Transcript Meaningful Use Town Hall presentation

MU Town Hall Meeting
MiHIN Direct Presentation
December 17, 2013
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Copyright 2013 Michigan Health Information Network
The Direct Project
• Simple, secure, scalable, standards-based
way to send encrypted information “directly” to
known, authenticated, trusted recipients
• Messages sent securely between end-points:
• person to person
• person to system
• system to person
• system to system
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Copyright 2013 Michigan Health Information Network
What is a Direct message?
Direct = secure SMTP
email
Simple Mail Transfer Protocol
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Copyright 2013 Michigan Health Information Network
Direct messaging nationwide
MI in pilot ‘13
Provider to Provider Email
HISP
Dr. Jones
Federally-bridged digital
security certificate as
trust anchor
HISP
Definitions
HISP – Health Information Service Provider
Copyright © 2012-13 Michigan Health Information Network
Dr. Smith
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System-to-system messaging
HISP
Federally-bridged digital
security certificate as
trust anchor
From:
[email protected]
To:
[email protected]
HISP
Definitions
HISP – Health Information Service Provider
Copyright © 2012-13 Michigan Health Information Network
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Public Health Use Case: Immunizations via Direct
•
•
•
•
[email protected]
[email protected]
[email protected]
[email protected]
Immunization
Registry
State of Michigan
Data Hub
[email protected]
VPN into State
Copyright © 2012-13 Michigan Health Information Network
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CQM - Problem Statement
• Meaningful Use (MU) Stage 2 requires Clinical
Measurement (CQM) reporting
Quality
• status quo: no standard way for providers to submit
CQMs to state agencies
• providers must manually request MU credit
• limited ability to compare quality data within single
clinics, within hospitals, across clinics
• Clinical Quality Measurement Recovery and Repository
(CQMRR)
Copyright 2013 Michigan Health Information Network
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SOM Data Warehouse
CQMRR
CQM
Data Mart
(Final)
Eligible
Providers
Q
R
D
A
Reports,
Dashboards,
Comparisons,
Mining,
Eligible
QRDA
Hospitals (CAT I & III)
Q
R
D
A
Data Peeler
Cypress/DQA
Q
R
D
A
Q
Q
R
R
D
D
A
A
Valid QRDA
VPN to SOM
State of Michigan
Data Hub
QRDA
(CAT I & III)
Valid QRDA
VXU’s
CA
Hospitals
valid
QRDA
(CAT I & III)
Q
R
D
A
MDSS
MCIR
MSSS
[email protected]
Health
Provider
Directory
NPI lookup
Copyright 2013 Michigan Health Information
Network
Meaningful Use Database
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Reports and Data Analysis:
Cross Clinical Quality Comparison
• skimming ‘la crème de la crème’
• standard report generation
• cross clinical comparisons
• can identify best (and worst) clinics
• graphical dashboards (e.g. Tableau)
• data mining capabilities
• statistical analysis (e.g. SAS)
• other (tbd)
Copyright 2013 Michigan Health Information Network
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.
Copyright 2013 Michigan Health Information Network
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Copyright 2013 Michigan Health Information Network
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state maps can show aspects of medical care and organize it by region
Copyright 2013 Michigan Health Information Network
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Copyright 2013 Michigan Health Information Network
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MiDiGate™- Public Health/MU
Medical Information Direct GatewayTM
MiDiGateTM for Public Health &
Meaningful Use Reporting
Patients
SOM Data Warehouse
Labs
MiDiGate
M
QRDA
CAT III
Meaningful
Use
Database
T
A
G
G
A
VPN to
SOM
Outbound
D
I
I
D
Inbound
[email protected]
MCDR
E
I
QRDA
T
E
Hospitals
Medicaid ADT
Repository
MDCH
Data Hub
MU Credit
I
QRDA Cat III
[email protected]
CQM Data
Mart
QRDA
M
[email protected]
[email protected]
MDSS
Physicians
MCIR
[email protected]
[email protected]
ADT-Subscribers
HIEs
Other States
Correctional
Facility
Any provider
organization
Direct Email Convention Examples Using MiDiGate
& Health Provider Directory
Inbox
Description
[email protected]
Lab Results
[email protected]
Immunizations
[email protected]
Death notices
[email protected]
Birth defect notices
[email protected]
Clinical Quality Measures
[email protected]
Admit, Discharge, Transfer
[email protected]
Foster kids care summaries
[email protected] Consolidated Clinical Document Architecture
Destination(s)
.
Reportable Labs to MDSS
Michigan Care Improvement Registry
Electronic Death Registry System
Chronic Disease Registry
SOM Data Warehouse
Vital statistics
Foster Kids Registry
Chronic Condition Registry
Copyright 2013 – MiHIN – Corporate Confidential – Proprietary
Patent Pending
Copyright 2013 Michigan Health Information Network.
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MSSS
EDRS
MidiGate™ for HIE QO & VQO
Michigan Direct GatewayTM
MiDiGateTM
for HIE QOs and VQOs
Patients
SOM Data Warehouse
CQM Data
Mart
MCDR
Medicaid ADT
Repository
QRDA
CAT III
Meaningful
Use
Database
Labs
[email protected]
M
E
A
G
G
I
to
VPN
MiHIN
MiHIN
MDCH
to Data Hub
VPN
S OM
MU Credit
EDRS
MSSS
Outbound
A
D
I
Inbound
[email protected]
T
I
D
E
Hospitals
T
I
QRDA
M
QRDA Cat III
[email protected]
MiDiGate
VPN
HIE/Q to
O/VQ
O
[email protected]
HIE
QO/VQO
MCIR
HIE
MDSS
Physicians
Repository
[email protected]
[email protected]
HIEs
Other States
Correctional
Facility
Any provider
organization
Direct Email Convention Examples Using MiDiGate
& Health Provider Directory
Inbox
Description
[email protected]
Lab Results
[email protected]
Death Notices
[email protected]
Immunizations
[email protected]
Use Case Specific
[email protected]
Birth Defect Notices
[email protected]
Clinical Quality Measures
[email protected]
Admit, Discharge, Transfer
[email protected]
Foster Kids Care Summaries
[email protected] Consolidated Clinical Document Architecture
Destination(s)
.
Reportable Labs to MDSS
Electronic Death Registry System
Michigan Care Improvement Registry
Registry for that use case
Chronic Condition Registry
SOM Data Warehouse
Vital Statistics
Foster Kids Registry
Chronic Disease Registry
Copyright 2013 – MiHIN – Corporate Confidential – Proprietary
Patent Pending
Copyright 2013 Michigan Health Information Network.
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MiDiGate™ for Health Plans
Medical Information Direct GatewayTM
MiDiGateTM for Health Plans
Patients
Utilization
Management
Revenue
Management
Care
Management
Labs
labs@direct.[healthplan].org
MiDiGate
Quality & PQRS Reporting
Incentive
Quality
QRDA
M
E
G
G
I
A
T
VPN Health Plan Data
Warehouse
Outbound
D
I
Inbound
Hospitals
I
D
A
T
I
M
cqms@direct.[healthplan].org
QRDA
MyEmail@direct.[healthplan].org
E
adts@direct.[healthplan].org
Physicians
HIEs
Hospital
Contract
Pharmacy
ccdas@direct.[healthplan].org
Analytics
authorizations@direct.[healthplan].org
Provider
Relations
Fraud
Other States
Direct Email Convention Examples Using MiDiGate
& Health Provider Directory
Correctional
Facility
Any provider
organization
Inbox
Description
labs@direct.[healthplan].org
Lab Results
authorizations@direct.[healthplan].org
Authorizations
meds@direct.[healthplan].org
Medication Notices
custom@direct.[healthplan].org
Any PHI type message
cqms@direct.[healthplan].org
Clinical Quality Measures
adts@direct.[healthplan].org
Admit, Discharge, Transfer
ccdas@direct.[healthplan].org Consolidated Clinical Document Architecture
Destination Examples
Care Manager, Incentive
Utilization Management
Pharmacy, Care Manager, Incentive
Hospital Contracts, Provider Relations
Quality, Revenue Management
Care Manager, Utilization Manager
Other Qualified Organization
Copyright 2013 – MiHIN – Corporate Confidential – Proprietary
Patent Pending
Copyright © 2012 Michigan Health Information
Network. All rights reserved.
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Michigan Direct HISP Activities
• In production with Public Health reporting:
• Immunization messages from other states
• Reportable Lab messages from Michigan HIEs or other states
• Syndromics messages from Michigan HIEs or other states
• In pilot with Meaningful Use Stage 2 reporting
• Clinical quality measures (CQM QRDA CAT III – aggregate/summaries)
• Adopting EHNAC-DTAAP (DirectTrust) accreditation in Direct Marketplace for
Michigan (issued RFP to Direct vendors 12-05-13)
http://mihin.org/mihin-rfp-2013-004/
• Integrating with state-wide Provider Directory
• Federated Identity Management (FIdM) Pilot – Single Sign On (SSO)
Copyright © 2012-13 Michigan Health Information Network
Questions?
Contact:
Jeff Livesay
Associate Director
[email protected]
Copyright © 2012-13 Michigan Health Information Network