State Health Information Exchange Cooperative Agreement Pro

State Health Information Exchange Cooperative Agreement Pro State Health Information Exchange Cooperative Agreement Pro - Start

2015-10-02 71K 71 0 0

State Health Information Exchange Cooperative Agreement Pro - Description

November 20, 2013. Clinical Quality Measurement Recovery . and Repository . Agenda. 2. Introduction. John . Rancourt. Jason Werner. Clinical Quality. Measurement Recovery . and Repository Discussion. ID: 146953 Download Presentation

Download Presentation

State Health Information Exchange Cooperative Agreement Pro




Download Presentation - The PPT/PDF document "State Health Information Exchange Cooper..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.



Presentations text content in State Health Information Exchange Cooperative Agreement Pro

Slide1

State Health Information Exchange Cooperative Agreement Program

November 20, 2013

Clinical Quality Measurement Recovery

and Repository

Slide2

Agenda

2

Introduction

John

Rancourt

Jason Werner

Clinical Quality

Measurement Recovery

and Repository Discussion

Jeff Livesay

Q&A Session

All

Slide3

Presentation to ONC Grantees

November 20, 2013

Clinical Quality Measurement Recovery and Repository (CQMRR) “skimmer”

Copyright 2013 Michigan Health Information Network

3

Jeff Livesay

Associate Director

Slide4

Problem Statement

Meaningful Use (MU) Stage 2 requires Clinical Quality Measurement (CQM) reportingCAT III QRDAs (aggregate statistics for a provider)CAT I QRDAs (individual measurements for a patient)Note: no CAT II’s… (this will come up again shortly!)Status quo is very basic:no standard way for providers to submit CQMs to state agenciesproviders must manually request MU creditlimited ability to compare quality data within single clinics, within hospitals, across clinics

Copyright 2013 Michigan Health Information Network

4

Slide5

What We Will Show You Today

How our eCQM pilot for receiving CAT III QRDA files for MU2 credit works todayHow our approach uses Direct and could be easily re-used by any other HIE, HIN, or SDEHow the CAT III portion of the eCQM pilot will go into production soon under our CQMRR projectWhat our additional plans are for piloting receipt of CAT I QRDAs using a very similar approachSome new ideas for validation, testing, and for CAT II’s as they pertain to Transitions of Care (!!)

Copyright 2013 Michigan Health Information Network

5

Slide6

Value Proposition

shared service – uses Direct secure emailQRDA files sent attached to Direct messagessent from within EHR workflow (automatic)manual attach/send via Direct client alsosent to common Direct inbox at MiHINdetached, validated, stored in datamartallows easy submission of QRDA filesrecords MU credit via our Provider Directoryenables cross-clinical comparisonscan lead to unlimited “mining” and analysis

Copyright 2013 Michigan Health Information Network

6

Slide7

Copyright 2013 Michigan Health Information Network

7

CQMRR

EP

EH

CAH

Data Peeler

Cypress/DQA

Michigan Department of Community Health (MDCH)

Data Hub

MiHIN ESB

SOM Data Warehouse

CQM

Data Mart(Final)

MDSS

MCIR

MSSS

QRDA

CAT I & III

ELR’s

Syndromics

VXU’s

Direct

emails

(or other transport)

Valid QRDA

VPN to SOM

valid

QRDA

Health Provider Directory

Meaningful Use Database

Reports, Dashboards,

Comparisons,

Mining,

Valid QRDA

NPI

lookup

QRDA CAT I & III

QRDA

CAT I & III

Slide8

Copyright 2013 Michigan Health Information Network

8

Eligible Providers

Eligible Hospitals

CA Hospitals

Data Peeler

Cypress/DQA

SOM Data Warehouse

CQM

Data Mart

(Final)

MDSS

MCIR

MSSS

ELR’s

Syndromics

VXU’s

cqms@direct.mihin.org

Valid QRDA

VPN to SOM

valid

QRDA

(CAT I & III)

Health Provider Directory

Meaningful Use Database

Reports, Dashboards,

Comparisons,

Mining,

NPI

lookup

State of Michigan

Data Hub

QRDA

QRDA

QRDA

Valid QRDA

QRDA

QRDA

QRDA

CQMRR

QRDA

(CAT I & III)

QRDA

(CAT I & III)

Slide9

Reports and Data Analysis:Cross Clinical Quality Comparison

Copyright 2013 Michigan Health Information Network

9

skimming

‘la crème de la crème’

standard

report generation

c

ross clinical comparisons

c

an identify best (and worst) clinics

g

raphical dashboards using Tableau

advanced data manipulation (e.g. SAS)

d

ata mining capabilities

s

tatistical analysis

Slide10

.

Copyright 2013 Michigan Health Information Network

10

Slide11

Copyright 2013 Michigan Health Information Network

11

Slide12

s

tate maps can show aspects of medical care and organize it by region

Copyright 2013 Michigan Health Information Network

12

Slide13

Copyright 2013 Michigan Health Information Network

13

Slide14

Project Status

Copyright 2013 Michigan Health Information Network

14

Phase 1 – FY 2013

eCQM

Pilot:

inbound Direct accounts for CAT III files

data “peeler” in production

p

ilot “alpha” participant identified

*

& enabled

test data sent; production data flowing

select additional pilot contributors

*

build CAT III format validation (“Cypress-like”)

refine CAT III data-mart (“

PopHealth

-like”)

d

esign sample reports using Tableau

o

n-board additional participants

*hardest steps

Slide15

Project Status (Con’d)

Copyright 2013 Michigan Health Information Network

15

Phase

2

– FY

2014 – Pilot to Production:

integrate

reporting tools

(Tableau)

design additional CQMRR reports

finalize data mart for

MDCH*

select additional participants

conduct final testing

integrate with MDCH data hub/warehouse

migrate data mart from MiHIN to MDCH

e

nter production for CAT III’s

r

eview results of Phase 2

*Michigan Department of Community Health

Slide16

Project Status (Con’d)

Copyright 2013 Michigan Health Information Network

16

Phase

3 - CAT I Pilot – FY14-15:

c

reate

datamart

for CAT I files

utilize

popHealth

as much as possible

continue dialog with Connecticut

r

e-use existing components if possible

implement validation of CAT I

pilot CAT I QRDA file

submission

u

tilize

popHealth

and Tableau reporting

evaluate success of Phase 3 Pilot

Slide17

Qualified Sub-state HIE or VQO

Qualified Sub-state HIE or VQO

Transitions of Care (ADT) Service

Copyright 2013 - Michigan Health Information Network

Patient to Provider Attribution

Delivery Preference Lookup

1) Patient

goes to the hospital, hospital sends

an ADT message to

MiHIN

2) MiHIN

checks

Patient Attribution Lists and

identifies three providers

3) Using

the

HPD,

MiHIN identifies

a

Delivery Preference for each provider

4) Notification

is routed to the providers based on their preference

Primary Care

Specialist

Care

Coordinator

Alerts &

Notification

17

Animation

Slide18

Project Status (Con’d)

Copyright 2013 Michigan Health Information Network

18

Phase

4

- CAT

II and Validation Pilot

:

d

esign rule-based validation for all CATs

create large patient/clinic test databases

PatientSim

” large CAT I test database

ClinicSim

” large CAT III test database

create CAT II tag set from TOC/ACRS

create CAT II database from

ACRS*

files

pilot CAT

II

QRDA

submission with ACRS

p

ilot/test rule-based validation for

all CATs

implement validation

for all CATs

evaluate

success of Phase

4 Pilot

*Active Care Relationship Service

Slide19

Resources

Copyright 2013 Michigan Health Information Network

19

Link to CMS on CQM MU2 Requirements:

 

http://

www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/VendorWorkgroupCall_April16.pdf

Link to status of CAT II File standard development:

http://wiki.hl7.org/

index.php?title

=Quality_Reporting_Document_Architecture#Standards_Under_Development

Slide20

Questions?

Jeff LivesayAssociate Directorlivesay@mihin.org Bill DotyProject Managerdoty@mihin.orgMichael TaylorLead Interntaylor@mihin.org

Copyright 2013 Michigan Health Information Network

20

Slide21

Questions / Comments


About DocSlides
DocSlides allows users to easily upload and share presentations, PDF documents, and images.Share your documents with the world , watch,share and upload any time you want. How can you benefit from using DocSlides? DocSlides consists documents from individuals and organizations on topics ranging from technology and business to travel, health, and education. Find and search for what interests you, and learn from people and more. You can also download DocSlides to read or reference later.