2. Session # The Whoosh: Innovative Data Exchange, Saving Time, Improving HIV Care Coordination - NYC Jails and Boston
Jesse Thomas
Alison O. Jordan
Katherine D’Onfro
Wednesday, December 12, 2018
4:00p – 5:30p

3. Learning Objectives
Workshop participants will be able to see how a paradigm of health information exchange can free up time better spent on client care and quality improvement through interactive use of mobile audience engagement tools.
Participants will be able to understand the pitfalls and benefits of implementing health information exchange, including the adoption of federal Office of National Coordinator (ONC) for Health Information Technology standards.
By end of workshop, participants will be able to describe how to adopt and adapt strategies and tools to implement web-based resources to achieve federal compliance and improved quality management.
Abstract:Two case studies illustrate the importance, barriers, successes, and lessons learned in successful data exchange. Effective collaboration, communication, system coordination led to process efficiencies and quality improvements for federal reporting and patient care coordination in NYC Health + Hospitals Correctional Health Services’ Reentry & Continuity Service and the Boston EMA. Using multiple SPNS projects, including dissemination and replication activities in Puerto Rico, NYCCHS/RCS presents its outcomes and lessons learned for its data exchange program coined "The Whoosh", which has successfully transferred over 66 million data elements imported from its electronic health record to the Transitional Care Management System over the last three years, saving time and improving service coordination. Partners access the data system that contains the whooshed information, simplifying coordination and tracking efforts. The Boston Public Health Commission (Boston EMA) presents its case study for publishing open data standards to allow funded sub-recipients to upload data from their electronic medical record systems for RSR, program compliance, and quality management data sets, resulting in the double-data entry burden of over 700,000 data elements per annum. Distilling lessons learned, overall principles of effective collaboration, communication, and systems coordination are presented to inform the growing trend for data exchange across the nation.

4. Session Agenda Introductions and Context eCOMPAS & SPNS
Case study #1: NYC H+H Correctional Health Services
Case study #2: Boston Public Health Commission
Conclusion

5. Data Exchange in the Northeast: NYC H+H The Boston EMA

6. A brief introduction of RDE Systems
A little bit about us
A brief introduction of RDE Systems

8. 30+
Years Public Health

9. 15
Years Ryan White

10. Federal Compliance & Reporting
HRSA Part A, B, C, D, F
HRSA RSR
HRSA ADAP / ADR
HRSA WICY
QM / PDSA
HUD HOPWA APR/CAPER
CDC
NIH
ONC

11. 700+
AGENCIES

12. $1 Billion
FUNDING MANAGED

13. 27,000+
USERS

14. 200,000 +
CLIENTS & PATIENTS

15. 290+ Million
Provider Data Points Exchanged

16. 805,000+
HOURS SAVED

17. 400+
FTEs

18. Direct clinic IT investments:
2002
2004
2006
2008
2010
2012
2014
2016
2018
2020
Evaluate Impact of HIT on Care
e Networks of Care
* PR incl; VPN for RSR & ADR
Capacity building grants*
Parts A & B
Parts C & D
All Parts
HIT for ADAP
HIT for HIV Care Continuum 19
SMAIF HIEs for Care Engagement
SMAIF HIV Care & Housing Data Integration
SPNS Projects
Direct clinic IT investments:
Medical Home for HIV+ Homeless
Practice Transformation HIV Primary Care
Evidence-Informed Interventions
Social Media HIV Care Continuum

19. “
For every dollar spent on this initiative, ten dollars has been saved in the healthcare system

20. PUBLICATIONS DISSEMINATED
56+
PUBLICATIONS DISSEMINATED

21. GRANT FUNDING ASSISTANCE
$10+ Million
GRANT FUNDING ASSISTANCE

23. e2Poll: Let’s get to know you better…

24. The Challenge of HIT Projects
Across industry sectors, at least 40% of IT projects either are abandoned or fail to meet business requirements Fewer than 40% of large systems purchased from vendors meet their goals As many as seven in eight information technology projects are considered not successful 65% of IT projects are not completed on time, on budget, and meet user requirements
Source:

25. Deeper dive into HIT & HIE A Measure of the challenge…

28. What is the data?
Demographic
Services
Clinical
Care Coordination …

29. So what is the impact of this kind of HIE on Ryan White Programs?
Time
Data Quality
Reporting
You can ask yourself what this approach might mean to your program in terms of manpower hours saved to devote to patient care and care coordination….. what this might mean in terms of data quality for reporting purposes as well as for your own QA/QI uses.
Population Management

31. What Broad Components Should We Consider When Implementing Health Information Technology such as HIE?

32. Strategy
Process
People
Technology

33. Everything affects everything!
What affects what?
Strategy
Process
People
Technology
Everything affects everything!

34. What Are the Main Stages of
the HIT Lifecycle?

39. A Simple, Integrated Framework for HIT Implementation
Strategy
People
Process
Technology

40. Lessons Partnership paradigm Think win-win-win
Role of IT Departments and Vendors vs Program
Seek out or build standards
Stakeholder engagement, TA, & Support
Security is paramount
Whatever it takes attitude. Choose partners wisely
Lessons