MeHI Connected Communities Program

Connected Communities Program Goals Catalyze collaboration among all healthcare sectors and Advance the adoption and use of technologies to improve healthcare and reduce healthcare costs Approach Organize for growth & impact by aligning our eHealth Communities to the Health Policy Commission’s (15) Secondary Service Markets, then regionalizing into (3) regions Engage stakeholders by community and sector in a statewide needs assessment Statewide eHealth Plan Specific Community Needs Assessments Strengthen the foundation for exchanging health information through the Connected Communities Implementation Grants eHealth Community Managers assigned by region will support the organizations and their collaborators awarded a Connected Communities Implementation Grant

Our Communities Aligned to Health Policy Commission | Secondary Service Markets (SSM) Facilitator comments: To do that we have structured a framework for the State – consistent with the HPC SSMs – and are using this framework as a means of assigning resources Ref HPC SSM description

Healthcare Stakeholder Needs Assessment Conducted healthcare stakeholder interviews Interviewed 107 organizations including 86 patient treatment organizations representing key healthcare sectors and an additional 21 interviews with state agencies, health insurance organizations and associations. Facilitated community round-table sessions Facilitated 19 community round-table sessions to refine interview responses and establish top internal issues, external barriers and clinical/business needs or ‘eHealth priority areas’ related to HIT for the community, region and state. Completed Community eHealth Needs Assessments Completed detailed HIT needs assessments for 13 of 15 communities. (Fall River combined with New Bedford, and Norwood/Attleboro combined with Metro West). Community Needs Assessments for Northeast Region Community Needs Assessments for Southeast Region Community Needs Assessments for Central & Western MA

MA Stakeholders Identified High Priority eHealth Areas Stakeholders participating in the Connected Communities program cited the following priority needs: Access to Clinical Data Exchange Discharge Summaries Health Information Exchange Adoption Implement Closed-loop Referrals Event Notifications Exchange Medication Lists Meet Regulatory Requirements Identify Care Teams Source: MeHI Connected Communities Program, analysis of stakeholder interviews

MA Stakeholders Identified Barriers and Challenges Stakeholders cited the following priority external barriers: Immature EHR Vendor to EHR Vendor Standards and Exchange Capabilities Navigation of Consent and Information Disclosure Laws Not Knowing Which Trading Partners can Send and Receive Trading Partners Not on Mass HIway Lack of Common Data Sets Patient Matching Identification of Care Teams Stakeholders cited the following priority internal challenges: High Costs of HIT and Interfaces Shortage of Technical Expertise Lack of Understanding of HIE Capabilities and Value among Leadership and Clinicians Source: MeHI Connected Communities Program, analysis of stakeholder interviews

Next Steps for the Connected Communities Program Implementation Grant initiatives that will address the priority needs identified through the Community Needs Assessments Access to Clinical Data Exchange Discharge Summaries Health Information Exchange Adoption Implement Closed-loop Referrals Communities Grantees and their collaborators to develop best practices and tools in the areas of… Implementing Patient Consent Implementing Event Notification Services Increasing Trading Partner Networks Standardizing Data Sets needed for each healthcare sector Performing Medication Reconciliation

Connected Communities Implementation Grant Intent Encourage care providers to work together to develop coordinated strategies, processes, and workflows that leverage the eHealth capabilities of their community,  Build upon previous investments from related programs, which in some cases are administered by other agencies, e.g., HIway Implementation Grants, HIway Vendor Integration Grants, CHART, Prevention Wellness Trust Fund and Meaningful Use, Capitalize on the community collaboration that has started under the statewide needs assessment and is supported by MeHI’s eHealth Community Managers and turn it into community-supported action.

Launch of Implementation Grant Launched the Connected Communities Implementation Grant Program Designed to support organizations in demonstrating community collaboration using HIT to address a real-world, practical, measurable healthcare need. Projects were required to include behavioral health and/or long term and post-acute care organizations. Aimed at the priorities identified in the community needs assessments with a focus on improving two aspects of care coordination; care transitions and cross-setting care management Awarded 8 healthcare organizations out of 24 applications Applicant projects currently include over 70 collaborating organizations

Connected Communities Grantees

Connected Communities Program Resources

Online Resources Connected Communities Implementation Grant Webpage The HIE Toolkit provides tools and use case examples, resources, and alibrary for guiding an organization through the Health Information Exchange (HIE) process. The Mass HIway Directory lists healthcare organizations enrolled in the Massachusetts Statewide Health Information Exchange (Mass HIway).

Community Managers working with Grantees Keely Benson (Lowell General PHO, Upham’s Corner Health Center, Whittier IPA) benson@masstech.org Stephanie Briody (Brockton Neighborhood Health Center, Cape Cod Healthcare) briody@masstech.org Andrea Callanan (Behavioral Health Network, Berkshire Medical Center, Reliant Medical Group) callanan@masstech.org Olivia Japlon (eHealth Program Associate) japlon@masstech.org