Meeting Minutes Health Information Technology Workgroup 12/3/2015 | 3:00 – 4:30 p.m. MT | CDPHE Room A2A

Type of Meeting: Chairs: SIM Representative: Facilitator: Note Taker:

Workgroup Meeting David Keller, Marc Lassaux Jean Lamont, Program Manager Chris Underwood Jean Lamont

Members in Attendance:

Kendra Adams, Spencer Green, Jason Greer, David Keller, Kyle Knierim, Cissy Kraft, Marc Lassaux, Summer Laws, Samantha Lippolis, Barbara Martin, Jonathon Mathieu, Terry Mayer, Toria Thompson, Wes Williams Nicole King (SIM Office) Tracy McDonald

Ex Officio: Guest Speaker:

Discussion Welcome and Introductions:  

Jean Lamont opened the meeting, took the roll call of seated members, and introduced Chris Underwood as the Interim Office of eHealth Innovation, and today’s moderator. Nicole King introduced herself as the new interim Operations Manager for the SIM Office.

Update from SIM Office end Office of eHealth Innovation (OeHI):  





Oh behalf of Vatsala Pathy, SIM Director, Chris reiterated the importance of this workgroup and their ongoing input into the HIT initiatives. Chris explained the process of how the OeHI was conceived and developed by Kate Kiefert. Ironically, just after Kate left, the Governor signed the Executive Order to create the new office. The OeHI will be closely aligned with SIM to move HIT forward in Colorado. One of many roles of the OeHI will be to provide a state-wide perspective on HIT, create the rules of engagement, set the standards including interoperability, ensure transparency and consistency, and ensure that sustainability is achieved. Some of the benefits of the OeHI will be to leverage 90-10 funding and coordinate with HCPF who will serve as the fiscal agent. Chris holds significant insight into the procurement process, and that will be an advantage for this workgroup.

The project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

Meeting Minutes 

Chris also took the opportunity to solicit individuals to apply to the eHealth Innovation Commission.

Operations Plan, HIT Section Review:  



 

   

Marc Lassaux reviewed the nature of the HIT Section of the SIM Operations Plan that was submitted to CMMI and the ONC on December 1, 2015. By walking through the diagram of the All-Stars concept, he covered where the Shared Practice Learning and Improvement Tool (SPLIT) fit in relationship to the Quality Measurement Reporting Tool (QMRT), how clinical, behavioral health, and payer data would eventually be integrated, how other existing infrastructure components would be leveraged, and how data quality could be improved to become shareable data. Wes Williams asked how data in need of correction would be fixed in multiple locations, suggesting that a central data hub would provide one place to fix the data. Marc said a process to find errors and then get them fixed would be required and developed. Wes Williams also wondered aloud if a solution to consent was developed yet. Marc reiterated that data collection would be limited to quality Measures. Wes wanted multiple providers to input quality measures so that you get a picture of the whole person. This would be a focus at the patient level, rather than the practice. Jonathan Mathieu said that data must get to the Claims Data point. QMRT+ = Central data Hub, where all data is integrated. Jason Greer asked about the All Stars, and if those were the practices that were demonstrating transformation. Kyle Knierim asked how funding was going to be allocated to pay for of this. Nicole King suggested that we need more discussions, for instance the Payers, to see if the Payers would fund this.

QMRT SoW Draft:  Chris noted that UC Denver has vetted two vendors to build this application.  Intelligence and insight has been gained from other SIM states pursuing similar work. We seem to be running into the same problems and issues they are.  There is a strict procurement process around this SoW.  Chris asked for feedback by noon December 11, 2015. Any questions or comments should go through Jean Lamont. All seated members had received a copy of the SoW before the meeting.  David Keller suggested adding a requirement regarding the need to capture a “notes” field to explain a given entry. Quality Measures and QMRT:  

Tracy McDonald reiterated that QMRT needs to handle data for three grant programs; SIM, TCPI, and CCBHC. This is a low-tech solution.

The project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

Meeting Minutes 

 

  

Tracy highlighted six problematic measures, as they are more complex than the other 14. This concern comes from her experience with Meaningful Use attestation. She wondered if QMRT should include these. We Williams recognized the complexity, but suggested that the application be built for all Measures. CommNet were made regarding the anticipated ‘shelf-life” of this application. The SoW stated December of 2016 as the point when the use of this tool would end. The tool have a longer life than this. The tool is also designed for Provider level input, rolled up to the Practice level. Jason cautioned about the need to protect the privacy and/or disclosure of Provider level data. Jonathan wondered about Quality Measures as they relate to Payer Proxy data. All agreed that we need to have a discussion about Practice vs. Provider level reporting. Kyle strongly suggested Practice level reporting.

Public Comment: None

Referrals to SIM Steering Committee: Informational: SoW for QMRT Short Term solution

Action Items: Item

Responsible Party

Due Date

Feedback regarding the draft QMRT SoW Prepare Steering Committee Informational Referral Update the QMRT Sow to include a requirement to capture a “Notes” text field to explain an entry. Impact of Payers on the QMRT+ central data hub

All seated members Jean Lamont

Noon, 12-11-15 12-14-16

Chris Underwood

12-14-15

Nicole King

1-12-16

The project described was supported by Funding Opportunity Number CMS -1G1-14-001 from the U.S Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.