Blueprint Integrated Pilot Programs A community system of health supported by HIT Craig Jones MD Director, Vermont Blueprint for Health

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Presentation transcript:

Blueprint Integrated Pilot Programs A community system of health supported by HIT Craig Jones MD Director, Vermont Blueprint for Health

Health IT Framework Global Information Framework Evaluation Framework Operations Blueprint Integrated Pilots Coordinated Health System PCMH Hospitals Public Health Prevention Community Care Team Nurse Coordinator Social Workers Dieticians Community Health Workers OVHA Care Coordinators Public Health Prevention Specialist Mental Health & Substance Use Disorders

Healthcare Patterns & Resource Utilization Healthcare Expenditures & Financial Impact Health Status Measures Clinical Process Measures Population Indicators & Risk Factors Healthcare Quality Measures & Standards Population Management Quality Improvement Program Evaluation & Sustainability Community Prevention Planning Individual Patient Care & Support Services Provider Payment for Quality Data Processing & Storage EMRs used for Individual Patient Care DocSite used for Individual Patient Care DocSite Database EMR Databases DocSite Reporting Tool VCHIP Chart Review & NCQA Scoring Medical Claims from Commercial Insurers & Medicaid Public Health Surveys & Data Collection Data Source Data transmission & transformation VITL / GE Data Analysis Data Reports & Uses EMR Reporting Tool or Analyst Public Health Registries & Databases VDH Health Surveillance Analytic Database BISCHA Multipayer Database VCHIP Databases VCHIP Analysis & Report Generation BISCHA Reports VDH Health Surveillance Analyst Contracted Analysis Services Blueprint Integrated Pilots Evidence Based Quality Improvement

Population Management Quality Improvement Individual Patient Care & Support Services Data Processing & Storage EMRs used for Individual Patient Care DocSite used for Individual Patient Care DocSite used for Individual Patient Care DocSite Database EMR Databases DocSite Reporting Tool Program Evaluation & Sustainability VCHIP Chart Review & NCQA Scoring VCHIP Chart Review & NCQA Scoring Medical Claims from Commercial Insurers & Medicaid Public Health Surveys & Data Collection Data Source Data transmission & transformation VITL / GE Data Analysis Data Reports & Uses EMR Reporting Tool or Analyst Public Health Registries & Databases Public Health Registries & Databases VDH Health Surveillance Analytic Database BISCHA Multipayer Database BISCHA Multipayer Database VCHIP Databases VCHIP Databases VCHIP Analysis & Report Generation VCHIP Analysis & Report Generation BISCHA Reports BISCHA Reports Healthcare Patterns & Resource Utilization Healthcare Patterns & Resource Utilization Healthcare Expenditures & Financial Impact VDH Health Surveillance Analyst Health Status Measures Clinical Process Measures Population Indicators & Risk Factors Population Indicators & Risk Factors Contracted Analysis Services Contracted Analysis Services Community Prevention Planning Healthcare Quality Measures & Standards Provider Payment for Quality Blueprint Integrated Pilots Evidence Based Quality Improvement

Data Processing & Storage EMRs used for Individual Patient Care EMRs used for Individual Patient Care DocSite used for Individual Patient Care DocSite Database EMR Databases DocSite Reporting Tool Population Management Quality Improvement Program Evaluation & Sustainability VCHIP Chart Review & NCQA Scoring VCHIP Chart Review & NCQA Scoring Medical Claims from Commercial Insurers & Medicaid Public Health Surveys & Data Collection Data Source Data transmission & transformation VITL / GE Data transmission & transformation VITL / GE Data Analysis Data Reports & Uses EMR Reporting Tool or Analyst EMR Reporting Tool or Analyst Public Health Registries & Databases Public Health Registries & Databases VDH Health Surveillance Analytic Database BISCHA Multipayer Database BISCHA Multipayer Database VCHIP Databases VCHIP Databases VCHIP Analysis & Report Generation VCHIP Analysis & Report Generation BISCHA Reports BISCHA Reports Healthcare Patterns & Resource Utilization Healthcare Patterns & Resource Utilization Healthcare Expenditures & Financial Impact VDH Health Surveillance Analyst Health Status Measures Clinical Process Measures Population Indicators & Risk Factors Population Indicators & Risk Factors Contracted Analysis Services Contracted Analysis Services Community Prevention Planning Individual Patient Care & Support Services Healthcare Quality Measures & Standards Provider Payment for Quality Blueprint Integrated Pilots Evidence Based Quality Improvement

Healthcare Quality Measures & Standards Data Processing & Storage EMRs used for Individual Patient Care EMRs used for Individual Patient Care DocSite used for Individual Patient Care DocSite used for Individual Patient Care DocSite Database EMR Databases DocSite Reporting Tool DocSite Reporting Tool Population Management Program Evaluation & Sustainability VCHIP Chart Review & NCQA Scoring Medical Claims from Commercial Insurers & Medicaid Public Health Surveys & Data Collection Data Source Data transmission & transformation VITL / GE Data transmission & transformation VITL / GE Data Analysis Data Reports & Uses EMR Reporting Tool or Analyst EMR Reporting Tool or Analyst Public Health Registries & Databases Public Health Registries & Databases VDH Health Surveillance Analytic Database BISCHA Multipayer Database BISCHA Multipayer Database VCHIP Databases VCHIP Analysis & Report Generation BISCHA Reports BISCHA Reports Healthcare Patterns & Resource Utilization Healthcare Patterns & Resource Utilization Healthcare Expenditures & Financial Impact VDH Health Surveillance Analyst Health Status Measures Health Status Measures Clinical Process Measures Clinical Process Measures Population Indicators & Risk Factors Population Indicators & Risk Factors Contracted Analysis Services Contracted Analysis Services Community Prevention Planning Individual Patient Care & Support Services Provider Payment for Quality Quality Improvement Blueprint Integrated Pilots Evidence Based Quality Improvement

Population Management Quality Improvement Data Processing & Storage EMRs used for Individual Patient Care EMRs used for Individual Patient Care DocSite used for Individual Patient Care DocSite used for Individual Patient Care DocSite Database EMR Databases DocSite Reporting Tool DocSite Reporting Tool Program Evaluation & Sustainability VCHIP Chart Review & NCQA Scoring Medical Claims from Commercial Insurers & Medicaid Public Health Surveys & Data Collection Data Source Data transmission & transformation VITL / GE Data transmission & transformation VITL / GE Data Analysis Data Reports & Uses EMR Reporting Tool or Analyst EMR Reporting Tool or Analyst Public Health Registries & Databases Public Health Registries & Databases VDH Health Surveillance Analytic Database BISCHA Multipayer Database BISCHA Multipayer Database VCHIP Databases VCHIP Analysis & Report Generation BISCHA Reports BISCHA Reports Healthcare Patterns & Resource Utilization Healthcare Patterns & Resource Utilization Healthcare Expenditures & Financial Impact VDH Health Surveillance Analyst Health Status Measures Clinical Process Measures Population Indicators & Risk Factors Population Indicators & Risk Factors Contracted Analysis Services Contracted Analysis Services Community Prevention Planning Individual Patient Care & Support Services Healthcare Quality Measures & Standards Provider Payment for Quality Blueprint Integrated Pilots Evidence Based Quality Improvement

Program Evaluation & Sustainability Contracted Analysis Services Quality Improvement Data Processing & Storage EMRs used for Individual Patient Care EMRs used for Individual Patient Care DocSite used for Individual Patient Care DocSite used for Individual Patient Care DocSite Database EMR Databases DocSite Reporting Tool DocSite Reporting Tool Population Management VCHIP Chart Review & NCQA Scoring VCHIP Chart Review & NCQA Scoring Medical Claims from Commercial Insurers & Medicaid Public Health Surveys & Data Collection Data Source Data transmission & transformation VITL / GE Data transmission & transformation VITL / GE Data Analysis Data Reports & Uses EMR Reporting Tool or Analyst EMR Reporting Tool or Analyst Public Health Registries & Databases Public Health Registries & Databases VDH Health Surveillance Analytic Database BISCHA Multipayer Database VCHIP Databases VCHIP Databases VCHIP Analysis & Report Generation VCHIP Analysis & Report Generation BISCHA Reports Healthcare Patterns & Resource Utilization Healthcare Expenditures & Financial Impact VDH Health Surveillance Analyst Health Status Measures Health Status Measures Clinical Process Measures Clinical Process Measures Population Indicators & Risk Factors Population Indicators & Risk Factors Community Prevention Planning Individual Patient Care & Support Services Healthcare Quality Measures & Standards Provider Payment for Quality Blueprint Integrated Pilots Evidence Based Quality Improvement

Community Prevention Planning Quality Improvement Data Processing & Storage EMRs used for Individual Patient Care EMRs used for Individual Patient Care DocSite used for Individual Patient Care DocSite used for Individual Patient Care DocSite Database EMR Databases DocSite Reporting Tool DocSite Reporting Tool Population Management Program Evaluation & Sustainability VCHIP Chart Review & NCQA Scoring VCHIP Chart Review & NCQA Scoring Medical Claims from Commercial Insurers & Medicaid Public Health Surveys & Data Collection Data Source Data transmission & transformation VITL / GE Data transmission & transformation VITL / GE Data Analysis Data Reports & Uses EMR Reporting Tool or Analyst EMR Reporting Tool or Analyst Public Health Registries & Databases VDH Health Surveillance Analytic Database BISCHA Multipayer Database BISCHA Multipayer Database VCHIP Databases VCHIP Databases VCHIP Analysis & Report Generation VCHIP Analysis & Report Generation BISCHA Reports BISCHA Reports Healthcare Patterns & Resource Utilization Healthcare Patterns & Resource Utilization Healthcare Expenditures & Financial Impact VDH Health Surveillance Analyst Health Status Measures Health Status Measures Clinical Process Measures Clinical Process Measures Population Indicators & Risk Factors Contracted Analysis Services Contracted Analysis Services Individual Patient Care & Support Services Healthcare Quality Measures & Standards Provider Payment for Quality Blueprint Integrated Pilots Evidence Based Quality Improvement

Healthcare Patterns & Resource Utilization Healthcare Expenditures & Financial Impact Health Status Measures Clinical Process Measures Population Indicators & Risk Factors Healthcare Quality Measures & Standards Population Management Quality Improvement Program Evaluation & Sustainability Community Prevention Planning Individual Patient Care & Support Services Provider Payment for Quality Data Processing & Storage EMRs used for Individual Patient Care DocSite used for Individual Patient Care DocSite Database EMR Databases DocSite Reporting Tool VCHIP Chart Review & NCQA Scoring Medical Claims from Commercial Insurers & Medicaid Public Health Surveys & Data Collection Data Source Data transmission & transformation VITL / GE Data Analysis Data Reports & Uses EMR Reporting Tool or Analyst Public Health Registries & Databases VDH Health Surveillance Analytic Database BISCHA Multipayer Database VCHIP Databases VCHIP Analysis & Report Generation BISCHA Reports VDH Health Surveillance Analyst Contracted Analysis Services Blueprint Integrated Pilots Evidence Based Quality Improvement

Health Information Exchange “Cloud” for secure, privacy protected interchange of health records, demographic data, image files, clinical messaging, & other digitized health information Statewide HIE Operated by VITL State HIT/HIE Policy, Oversight, & Standards – OVHA/HCR State Government & Public HealthVermont Health Care Providers & Institutions Federal HIT/HIE Policy, Oversight, & Standards - Office of the National Coordinator (ONC) Public Health surveillance, registries, & other public health functions Medicaid health programs case management functionality and connectivity Other Medicaid & AHS case management functionality and connectivity Tertiary and Community Hospitals Primary Care & Specialty Providers Mental Health/BH/SA Providers Long Term Care Providers Community Human Service Agencies (Family Centers, Area Agencies on Aging, etc.) Home Health & Hospice Providers Other state agency & dept. case management functionality and connectivity Federally Qualified Health Centers & Rural Health Clinics Free Clinics Law Enforcement, Corrections, & Court System Individual Vermonters: connectivity to EHR Portals, Personal Health Records (PHR), Health 2.0 applications and Ix Services NHIN Connectivity Statewide Health Information Exchange

Multidimensional evaluation framework  Support patient care & population management  Support ongoing quality improvement  Evaluate trends in clinical outcomes  Evaluate trends of financial impact  Support sustainability & expansion Blueprint Integrated Pilots Building a Scalable Model