful Use

Phase 5

Reporting

UDS Reporting

PCMH Reporting

Clinical Data Reporting

Goal: Create a central Data Warehouse and Enhanced Reporting System by establishing connectivity with NCCHCA Practices in order to transmit EMR’s and other care management information.

Achievements/Lessons Learned

QO Development

Infrastructure Implementation

Finalized Contracts

Connectivity process

Viability of NCHIE

Innovation is a Process

Contact Information

Chris Scarboro

Project Manager, Health Information Exchange and Strategic Development

2300 Rexwoods Dr. Ste. 200, Raleigh, NC 27607

cscarboro@n3cn.org

(919) 745-2379