HealthInfoNet’s Behavioral Health Information Technology Reimbursement Initiative July 21, 2015 Dial: Enter access code #

Q & A During the Presentation: The call is muted to ensure good sound quality. We are using the ReadyTalk chat feature to facilitate questions during the presentation. Please send your questions to “All Panelists” or privately to the Chairperson. Q & A will follow the presentation You can continue to submit questions via chat Or you can press (*7 Unmute) (*6 MUTE) to ask a question. 2

Meeting Objectives 1.Introduction & Goals (Katelyn Michaud) 2.Discuss SIM Grant targets remaining for 2015 (Katie Sendze) 3.Status & Importance of “View-Only” (Gemma Cannon) 4.Year 3: Quality Improvement 3

Goals for Today’s Meeting Focus on targets: All BHOs will go-live with “View Only.” (Milestone 2.1) All BHOs will send test data to HIN’s Test Environment. (Milestone 2.2) All BHOs will send test data to HIN’s Production Environment. (Milestone 2.3) All BHOs will begin Quality Improvement Project. (Milestone 3.1) 4

Focus on September 30 th Deadline Katie Sendze 5

Delays 6

Data Collection Progress 20 have bi-directional data sharing connection to the HIE. o VPN connections are in place o 14 out of 20 are viewing HealthInfoNet 14 have confirmed data integration capability with HIN o Installed interfaces o Underway with data testing validation--- focus on testing 3 are finalizing production data validation 3 have live client data in the HIE o Completed HL7 data integration testing o Transmitted live data to HIN’s production environment 7

Focus on September Goal: The data validation process involves two major steps: –Test Data Validation: EMR will send data to the HIN Test environment. You perform a scenario in your EMR on a test patient (registering the patient, adding diagnoses, etc.) and you will verify that the data carries over properly to HIN. –Production Data Validation: Your EMR will send data to the HIN Production environment. We have filters in place that prevent live data from flowing into HIN at this stage. You would perform the same scenario that you used in test validation. 8

2015 Fall Targets MilestoneDeadlineMilestone DetailsPayment Milestone 2.24/1/2015HL7 data integration testing completed for ADT and CCD messages. Test data validation for ADT or CCD messages should be completed by this stage. Work should start on production data validation at this point. (6 of 20 have met this Milestone) Milestone 2.39/30/2015HL7 data is live in the HIE production environment. By this Milestone, production data validation should be completed and the organization should be sending live patient data to the HIN production environment. $10,000 (3 of 20 have met this Milestone) 9

Reduce Delays Communicate with your vendor about testing/ technical delays or barriers Request and check in on the timeline for solving delays. Attend regular scheduled calls per Rob’s guidance. Assure your vendor is engaged with recurring calls. Carve out the weekly time needed to perform testing activities. 10

View-Only: Increasing Clinical Portal Usage Gemma Cannon 11

Bridging the Data Gap Where else is my client receiving care? What are recent lab results? View/print vs. call/fax Medical records release confusion & delays? Did the patient go to their appointment? What happened in the hospital/ED? What medications were filled at the pharmacy/s? 12

New Workflows; New Opportunities Replace: Calling for records/lab results Fax machine bottle neck Scanning lag time Another “task” in your EHR to sign off Wondering if your patient went for their test Wondering if the medication order was filled & what it was filled with Not knowing what your new patient’s history is, where they went, what tests they have had recently…………. 13

Only 14 out of 20 BHOs are Viewing the Clinical Portal! 14

BH Providers are Using HIN to Reduce Utilization and Improve Quality 15

Maximize the Potential for Better Outcomes Managing SMI and chronic disease: Coordinate care Mitigate medical issues that contribute to Mental Illness Identify prescriptions Provide a safety-net while honoring the client’s autonomy Provide integrated BH intervention to address medical issues and reduce ED visits 16

Realized Clinical Benefits Able to see client medical history Able to see prescription fill history & activity Access to lab results Access to treatment summaries from ER Able to reconcile reports from other sources Able to replace hours spent in getting permission to view a client’s record to provide care for clients 17

Using the Clinical Portal Supports SIM Goals Decreases ED Use Increases integration of BH and Medical Care Real-time data provides timely information that leads to improved quality care “It’s amazing what you can do when you have the information. With HealthInfoNet, I have the information to do my job better and faster.” (Brenda Mailman, RN, Community Health &Counseling) 18

How Can We Help with View-Only? Do you need additional Clinical Portal Training? Stuck on consent? Do you have a HIN champion? Would you be interested in a training webinar that features Clinical Portal Super-Users? Any other ideas? 19

Year 3: Starts this October Quality improvement projects begin! Katie Sendze 20

Final Milestone Quality Improvement: Milestone 3.1: Quality Measure is selected for implementation Milestone 3.2: Quality Measure Data has been tested in measure environment at HIN Milestone 3.3: Quality Measure is produced and reported by HIN to participants 21

Aligning Quality Improvement Project & SIM Focus Areas SIM Focus Areas: –Health Homes –Utilization (ED, inpatient)* –Transitions of care (Hospital to community, PCP) –Chronic Disease management Quality Improvement Project for all SIM-HIN BHOs: Using HIN Tools to Reduce Utilization* 22

HIN Quality Improvement Project Leveraging HIN Tools to Reduce Utilization HIE Clinical Portal –Real-time patient information portal gives BHO Providers access to results and information from outside of the EHR HIE Notifications Service –Real-time electronic “notifications” about specific events of care (i.e., ED & inpatient admin/discharge, new lab results) Analytics Platform (Not part of SIM grant) –Real time analytics to support patient intervention using population level predictive analytics; supports proactive clinical care management to address risk for ED/Admissions 23

Next steps for QI Project: HIN meeting to determine project focus leveraging notifications for all organizations (ED/Inpatient utilization) Identify your Team Lead on the Quality Improvement Project (same as HH?) Schedule a Quality Improvement Project Planning Meeting with Gemma & Katie Must implement or expand “View-Only” access to staff who will work on QI 24

Next Meeting: Tuesday, September 15,