1. NCCHCA Conference June 22, 2012

2. Right On!!!

3. What’s Going On?

4. Healthcare Current State FragmentedInefficientInconsistentExpensive

5. Reform Drivers  Office National Coordinator in 2004  Standards organizations HITSP, CCHIT  American Recovery and Reinvestment Act of 2008  Increasing availability of Information Technology

6. NCCHCA Recognition Goal: Use information and data intelligently to strategically position Health Centers to respond to the changing Healthcare environment.

7. Objectives  Increased performance transparency  Drive data driven quality improvement  Promote collaboration  Provide for sharing of access among membership

8. Meaningful Use Stage Stage 1: Capture of Health Information Electronically Stage 2: Mobilizing the Data Stage 3: Sustainability through Quality Improvement

9. Goals for Project Goal 1 Establish Connectivity to practice EMR and PMS systems. Goal 2 Create a centralized repository of collected data. Goal 3 Develop systems for reporting clinical and financial information.

10. Aligned Values, Mission, and Vision

11. CCNC and NCCHCA…. We’re in this together!  Every FQHC in NC is a participant in CCNC  FQHCs provide a primary care medical home for 8% of our Medicaid enrollees (91,600 out of 1.2 million)  FQHCs disproportionately care for our highest risk/ highest cost patients: 12% of the aged/blind/disabled population  FQHCs are caring for a large proportion of uninsured patients who will come into Medicaid in 2014

12. 2007-2008 Pharmacy Home IC Reports Site 2009 Chart Audit System Data Warehouse Weekly Medicaid Feeds CMIS Pharmacy Home v.2 2010 Provider Portal Meducation Reports Expansion 646 Demonstration Medicare Data Surescripts Data LabCorp Data. Care Alerts HealthNet eligibility and referral management. 2011 Hospital ADT (48 hospitals) Treo/3M – Risk analytics CMIS expansion LHD, LME reporting Birth certificate data UNC data feed. 2012 Mirth (CDR and eMPI) PBH Mental Health Data NCIR data Multipayer Demo: BCBS, Mcare First in Health: Aetna, United CHS, Novant data feeds. Medication Management Module IC Report expansion. NCHIE QO MU reporting Public Health Portal and geomapping report interface Informatics Center Timeline  762 CMIS Users  215 Pharmacy Home Users  70,000 patients accessed per month  Reporting Services for 14 Networks  762 CMIS Users  215 Pharmacy Home Users  70,000 patients accessed per month  Reporting Services for 14 Networks  1,600 CMIS Users  1,800 Provider Portal Users  130,000 patients accessed every month  Reporting for 1,584 primary care practices, LMEs, LHDs, hospitals, OB and specialty practices  1,600 CMIS Users  1,800 Provider Portal Users  130,000 patients accessed every month  Reporting for 1,584 primary care practices, LMEs, LHDs, hospitals, OB and specialty practices

13. Health Information Exchange  Health Information Exchange (HIE) is the sharing of appropriate clinical data between two or more parties, using common, agreed upon technology for the purpose of patient care.

14.  Nonprofit organization established as a Statewide Designated Entity (SDE) in April 2010  Board of directors: 25 CEOs and health care leaders in the North Carolina community  Initial strategy and policy developed by community of experts on  Clinical and technical operations  Governance  Finance  Legal and policy NC HIE Overview

15. Qualified Organization As a QO, CCNC is a unique “Participant” designated by the NC HIE to:  contract with other “Participants” (providers or practices) on NC HIE’s behalf  facilitate the other Participants’ use of the HIE Network.  Policy Framework  Legal Framework  Technical Framework

16. N3CN CDR eMPICDR Normalization NCHIE Bus Hospital Practice QO 1QO 2QO 3 VQO HospitalPracticeHospitalPracticeHospitalPractice NCHIE Proposed Data Flow ADT Encounter Allergies Problems Results Orders Procedures Immunization Medications

17. Virtual Qualified Organization

18. Early Recognition 1.Project Complexity 2.Foundation built on Connectivity

19. Selection Criteria 1.Willingness to participate 2.EMR maturity 3.Readiness to connect 4.IT support

20. NCCHCA Pilot Practices  Caswell Family Medical Center  Gaston Family Health Services, Inc.  Piedmont Health  Rural Health Group  Stedman Wade

21. Participating EMR

22. NCCHCA Connectivity Project Phase 1 Development Develop QO Select 5 Pilot Practices Purchase Hardware/Software Phase 2 Pilot Create Data Normalization WG Establish Pilot Connections Pilot Sign-off Phase 3 Analysis Analysis of Pilot Data Analysis of Project Timeline Lessons Learned Phase 4 Rollout Practice Engagement Establish Connectivity Meaningful Use Phase 5 Reporting UDS Reporting PCMH Reporting Clinical Data Reporting Goal : Create a central Data Warehouse and Enhanced Reporting System by establishing connectivity with NCCHCA Practices in order to transmit EMR’s and other care management information.

23. Achievements/Lessons Learned  QO Development  Infrastructure Implementation  Finalized Contracts  Connectivity process  Viability of NCHIE

24. Innovation is a Process

25. Contact Information Chris Scarboro Project Manager, Health Information Exchange and Strategic Development 2300 Rexwoods Dr. Ste. 200, Raleigh, NC 27607 cscarboro@n3cn.org (919) 745-2379