Blueprint Integrated Pilot Programs A community system of health supported by HIT

12
Blueprint Integrated Pilot Programs A community system of health supported by HIT Craig Jones MD Director, Vermont Blueprint for Health [email protected]

description

Blueprint Integrated Pilot Programs A community system of health supported by HIT. Craig Jones MD Director, Vermont Blueprint for Health [email protected]. Blueprint Integrated Pilots Coordinated Health System. Hospitals. PCMH. PCMH. Community Care Team Nurse Coordinator - PowerPoint PPT Presentation

Transcript of Blueprint Integrated Pilot Programs A community system of health supported by HIT

Page 1: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Blueprint Integrated Pilot ProgramsA community system of health supported by HIT

Craig Jones MDDirector, Vermont Blueprint for Health

[email protected]

Page 2: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Health IT Framework

Global Information Framework

Evaluation Framework

Operations

Blueprint Integrated PilotsCoordinated Health System

PCMH

PCMH

PCMH

PCMHHospitals

Public Health Prevention

Community Care TeamNurse Coordinator

Social WorkersDieticians

Community Health WorkersOVHA Care Coordinators

Public Health Prevention Specialist

Mental Health & Substance

Use Disorders

Page 3: Blueprint Integrated Pilot Programs A community system of health supported by HIT

HealthcarePatterns &

Resource Utilization

Healthcare Expenditures & Financial Impact

HealthStatus

Measures

ClinicalProcess

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 forIndividual Patient

Care

DocSite used forIndividual Patient

Care

DocSite Database

EMR Databases

DocSiteReporting

Tool

VCHIPChart Review & NCQA Scoring

Medical Claims from Commercial

Insurers & Medicaid

Public Health Surveys & Data

Collection

DataSource

Data transmission & transformation

VITL / GE

DataAnalysis

Data Reports & Uses

EMRReporting Tool or

Analyst

Public HealthRegistries & Databases

VDH Health Surveillance

Analytic Database

BISCHAMultipayerDatabase

VCHIPDatabases

VCHIPAnalysis & Report

Generation

BISCHAReports

VDH Health Surveillance

Analyst

ContractedAnalysisServices

Blueprint Integrated PilotsEvidence Based Quality Improvement

Page 4: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Population Management

Quality Improvement

Individual Patient Care & Support

Services

Data Processing & Storage

EMRs used forIndividual Patient

Care

DocSite used forIndividual Patient

Care

DocSite Database

EMR Databases

DocSiteReporting

Tool

Program Evaluation & Sustainability

VCHIPChart Review & NCQA Scoring

Medical Claims from Commercial

Insurers & Medicaid

Public Health Surveys & Data

Collection

DataSource

Data transmission & transformation

VITL / GE

DataAnalysis

Data Reports & Uses

EMRReporting Tool or

Analyst

Public HealthRegistries & Databases

VDH Health Surveillance

Analytic Database

BISCHAMultipayerDatabase

VCHIPDatabases

VCHIPAnalysis & Report

Generation

BISCHAReports

HealthcarePatterns &

Resource Utilization

Healthcare Expenditures & Financial Impact

VDH Health Surveillance

Analyst

HealthStatus

Measures

ClinicalProcess

Measures

Population Indicators &Risk Factors

ContractedAnalysisServices

Community Prevention Planning

Healthcare Quality Measures & Standards

Provider Payment for

Quality

Blueprint Integrated PilotsEvidence Based Quality Improvement

Page 5: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Data Processing & Storage

EMRs used forIndividual Patient

Care

DocSite used forIndividual Patient

Care

DocSite Database

EMR Databases

DocSiteReporting

Tool

Population Management

Quality Improvement

Program Evaluation & Sustainability

VCHIPChart Review & NCQA Scoring

Medical Claims from Commercial

Insurers & Medicaid

Public Health Surveys & Data

Collection

DataSource

Data transmission & transformation

VITL / GE

DataAnalysis

Data Reports & Uses

EMRReporting Tool or

Analyst

Public HealthRegistries & Databases

VDH Health Surveillance

Analytic Database

BISCHAMultipayerDatabase

VCHIPDatabases

VCHIPAnalysis & Report

Generation

BISCHAReports

HealthcarePatterns &

Resource Utilization

Healthcare Expenditures & Financial Impact

VDH Health Surveillance

Analyst

HealthStatus

Measures

ClinicalProcess

Measures

Population Indicators &Risk Factors

ContractedAnalysisServices

Community Prevention Planning

Individual Patient Care & Support

Services

Healthcare Quality Measures & Standards

Provider Payment for

Quality

Blueprint Integrated PilotsEvidence Based Quality Improvement

Page 6: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Healthcare Quality Measures & Standards

Data Processing & Storage

EMRs used forIndividual Patient

Care

DocSite used forIndividual Patient

Care

DocSite Database

EMR Databases

DocSiteReporting

Tool

Population Management

Program Evaluation & Sustainability

VCHIPChart Review & NCQA Scoring

Medical Claims from Commercial

Insurers & Medicaid

Public Health Surveys & Data

Collection

DataSource

Data transmission & transformation

VITL / GE

DataAnalysis

Data Reports & Uses

EMRReporting Tool or

Analyst

Public HealthRegistries & Databases

VDH Health Surveillance

Analytic Database

BISCHAMultipayerDatabase

VCHIPDatabases

VCHIPAnalysis & Report

Generation

BISCHAReports

HealthcarePatterns &

Resource Utilization

Healthcare Expenditures & Financial Impact

VDH Health Surveillance

Analyst

HealthStatus

Measures

ClinicalProcess

Measures

Population Indicators &Risk Factors

ContractedAnalysisServices

Community Prevention Planning

Individual Patient Care & Support

Services

Provider Payment for

Quality

Quality Improvement

Blueprint Integrated PilotsEvidence Based Quality Improvement

Page 7: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Population Management

Quality Improvement

Data Processing & Storage

EMRs used forIndividual Patient

Care

DocSite used forIndividual Patient

Care

DocSite Database

EMR Databases

DocSiteReporting

Tool

Program Evaluation & Sustainability

VCHIPChart Review & NCQA Scoring

Medical Claims from Commercial

Insurers & Medicaid

Public Health Surveys & Data

Collection

DataSource

Data transmission & transformation

VITL / GE

DataAnalysis

Data Reports & Uses

EMRReporting Tool or

Analyst

Public HealthRegistries & Databases

VDH Health Surveillance

Analytic Database

BISCHAMultipayerDatabase

VCHIPDatabases

VCHIPAnalysis & Report

Generation

BISCHAReports

HealthcarePatterns &

Resource Utilization

Healthcare Expenditures & Financial Impact

VDH Health Surveillance

Analyst

HealthStatus

Measures

ClinicalProcess

Measures

Population Indicators &Risk Factors

ContractedAnalysisServices

Community Prevention Planning

Individual Patient Care & Support

Services

Healthcare Quality Measures & Standards

Provider Payment for

Quality

Blueprint Integrated PilotsEvidence Based Quality Improvement

Page 8: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Program Evaluation & Sustainability

ContractedAnalysisServices

Quality Improvement

Data Processing & Storage

EMRs used forIndividual Patient

Care

DocSite used forIndividual Patient

Care

DocSite Database

EMR Databases

DocSiteReporting

Tool

Population Management

VCHIPChart Review & NCQA Scoring

Medical Claims from Commercial

Insurers & Medicaid

Public Health Surveys & Data

Collection

DataSource

Data transmission & transformation

VITL / GE

DataAnalysis

Data Reports & Uses

EMRReporting Tool or

Analyst

Public HealthRegistries & Databases

VDH Health Surveillance

Analytic Database

BISCHAMultipayerDatabase

VCHIPDatabases

VCHIPAnalysis & Report

Generation

BISCHAReports

HealthcarePatterns &

Resource Utilization

Healthcare Expenditures & Financial Impact

VDH Health Surveillance

Analyst

HealthStatus

Measures

ClinicalProcess

Measures

Population Indicators &Risk Factors

Community Prevention Planning

Individual Patient Care & Support

Services

Healthcare Quality Measures & Standards

Provider Payment for

Quality

Blueprint Integrated PilotsEvidence Based Quality Improvement

Page 9: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Community Prevention Planning

Quality Improvement

Data Processing & Storage

EMRs used forIndividual Patient

Care

DocSite used forIndividual Patient

Care

DocSite Database

EMR Databases

DocSiteReporting

Tool

Population Management

Program Evaluation & Sustainability

VCHIPChart Review & NCQA Scoring

Medical Claims from Commercial

Insurers & Medicaid

Public Health Surveys & Data

Collection

DataSource

Data transmission & transformation

VITL / GE

DataAnalysis

Data Reports & Uses

EMRReporting Tool or

Analyst

Public HealthRegistries & Databases

VDH Health Surveillance

Analytic Database

BISCHAMultipayerDatabase

VCHIPDatabases

VCHIPAnalysis & Report

Generation

BISCHAReports

HealthcarePatterns &

Resource Utilization

Healthcare Expenditures & Financial Impact

VDH Health Surveillance

Analyst

HealthStatus

Measures

ClinicalProcess

Measures

Population Indicators &Risk Factors

ContractedAnalysisServices

Individual Patient Care & Support

Services

Healthcare Quality Measures & Standards

Provider Payment for

Quality

Blueprint Integrated PilotsEvidence Based Quality Improvement

Page 10: Blueprint Integrated Pilot Programs A community system of health supported by HIT

HealthcarePatterns &

Resource Utilization

Healthcare Expenditures & Financial Impact

HealthStatus

Measures

ClinicalProcess

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 forIndividual Patient

Care

DocSite used forIndividual Patient

Care

DocSite Database

EMR Databases

DocSiteReporting

Tool

VCHIPChart Review & NCQA Scoring

Medical Claims from Commercial

Insurers & Medicaid

Public Health Surveys & Data

Collection

DataSource

Data transmission & transformation

VITL / GE

DataAnalysis

Data Reports & Uses

EMRReporting Tool or

Analyst

Public HealthRegistries & Databases

VDH Health Surveillance

Analytic Database

BISCHAMultipayerDatabase

VCHIPDatabases

VCHIPAnalysis & Report

Generation

BISCHAReports

VDH Health Surveillance

Analyst

ContractedAnalysisServices

Blueprint Integrated PilotsEvidence Based Quality Improvement

Page 11: Blueprint Integrated Pilot Programs A community system of health supported by HIT

Health Information Exchange “Cloud”

for secure, privacy protectedinterchange 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 Health Vermont 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 connectivityOther Medicaid & AHS case management functionality and connectivity

Tertiary and Community HospitalsPrimary 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

Page 12: Blueprint Integrated Pilot Programs A community system of health supported by HIT

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 PilotsBuilding a Scalable Model