CT TEFT 1 November 5, 2015

Agenda Introduction Goal of Pilot Tier Piloting Activity to Pilot Role of Connecticut in the pilot Standards and Technologies Under Consideration Logistics Ecosystem Defining Success Resources/References

Introduction: Pilot Team Dr. Minakshi Tikoo is Connecticut’s Health IT Coordinator, who heads the eLTSS and PHR component of the TEFT grant. As Health IT Coordinator, Dr. Tikoo works to promote synergy amongst the Health IT projects across the state. The team is also comprised of consumers & advocates. Outreach and education to our consumers is of utmost importance to us. In order for innovative technology to be adopted and meaningfully used, consumer input must be included as part of the process. NameRole Dawn LambertDSS Project Minakshi TikooProject Rachel RusnakResearch Giuseppe MacriResearch Ben AbrahamssonResearch Paul FordDSS liaison with

Introduction: Organization Who we are? We are CT TEFT, focusing on empowering consumers through the use of Health IT. We are comprised of staff from the CT Department of Social Services & the University of Connecticut. What we currently do? The team goes out into the community to gather input from consumers & advocates on how HealthIT solutions can best serve consumers. The team has developed educational materials, and will offer PHR training to users. How are we involved in services and support? The team engages consumers& advocates in interactive dialogues, allowing them to express their views on Health IT while providing feedback on the project. We analyze consumer & advocate responses in order to better understand their concerns. How do we currently carry out eLTSS activities? Connecticut does not have an eLTSS system or HIE. Rather, the state still uses paper processes for a majority of LTSS communications. This data is typically shared by fax.

Pilot Introduction: Business Drivers Business Drivers for CT: Empower consumers via information sharing Improve consumer health through Health IT Streamline workflows Business Use Case: CT will pilot the ability to create & share an eLTSS Plan. CT will also evaluate the utility of the established domains & subdomains. The CT team will pilot a version of User Story 2, “Sharing a Person-Centered eLTSS Plan”. A Business Use Case is in development to reflect CT specific process related to the Community First Choice program. 5

Which Tier are you piloting? CT will pilot Tier I: Basic, Non-Electronic Information Exchange Objectives: Develop tangible, high-level Use Case of mutual interest and value between participating partners (applicable to Tier I technology and objectives) Identify gaps in what data elements captured, and what data elements are available using workflow analysis Identify data elements, for future use, which can be shared as a report from a system using existing content standards, in an effort to validate data elements within Tier I. Exchange eLTSS data in a paper format. Assess the value of engaging the beneficiary in developing and sharing their LTSS data electronically in the future. Engage front-line staff throughout the entire change management process, including process redesign and improvement Draft and submit a report documenting the risks, challenges, findings, recommendations and outcomes of the Tier I piloting process

User Story 2 7 Connecticut intends to pilot User Story 2: Sharing a person- centered eLTSS plan. Paper eLTSS plans will be transmitted between actors.

Pilot Workflow Current State: Person (or designee) creates the plan. The plan is submitted to the access agency, who then submits the plan to DSS. No established process for the plan to be shared with the person post approval. Pilot Workflow: Person (or designee) creates the plan, and shares to the plan access agency, who then submits the plan to DSS. The plan is rerouted to the person, who can also share it with all relevant parties. Recipients can communicate back to the person (or designee) regarding the plan. 8 Person DSSPCP Visiting Nurse Advocate Physical Therapist Access Agency Person Access Agency DSSPerson

What are you intending to pilot CT TEFT will pilot: Plan Creation Transfer/Sharing of the Plan Validity of Domains & Subdomains

CT eLTSS Data Element Crosswalk 10

What role do you play in the pilot CT TEFT team will act as educators, advocates and researchers during the pilot. The team will advocate for consumer access to their health data. A major component of the grant is to enable consumer access in order to empower them. The team will research the best practices for eLTSS plan implementation to encourage stakeholder participation in the process. The team expects to go into the community and gain input on how an eLTSS plan should look and be used.

Standards Under Consideration: Tier 1 Paper transfer Secure Direct Messaging

Pilot Logistics: Timeline: Establish Pilot Plan: October & November 2015 Identification of Partners: November & December 2015 Launch Pilot: January & February 2016 Completion of Pilots: April 2016 Challenges: Time Constraints  Time to organize and conduct outreach Data definitions:  Did not leverage existing standards  Fluidity of definitions

Pilot Ecosystem Minakshi Tikoo - PHR - MFP 1410/09/2015

Pilot Ecosystem Cont. CT TEFT will pilot the eLTSS Plan with the Community First Choice population For Round 1 piloting, CT TEFT will utilize Tier 1: Basic, Non- Electronic Information Exchange Potential Outcomes/Value Add:  Validate target eLTSS Use Cases  Develop options to be executed in future tiers  Assesses impact on workflow improvements and process redesign for participating providers  Establish a transport framework that is scalable  Assists in identification of TEFT Pilot Evaluation metrics  Identify standards that can be leveraged to create eLTSS output, in various forms, from multiple and disparate LTSS MIS systems  Engage CB-LTSS stakeholders (providers, beneficiaries, advocates, accountable entities and payers) in more valuable ways  Promote user friendly electronic information  Provide knowledge and guidance to assist in quality improvement for subsequent tiers 15

How do you define success The overarching success metric will be significant uptake and use of an eLTSS plan & information sharing. Potential ways to capture this data include: Surveying stakeholders Significant increase in communication between consumers and providers Town Hall style meetings with interactive discussion The goal of CT TEFT’s eLTSS pilot is to empower consumers through Health IT in order to improve health outcomes.

Helpful References CT Health IT Website: CT TEFT Website: PHR outreach presentation: CT Health IT Resources : NamePhone Minakshi Rachel Giuseppe Ben