The Clinical Data Repository An Overview Health Care Authority, Health Information Technology Section Dennis Worrell Health IT Stakeholder Engagement Manager HIMMS, October 15, 2018

Who said this…and when? “I need to bring attention to the urgent need to adopt... some uniform publication system of hospital statistic records...” “If used smartly, these statistics will tell us the actual relative value of some current measures and forms of treatment.”

Web Portal: Summary View

What is the Clinical Data Repository? CDR Secure, web-based database storing clinical and claims info for Apple Health (Medicaid) enrollees Health Information Exchange Secure connection Provider EHR Improved Care at the Point of Care Provider maintained OneHealthPort maintained Future State! -Other data sets after consent mgt. tools (SUD, STI, etc.) -Only data from physical health providers now

CDR What’s in the CDR? Care Summaries (CCDs): Clients with Claims Data >94% Clients in system: 2.2 million Care Summaries (CCDs): 4 million on 40% of clients by July, 2018 Future State! -Mental health data - SUD data (incl. methadone) with CFR42 part 2 consent mgt. solution -Care coordination tools

How can providers access CDR data? Client 1 Info CDR EHR EHR Client 2 Info Client 3 Info Future State! Providers can query (auto-pull) info from the CDR to their EHRs Provider Tablet or PC View-only web portal

What Info gets in the CDR? Problems Allergies E-Version: Clinical Care Record Medi-cations Social History Immuniz-ations Procedures Mental Status Family History Patient demo-graphics Results Nutrition Functional Status Payers Plan of care Advance Directives Vital Signs Medical Equipment

Incentive for Providers to participate? Part of MCO provider network serving Apple Health Clients? Have a “Certified EHR”? Received Medicaid or Medicare EHR Incentive Payment Funding MCO contracts with providers: If an organization answers yes to all three, it is required to participate in the CDR. Can’t say yes to all three? Participation is not required...at this time

How did we get here? ARRA$ HITECH$ Natural and/or other disasters 2009: WA appoints HCA lead agency driving interoperability 2009: OneHealthPort wins competitive bid to host WA’s Health Information Exchange (HIE) To date: 6,000+ providers and 88 hospitals = $355 million + in funding

Alternatives Take the Lead! Wait ?? Do Nothing ?? Not really an option... Wait ?? Hope vendors create interfaces between disparate Electronic Health Records Systems Take the Lead! Create Data Base Vendor-neutral Standards-based Supports national certification standard CMS & ONC

Who said this…and when? “I need to bring attention to the urgent need to adopt... some uniform publication system of hospital statistic records...” “If used smartly, these statistics will tell us the actual relative value of some current measures and forms of treatment.”

Next Steps Find more about the CDR initiative at: www.onehealthport.com/hca-cdr Contact HCA’s Health IT team to schedule presentations and deeper dives with HCA or OneHealthPort’s technical team: healthit@hca.wa.gov, 360-725-1514