June 19, 2012
Weiss Conference Center
Westborough, MA
Implementation and Optimization
Organization Roundtable
2
1:00-1:15: Welcome
• Jim Brennan, CRM & Elizabeth Elfman, CRM
1:15-2:00: DPH Immunization Registry
• Alice Stecko, IT Roll Out Manager, DPH
2:00-2:45: HIE Last Mile Program
• Joe Kynoch, Project Manager, MeHI
2:45-3:00: Open Discussion
• Jim Brennan, CRM & Elizabeth Elfman, CRM
Agenda
3
REC SCORECARD
6 138
4
258 270 380
62
345
73
315
24 185 171
32 12 75 53 100 6
144 148
406 676
1056 1118
1463 1536
1851 1875
2060 2231
2263
2275
2350 2403 2503
0
500
1000
1500
2000
2500
3000P
rovid
ers
2010 - 2011
Number of Providers Contracted
Monthly
Cumulative
4
REC SCORECARD
354 114
192
73
87
63 51
152 357
418
172
200
25
155
PPCPs Contracted with IOO Vendor: Total = 2503 Arcadia
Fallon
Ficus
HealthLens
Culbert
eClinical Works
Beacon
MAeHC
MassLeague
BMC
BIDPO
UMass
MedPlus
Steward
316 7 71
694
33
173
567
29 2
3 1
194
2
34
9
PPCPs EHR Vendors: Total =2191 Allscripts
Amazing Charts
Athena
eClinical Works
E-MDs
Epic
GE
Greenway
Ingenix
Kick-Off Mtg Slide Deck 6
Overview of the MIIS
Secure, confidential, web-based system with capabilities for HL7 data exchange or GUI data entry
Lifespan registry that supports a complete set of immunization-related functions
Helps identify pockets of unimmunized and under-immunized children and adults
Assists providers with clinical decision making through forecasting tool
Provides practice management tools for providers such as reminder/recall for patients due or overdue for vaccines, immunization coverage and vaccine usage reports
Future version of the system will allow for on-line vaccine ordering, replacing current fax method
MIIS EHR Roll-Out
Started EHR Pilot in Fall 2011
7 sites currently in production
31 sites scheduled for production in June
Daily newborn demographic and birth data from
the Registry of Vital Records and Statistics
(RVRS)
8 8
Meaningful Use Test Messages
If your EHR system can generate HL7 2.5.1 and transport using Soap UI:
Have your EHR Technical Support staff review the HL7 Transfer
Specifications, accessible on the link below:
https://www.contactmiis.info/ehrIntegration.asp
Please send an email to the MIIS Help Desk at
[email protected] with your contact name and the names of
your associated practice(s).
9 9
Transport
The SOAP is implemented using a WSDL
The SOAP UI tool is open source software which can be downloaded
from http://www.soapui.org/
MDPH will provide sample SOAP WSDL and generic credentials
MDPH provides a detailed instruction manual to setup the WSDL
The MIIS provides an HL7 Acknowledgment messages via the Virtual
Gateway.
10 10
Weekly IT Technical Discussion
If your EHR system can transmit HL7 2.5.1 and you have questions on our Transfer Specifications or Soap message requirements:
When: Occurs every Thursday from 10:00 AM to 11:00 AM
EST
Web: https://www3.gotomeeting.com/join/312380934
Phone: Dial +1 (312) 878-3081; Access Code: 312-380-934
11 11
Steps for Production Readiness
Technical Readiness
Providers send HL7 messages to QA environment
Sender provides Test Script so that IT can search GUI
Test names, CVX, MVX, Site, Route and location
If message content does not persist to GUI, IT reviews HL7 Logs for errors and works with Provider to adjust format.
Clinical Readiness
Gain an understanding for Clinical Integration and the duty to inform patients and their right to limit data sharing.
Sites register to use the MIIS via the ContactMIIS Resource Center
www.contactmiis.info
Training, Clinical Integration and IT resources can be found on the ContactMIIS
June 19, 2012
Weiss Conference Center
Westborough, MA
State HIE and
MeHI Last Mile Program
13
• Improve access to comprehensive, coordinated, person-focused Health Care through widespread provider adoption and meaningful use of Electronic Health Record systems.
• Demonstrably improve the quality and safety of health care across all providers through Health Information Technology that enables coordinated care, provides useful evidence-based decision support applications and can report data elements that support quality measurement.
• Slow the growth of Health Care Spending through efficiencies realized through Health Information Technology
• Improve the health of the Commonwealth’s population through public health programs, research and quality improvements enabled through efficient, accurate, reliable and secure health information exchange processes.
Statewide Health Information Exchange Goals
14
EOHHS – Responsible for Health Information
Exchange Infrastructure
MeHI – Responsible for HIT/HIE Adoption – Last
Mile
Helping all providers in the Commonwealth
connect to and use the Health Information
Exchange effectively
State HIE Implementation
15
Goals
• Accelerate the adoption and use of the State HIE
• Ensure that underserved and providers who did not
qualify for Meaningful Use Incentives can benefit
• Drive the integration of ‘Direct’ Messaging
MeHI | Last Mile Program
16
• MeHI Role
– Issue the EHR Vendor Grants and Systems Integrator procurement
– Manage the Last Mile Direct Assistance Grants
– Coordinate activities between the System Integrator, MassHealth, and the
providers
– Host the knowledge repository for HIE integration
• EOHHS and HIE Vendor Role
– Provide testing / certification environment
– Provide provider enrollment infrastructure and initial training materials
• Systems Integrator Role
– Oversee and support the EHR Vendor Direct Implementations
– Support the Last Mile Direct Assistance programs
– Develop and maintain the knowledge repository for HIE integration
• Provider Implementation Teams (IOOs)
– Provide ‘high-touch’ in provider practices
– Efforts modeled on existing REC processes
– May be supported by Last Mile Direct Assistance grants
Last Mile Deployment Roles
17
Communicating Health Information over the Internet
• ONC required Transport for communicating among health care
participants
– Set of Standards and Services necessary to push content
How to send and receive
Structure and format of the content (e.g., Continuity of Care
Document
Terms used in the content (e.g., LOINC and SNOMED)
– Secure, Encrypted and Reliable
• Part of Meaningful Use Stage 2
Direct Messaging
18
Suggestions?
Questions?
Project Management Contacts: • Keely Benson – [email protected] (617) 371-3999 x241
• Joe Kynoch – [email protected] (617) 371-3999 x242
MeHI | Last Mile Program