MeHI Connected Communities Overview

MeHI is the designated state agency for:  Coordinating health care innovation, technology and competitiveness  Accelerating the adoption of health information technologies  Promoting health IT to improve the safety, quality and efficiency of health care in Massachusetts  Advancing the dissemination of electronic health records systems in all health care provider settings MeHI is a division of the Massachusetts Technology Collaborative, a public economic development agency 2 MeHI Overview Tech Hub Collaborative Big Data Consortium Advanced Manufacturing Collaborative Innovation Index Mass Broadband 123 MassVetsAdvisor Interoperable EHR Adoption Connected Communities Meaningful Use Support eHealth Cluster

3 eHealth Services & Support Medicaid MU Services Delivery REC eHealth Services & Support Medicaid MU Services Delivery REC Connected Communities Community Grants eHealth Fellowship Patient Engagement Vendor Engagement Connected Communities Community Grants eHealth Fellowship Patient Engagement Vendor Engagement eHealth eQuality eQIP Adoption Toolkit BH Consent WG eHealth eQuality eQIP Adoption Toolkit BH Consent WG MeHI Initiatives eHealth Innovation Opportunity Fund Grantee Forum HIT Index Outreach & Ops eHealth Innovation Opportunity Fund Grantee Forum HIT Index Outreach & Ops eHealth Cluster Development Market Access Big Data in HC Cluster Convening eHealth Cluster Development Market Access Big Data in HC Cluster Convening Innovation Insight Collaboration Accountability CORE VALUES

Summary Stats for Massachusetts *From 2014 MeHI Provider and Consumer Health IT Research Study

5 EHR Adoption AffiliatedIndependentOverallProgress Primary Care100%95%96% Specialists91%83%86% Behavioral Health100%50%55% Long-Term & Post-Acute Care82%35%55% Home Health*50%77%74% Dental100%59%60% *Limited Sample Size Survey completed in 2014.

6 Identified Areas of Unmet Need- Need for Connected Communities  While 79% of providers use EHRs in MA, communities are not connected, nor integrated in a manner that promotes the health of the population;  While there is 100% adoption of EHRs among affiliated BH organizations, only 50% of independent organizations have adopted an EHR;  There is 82% adoption of EHRs among affiliated Post-Acute Care organizations and a 35% adoption among independent SNFs organizations;  Interoperability is critical for improved care coordination and to support alternative payment models.

7 Connected Care

MeHI Connected Communities 8 Goals catalyze collaboration and advance the adoption and use of technologies to improve healthcare and reduce healthcare costs. Approach Organize for growth & impact by aligning our eHealth Communities to the Health Policy Commission’s (15) Secondary Service Markets, then regionalizing into (3) regions Engage stakeholders by community and sector in a statewide needs assessment that informs the Statewide eHealth Plan Strengthen the foundation for exchanging health information through the Connected Community Implementation Grants eHealth Community Managers assigned by region will foster a collaborative environment This approach establishes a framework and infrastructure for engagement, resourcing, evaluation and innovation.

9 Connected Communities  Conducted healthcare stakeholder interviews –Interviewed 107 organizations including 86 patient treatment organizations representing key healthcare sectors and an additional 21 interviews with state agencies, health insurance organizations and associations.  Facilitated community round-table sessions –Facilitated 19 regional meetings to refine interview responses and establish top clinical/business needs, internal issues and external barriers related to HIT referred to as ‘eHealth priority areas’ for the community, region and state.  Completed Community eHealth Needs Assessments –Completed detailed HIT needs assessments for 13 of 15 communities. (Fall River combined with New Bedford, and Norwood/Attleboro combined with Metro West). These assessments informed the Statewide eHealth Plan.

10 MA Stakeholders Identified High Priority eHealth Areas Stakeholders participating in the Connected Communities program cited the following priority needs:  Access to Clinical Data  Exchange Discharge Summaries  Health Information Exchange Adoption  Implement Closed-loop Referrals  Event Notifications  Exchange Medication Lists  Meet Regulatory Requirements  Identify Care Teams Source: MeHI Connected Communities Program, analysis of stakeholder interviews

11 MA Stakeholders Identified Barriers and Challenges Stakeholders cited the following priority external barriers:  Immature EHR Vendor to EHR Vendor Standards and Exchange Capabilities  Navigation of Consent and Information Disclosure Laws  Not Knowing Which Trading Partners can Send and Receive  Trading Partners Not on Mass HIway  Lack of Common Data Sets  Patient Matching  Identification of Care Teams Stakeholders cited the following priority internal challenges:  High Costs of HIT and Interfaces  Shortage of Technical Expertise  Lack of Understanding of HIE Capabilities and Value among Leadership and Clinicians Source: MeHI Connected Communities Program, analysis of stakeholder interviews

12 Connected Communities  Drafted Statewide eHealth Plan –Utilized significant stakeholder feedback, Community Needs Assessments and gathered background data to inform a larger statewide eHealth Plan. –The “eHealth Plan” combines the statutory responsibilities of MeHI to create an “EHR plan” and EOHHS to create an “HIE plan” for the Commonwealth and is the artifact that captures new ‘eHealth’ goals and supporting strategies and initiatives for the state.  Providing eHealth Community Manager Resources –Continued client support for the region to sustain community engagement activities, manage stakeholder relationships, monitor grant projects, and facilitate community development activities. Continued awareness building of MeHI’s programs and other health IT initiatives, and continue efforts to foster community collaborations across the region. Patient Engagement Use Cases eQIP Grants

13 Connected Communities Implementation Grant  Launched the Connected Community Implementation Grant Program –Designed to support organizations in demonstrating community collaboration using HIT to address a real-world, practical, measurable healthcare need. –Aimed at the priorities identified in the community needs assessments with a focus on improving two aspects of care coordination; care transitions and cross-setting care management  Completed the first phase of a 2-tier review process for the solicitation. –Conducted internal and external review of 24 pre-applications  Selected 9 pre-applicants and invited them to submit a full proposal.  Applicant projects currently include approximately 100 collaborating organizations  MeHI program staff have been engaged with applicants to respond to questions and provide feedback to improve the overall quality of the applications.

14 Connected Communities Implementation Grant - Summary  Key use cases and planned exchanges –All have some integration of behavioral health and/or long-term post-acute care sectors with primary and acute care –Distribution or expansion of Event Notification Services (ENS) –Coordination of substance abuse and opioid treatment patients –Care management solution, exchange of patient care plans –Exchange of transition of care documents (CCDAs and Discharge Summaries) –Exchange of referral and care coordination communication and documents –All increase connections to the Mass HIway / HISPs  Applications were due – 9/24/15  Award Notice – Late October-November

15 Contact Information  Keely Benson, eHealth Community Manager- Northeast MA Region x241  Andrea Callanan, eHealth Community Manager- Central and Western MA Region x402