1. CHeQ Interface Grants I Connecting Healthcare in Santa Cruz 2013 Bill Beighe February 4, 2013

2. SCHIE Mission To improve the quality and efficiency of health care for all stakeholders in the Santa Cruz community. To deliver technology assistance, guidance and information on best practices to providers with the goal of creating a healthcare delivery system that offers a seamless, integrated experience for patients and providers. Provide services and tools to participating healthcare providers to become meaningful users of EHRs connected to the Santa Cruz Health Information Exchange.

3. USE – Connect – Exchange USE – Implement and USE a Certified EHR CONNECT – Connect your EHR to the SCHIE EXCHANGE – 2 way Exchange of Clinical Data in daily workflow

4. Interface Grants Background Review what changed between summer 2012 and January 2013 Initially positioned as 10K per interface, with multiple interfaces per applicant possible

5. CaleConnect  CHeQ CaleConnect, State Governance Entity with mission to expand HIE in the State of California transitioned most of its work to The Institute for Population Health Improvement at UC Davis in fall of 2012. Program named California Health eQuality (CHeQ) CHeQ scope includes HIE connectivity grants that CaleConnect launched in summer 2012. The same grants that many of you applied for last year and did not hear back.

6. CHeQ & CHHS CHeQ – Interface Grants (Connect EHR to HIE) HIE Ready – Infrastructure and HIE Expansion Grants – HIE Planning Grants – Provider Directory & Trust Framework Using the “Direct Project” Western States Consortium CHHS (California Health and Human Services) – Security and Integrity of patient data Finalizing and Harmonizing approach for exchange

7. SCHIE Interface Grant Summary Stakeholders in Santa Cruz submitted more than 400K in grant requests in fall 2012 to CaleConnect. CHeQ priced up the program in January 2013 and notified that SCHIE would be awarded 200K for all interfaces in this round of grant funding. CHeQ final funding – work must be completed on this grant by July 31, 2013

10. Potential Interface Components SCHIE has 15 major data sources available The community has many more practices and facilities to exchange with for treatment and coordination of care Some Possible Interface Components DemographicTranscribed Reports Lab Results to EHR (7 sources)Immunization Reporting Referrals (In or out or both)Consent Lab Orders*Chart Notes EHR to HIE Radiology Reports (3 sources)Continuity of Care Document (CCD) Consolidated CDA*Radiology Ordering* * Meaningful Use Stage 2 requirement

11. Timeline & Process – 2013 CHeQ SCHIE Interface Grants March 1 Interface Paperwork & Discovery Implementation & Testing July 31 Interfaces that fail to meet the commitment letter date go to the bottom of the funding pile and may or may not be funded in this round February Commitment Letter Project

12. Next Steps E-mail to bbeighe@pmgscc.com indicating that you want to proceed with paperwork and discovery in anticipation of the March 1 commitment date.bbeighe@pmgscc.com SCHIE will set up a phone or in-person meeting with you and your vendor (if appropriate) SCHIE can assist the discovery process but cannot do this step without you.