Maine Health Management Coalition Data Infrastructure Subcommittee Overview

Data Infrastructure Subcommittee State Innovation Model Testing Grant June 4, 2014

Data Infrastructure Charge Statement The SIM Data Infrastructure Subcommittee will advise key projects and objectives within the scope of SIM towards improving data infrastructure systems and technology across the state of Maine. Specifically, advising on technical capabilities related but not limited to data infrastructure investments, use of national data standards and clinical and administrative data availability and interoperability. The Subcommittee will advise the SIM partners and the Steering Committee on areas of alignment of SIM data and analytics infrastructure activities with other public and private projects underway across the State. 2

Acronyms Used MHMC- Maine Health Management Coalition http://www.mehmc.org PTE/BH- Pathways to Excellence Behavioral Health http://www.mehmc.org/providers/pte/ ACO- Accountable Care Organization BH/MH- Behavioral Health/Mental Health BHH- Behavioral Health Home CCT- Community Care Team HIE- Health Information Exchange HIN- HealthInfoNet HIT- Health Information Technology PHI- Protected Health Information 3

Agenda 1. Introductions Katie Sendze 10 min 2. Review and adoption of minutes Katie Sendze 10 min 3. Maine Health Management Coalition (MHMC) Partner update on Data related projects Michael DeLorenzo, Ph.D. 30 min Director of Health Analytics (MHMC) Katie Sendze 4. Project Updates: HIE statistics Behavioral Health HIT Initiative SIM HIE Notifications Project Pathways to Excellence (PTE) Behavioral Health Committee Update 30 min Patti Ross, Pathways to Excellence Behavioral Health Director (MHMC) Katie; 5. CMMI Feedback from Steering Committee (May 28th) Statewide reform in Maine Subcommittee scope, input for fall agendas 30 min Each member will be asked to contribute 6. Interested Parties; Public Comment Katie 10 min 4

Agenda Primary Meeting Goals: 1) Present Maine Health Management Coalition data project & status 2) Present project updates; HIE statistics, MaineCare HIE Notifications, BH HIT initiative, PTE BH Committee (MHMC) 3) Provide some feedback from Center for Medicare & Medicaid Innovation (CMMI) visit 4) Plan meeting topics for the Fall 5

Maine Health Management Coalition- SIM Partner Presentation, see PDF Attachment 6

Health Information Exchange Status Current map available at www.hinfonet.org 34 of 37 hospitals (all under contract to connect in 2014) 34 FQHC sites 400+ ambulatory sites including physician practices behavioral health and long term care facilities Map sort filters: www.hinfonet.org 7

HIE Population Statistics As of April 31, 2014 1,326,691 lives in the HealthInfoNet database 1,174,795 Maine residents have clinical data in the exchange (88% of Maine s resident population) 15,450 individuals have opted out (1.2%) 2,049 Maine clinicians and support staff are active (measured monthly) users of the exchange 60% of active users accessed the exchange in April, 2014 8

HIE Operating Statistics As of April 31, 2014 Over 13 Million inbound messages are received by HealthInfoNet each month 157,820 patient clinical messages sent monthly in support of ACO organizations in Maine 61,088 data transmissions sent monthly to Maine CDC in support of Electronic Lab Reporting, Syndromic Surveillance and Immunization Reporting (Meaningful Use Measures) 21,164 patient lookups performed each month 9,800 Continuity of Care Documents (CCD) sent monthly for discrete data integration into EHR applications Over 8,000 real time notifications sent each month The HealthInfoNet Central Data Repository (CDR) is 2.34 TB in size and is growing at 4 GB a day 9

SIM Project Updates HIN s Behavioral Health HIT Initiative 19 of 20 organization contracts completed 12 of 20 HIE Participation Agreements/BAA s completed (Deadline: 7/20/14) 5/13 Kick-off meeting was successful Collaboration of webinar schedules with MQC Technical (HL7/VPN) assessment calls are underway to be completed in June These calls will inform the potential risks associated with this project that will be on the agenda in September 10

Currently Contracted BH HIT Participants Aroostook Mental Health Center Assistance Plus Catholic Charities of Maine Charlotte White Center Maine Behavioral Health Organization Northeast Occupational Exchange OHI Providence Human Services Community Health and Counseling Services Spurwink Cornerstone Behavioral Healthcare Crisis & Counseling Centers Dirigo Counseling Clinic Kennebec Behavioral Health Sweetser The Opportunity Alliance Tri-County Mental Health United Cerebral Palsy Wings for Children and Families Note: Updates may occur depending on contract completion 11

SIM BH HIT Initiative Milestones and Payments *Invoice/Report* Due to Request Payment* Milestone Deadline Milestone Details 5/9/2014 7/30/2014 1.1 1.2 HIN Contracts received Bidirectional Participation Agreement with HIN s HIE $10,000 9/30/2014 Confirm plan and timeline for staff and client education 1.3 9/30/2014 Confirmation of data integration capabilities: -Interfaces are installed and ready to test - VPN connection in place over summer * Begin viewing the HIE Portal prior to milestone 2 is an ideal option* $25,000 1.4 11/30/2014 Complete HIN s Staff and client education processes for HIE connection and participation. *If you go view only prior to bidirectional you must have this completed 2.1 4/1/2015 HL7 data integration testing completed for ADT or CCD messages 2.2 9/30/2015 $10,000 2.3 HL7 data is live in the HIE *normally this timeline moves more quickly Quality Measure is selected for implementation 3/1/2016 3.1 6/1/2016 Quality Measure data has been tested in measure environment at HIN 3.2 8/1/2016 $25,000 3.3 Quality Measure is produced and reported by HIN to participants 12

HINs MaineCare HIE Notification Project Secure email ( Direct ) notifications with member PHI from the HIE began in May Using a focused MC member list of patients provided by the Care Management department; HIN performs matching between this list and the HIE s Master Person Index to identify the patient/member in the HIE database ADT based notifications are live Document driven notifications are in development HIN & MC Care Management staff are performing quality assurance testing Cycle 1 testing was completed, cycle 2 underway The project is welcomed and seen as very positive by the staff directly involved 13

Pathways to Excellence Behavioral Health Committee (MHMC) Goals: Initial short-term goal is to publish behavioral health measure/s on GetBetterMaine website by January 2015 Measures that are important to providers and patients/clients Scope of organizations targeted initially: Behavioral health organizations/practitioners Primary Care practices 14

PTE BH Goals continued: How will we accomplish goals? Short-term: Align with current measurement requirements Small number of measures Consider initially reporting on ability to measure vs. submitting data/results Longer-term: Balanced set of measures, covering a number of domains of quality; the Triple Aim (care, quality, cost) 15

PTE-BH Measure Timeline January BH Measure Published to GetBetterMaine & SIM Website SIM DEADLINE JAN 31 2015 September BH measure goes before the Foundation Board and PRS Subcommittee for initial review and feedback April Convene PTE-BH Steering Committee June PTE-BH Meeting November PTE-BH Meeting August PTE-BH Meeting May PTE-BH Meeting July PTE-BH Meeting August PTE-BH Finalizes recommended BH Measure December PTE-BH Meeting October BH measure approved by Foundation Board and SIM Steering Committee SIM DEADLINE OCT. 31 16

CMMI- Feedback Takeaways (partial, not all inclusive) Maine is leading the nation, yet underselling. Tell your story (meetings*, quarterly reports, use data). *Leverage sub/committee forums to engage related work/s, work that overlaps with SIM funded activities Share work that is happening at the point of care/provider-patient environment HIN presentations at MQC Health Homes Learning Collaborative 17

Fall Agenda Topics Discussion of this fall s agenda topics Related works? Stories to tell? Some items to get started with: SIM Project risk s related to DIS Bring in external experts to speak to innovative surrounding 42 CFR Bring in external experts to speak to quality measurement approach s to Behavioral Health using EHR s 18

Public Comment & Questions? Thank you for your participation! 19