A Direct DirectoryKeep it simple – think big – start small and then build as you go

Will RiceOffice of eHealth Initiatives, State of Tennessee

Tennessee Direct Adoption Strategy

Private Sector Public Sector (State)

State HISP

HISP A

Hospital

Medicaid

Mental Health

Corrections

Public HealthELR

IR

Provider Office

EHR w/HISP

HISP BIndividual/Group Users

Tennessee Direct Adoption Strategy

Private Sector Public Sector (State)

State HISP

HISP A

Hospital

Medicaid

Mental Health

Corrections

Public HealthELR

IR

Provider Office

EHR w/HISP

HISP BIndividual/Group Users

Tennessee Direct Adoption Strategy

Public Sector (State)

State HISP Medicaid

Mental Health

Corrections

Public HealthELR

IR• Public health reporting

– Immunization registry– Electronic reportable labs– Cancer Registries

• Quality reports submissions to Medicaid• Mental Health, Corrections, and other

State departments• Create additional use cases for using

Direct HIE capabilities in the private sector

“Direct Enable” State Services

Tennessee Direct Adoption Strategy

Private Sector Health eShare

HISP A

Hospital

Provider Office

EHR w/HISP

HISP BIndividual/Group Users

• Licensed professionals are in good standing.

• Listed in the provider directory on the Health eShare website.

• Establish at least one Direct account with a DirectTrust Accredited solution.

• Send at least one non-test Direct message for each user account.

• Comply with HIPAA and/or other applicable regulations within each participant’s professional roles and responsibilities.

The financial incentives for participating is $500 per participant assigned a unique Direct email address.

Participants applying for the incentive must:

Tennessee Direct Adoption Strategy

Private Sector Public Sector (State)

State HISP

HISP A

Hospital

Medicaid

Mental Health

Corrections

Public HealthELR

IR

Provider Office

EHR w/HISP

HISP BIndividual/Group Users

Directory

Directory(HPD+)

Directory

Directory(HPD+)

Directory

Health eShare Directory

• Program requirements for participants include being listed in the directory on the Health eShare website.

• Information collected during the incentive program registration process can be used to populate a “White pages”– Supports use cases where referral is requested but “Direct

address” is not known• Information collected modeled after HPD+ data model for

registering organizations and individuals– Demographic information (Name, address, title, etc.)– License type & numbers (NPI, State Licensure)

Health eShare Registration Screen

Health eShare Registration Screen

Health eShare Registration Screen

Health eShare Directory (Online Search)

Health eShare Directory (Alphabetized list)

Health eShare Directory (Map listings)

Health eShare Directory:Potential Future Enhancements

• Enhanced geographic search– Zip code

• Enhanced text search– By license– Additional NPI taxonomy

• Integration enhancements– Export contacts using vCard/hCard formats– Publish LDAP directory enabled for query

Issues and Considerations

Pros

• Low-cost, simple, effective

• Supports referral use case

• Helps drive adoption - marketing and adoption among peers

Cons

• Ongoing maintenance – user migrations, technology changes

• Limited to users in the Health eShare program

• Requires web portal look-up