OSEHRA Summit & PHA Activities Seong K. Mun, CEO May 13, 2015

400 participants –GOV, Corporate, Academia, International –VA/VHA (40), Indian Health Service, HHS and States General Topics –Open Source EHR –Open Source Health IT – m-Health, PHR and others –popHealth® and Population Health Analytics Abstract Submissions – more than 75 Strategic Goals for 2015 –Expand Beyond VistA – OS EHR’s, HIT and Analytics –Orient the Community on the Best Practice of OS Software – Governance - Community OSEHRA Summit Scope

Day 1: OS Best Practice –Non-VistA Open Source Community Activities –Roundtables and VistA Related Activities –Workgroup Reports –Cooperate Member Annual Meeting –Submitted Papers including PHA Submissions (4) Day 2: Big Pictures –Three Plenary Sessions Innovations, VA and Population Health Analytics –Award Session –Submitted Papers –Summit Reception and Posters Day 3 – Community in Action – Town Hall(s) –VistA Town Hall Meeting Track –OS and Health IT submitted Papers- Two Tracks –popHealth® and Population Health Analytics Track Three Day Agenda

Goal –Build a high performance community in population health analytics Objective –Introduction to OSEHRA Community and vise versa –Develop a community-based roadmap Task –Orientation on how OS Community operates –OSEHRA governance in action –Organize the first face-to-face PHA community meeting –Emergence of an open source community on Analytics Planning Strategy for PHA Community

Three Sessions on Friday 8:30 am – 10:15 am 10:30 am – 12:00 noon 1:15 pm – 3:00 pm Question: How do you want to use the time block? Addional Planning

Fred Prior May 13, 2015 OSEHRA Population Health Analytics Roadmap

A type of strategic plan that outlines activities an organisation can undertake over specified time frames to achieve stated goals and outcomes. Roadmap 7

Roadmap Development Key Elements of a Successful Roadmap GoalsMilestonesGaps & BarriersAction ItemsPriorities & Timelines 8

Convened stakeholders –Analytics User Group Meetings / popHealth Steering Committee Gathered visions/use cases –From 5 state organizations Where are we in the process? 9

Functionality in Common 10 GoalsFunctionalitySubfunction Allow provider-level analysis of Clinical Quality MeasuresProvide a tool for user managed provider hierarchies:Organize providers into teams or groups Organize multiple teams Reporting at every level of the hierarchy Provide quality performance monitoring; Comparison to Peer Group Aggregate data Allow comparison of multiple providers; Ability to compare a provider to the aggregate/cohort Allow comparison across groups of providers; Comparison to Peer Group Aggregate data Provide the ability to identify ‘best’ performers and ‘under’ performers Actionable reporting with drill down ability to provider and patient-level data; produce actionable reporting with drill down to patient and providers Centralized popHealth implementation for FQHCs Centralized repository of clinical data that can be used for multiple purposes Ability to integrate additional measures develop once and use for all FQHCs; popHealth measure creation tool in support of other federal initiatives (PCMH, UDS) Prepare FQHCs for interoperability by using CCDA standard Track trends in quality and health over time Provide clinical analytics tools to support low resource clinics efforts to improve quality of care and meet Meaningful Use Provide data / reports to support the use of data at the clinic level Facilitate the use of data for community/clinical linkages in support of population health improvement

Functionality in Common 11 GoalsFunctionalitySubfunction Expand use of popHealth to other areas popHealth as a service to support CQM reporting; Business Services offering to Stakeholders/Healthcare partners. Creation of QRDA cat 3 as part of analytic tools Continued CQM reporting at clinic, provider, and patient level with customizable reporting periods More control of MU Stage II Attestation Measure Submissions. Refine and Improve the EP attestation workflow. (Ease of Use)(This is a non-functional requirement) Utilize popHealth to aggregate statewide clinical quality dataOnboarding/testing of EHRs for submission of QRDAs Make PopHealth more useful for provider practices. Get the data out of PopHealth, with push to our Texas HIEs the priority. Modify SLR and PopHealth to be able to exchange CQMs Enterprise Level Analytics. Targeted CQM point-to-point EHR Data Collection. Fast Interoperable Healthcare Resource ("FIHR") and Public Application program Interfaces (API) Possibilities. Open Source Application Alternatives.

Review the goals and use cases Identify critical milestones –Needs of the community –Drivers from emerging regulations and dependencies Conduct gap analysis –What functionality needs to be added Develop priorities with timeline What’s Next? 12

How will Tacoma Impact Our Roadmap?

Cypress version 2.6, a testing and certification tool for electronic clinical quality measures, was released on January 22, –Cypress V2.6 Measure Bundle includes updated patients. Measure Bundle v2.6 will be the only option available to the Cypress user for testing. –Cypress V2.7 is targeted for Summer 2015 Quality Data Model specification, version was released on January 14, Support for the changes were made in the Measure Authoring Tool (MAT) v Known Dependencies 14

A timeline of planned releases Each release will have a package of required functionality Key actions and staffing identified for at least the first release What will the Roadmap Look Like? 15