Meeting Title. Facilitator. Conference Line

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1 DSRIP Meeting Agenda Date and Time Location Go to Meeting 3/15/16, 10-11am Heart Center Room 3 / Meeting Title Facilitator Conference Line NYP PPS IT/Data Governance Committee Steven Kaplan, Niloo Sobhani, Anname Phann Dial +1 (646) Access Code: Invitees Co-Chair: Anname Phann (NYC DOHMH PCIP/REACH) Kate Nixon (VNSNY) Betty Cheng (CBWCHC) Andres Pereira, MD Todd Rogow (Healthix) Co-Chair: Niloo Sobhani, Steven Kaplan, MD (NYP) Daniel Lowy (Argus) Greg Fortin (Isabella) Jairo Guzman (Coalicion Mexicana) Stuart Myer (VillageCare) Meeting Objectives 1. Welcome and Introductions 2. Review Action Items from Previous Meeting 3. Year One in Review 4. Current State IT Assessment Results to Date 5. Update on Healthix Implementation 6. Gap Mitigation Plan for Healthix Connectivity 7. NYP PPS Healthix Webinar 8. Upcoming Milestone Submission 9. Identify Next Steps Time 10 mins 10 mins 10 mins Action Items Description Owner Start Date Due Date Status PPS to consider advocating to NYS to provide open access to patient/pps/harp/hh attribution in MAPP PPS to consider vendor-specific (e.g. Foothold) meetings with Healthix PPS to consider drafting minimum requirements for HIE for each project I. Kastenabum 1/19/16 2/19/16 Not Started P. Hernandez 1/19/16 2/19/16 Not Started P. Hernandez 1/19/16 2/19/16 Not Started PAGE 1

2 DSRIP Meeting Agenda Date and Time Location Go to Meeting 3/15/16, 10-11am Heart Center Room 3 / Meeting Title Facilitator Conference Line NYP PPS IT/Data Governance Committee Steven Kaplan, Niloo Sobhani, Anname Phann Dial +1 (646) Access Code: Invitees Co-Chair: Anname Phann (NYC DOHMH PCIP/REACH) Kate Nixon (VNSNY) Nick Egleson (CBWCHC) Todd Rogow (Healthix) Greg Fortin (Isabella) Gil Kupperman Sam Merrick (NYP) Co-Chair: Niloo Sobhani, Steven Kaplan, MD (NYP) Stuart Myer (VillageCare) Lauren Alexander Patricia Hernandez Nelson Mesa Jordan Foster (NYP) Barbara Linder (NYP) Meeting Objectives 1. Welcome and Introductions 2. Review Action Items from Previous Meeting 3. Year One in Review 4. Current State IT Assessment Results to Date 5. Update on Healthix Implementation 6. Gap Mitigation Plan for Healthix Connectivity 7. NYP PPS Healthix Webinar 8. Upcoming Milestone Submission 9. Identify Next Steps Time 10 mins 10 mins 10 mins Action Items Description Owner Start Date Due Date Status Send PowerPoint slides to group L. Alexander 3/15/2016 4/15/16 Not Started Continue to encourage collaborators to complete HIE assessment IS Team / PMO 3/15/2016 4/1/16 Not Started Share ideas for webinar topics with L. Alexander Committee 3/15/2016 Not Started Announce funding availability to collaborators to connect to RHIOs IS Team / PMO 3/15/2016 4/1/16 Not Started T. Rogow to share list of EHRs that are connected to Healthix T. Rogow 3/15/2016 5/17/16 Not Started Obtain clarification around target group for engaging attributed members in Qualifying Entities L. Alexander 3/15/2016 4/1/2016 Not Started MINUTES: Dr. S. Kaplan opened the meeting. o He noted that DSRIP Year 1 is coming to end and reviewed some of the groups accomplishments over the last year, including: Reviewing and providing feedback on the PPS interoperability strategy, specifically: the approach to Healthix and ACD connectivity the concept of connected vs. highly connected collaborators Reviewing and approving the HIE assessment PAGE 1

3 DSRIP Meeting Agenda Leading high-level conversations about the pros and cons of the rollout of a single-care management platform o He also reviewed some of the upcoming activities for the Committee, including: Review of gap mitigation plans for HIE assessment Development of an IT Change Management Strategy Continued oversight of Healthix and ACD rollout to collaborators Capital funding use P. Hernandez gave an update on the Current State IT Assessment Results for the highly connected collaborators. She noted that 17 assessments had been received to date. Of the responses received, she highlighted how many collaborators have interoperable EHRs, how many are existing Healthix participants and how many have other RHIO connections. She noted that the assessment is also underway for the connected collaborators and that eight surveys have been received to date. P. Hernandez reviewed the Healthix implementation process. There are 5 phases: Phase 1 HIE Assessment Phase 2 Kick-off call Phase 3 Scoping call Phase 4 Contracting Phase 5 Healthix integration o Dr. S. Kaplan noted the cascading, step-wise process associated with Healthix implementation and that the assessment is the key to beginning the process. He underscored the importance of messaging to collaborators to encourage them to complete the assessment. P. Hernandez reviewed the gap mitigation plan for Healthix connectivity in cases where collaborators do not have an EHR or have an EHR system that is not interoperable with Healthix. o P. Hernandez noted that collaborators without an EHR or those who have an EHR that is not interoperable will receive basic dial tone services, which include patient query/look-up on the Healthix portal, clinical event notification, and direct messaging. Collaborators without an interoperable EHR can send Healthix a flat file for their patients to upload into the system. o She also noted that there are some collaborators who are current Healthix participants, but have not been sharing data. The plan for these collaborators is to facilitate scoping calls to ensure future interoperability. o Dr. S. Kaplan noted that while the ideal state is full connectivity to Healthix where all collaborators are sharing data, he did note that Healthix can still be a useful tool for those without an EHR as there are a number of other features that collaborators can utilize. o S. Myer raised the challenge of multiple sites having multiple EHRs. o S. Myer also raised the question about the best way to coordinate across multiple third-party vendors. P. Hernandez and T. Rogrow referred to the development of HUB models with cloud-based functionality as one way to address this issue. o Dr. S. Kaplan raised the question as to whether assessment for an interoperable EHR will be an ongoing process throughout DSRIP, i.e. if a collaborator does not have an EHR now but they acquire one at a later date, can they be scoped and contracted at that time? A. Phann spoke about the recent Healthix webinar. She noted the following: The idea for the webinar came out of the Collaborator Symposium where there was an interest from collaborators in learning more about Healthix. The NYP PPS and Healthix partnered with Dr. Sarah Nosel of the Institute for Family Health for the webinar. She focused on workflow application. The webinar had approximately 60 participants. The Q and A section of the webinar was robust. About half of the webinar was dedicated to answering questions from participants. Some of the questions focused on: Whether joining a RHIOs helps to meet meaningful use requirements Consent process Costs/funding Integration with other systems How RHIOs connect to one another Connection process Workflow operations A Healthix FAQ document is being developed to address the common questions posed by collaborators. o T. Rogow indicated that Healthix would be happy to do another webinar, if needed. PAGE 2

4 DSRIP Meeting Agenda o Dr. S. Kaplan said to let L. Alexander know if the group had any other ideas for webinar topics that collaborators might find useful. o A. Phann mentioned that there is New York State funding currently available to help organizations pay EHR fees to connect to RHIOs (up to $30,000 per practice). This funding is available through September on a first-come-first-served basis. The group thought it would be a good idea to announce this to the collaborators. She also noted that it is the last year to obtain $21,250 in incentives for adopting, implementing, or upgrading to a Meaningful Use certified EHR if providers are eligible for the Medicaid Meaningful Use EHR incentive program. o N. Mesa said that in order to help address questions around integration and connection, it would be helpful to obtain a list of EHRs with which Healthix has a connection. Perhaps this can be included in the FAQ document. S. Myer said it would be useful to know if there are any vendors with which Healthix is currently having discussions. T. Rogow said he could share a list of connected EHRs. L. Alexander reviewed the upcoming milestone submissions. o Dr. S. Kaplan asked if there was anything needed from the Committee to finish the completion of these milestones. o With regard to developing a specific plan for engaging attributed members in Qualifying Entities, Dr. S. Kaplan asked for clarification around whether this was referring to an engagement plan for Medicaid beneficiaries or RHIO participating organizations. L. Alexander said she would get clarity around this. L. Alexander discussed next steps, including: o Submit March 2016 milestone o Continue HIE readiness assessment o Continue Healthix scoping, contracting and rollout with highly connected collaborators (phase 1) o Initiate Healthix scoping, contracting and rollout with connected collaborators (phase 2) o Develop ACD training and support plan L. Alexander noted the next meeting date scheduled for May 17, Dr. S. Kaplan closed the meeting. PAGE 3

5 NYP PPS IT/Data Governance Committee 3/15/2016 1

6 Welcome and Introductions 2

7 Proposed Agenda Items Welcome/Introductions Year One in Review Current State IT Assessment Results for Highly-Connected Collaborators Update on Healthix Implementation Gap Mitigation Plan for Healthix Connectivity NYP PPS Healthix Webinar Upcoming milestone submission 3

8 DSRIP Year One in Review Year 1 Accomplishments Review and feedback on the PPS interoperability strategy, including: approach to Healthix and ACD connectivity concept of connected vs. highly connected Review and approval of HIE assessment High-level conversation about the pros and cons of the rollout of a single-care management platform Upcoming: Review of gap mitigation plans for HIE assessment IT Change Management Strategy Continued oversight of Healthix and ACD rollout to collaborators Capital funding use 4

9 Current State IT Assessment Results 5

10 HIE Readiness Assessment Results for 24 Highly Connected Collaborators HIE Assessments Received To Date Collaborators with Interoperable EHRs Collaborators who are existing Healthix Participants Collaborators with other RHIO connection Survey assessment also underway for the connected collaborators. 8 surveys received to date. 6

11 Healthix Implementation Progress 7

12 Update: Healthix Implementation Progress for 24 Highly Connected Collaborators Phase 1 HIE Assessment 71% Phase 2 Kick-off 58% Phase 3 Scoping 33% Phase 4 Contracting 21% Phase 5 Healthix Integration 17% HIE Assessment Pending 7 Kickoff Pending 10 Scoping Pending 11 Contracting Pending 16 Healthix Integration Pending 19 HIE Assessment Complete 17 Kickoff Complete 14 Scoping Started 5 Contracting Started 3 Healthix Integration Started 1 Scoping Complete 8 Contracting Complete 5 Healthix Integration Complete 4 8

13 Gap Mitigation Plan for Healthix Connectivity 9

14 Gap Mitigation Approach Non-Healthix Participants Non-Healthix Participants Healthix Participants Healthix Participants No EHR, EHR cannot share data with Healthix EHR can share data with Healthix EHR not currently sharing data with Healthix EHRs that share data with Healthix Collaborators with no Interoperable EHR or no EHR Will be scoped and contracted Will receive portal access and dial tone services Will be scoped and contracted Will be newly scoped with a revised contract Achieve Healthix connectivity for all collaborators 10

15 NYP PPS Healthix 101 Webinar 11

16 Healthix Webinar The webinar was hosted by Jason Thaw from Healthix and Dr. Sarah Nosal from the Institute for Family Health on February 23 rd. 57 Participants joined the call Some of the questions posed by participants centered around: Whether joining a RHIOs helps to meet meaningful use requirements Consent process Costs/funding Integration with other systems How RHIOs connect to one another Connection process Workflow operations 12

17 Milestones Milestone Perform current state assessment of IT capabilities across network, identifying any critical gaps, including readiness for data sharing and the implementation of interoperable IT platform(s) Develop a specific plan for engaging attributed members in Qualifying Entities DSRIP Year Calendar Year DY1, Q4 March 2016 DY2, Q1 June 2016 Develop an IT Change Management Strategy Develop roadmap to achieving clinical data sharing and interoperable systems across PPS network DY2, Q2 DY2, Q2 September 2016 September

18 Next steps Submit March 2016 milestone Continue HIE readiness assessment Continue Healthix scoping, contracting and rollout with highly connected collaborators (phase 1) Initiate Healthix scoping, contracting and rollout with connected collaborators (phase 2) Develop ACD training and support plan NEXT MEETING: May 17,