1 © 2018 ODH, Inc.

Data Sharing & Security: Challenges & Best PracticesOPEN MINDS Strategy & Innovation Institute 2018

2 © 2018 ODH, Inc.

A Complete Perspective On Data

Monica E. OssOPEN MINDS

Industry Expert

Michael JarjourODH, Inc.

Health Technology & B2B View

Wayne EasterwoodCenterstone of America

Provider Organizations

3 © 2018 ODH, Inc. 3 © 2018 ODH, Inc.

Agenda

• Landscape Overview

• Introduction of Speakers

• Speaker Insights

• Q&A

4 © 2018 ODH, Inc.

Role Of Technology In A Changing Health Care Reimbursement Landscape

Payer Push For “Integration” & “Pay For Value”

New “Business Model”

For Provider Requiring Health

Technology

Reimbursement Fee-For-Service Model

Provider Model Transactional Encounters

Data Sharing

5 © 2018 ODH, Inc.

• Data and data sharing are the keys to better consumer outcomes

• Integrating and analyzing data from multiple sources allows each point in the healthcare ecosystem to create a complete picture of the member

• This complete picture then allows for actionable insights and tailored care plans

Data (& Interoperability) Essential To Succeed

Medical

Behavioral

Social Determinants

Payers

Patient Provided Data

6 © 2018 ODH, Inc.

Mergers, Acquisitions, Affiliations & Partnerships: Further Complicating Data Sharing

7 © 2018 ODH, Inc.

Improving Access To Behavioral Health Information Technology Act

Key Features

• Amends Title XI (General Provisions) of the Social Security Act

• Specifies that the Center for Medicare and Medicaid Innovations may test models to provide incentive payments to behavioral health providers for:

• Adopting electronic health record technology

• Using that technology to improve the quality and coordination of care

Definition Of Behavioral Health Provider

• Psychiatric Hospital

• Community Mental Health Center

• Clinical Psychologist

• Clinical Social Worker

• Hospitals, treatment facilities, and mental health or substance use disorder providers that participate in a State plan under title XIX or a waiver of such plan

8 © 2018 ODH, Inc.

Proposed policies strengthen interoperability between EHRs to support sharing health care data with consumers and with other provider organizations.

New measures will be introduced, including:

– Query of the Prescription Drug Monitoring Programs (PDMP)

– Verify Opioid Treatment Agreement, related to e-prescribing of opioids (Schedule II controlled substances) that align with the overall agency initiative on the treatment of opioid and substance use disorders.

Proposed removing certain measures which do not emphasize interoperability and the electronic exchange of health information.

Meaningful Use – Changes Coming

9 © 2018 ODH, Inc.

The first 3 months of 2018:

77 health care data breaches reported to the Department of Health and Human Services Office for Civil Rights

Affected more than 1 million consumers

– This is almost twice the number of consumers affected in Q4 of 2017

In 2017, cyberattacks targeted hospitals and health systems at a rate nearly exceeding 1 breach per day

Patient data breaches cost organizations $380 per violated record – more than 2.5 times the global average of $144 per record across industries

Interoperability & Data Sharing Increase The Need For More Strategic & Structured Approach To Data Security

10 © 2018 ODH, Inc.

Interoperability & Data Security Increasingly A Strategic Issue For Every Health & Human Service OrganizationWhat Is The State Of The Field? What Are the Emerging Best Practices?

A discussion with Michael Jarjour, Wayne Easterwood, & Monica E. Oss

11 © 2018 ODH, Inc.

Discussion

Monica E. OssOPEN MINDS

Industry Expert

Michael JarjourODH, Inc.

Health Technology & B2B View

Wayne EasterwoodCenterstone of America

Provider Organizations