June 19, 2012

Weiss Conference Center

Westborough, MA

Implementation and Optimization

Organization Roundtable

2

1:00-1:15: Welcome

• Jim Brennan, CRM & Elizabeth Elfman, CRM

1:15-2:00: DPH Immunization Registry

• Alice Stecko, IT Roll Out Manager, DPH

2:00-2:45: HIE Last Mile Program

• Joe Kynoch, Project Manager, MeHI

2:45-3:00: Open Discussion

• Jim Brennan, CRM & Elizabeth Elfman, CRM

Agenda

3

REC SCORECARD

6 138

4

258 270 380

62

345

73

315

24 185 171

32 12 75 53 100 6

144 148

406 676

1056 1118

1463 1536

1851 1875

2060 2231

2263

2275

2350 2403 2503

0

500

1000

1500

2000

2500

3000P

rovid

ers

2010 - 2011

Number of Providers Contracted

Monthly

Cumulative

4

REC SCORECARD

354 114

192

73

87

63 51

152 357

418

172

200

25

155

PPCPs Contracted with IOO Vendor: Total = 2503 Arcadia

Fallon

Ficus

HealthLens

Culbert

eClinical Works

Beacon

MAeHC

MassLeague

BMC

BIDPO

UMass

MedPlus

Steward

316 7 71

694

33

173

567

29 2

3 1

194

2

34

9

PPCPs EHR Vendors: Total =2191 Allscripts

Amazing Charts

Athena

eClinical Works

E-MDs

Epic

GE

Greenway

Ingenix

Kick-Off Mtg Slide Deck 6

Overview of the MIIS

Secure, confidential, web-based system with capabilities for HL7 data exchange or GUI data entry

Lifespan registry that supports a complete set of immunization-related functions

Helps identify pockets of unimmunized and under-immunized children and adults

Assists providers with clinical decision making through forecasting tool

Provides practice management tools for providers such as reminder/recall for patients due or overdue for vaccines, immunization coverage and vaccine usage reports

Future version of the system will allow for on-line vaccine ordering, replacing current fax method

MIIS EHR Roll-Out

Started EHR Pilot in Fall 2011

7 sites currently in production

31 sites scheduled for production in June

Daily newborn demographic and birth data from

the Registry of Vital Records and Statistics

(RVRS)

8 8

Meaningful Use Test Messages

If your EHR system can generate HL7 2.5.1 and transport using Soap UI:

Have your EHR Technical Support staff review the HL7 Transfer

Specifications, accessible on the link below:

https://www.contactmiis.info/ehrIntegration.asp

Please send an email to the MIIS Help Desk at

MIIShelpdesk@state.ma.us with your contact name and the names of

your associated practice(s).

9 9

Transport

The SOAP is implemented using a WSDL

The SOAP UI tool is open source software which can be downloaded

from http://www.soapui.org/

MDPH will provide sample SOAP WSDL and generic credentials

MDPH provides a detailed instruction manual to setup the WSDL

The MIIS provides an HL7 Acknowledgment messages via the Virtual

Gateway.

10 10

Weekly IT Technical Discussion

If your EHR system can transmit HL7 2.5.1 and you have questions on our Transfer Specifications or Soap message requirements:

When: Occurs every Thursday from 10:00 AM to 11:00 AM

EST

Web: https://www3.gotomeeting.com/join/312380934

Phone: Dial +1 (312) 878-3081; Access Code: 312-380-934

11 11

Steps for Production Readiness

Technical Readiness

Providers send HL7 messages to QA environment

Sender provides Test Script so that IT can search GUI

Test names, CVX, MVX, Site, Route and location

If message content does not persist to GUI, IT reviews HL7 Logs for errors and works with Provider to adjust format.

Clinical Readiness

Gain an understanding for Clinical Integration and the duty to inform patients and their right to limit data sharing.

Sites register to use the MIIS via the ContactMIIS Resource Center

www.contactmiis.info

Training, Clinical Integration and IT resources can be found on the ContactMIIS

June 19, 2012

Weiss Conference Center

Westborough, MA

State HIE and

MeHI Last Mile Program

13

• Improve access to comprehensive, coordinated, person-focused Health Care through widespread provider adoption and meaningful use of Electronic Health Record systems.

• Demonstrably improve the quality and safety of health care across all providers through Health Information Technology that enables coordinated care, provides useful evidence-based decision support applications and can report data elements that support quality measurement.

• Slow the growth of Health Care Spending through efficiencies realized through Health Information Technology

• Improve the health of the Commonwealth’s population through public health programs, research and quality improvements enabled through efficient, accurate, reliable and secure health information exchange processes.

Statewide Health Information Exchange Goals

14

EOHHS – Responsible for Health Information

Exchange Infrastructure

MeHI – Responsible for HIT/HIE Adoption – Last

Mile

Helping all providers in the Commonwealth

connect to and use the Health Information

Exchange effectively

State HIE Implementation

15

Goals

• Accelerate the adoption and use of the State HIE

• Ensure that underserved and providers who did not

qualify for Meaningful Use Incentives can benefit

• Drive the integration of ‘Direct’ Messaging

MeHI | Last Mile Program

16

• MeHI Role

– Issue the EHR Vendor Grants and Systems Integrator procurement

– Manage the Last Mile Direct Assistance Grants

– Coordinate activities between the System Integrator, MassHealth, and the

providers

– Host the knowledge repository for HIE integration

• EOHHS and HIE Vendor Role

– Provide testing / certification environment

– Provide provider enrollment infrastructure and initial training materials

• Systems Integrator Role

– Oversee and support the EHR Vendor Direct Implementations

– Support the Last Mile Direct Assistance programs

– Develop and maintain the knowledge repository for HIE integration

• Provider Implementation Teams (IOOs)

– Provide ‘high-touch’ in provider practices

– Efforts modeled on existing REC processes

– May be supported by Last Mile Direct Assistance grants

Last Mile Deployment Roles

17

Communicating Health Information over the Internet

• ONC required Transport for communicating among health care

participants

– Set of Standards and Services necessary to push content

How to send and receive

Structure and format of the content (e.g., Continuity of Care

Document

Terms used in the content (e.g., LOINC and SNOMED)

– Secure, Encrypted and Reliable

• Part of Meaningful Use Stage 2

Direct Messaging

18

Suggestions?

Questions?

Project Management Contacts: • Keely Benson – benson@masstech.org (617) 371-3999 x241

• Joe Kynoch – kynoch@masstech.org (617) 371-3999 x242

MeHI | Last Mile Program