1. BID-MAeHC DEMONSTRATION PROJECT Steering Committee Meeting October 19, 2009

2. - 1 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. AGENDA Measure Development Working Group Data Transport and Connectivity Working Group Reporting Working Group Web OMR Working Group Project Plan-Timeline Key Issues for Discussion Next Steps

3. - 2 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Measure Consolidation Process Measure specifications were derived from HIT Standards Committee (Meaningful Use) BID Clinical Standards WG (derivative of TCNY) MAeHC QDC Process Measures were grouped into categories and sub-categories to streamline the consolidation process All HIT Standards Committee measures were kept BID contract incentive items were flagged and kept -All remaining measures were assessed for similarities and excluded if the measure was identified as the same based upon definition, numerator, denominator, and coding specifications -Measures were also excluded if they were based upon specific needs that did not apply to BID As of October 16 th, 97 measures were consolidated down to 72 Detailed specifications still need to be defined by the HIT Standards Committee -Additional measures may be excluded once this happens

4. - 3 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Measure Consolidation Process

5. - 4 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Measures as of October 16, 2009 Measure Categories# of Measures Acute Bronchitis1 Adverse drug event1 Asthma3 Cancer Screening5 Cardiovascular Conditions14 Cardiovascular Conditions1 Depression2 Diabetes10 HIV2 Hypertension2 Immunizations7 Lead Screening2 Medical Home6 Pediatric Measures3 Pharyngitis2 Reproductive Health3 Substance Abuse1 Surgery Patients1 Tobacco2 URI2 Vital Signs2 Total 72

6. - 5 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Measure Details

7. - 6 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Measure Details (II)

8. - 7 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Measure Details (III)

9. - 8 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Measure Details (IV)

10. - 9 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Measure Details (IV)

11. - 10 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. AGENDA Measure Development Working Group Data Transport and Connectivity Working Group Reporting Working Group Web OMR Working Group Project Plan-Timeline Key Issues for Discussion Next Steps

12. - 11 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Proposed High Level Design

13. - 12 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Data Transport and Connectivity WG Key conversation points and decisions taken:  Utilize C32 Document type  Implement as many of the HIT Privacy and Security Standards as isappropriate Access, Authentication, Authorization – Role based Secure transmission of data (TLS) Auditing De-identification and Re-identification  Reviewed data elements available from source systems (ECW and webOMR)

14. - 13 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Draft - C32 Data Element Requirements Source: HITSP CDA Content Modules Component

15. - 14 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Draft - C32 Data Element Requirements Source: HITSP CDA Content Modules Component

16. - 15 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Draft - C32 Data Element Requirements Source: HITSP CDA Content Modules Component

17. - 16 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. AGENDA Measure Development Working Group Data Transport and Connectivity Working Group Reporting Working Group Web OMR Working Group Project Plan-Timeline Key Issues for Discussion Next Steps

18. - 17 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. BIDPO Reporting Dimensions

19. - 18 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Administrative Report Categories and Views

20. - 19 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. AGENDA Measure Development Working Group Data Transport and Connectivity Working Group Reporting Working Group Web OMR Working Group Project Plan-Timeline Key Issues for Discussion Next Steps

21. - 20 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. AGENDA Measure Development Working Group Data Transport and Connectivity Working Group Reporting Working Group Web OMR Working Group Project Plan-Timeline Key Issues for Discussion Next Steps

22. - 21 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. ROLES AND RESPONSIBILITIES ACTIVITYMAeHCBIDMC/BIDPO CSC/NEHENGennius Program/Project Management Measure Gap Analysis/Spec Report Design App/dB Dev Interface/ Connectivity Testing/Validation Communication Training/ Optimization

23. - 22 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. HIGH-LEVEL SCHEDULE Develop TEST Implemen t Measure Spec/Analysis Update Database Design/Schema Design I II III IV DEV/TEST SYS Prep Upgrade Data Transport Method Internal Testing PROD SYS Prep First Pilot Project phases August 2009 October 2009 January 2010 April 2010 June 2010 Key dates Project Kickoff Measure Acceptance Go-Live Signoff Application/Reports Design Development Completed Enable Live Data Feed Data Validation Modify APP/dB Install dB/App

24. - 23 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Project Plan

25. - 24 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Project Plan

26. - 25 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Project Plan

27. - 26 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. AGENDA Measure Development Working Group Data Transport and Connectivity Working Group Reporting Working Group Web OMR Working Group Project Plan-Timeline Key Issues for Discussion Next Steps

28. - 27 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Key Issue for Discussion: Privacy and Security Identified versus de-identified Patient Information Name Enterprise ID Address (Town, Zip) Compliance with Security Standards Encryption of data at rest – should that include the database?

29. - 28 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. AGENDA Measure Development Working Group Data Transport and Connectivity Working Group Reporting Working Group Web OMR Working Group Project Plan-Timeline Key Issues for Discussion Next Steps

30. - 29 - Massachusetts eHealth Collaborative Slide title © MAeHC. All rights reserved. Next Steps Acceptance of finalized Measure Set MAeHC Statement of Work Legal Agreements between parties (BIDPO, BIDMC, MAeHC, CSC) Establishment of HW infrastructure to support the new QDC