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

2. 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.”

3. Web Portal: Summary View

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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.”

12. Next Steps
Find more about the CDR initiative at:
Contact HCA’s Health IT team to schedule presentations and deeper dives with HCA or OneHealthPort’s technical team: