Clinical Data Flow Optimization

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Presentation transcript:

Clinical Data Flow Optimization Integrated Delivery Clinical Data Flow Optimization

Agenda Introductions Alliance Team Introductions High-level Deliverables Review Participant welcome and feedback Project Management Review Project Plan Intro to Scrum and sprints Review contacts for action plans and participants Needs Assessment Healthy Together Referral Network (Unite Us) Overview Steering Committee Introduction Coordination Center Next steps Start with alliance intro I want for today’s discussion to be very engagement and introductory, so following Alliance intro and a brief overview of the 3 buckets of work, we will be opening it up to all the folks here and on the line to introduce themselves and their organization – give a very brief background on their organization and talk a bit about which of the buckets of work most resonate From there we will be going into more of tactics quickly – Kyla will be talking about the project management, I will review the first effort and push in needs assessment and then we will be going into Health Together/Unite Us implementation

Alliance Team Here Today Kellin Rowlands, Director of Information Systems Operations, Alliance for Better Health Kyla Philbrook, DSRIP Project Manager, Alliance for Better Health Gordon Collier, Behavioral Health Care Coordinator, Alliance for Better Health Mandy Senko, Behavioral Health Director, Alliance for Better Health Kelly Piotrowski, Product Manager, Alliance for Better Health Jason Noxon, IT Solutions Designer, Alliance for Better Health Colleen Russell, CHIO/CIO, Alliance for Better Health Brianna Brennan, Transformation Specialist, Alliance for Better Health Nikki Alcala, Transformation Specialist, Alliance for Better Health

What is our WHY? OPPORTUNITY: VISION: GOAL: De-risk planning &, implementation of pilot projects  hand over programs that have clear ROI in a VBP environment GOAL: Prepare our partners to move from volume to value VISION: A united and collaborative care delivery community, fostering health equity for all MISSION: Transform care to improve health What is our WHY?

12 month Project Objectives: Welcome! Health Together Referral Network – Unite Us Implementation - Care coordination and electronic referral applications - Initial Rollout to 62 providers - Ongoing support and network growth EHR Data Flow Optimization - Current state utilization analysis - Optimize data collection and coding - Identify opportunity for workflow enhancement Hixny Optimization - Establish connectivity in for eligible providers - Utilization analysis and technical troubleshooting - Collaborate with Hixny to identify impactable gaps 12 month Project Objectives:

Project Plan Review

Project Management Methodology Sprint Cycle

Current State Assessment Evaluation of IT Infrastructure and develop technical profile for each participating organization Evaluate Hixny utilization and review workflow integration Evaluate diagnostic and procedural coding protocols Evaluate clinical data entry and audit/clinical decision support processes

Health Together Referral Network

Healthy Together Referral Network – Steering Committee Change Control Board Network Decision Support Entity Engagement and Community Representation Network Growth and Management Provider Recruitment

Healthy Together Referral Network – Coordination Center Decision Option Pro  Con   All referrals sent through the 211 Healthy Together Network Coordination Center. Operators from 211 will send referrals using the Unite US platform* Will be able to place referral easily to another provider if referral rejected. 211 has much greater experience, own operators, knows areas, and especially knows the CBOs Since 211 has access from their services, Organizations that are not in the network will be able to be accessed. Providers may want to send directly to other providers Allow service providers to place referrals directly on their own in combination with using the Care Coordination Center Autonomy to service providers Will have to follow up on their own if referral was rejected. Service provider may not know what’s available or be familiar with those that are in the network. Organizations that are not in the network will be not known or easily accessed * Any referrals that involve clinical coordination will be sent from 211 Coordination Center to Alliance Care Coordination team for processing the referral to the appropriate service provider

Next Steps Meeting cadence and attendance Coordination on day of the week/time of day Next meeting tentatively scheduled the week of March 19th Who is at the table? Do we have the correct folks from each of your organizations? Current State Assessment/Needs Assessment Coordination out reach over the next month Unite Us Implementation Kick-off Scheduled March 7th and 8th Go-Live Scheduled April Following Kick-off, Unite Us will be coordinating with identified participants on profile development