Health Information Exchange Coordinating Committee (HIECC) September 20, 2018
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1 Health Information Exchange Coordinating Committee (HIECC) September 20,
2 Agenda TIME ITEM PRESENTER 10:00-10:10 Welcome - Agency Updates Justin Senior, Chair Roll Call 10:10-10:20 Review & Approve Meeting Minutes June 28, 2018 Previous Action Item Review and Status Updates Heidi Fox, AHCA 10:20-10:35 Florida HIE Services Update Aaron Parsons, Ai 10:35-10:45 Office of HIE Program Metrics Carrie Gaudio, AHCA 10:45-11:55 Health IT Outreach Update Pam King, AHCA 10:55-11:05 AHCA/DOH HIE Collaborative Initiatives Bruce Culpepper, DOH 11:05-11:20 Florida HIE Strategic Planning Heidi Fox, AHCA 11:20-11:55 Discussion: HIECC Advisory Strategies Heidi Fox, AHCA 11:55-12:00 Meeting Summary Heidi Fox, AHCA 2
3 Florida HIE Services Update Aaron Parsons 9/18/2018
4 Encounter Notification Service Encounter Notification Service (ENS) Real-time notice of patient hospital encounters sent to provider groups, hospitals, payers, and accountable care organizations Hospital data sources 215 hospital data sources 95% of acute care hospital beds covered Inpatient and emergency department encounters Admission and discharge notifications 9/18/2018 FLORIDA HIE SERVICES florida-hie.net 4
5 Encounter Notification Service Over 8M lives covered in Florida Subscribing organizations include 5 health systems (inclusive of over 50 hospitals) 27 provider groups 13 Community Health Centers 14 other primary care and specialty practices 22 Accountable Care Organizations (ACOs) 14 health plans (including all Medicaid Managed Care plans) Over 800k alerts delivered per month 9/18/2018 FLORIDA HIE SERVICES florida-hie.net 5
6 Patient Panel Size Encounter Notification Service 10,000,000 8,000,000 6,000,000 4,000,000 2,000,000 - Feb-15 Aug-15 Feb-16 Aug-16 Feb-17 Aug-17 Feb-18 Aug-18 9/18/2018 FLORIDA HIE SERVICES florida-hie.net 6
7 Encounter Notification Service August 2018 Quarterly Change Annual Change Subscribing Organizations 68 21% 88% Lives Covered 8,022,497 17% 100% Alerts Delivered per Month 885,347 20% 198% 9/18/2018 FLORIDA HIE SERVICES florida-hie.net 7
8 Encounter Notification Service The latest version of ENS was deployed in Florida in early July New features include - Expanded configuration options and notification triggers Improved notification formatting options (HL7, CCDA, ORU) Performance enhancements that allow faster panel loading and make it easier to update how notifications are delivered The latest version of PROMPT was deployed in Florida in September New features include User Admin tools to create and manage accounts Notes entry capability 9/18/2018 FLORIDA HIE SERVICES florida-hie.net 8
9 Direct Messaging Ai renewed its contract with Inpriva to offer Direct Messaging to Florida providers. Inpriva will continue to offer affordable, DirectTrust-accredited messaging to interested Florida providers Ai will continue to pay Inpriva for existing Direct Messaging accounts used by organizations subscribed to ENS 9/18/2018 FLORIDA HIE SERVICES florida-hie.net 9
10 State Gateway The State Gateway offers an on-ramp and support for exchange on the nationwide ehealth Exchange. The ehealth Exchange is a CCD query exchange network The State Gateway connects participants to the ehealth Exchange when they cannot connect directly The legacy Aurion gateway was replaced by a new CONNECT gateway in early July CONNECT is an open-source platform that is the standard for health data exchange in both the public and private sectors The previous Aurion gateway was temporarily kept as a backup and was then fully decommissioned in August /18/2018 FLORIDA HIE SERVICES florida-hie.net 10
11 State Gateway The State Gateway currently connects Orlando Health and Disney s Center for Living Well. Both the State Gateway and the Center for Living Well are ehealth Exchange participants Exchange between Orlando Health and the Center for Living Well increased from 825 successful queries in July to 1,226 successful queries in August, a 48% increase The State Gateway will connect to additional ehealth Exchange participants in the coming months. Florida Hospital Adventist is scheduled to connect with Orlando Health via the State Gateway in late September 9/18/2018 FLORIDA HIE SERVICES florida-hie.net 11
12 Office of HIE Program Metrics Carrie Gaudio 12
13 Medicaid Electronic Health Record (EHR) Incentive Program Updates Stage 3 becomes mandatory for providers participating in the program beginning in 2019 Strong focus on interoperability and HIE measures Program staff are currently processing 2017 applications 789 applications have been approved, with 493 pending review Payment information as of September 6, 2018: Eligible Professionals Eligible Hospitals Total # of payments 16, Unique providers 9, Total payments $252,896,322 $322,240,387 13
14 eprescribing Quarterly metrics are published to Data is collected from Change Healthcare and Surescripts. Metrics are also collected on eprescribing of Controlled Substances (EPCS) The Agency uses these data and metrics to compare Florida to National Averages. 14
15 eprescribing Providers & eprescribing Rates End of 2018 Quarters 15
16 Florida eprescription Rate 16
17 Florida eprescriber Averages * *Including DN, MD, PA, ARNP, PO, and OS 17
18 Outreach Update Pam King
19 Outreach Update October 8 12 is National Health IT Week. We have partnered with National HIMSS to recognize national Health IT Week We will be presenting at the South Florida HIMSS Integrate Event Oct. 2 & the Central North Florida Event Oct. 10. A list of activities and events are posted on our website
20 National Health IT Week 2018 Landing Page 20
21 2018 Outreach Activity Status GOALS: ACCOMPLISHED as of August 31: Host 18 Health IT Webinars Attend 20 Events/Health Care Conferences Speak at 5 Events/Conferences Publish 52 Tweets 33 Health IT Webinars have been hosted Average Attendance: 50 Exhibited at 21 Events Spoke at 16 Events/Conferences 91 Tweets Publish 20 Linked In & Facebook Posts 63 Linked In & Facebook Posts 21
22 2018 Outreach Outcome Status GOALS: ACCOMPLISHED as of August 31: 110 Encounter Notification Service (ENS) Subscribers 68 ENS Subscribers - 6 Million Patients Covered by ENS 8+ Million Patients Covered by ENS 10 Query Exchange Partners 2 Query Exchange Partners 2 Department of Health Programs Using Florida HIE Services Children s Medical Service now using ENS 16% of Providers Enabled to Electronically Prescribe Control Substances 10.1% as of June 2018 (an increase of 2.1% from 2017) 22
23 Twitter 2018 Social Media Statistics Follow 1,898 Followers Average of 13,336 Impressions per month in the last quarter FQHC ENS Announcement was the most successful post this year with 2,287 Impressions Average of 576 Impressions on every other post Facebook 2,378 people following our posts and 2,336 people liked our page 10,646 people reached in the last quarter Most successful posts happened during the Florida HIE User Summit where we saw up to 50% more engagement Follow Followers Average number of Impressions up to 309 from 260 last quarter Engagement rate up to 4.12% from 2.86% last quarter LinkedIn Follow 23
24 AHCA/DOH HIE COLLABORATIVE INITIATIVES Bruce Culpepper 24
25 Florida Department of Health HIE Projects County Health Departments: Promote efficient patient care communication and transitions between community care partners Provide CHD patient ADT data to ENS ENS Data Source Subscription agreement has been submitted for DOH legal review High level work plan to on-board DOH as a data source has been accepted Subscribe to ENS to receive care alert notifications from hospitals for selected public health patients ENS Data Subscriber Subscription agreement has been submitted for DOH legal review Two phase approach» Selected CHD s may submit patient panels based on priority and leverage existing ENS notification services» Integrate ENS patient panel submission and notification alerts into EHR Pursue Data Exchange Agreements between CHD and Community of Practice Partners 25
26 Florida Department of Health HIE Projects Children s Medical Services Using the ENS to improve efficiency and care quality by promoting better care coordination between hospitals and providers for children in the program Operational Outcome Analysis Quality Improvement 26
27 Florida Department of Health HIE Projects Facilitation of Registry Reporting: Utilize hospital in-patient data for syndromic surveillance Requirements Completed ENS Data Subscriber Subscription agreement management review Execute On-boarding Checklist Brain & Spinal Cord Injury Program: Improve care coordination and oversight for patients Requirements definition ENS Data Subscriber Subscription agreement management review 27
28 Florida Department of Health HIE Projects EMSTARS (local emergency response incident data): Leverage ENS Data to populate Bio-Spatial dashboards more efficiently Requirements definition Provide local emergency response non-hospitalization incident data to community care partners to close care gaps Requirements definition ENS Data Source Subscription agreement management review Emergency Preparedness Emergency Census Provide temporary searchable census for use by Emergency Response during declared emergencies PULSE (Patient Unified Lookup System for Emergencies) Query-based record look-up during Emergencies Requirements definition for system deployment and utilization during emergency 28
29 Florida Department of Health HIE Projects HHS empower Program Inclusion of Medicaid data into the HHS empower system, which currently tracks electricity-dependent Medicare beneficiaries for preparedness and management in the event of an emergency Memorandum of Understanding under review at DOH E-FORCSE (Florida s Prescription Drug Monitoring Program) Encourage safer prescribing of controlled substances and to reduce drug abuse and diversion within the state of Florida Pursue integration with other states PDMP registries Promote EHR interoperability with PDMP registry 29
30 Florida HIE Strategic Planning Heidi Fox 30
31 Alignment with HIE Study Adopted recommendations of the HIE Study conducted by North Highland (available at Developing specific strategies and timelines Prioritizing Initiatives Focus on: Service Enhancements based on stakeholder feedback & engagement Inter-Agency collaboration Increasing Awareness 31
32 Florida HIE Service Enhancements Now: Expand utilization of existing service functionality Adding new Subscribers (Hospitals, FQHCs, Home Health, Hospices) Adding New Data Sources (SNFs, Rehab hospitals) Beginning ENS Data Retention for Subscribers who Opt-In Add new features to the existing system in collaboration with participants Future: Emergency Census Record Locator Service (leveraging ENS to locate records for query) Routing Discharge Summaries (leverage ehealth Exchange connectivity for ENS participants) PULSE (Querying for Emergencies) 32
33 Public Health Collaboration Now: Syndromic Surveillance County Health Departments on ENS empower Soon: Brain & Spinal Cord Injury Program Future: Emergency Census Emergency Medical Services Collaboration PULSE 33
34 Supporting Medicaid Now: Existing services to enhance ability for provider and plans coordination of care for Medicaid patients Utilize funding from CMS to expand HIE to more Medicaid providers and onboard Medicaid organizations to ENS Future: Potential to leverage existing ENS Master Patient Index (MPI) in support of Medicaid 34
35 Now: Increasing Awareness Social Media efforts ramped up Webinar enrichment Designed for specific organization types Updated formats to increase engagement Strengthening partnerships to maximize reach Soon: Health IT Guide on FloridaHealthFinder.gov 35
36 HIECC Advisory Strategies HIE Study Recommendation to Assess Roles & Optimize Existing HIE Governance Structure Discussion: HIECC Mission, Scope, and Goals Enhance member engagement Member-driven meeting content & agenda development Quarterly Inquiries 36
37 Quarterly Inquiries Requesting member input on: Increasing Long-Term and Post-Acute Care engagement in HIE efforts Development of new use cases for Florida HIE services Promotion of eprescribing of Controlled Substances Increasing visibility of ongoing HIE efforts among providers 37
38 Next Steps Review of New Action Items regarding feedback on Quarterly Inquiries Next meeting - December 2018 TBD 38
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