ncchca conference june 22, 2012. right on!!! what’s going on?
TRANSCRIPT
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
(919) 745-2379