The MeHI is the designated state agency for promoting health IT adoption and use in Massachusetts. It oversees the implementation of the statewide HIE called the Massachusetts Health Information Highway (Mass HIway). The Last Mile Program aims to connect all eligible providers to the Mass HIway and demonstrate improvements in care quality, population health, and costs through HIE use. Initiatives include connection support, education, and implementation grants.
7. MeHI | How We Help
Awareness
Education
Motivate
Qualify
Engage
Adopt
Communications
Regional Extension Center
Webinar Series
Recruiting a few new providers
Regional Meeting Series
Helping providers get to
Meaningful Use
HIway Newsletter
EU-US Conference
October 22-23
Medicaid EHR Incentive Program
Processing 2013 MU applications
HIE Last Mile Program
HIway Implementation Grants
HIway Vendor Grants
7
Implement
Optimize
Impact
eHealth
Economic
Development
eHealth Firm
Listing (>150
firms in MA)
Workforce
Planning
Provider and
Consumer
Research
12. Why did we go paperless
Improve
efficiency
Improve documentation
Patient Safety
Improved information access
Care-Coordination
Blue Cross grant support
Reporting
13. The Brockton Neighborhood
Health Center Story
Started
in a church parking lot 1 physician
19 years ago
Expanded to 2 story office with 10
providers. Administrative and dental
office in separate building
Moved to new building 6 years ago- 40
providers, 26,000 patients and 150,000
visits per year.
14. MAEHC-Mass E-Heath
Coalition
Founded
in 2004 with a BCBS 50 million $
grant to bring EHR technology to 3
communities
Brockton chosen as 1 community (also
North Adams and Newburyport
2005- vetting of systems,
2006 GOLIVE with NextGen EMR/EPM
15. System Choice
Practice
size/scalability
Specialty support
Reporting- quality and business reports
User friendliness
Plays well with others
Meaningful Use certified
Amount of IT support needed
16.
17. PRE-GO LIVE
Choose a system- and pay for it
Map workflows- translate to EHR processes
TRAIN,TRAIN,TRAIN!
Decide on infrastructure
Decide on go live scheduling modificationsDecide how much data to abstract
Data conversion if using another EHR
Play with/test system in test environment
Pick a EHR Champion
Get a super-user group together to guide process
18. GO LIVE
Cut
schedule by 50% for 1-4 weeks
Have experts/superusers on hand to
trouble shoot and provide support
Expect some problems- have backup
methods ready to go
19. Lessons Learned
Keep
on track of workload(chart
completion, task completion, ect)
Make sure reports are correct- vet them
You cannot train too much
Communicate- superuser group is a good
venue
Try to keep template modifications to a
minimum- complicates upgrades
20. When the system goes down
DON’T
PANIC
Have backup worflows in place before
this happens (downtime packets)
Have processes in place to backup data
Don’t throw away paper forms (archive
them)
Make sure data gets back into EHR when
it is back up (RX,problem lists, visit notes)
22. EHR incentives
Meaningfull
use:
$44,000 for medicare eligible providers
$63,750 for medicade eligible providers
Initial attestation that you are using a MU
certified system
Stage 1: some thresholds, some measures
simply require that you be able to report
data
Stage 2- more and higher thresholds
Stage 3- stay tuned!
23. Medicare ERX Incentive
Thresholds
for # of ERX’s sent (low)
Penalties for not participating (2%)
Incentive is 0.5% of medicare billing
Must submit G8553 code when submitting
and ERX on a medicare patient
25. What can MeHIdo for you?
Funds
IOO’s (Implementation
Optimization Organization) to help
implement EHR use
Funds consulting services to reach MU
(REC program)
Implementation grants to help with care
coordination
Educational services
(webinars/conferences/site visits)
26. Mass HIway
The Massachusetts Health Information Highway (The HIway) will further
advance the Commonwealth’s goal to electronically connect all of its
health care community. The Commonwealth is working with public and
private partners to extend its existing technology infrastructure. The
HIway will be implemented in three phases.
Phase One will support the direct connectivity among health care
providers.
Subsequent phases will support the analysis of protected health
information (PHI) to better manage the quality and cost of care
delivered; and query and retrieval of information across the health care
community to achieve the best possible care coordination for
Massachusetts residents.
When fully developed, The HIway will provide a mechanism for the
Commonwealth’s entire health care community—residents, providers,
public health officials and others—to have appropriate access to health
information
27. FUTURE DIRECTIONS
Mass
HIway connection- case
management project with Network
Health
MU Stage 2
Patient Portal
Electronic Dental Record (go live 10/1)
UPGRADE
Improve patient education software
Improve quality reporting
capacity/accuracy
28. Coordinating and
Improving Care through
the Mass HIway
Sean Kennedy
Mass eHealth Institute
Director, Health Information Exchange
Discuss the state agency alignmentGoal to become the go-to for all things Health IT
Bullet #2. We are ranked right behind Maine. Rumor has it we are getting close to #1. (cannot verify this so use “rumor”) CMS site still has us at #2Bullet #3. We are ranked behind Wisconsin, Minnesota, and North Dakota
EasCare Ambulance & Boston Healthcare for the Homeless HIway Grant >> Exchanging patient information who are moving to and from respite facility including patient demographics and care history. Replaces paper and phone hand-offBaystate Health coordinates care for high-risk heart failure patients for important AIMS including Transition of Care Alert, Information Exchange on medication and procedures, and discharge care planMilford Hospital using HIway for discharge summaries from acute care to Skilled Nursing Facilities and Home HealthNorth Adams Regional Hospital is using the HIway for referrals from specialty care to home health Umass Memorial Health Care will exchange patient data with CVSCaremark Minute Clinic sites for a two-way patient data exchange initiative.
2014 Edition certification criteria defines the content standards (C-CDA, Continuity of Care Document/Continuity of Care Record (CCD/C32 or CCR) for the create and display capabilities; the criteria provides options for the transport standards used in implementing the transmit and receive capabilities. Required. The Applicability Statement for Secure Health Transport specification v1.1 (Direct or the Direct Project) Optional. Applicability Statement for Secure Health Transport specification and the Cross-Enterprise Document Reliable Interchange and Cross-Enterprise Document Media Interchange (XDR and XDM) for Direct Messaging specification Optional. The Simple Object Access Protocol (SOAP)-Based Secure Transport Requirements Traceability Matrix (RTM) v1.0 standard and the XDR and XDM for Direct Messaging specification
Massachusetts has adopted a 2-phase approach to the development of its HIE infrastructure…