beacon community and ehr vendor collaboration: a catalyst for interoperability and exchange onc cms...
TRANSCRIPT
Beacon Community and EHR Vendor Collaboration: A Catalyst for Interoperability and Exchange
ONC CMS Meaningful Use Stage 2 Exchange Summit March 18, 2013
Agenda
• Welcome and introduction to the Beacon Vendor Affinity Group
• Purpose the Affinity Group• Phase 1 Activities – focus on content• Pilots and Lessons Learned• Phase 2 Plans – focus on MU2 TOC transport• Questions
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Affinity Group Purpose
• Promote the adoption, use and interoperability of EHR technology to advance the care improvement goals of impacted communities
• Phase 1 use cases for CCD exchange (Nov 2011 – Jan 2013):– Update clinical registry or repository– Patient referral
• Phase 2 – Guidance on MU2 (March – August 2013) – Test required and option transports for Transitions of Care (TOC) and
View online, Download, and Transmit (VDT)– Explore implementation across trust exchanges both within and
between communities
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Phase I – Affinity Group (AG) Problems and Goals
• The AG articulated 6 high priority problems that the group was charted to address– Information Exchange and Interoperability (4)– EHR adoption and Meaningful Use (1)– Quality Measure Reporting (1)
• AG members laid out specific, time-bounded goals intended to address the identified problems
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Full Affinity Group Participants
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Beacon Communities EHR Vendors HIE Vendors
Bangor Beacon CommunityBeacon Community of the Inland Northwest
Central Indiana Beacon CommunityColorado Beacon Consortium
Crescent City Beacon CommunityDelta Blues Beacon Community
Greater Cincinnati Beacon CollaborationHawaii Beacon Community
Keystone Beacon CommunityMyHealth Access Network (Tulsa)Rhode Island Beacon Community
San Diego Beacon CommunitySoutheast Michigan Beacon Community
Southeastern Minnesota Beacon CommunitySouthern Piedmont Beacon Community (NC)
Utah Beacon Community/IC3Western New York Beacon Community
AllscriptsCerner
GE HealthcareGreenway Medical
NextGen HealthcareSuccessEHS
Vitera Healthcare Solution
CaradigmCovisint
InterSystemsMedicity
MirthOptum/AxolotlOrion Health
Affinity Group Governance
• ONC Beacon-EHR Vendor Affinity Group Co-Chairs• Executive Steering Committee– 5 Beacon and 5 Vendor Representatives that guide the
work of the Affinity Group– ONC Representative– Technical Support – Booz Allen Hamilton– Technical and Engagement Work Group co-chairs report
out to this group
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Phase 1 AG Accomplishments
Engagement Workgroup (Co-Chair David Smith & Dan Stoke)
Technical Workgroup (Co-Chairs David Groves & Tone Southerland)
Chronic Illness Training Template Beacon Technical Discovery Guide
Transitions of Care & Meaningful Use Document
Beacon User Stories Version 1 & 2• Update Clinical Data Repository and
Disease Registry• Patient Referral
User Group Guidelines Beacon Vendor C83 Data Element Analysis Version 1
Vendor Evaluation Matrix/ROI Workbook Work Product Descriptions/How to use guide for the C83 Data Element Analysis sheet
Vendor Fair Guidelines Glide path from HITSP C83 to CCDA –White Paper
Post Live Playbook Versions 1 (Version #2 in production)
Vendor Quality Measure Collection7
*This document provides an overview of each of the Beacon-EHR Vendor Engagement & Technical Work Group work products developed between January and December 2012
C83 Pilot Project Process
• Goals of the C83 pilots– Sharing 66 high priority data elements
• Ability to keep vendor IP confidential while providing value to the participants
• Moving towards Stage 2 Meaningful Use– CCD Workflow
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Phase 1 - C83 Pilot Metrics
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GRAND TOTAL (LIVE + PLANNED)
Beacon# of Practice
Locations # of Providers# of Patients
ImpactedBangor 2 23 16,096 Cincinnati 3 8 4,200 Colorado 1 6 4,500 Crescent City 8 81 81,036 Inland Northwest 19 139 3,590 Keystone 14 43 76,000 Rhode Island 9 54 64,888 Southeast Michigan 9 22 2,824 Southeast Minnesota 29 231 184,300 Tulsa 121 1,330 1,126,200 Utah 2 13 36,000 Western New York 1 5 1,402 Grand Total (Live + Planned) 218 1,955 1,601,036
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Sample CCD Workflow
Phase 1 - C83 Pilot Project Results
• Recognized benefits of collaboration• Positive impact for patients• Willingness to continue towards MU2– Direct needs to become “Real”– Vendors/communities are struggling with
standards– Natural AG progression from MU Stage 1 focus
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Mapping Data Elements to MU2
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C-CDA Data Requirements21 of the 36 MU2 data
requirements are supported by the Beacon C83 data elements
(58%)
15 of the 36 MU2 data requirements are not supported
by the Beacon C83 data elements (42%)
Beacon C83 Data Elements55 of the 66 Beacon C83 data elements support MU2 data
requirements (83%)
11 of the 66 Beacon C83 data elements do not support MU2 data
requirements (17%)
Phase 1 - Materials/Case Studies
• Recent White Paper: Glide Path from HITSP C83 to C-CDA: Informed decision making for health information stakeholders: http://www.healthit.gov/policy-researchers-implementers/reports
• Direct URL: http://www.healthit.gov/sites/default/files/glidepath_hitsp_c83_to_ccda.pdf
• Vendors and Communities Working Together: A Catalyst for Interoperability and Exchange: http://www.healthit.gov/providers-professionals/vendors-and-communities-working-together-catalyst-interoperability-and-excha
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Phase 2 – Problems & Goals
• Problems will focus on required and optional transports for Transitions of Care and View online, Download, & Transmit as well as exchange across trust communities
• Goals• Educate others• Build off existing work of others• Leverage Beacon AG established work• ID and engage community partners• Support MU2 TOC and VDT member certification• Pilot/test end-to-end connectivity for TOC • Deliver feedback and “Lessons Learned”
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Affinity Group Participants
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Beacon Communities EHR VendorsHIE Vendors (as
invited by Beacon partners)
Bangor Beacon CommunityBeacon Community of the Inland Northwest
Colorado Beacon ConsortiumCrescent City Beacon CommunityDelta Blues Beacon CommunityKeystone Beacon Community
MyHealth Access Network (Tulsa)Rhode Island Beacon Community
San Diego Beacon CommunitySoutheast Michigan Beacon Community
Southeastern Minnesota Beacon CommunityUtah Beacon Community/IC3
Western New York Beacon Community
AllscriptsGE Healthcare (TBD)Greenway Medical
NextGen HealthcareSuccessEHS
Vitera Healthcare Solution
AxolotlMedicity
Orion HealthCovisint
InterSystemsMirth
Phase 2 - Affinity Group Governance
• Affinity Leadership Group– ONC Representative– Technical Support – Booz Allen Hamilton– 2 Co-Chairs (Beacon/Vendor) and 2 Vice-Chairs
• Full ONC Beacon-EHR Vendor Affinity Group– 13 Beacons and 6 Vendor Representatives that guide the
work of the Affinity Group
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Direct Model
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• Transport Options– Direct (Required)– Direct + XDR/XDM (Optional)– SOAP + XDR/XDM (Optional)
• TOC Alternative Query-based exchange → eHealth Exchange
Discussion
For more information on the Beacon Community Program, please contact [email protected] and download Beacon Community Fact Sheets at http://www.healthit.gov/policy-researchers-implementers/beacon-community-program