EHEALTH COMMISSION

MEETING

JANUARY 9TH, 2019

2

JANUARY AGENDA

Call to Order

Roll Call and Introductions

Approval of November Minutes

December Agenda and Objectives

Michelle Mills, Chair and Jason Greer, Co-Chair

12:00

Announcements

OeHI Updates

Commission Roles, Responsibilities, Charter, Bylaws and Sunshine Laws

Budget/Contracting High-level Overview

Carrie Paykoc, Interim Director, Office of eHealth Innovation

12:05

Workgroup Updates, Commissioner Announcements, and Action Items

Carrie Paykoc, Interim Director, Office of eHealth Innovation

Commission Members12:25

New Business

PDMP Current State, Requirements for SUPPORT ACT, and State Strategy Discussion

Carrie Paykoc, Interim Director, Office of eHealth Innovation

Collin Benjamin, Deputy Director for Programs, Division of Professions and Occupations,

Department of Regulatory Agencies (DORA)

12:35

Workgroup Discussion Item

Care Coordination Initiative: High-Level Project Plan

Jason Greer, CEO Colorado Community Managed Care Network

Ann Boyer, MD Chief Medical Information Officer, Denver Health

Kim Ball, Health Tech Solutions

Carrie Paykoc, Interim Director, Office of eHealth Innovation

1:15

Public Comment Period 1:45

Closing Remarks

Open Discussion

Recap Action Items

February Agenda

Adjourn

Michelle Mills, Chair and Jason Greer, Co-Chair

1:50

3

ANNOUNCEMENTS

OeHI UPDATES

COMMISSION UPDATES

▪ Others?

▪ February Commission Meeting Rescheduled

▪ Commission Roles, Responsibilities, Charter, Bylaws and Sunshine

Laws- Included in Materials, Webinar to be scheduled

▪ Budget/Contracting High-Level Overview

▪ JTC presentation on Tentatively Scheduled Feb 1

CAPITAL CONSTRUCTION APPROPRIATION

▪ State Capital Construction Funds appropriated and released for FY18/19 on November 6th

▪ OeHI in the process of requesting appropriation for FY 19/20

4

*Yellow Highlighted funds approved for federal match in approved IAPD

as of December 21, 2018. Only 150K requested/approved for care

coordination for immediate use. Next federal request to occur in Q1.

**Green highlighted state appropriation only.

Fiscal Year 18/19 19/20 20/21 21/22

eCQM $50,000 $5,050,000 $0 $0

Health IT PMO $500,000 $0 $0 $0

MPI/MPD $1,950,000 $1,500,000 $0 $0

Data Gov $500,000 $1,000,000 $2,200,000 $0

Consent $250,000 $1,000,000 $750,000 $0

Consumer

Portal

$1,350,00 $0 $0 $0

HIE 1,125,000 $1,125,000 $0 $0

Care

Coordination

$550,000 $1,500,000 $1,500,000 $0

Systems

Integrator

$500,000 $500,000 $0 $0

Total $6,605,000 $11,508,333 $4,450,000 $0

OPERATING BUDGET REQUEST

▪ Office of eHealth Innovation currently funded by HCPF appropriation

▪ In the process of securing operating funds for office and initial operations and maintenance of Roadmap projects

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Fiscal Year 19/20 20/21 21/22

OeHI $248,686 $248,686 $248,686

eCQM $0 $675,000 $675,000

Health IT PMO $500,000 $930,000 $930,000

MPI/MPD $0 $763,692 $763,692

Data Gov $0 $1,300,000 $1,300,000

Consent $0 $450,000 $450,000

Consumer Portal $250,000 $525,000 $525,000

HIE $500,000 $500,000 $500,000

Care Coordination $0 $450,000 $450,000

Systems Integrator $300,000 $400,000 $400,000

Total $1,759,468 $6,217,159 $6,217,159

OEHI CONTRACTS TO DATE▪ RFP released October 2016 for Master Health IT

Consultant

▪ Health Tech Solutions Awarded Contract to support OeHI and HCPF with Health IT projects. Projects are defined and requested by OeHI and HCPF following defined project request order process. Roadmap projects and support encumbered across initiatives, as appropriate.

▪ Mosaica Partners contracted by OeHI to develop requirements for consumer engagement initiative, purchase order executed November 16. Order delayed for several months due to restricted funds.

6

FUNDING PHILOSOPHY▪ Leverage 90/10 funds for all initiatives except for the

Consumer Engagement Initiative. This is defined in the appropriated Capital Construction funds to OeHI.

▪ All 90/10 funds must be reviewed/approved by both Healthcare Policy and Financing and Centers for Medicaid and Medicaid.

▪ Longer term sustainability is a consideration of each funded project.

▪ eHealth Commission agreed the Office should focus on “shovel ready” projects

▪ Roadmap initiatives are focused on leveraging and advancing health information technology and exchange infrastructure

7

PROPOSAL FUNDING REQUEST PROCESS

8

Proposal Funding Request Form

Minimum Requirements

INITIATIVE FUNDING RATIONALE

▪ Funds for Advance HIE and Data Sharing earmarked for Colorado’s Health Information Exchanges and state infrastructure

▪ Colorado’s Health Information Exchanges are Colorado’s Regional Health Information Organization and Quality Health Network as defined in Colorado’s Health IT Roadmap, Colorado’s State Medicaid Health Plan and draft qualified entity documents.

▪ State data sharing infrastructure investments are focused on allowing broader access of state data for care coordination in Colorado’s Communities.

▪ Funding to the HIEs is being considered for several other initiatives such as identity for individuals to ensure alignment of infrastructure.

▪ No funding has been officially approved to date.

9

10

ACTION ITEMS

Action Item Owner Timeframe Status

Define Project Funding

Proposal Process

OeHI Director/

State Health IT

Coordinator

Nov 2018 High-level

presentation

Jan 2019

Annual eHealth Commission

Training

OeHI Interim

Director/

State Health IT

Coordinator

Q1 2019

Current State of PDMP/

Support Act Requirements

OeHI Interim

Director/

State Health IT

Coordinator

December 2018

Budget Overview OeHI Interim

Director/

State Health IT

Coordinator

December 2018

PDMP CURRENT STATE,

REQUIREMENTS FOR SUPPORT

ACT, AND STATE STRATEGY

DISCUSSION

CARRIE PAYKOC, INTERIM DIRECTOR, OFFICE OF EHEALTH INNOVATION

COLIN BENJAMIN, DEPUTY DIRECTOR FOR PROGRAMS, DIVISION OF PROFESSIONS AND OCCUPATIONS, DEPARTMENT OF

REGULATORY AGENCIES

CARE COORDINATION

INITIATIVE:

HIGH-LEVEL PROJECT PLAN

JASON GREER, CEO COLORADO COMMUNITY MANAGED CARE NETWORK

ANN BOYER, MD CHIEF MEDICAL INFORMATION OFFICER, DENVER HEALTH

CARRIE PAYKOC, INTERIM DIRECTOR, OFFICE OF EHEALTH INNOVATION

KIM BALL, HEALTH TECH SOLUTIONS

Care Coordination Working Group Scope

• Problem state: Current technology, infrastructure and tools do not support whole person care

• Budget: • 150k (IAPD Care Coordination Bucket)

Summary of Workgroup Activity

✓ Charter

✓ Workgroup structure

✓ Environmental scan

✓ Summary of interview spreadsheet

✓ Literature review

✓ Environmental scan action plan (target completion: 1/11/2019)

Care Coordination WG Anchor Areas for 2019

DATA GOVERNANCE

TECHNOLOGY INFRASTRUCTURE

INNOVATION

Technology – Change Management – Sustainable Financing

Note: Funding is also available for data governance and technology infrastructure from other sources.

Whole Person Care Coordination Project Roadmap: 2019

Q1 - 2019 Q2 - 2019 Q3 - 2019 Q4 - 2019

Mile

sto

nes

Su

stai

n/

En

able

Finalize CC Scan

Recommendations

January 4, 2019

Bu

ild

Fo

un

dat

ion

Gro

wth

OeHI/Prime Health

Summit

May 7, 2019

Leverage SIM (eCQM) Governance Model for Community Data Governance (IAPD funds)

Leverage XGenesis/10.10.10 Process

Complete Care Coordination Architecture Mapping (OeHI OPs Funds)

Support Social HIE System Demonstration Project(s)

Plan and Design Statewide Social HIE Infrastructure (OeHI OPs Funds)

Implement Care Coordination and Social HIE Projects

Secure Funding for Statewide Implementation of Social HIE

OeHI Contracts for SIM (eCQM) and Community Data Governance

Hire State Data Scientist- COLAB (DU)

Fund State Data Scientist and Expand COLAB for Community Data

AccessLeverage COLAB Efforts (DU)

OeHI Contracts for Legal Framework

LEGEND

External Funding and/or Management

Care Coordination Work Group

Project

OeHI Operations/Management

Submit Request for

Federal Funds

March 2019

Planning for Implementation of Care Coordination and Social HIE Projects

Establish Demonstration Project Criteria

Align and Leverage JAI

Next Steps

• Identify criteria for care coordination social health information exchange (S-HIE) demonstration projects

• Define and request federal funding

• Create success metrics for demonstration project selection

• Leverage XGenesis/10.10.10 process

• Define multi-sourced funding strategy

CLOSING REMARKS, JANUARY

AGENDA, AND ADJOURN

MICHELLE MILLS, CHAIR

19

FEBRUARY DRAFT AGENDA

Call to Order

Roll Call and Introductions

Approval of January Minutes

February Agenda and Objectives

Michelle Mills, Chair

12:00

Announcements

OeHI Updates

Updates, Grant Opportunities, Announcements,

Action Items

Mary Anne Leach, Director, Office of eHealth Innovation

Carrie Paykoc, State Health IT Coordinator

Commission Members\

12:05

New Business

TBD12:25

TBD 12:55

Care Coordination Initiative: Draft recommendations 1:25

Public Comment Period 1:50

Closing Remarks

Open Discussion

Recap Action Items

March Agenda

Adjourn

Michelle Mills, Co-Chair

1:55

20

POTENTIAL FUTURE AGENDA TOPICS

Topic Presenter Focus Scheduled

Shared Practice

Improvement Learning

Tool (SPLIT) Update

Kyle Knierim, Associate Director of

Practice Transformation at the UC

Department of Family Medicine

Sustainability

post SIM

Julota- Connected

Community

Rick Pionkowski, CEO Social health

information

exchange