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Presentation Transcript
Provider Directory Advisory Committee (PDAC) Meeting September 12, 2018
Meeting agenda Rollcall Provider Directory implementation update Provider Directory implementation discussion Public Comment Close
Implementation status System testing continues OHA is working with MiHIN to configure and test the system prior to UAT New UAT dates will be announced when design sessions and subsequent system testing are completed OHA will provide testers with four weeks advanced notice
Provider Directory Implementation Discussion (post-OCCP suspension)
Provider Directory and Oregon Common Credentialing Program (OCCP) relationship The Oregon Provider Directory expected a data feed from the OCCP as a reputable source of truth for a number of data elements Without OCCP data, the Provider Directory project will turn to alternate methods to collect and validate data The Provider Directory budget included funding to OCCP for this data; budget will now be directed to data cleansing and data stewardship services
Provider Directory Vision What we want the Provider Directory to do remains unchanged but how we put the pieces together and in what order needs to be resolved Trusted source for Provider data
The OCCP data feed Benefits Gaps Go-to place for ~55,000 Oregon practitioners to enter their credentialing data 26 provider types Primary source verification on certain elements 120-day requirement to update data Many Provider Directory data elements Not all practitioners for a Provider Directory use case were included (e.g., facilities, care coordinators) Some Directory elements needed providers to update more often than 120 days Not all Directory elements were included in the OCCP attestation data No penalty for not participating Elongated roll-out to align with credentialing dates
Provider Data Alignment Data Category Practitioner demographics Practice information and locations License and certification information Education and training details PD X X X X CC X X X X Hospital and facility affiliations X X Work history Malpractice insurance, claims history, and personal information X X X Peer references Attestation questions Direct secure messaging address info and other HIE endpoints Other practice information*: Accepting new patients, office hours X X X X X *Optional data field in Common Credentialing
Provider Directory Soft Launch state Data NPPES: National Provider Identifier registry for providers PECOS: Medicare providers MMIS: Oregon Medicaid Providers Direct secure messaging flat-file directory: 28 organizations with Direct secure messaging addresses for their providers Access View data Web portal searches Data extracts and custom report tools APIs Contribute data Web portal, by individual provider and in bulk via file upload APIs and SFTP Data stewardship and curation activities to improve data quality Resolve data errors and manage data sets
Discussion topic In consideration of the OCCP suspension, what new actions or approaches are needed to implement and sustain a successful Provider Directory? Where do we need to focus our efforts to be successful?
Options to discuss and start the conversation How to get data? Pursue other data sets, like Lexis Nexis Data directly uploaded or entered into the Provider Directory with additional data stewardship to validate Other options and other data sets? What are the use cases that bring value at soft launch? Data must support the use case Health Information Exchange use case was identified for soft launch because it was not fully dependent on OCCP data OCCP data would provide more value to the dataset Does the HIE use case still make sense for soft launch or are there other use cases? (see use case examples ) What are other approaches? Small pilots for volunteers ready to work through potential bugs and less than perfect scenarios to meet certain Provider Directory use cases
Next Meeting Next PD-SME Meeting is on October 17th Next PDAC meeting is on November 14th Thank you all for attending!
