EMDI Pilot Update Status and Progress Report

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Providing a comprehensive update on the Electronic Medical Documentation Interoperability (EMDI) pilot project for Centers for Medicare & Medicaid Services Center for Program Integrity. The document outlines pilot goals, use cases, implementation details, participant identification status, planning progress, requirements, implementation status, testing, release updates, and demos for CMS.


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EMDI Pilot Update Status and Progress Report

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  1. EMDIC-052-EMDI_Pilot_Update_Template-v1.0 Centers for Medicare & Medicaid Services Center for Program Integrity (CPI) Electronic Medical Documentation Interoperability (EMDI) Pilot Update EMDI Pilot Monthly Status Update Note: This pilot update document is for providing status updates to CMS. It will NOT be distributed further.

  2. Pilot Overview Goal: (e.g. The Interoperability Pilot is designed around achieving interoperability, improved communication with providers, and increased patient care.) Implementing the following Use Cases: Use Case 1: Order Yes/No/Undecided Use Case 2: Additional Documentation Request Yes/No/Undecided Use Case 3: Signature Request Yes/No/Undecided Referring to EMDI metadata for provider-to-provider communication from EMDI Implementation Guide (Appendix B) Yes/No Transport Protocols - REST API, CONNECT, Direct, SOAP Medical Document Content Type FHIR, HL7 CCDA, HL7 CDP1, Structured PDF Messaging Standards HL 7 v2, X12 Note: https://oncprojectracking.healthit.gov/wiki/download/attachments/25985222/EMDI_Implementation_Guide.docx?version=14&modificationDate=1528903775000&api=v2 Duplicate this slide if participating in multiple pilots Refer EMDI Implementation Guide for more details on use cases: 1

  3. EMDI Pilot Overview 6. 1. Hospitals/Clinics/ Physicians that order/ request DME/ HHA/Lab DME/ HHA/ Lab Document Transfer Vendor Document Transfer Vendor Supports Hospitals/ Clinics/Physicians Supports DME/HHA/Lab 3. 4. 5. 2. Order/Referral System Order/Referral System Interface Vendor Supports Hospitals/ Clinics/Physicians Interface Vendor Supports DME/HHA/Lab Pilot Stream: Pilot Organizations 1 Order/ Referral System (if applicable) 2 3 Transport (e.g. Direct, Connect, REST etc.) 4 5 Order/ Referral System (if applicable) 6 X X X X X X X 2 Note: Duplicate this slide if participating in multiple pilots

  4. Pilot Updates All pilot participants identified? If no, please describe concerns/next steps o (Yes/No) Planning status (Identified scope, budget, pilot participants, use cases priorities, and timeline) o Status and details - o Timeline - Requirements status (Identified requirements for changes needed in EHR/EMR/Software vendor s systems, in order to implement EMDI use cases and to support EMDI metadata) o Status and details - o Timeline - Implementation status (EHR/EMR/Software vendor s systems have started implementing per defined requirements) o Status and details - o Timeline - Note: Possible values for Status Not Started, Initiated, Completed or On Hold 3

  5. Pilot Updates Testing status (Perform end-to-end testing between providers) o Status and details o Timeline Release status (EHR/EMR/Software vendor s systems release updates in production) o Status and details o Timeline Demo status (Provide a demonstration with test patients for CMS to display end-to-end electronic interoperability with selected providers and use cases) o Status and details o Timeline Note: Possible values for Status Not Started, Initiated, Completed or On Hold 4

  6. Pilot Risks or Issues Explanation of Pilot Risks or Issues, if any 5

  7. Pilot Next Steps Action items for this month during pilot implementation, e.g., schedule a meeting with pilot participants to finalize requirements or work with organization A to get assistance on issue 6

  8. Lessons Learned Lessons learned this month during pilot implementation: Recommendations for EMDI Implementation Guide or program: 7

  9. Self Evaluation Questions Describe any pain points that you have incurred during EMDI pilot and how are you resolving them. Provide detailed description of why you have chosen certain industry standards for piloting the use case(s). Describe the level of effort used for the infrastructure when using the document transfer vendor or describe how you had to improve your infrastructure to align with EMDI. Describe the lessons learned you are currently facing while implementing the technical standards. Note any recommendations for the EMDI program as of now. Note your experience with CMS and Scope Infotech under the EMDI program as of now. Note any additional implications. Note any suggestions for expanding the EMDI use case(s) as of now. 8

  10. Submission Directions 1. Submission frequency: Monthly 2. Submission Timeline: During each check-in meeting 3. Who submits: One representative per pilot from any organization that is part of a pilot. 4. Submit the updated document to the EMDI team at EMDI_Team@Scopeinfotechinc.com 5. If you do not have any updates, please let us know. 6. CMS and the EMDI team will review the document and provide feedback and next steps if necessary. 7. Please feel free to reach out to the EMDI team for any reason and we will be sure to respond as soon as possible. Thank you for your continued participation in the EMDI Program 9

  11. Comments or Questions? Email to: EMDI_TEAM@scopeinfotechinc.com 10

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