esmd pilots workgroup may 15, 2014. meeting etiquette please announce your name each time prior to...
TRANSCRIPT
esMD Pilots Workgroup
May 15, 2014
Meeting Etiquette
• Please announce your name each time prior to making comments or suggestions during the call
• Remember: If you are not speaking keep your phone on mute• Do not put your phone on hold – if you need to take a call, hang up
and dial in again when finished with your other call – Hold = Elevator Music = very frustrated speakers and participants
• This meeting, like all of our meetings, is being recorded– Another reason to keep your phone on mute when not speaking!
• Feel free to use the “Chat” or “Q&A” feature for questions or comments
NOTE: This meeting is being recorded and will be posted on the esMD Wiki page after the
meeting
From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute
2
Agenda
3
Topic Presenter
Announcements Nadia Ramey
Status Nadia Ramey / Pilot Sites
Updates Nadia Ramey /Pilot Sites
Documentation Nadia Ramey/ Pilot Sites
Discussion / Next Steps Nadia Ramey
Announcements
• Potential new pilot site:- qliqSoft
Pilot SitesPilot Site Provider
RegistrationDigital
SignaturesE-Clinical Template
for PMDE-Clinical Template
for LLP1 Secure Exchange Solutions X X2 PAHISP LLC & NHDS X X X3 IBEZA LLC X4 MEA X X5 Inpriva X X6 MaxMD X X X7 eSolutions, Inc. X X X8 MRO Corporation & DigiCert X X9 Strategic Healthcare Solutions X X X
10 Numotion X11 University of Pittsburgh X12 Colonial Medical X13 Monroe Wheelchair X14 MedStar National Rehabilitation Hospital X15 MedAZ.Net, LLC X X16 Opie Software X17 Quality Outcomes X
Pilot SitesOrganization POC Email Pilot Work Streams Type of Organization
Provider Profiles
AuthenticationDigital
SignaturesE-Clinical
Template for PMD
E-Clinical Template for
LLPHIE HIH RHIO HISP EHR PHR
CMS Contract
or
DME/Suppli
erProvider Org
Secure Exchange Solution Dan Kazzaz [email protected] X X X X X PAHISP LLC & NHDS Peter Bachman [email protected] X X X X X X
IBEZA LLC Victor Beraja [email protected] X X X
MEA Vijay Patel [email protected] X X X X X X
Inpriva Ginna YostDon Jorgenson
[email protected]@inpriva.com X X X
MaxMD Bruce Schreiber [email protected] X X X X
eSolutions, Inc. Greg Beech [email protected] X X X X X X MRO Corporation &
DigiCertDavid Borden
Scott [email protected]
[email protected] X X X X X
Strategic Healthcare Solutions Dr. Mark Pilley [email protected] X X X X
Numotion Mike Gohr [email protected] X X
University of Pittsburgh Brad Dicianno [email protected] X X
Colonial Medical David Bruinsma [email protected] X X
Monroe Wheelchair Doug Westerdahl [email protected] X X
MedStar National Rehabilitation Hospital Ginger Walls [email protected] X X
Med A-Z Gita ReddyVijaya Vasu
[email protected]@medaz.net X X X
Opie Software Sean Dodds [email protected] X X X
Quality Outcomes X
esMD Benefits
• Saving time, money and resources for CMS/Payers and Providers
• Eliminates print/mail operations required for sending or processing medical documentation request letters
• Eliminates need for postage costs• Increases the accuracy of the information requested and
received• Improved receipt time for both providers and payers• Improved timeliness results in improved accounts receivable
cycle for provider, so payments are received sooner• Reduced staff time spent handling paper
Documentation
Overview of esMD Pilot Site wiki sections: • Overview
- Technical Approach
• Objectives • Stakeholders and Points of Contact• Demonstrated Standards• Ecosystem Diagram• Pilot Project Timeline • Anticipated Resources • Success Metrics• Reference Materials
Overview
• Provide short summary • Identify organization’s capabilities• Plan for participation in the pilot process • Technical Approach
- Include summary of the technical specifications that will be implemented
- How pilot will be accomplished (i.e. developing a portal, creating templates).
- Document which parts of the Implementation Guide will be implemented
• Please be as specific as possible
Objectives
• Goals of the pilot• Include what you intend to show, prove, or support for the pilot• Should be an actionable statement with specifics• Also include description of what you hope to gain from this pilot
Stakeholders and Points of Contact
• Identify members of each organization supporting the pilot• Also provide the organizations and appropriate contact
information for organizations you have decided to partner with. • Indicate partnerships with other organizations • Key items:
o Nameo Roleo Email Address
• Additional items: o Phone numbero Company website
Demonstrated Standards
• Specify the standards utilized as part the pilot ecosystem, e.g.- o HL7 C-CDA Structured Documentso ASC X12 278o CONNECTo HL7 Digital Signatures DSTUo IHE DSG
Ecosystem Diagram
• A visual representation of pilots ecosystem • Could be a diagram or flow chart• Should include:
o Stakeholders and partnerships o Transfer of pertinent documentationo Overall work flow of pilot process
• Helps us to understand the partnerships and roles each organization plays, as well as the basic technical infrastructure of the pilot
PMD eClinical Template Ecosystem
Payer
Patient
LCMP
DME Supplier
Physicians
Content Transport Services
ECM
CMS Private Network
MedicareAdministrative
Contractors14
HIH
eClinical Template
PilotSite
Clinical PDF
Bundled PDF
Detailed Product Description
Clinical PDF+
LCMP Evaluation
Ecosystem Diagram
Diagram by PAHISP/NHDS
Pilot Project Timeline
• Indicate proposed timeline for conducting the pilot• Can be as simple as a dashboard of milestones, e.g. -
August ‘13April ‘13 June ‘13
Harmonization L2 AoR L1/L2 Pilots
eDoC Use Case and Requirements
eDoC Harmonization and Structured Data
PMD User Story
October ‘13 December ‘13February ‘14 April ‘14 June ‘14 August ‘14
HL7 Ballot for L2 IG
PMD e-Clinical Template Pilots
LLP User Story
eDoC Administrative Documents Templates IG for HL7 Ballot
We are here
HL7 Ballot Reconciliation
Electronic Determination of Coverage WG
Author of Record WG
Provider Registration Pilots
Overall S&I Framework Project Management and Support
Home Health User Story
AoR L2 S&I IG
Anticipated Resources
• Current resources • Resources needed to conduct pilot process:
o Technicalo Organizationalo Human Resources
Success Metrics
• How will success of the pilot be determined? • Should be quantitative and not subjective (as much as possible)• Example:
o Successfully review and sign bundled documents for determination of Coverage for PMD, and submit to online CMS Portal
Reference Materials
• Include documentation developed for the pilot• Include documents relevant to your pilot ecosystem• Can include:
o esMD Pilot Project Profile o Process documentso Templates o Screen shots
Discussion / Next Steps
• Lessons Learned • Questions