Provider Directory Advisory Group Meeting

Transcript:Provider Directory Advisory Group Meeting:
Provider Directory Advisory Group Meeting September 20, 2017 Welcome! Roll call and agenda review 5 min Provider Directory updates 10 min HIT Commons update 25 min Common Credentialing update 15 min Provider Directory procurement 5 min Provider Directory adoption planning discussion (10 min break around 2:30) Adoption roadmap discussion (Umbrella statement) Action plan discussion Key users Identification – small group breakouts Close 10 min Meeting outcomes By the end of today’s meeting, we will have: 1. An updated umbrella statement for the Provider Directory that explains in a nutshell why we’re doing this work 2. A drafted action plan that outlines how PDAC and PD-SME will be involved 3. An updated key organizations list of stakeholders to engage Provider Directory Updates Karen Hale Updates since last time PD SME meeting on August 9th Use case reviews to clarify purposes and prioritize Removed use cases: network adequacy and “in-network search” Other discussion highlights: Network affiliations and private carriers are difficult to track; there is value in knowing affiliations of providers to commercial carriers and Medicaid/CCOs Provider Directory may not support a referrals use cases fully but enable having the correct practice information for a provider Accepting new patients remains tricky – Common Credentialing will have these fields but they are not mandatory fields In August, OHA talked to Medicare Advantage (MA) compliance and policy staff to get a better sense of MA policies and alignment with the Provider Directory PDAC and PD-SME nominations HIT Commons: Update and Progress Sean Carey Lead Analyst, OHA Establish a stakeholder-led, neutral governance and decision-making process for investing in HIT efforts Leverage opportunities for shared funding of efforts with statewide impact Coordinate efforts to enable a network of networks for HIE Facilitate access to high-value data (e.g., Prescription Drug Monitoring Program) Support core infrastructure needed for care coordination and alternative payment models Why pursue an HIT Commons? Key Opportunities and Objectives 7 Achieve HIT goals more effectively with critical mass – Coordinate and support shared interests of health care stakeholders and OHA to meet the vision of a transformed health delivery system optimized by HIT Support cooperation and data sharing to improve care for all Oregonians Accelerate adoption and spread of HIT initiatives Support a stakeholder-led process that allows those closest to the work ability to govern and direct efforts Shared equitable funding supports entities that face resource barriers to “raise all boats” Maximize Oregon’s state