@OPAHIT Rapid Prototyping of Interoperability Standards for Clinical Quality Measurement HIMSS 2015...
-
Upload
hilary-stokes -
Category
Documents
-
view
221 -
download
2
Transcript of @OPAHIT Rapid Prototyping of Interoperability Standards for Clinical Quality Measurement HIMSS 2015...
@OPAHIT
@OPAHIT
Rapid Prototyping of Interoperability Standards for Clinical Quality Measurement
HIMSS 2015 Interoperability Showcase
https://opahit.sites.usa.gov/
@OPAHIT
Clare Coleman
NFPRHA
Johanna GoderreHHS OPA
Mario Hyland
AEGIS.NET
Adam MeloanNetsmart
Christina Lachanc
eHHS OPA
Rapid Prototyping of Interoperability Standards for Clinical Quality Measurement
@OPAHIT@OPAHIT
7.3 million encounters annually
4.1 million clients
4,127
Service delivery sites in
1,115
Sub recipients
50+ States & territories monitored by
94 Grantees monitored by
20 Regional OPA FTEs supported by
10 Regional Health Administrators
5 National Training Centers
1 OPA HQ
Title X: A diverse and wide network
3
Source: 2014 preliminary FPAR data
The 10 HHS Federal Regions
3
Family
Planning saves
tax payers
$7.09 for every
$1 invested!Source: www.guttmacher.org
@OPAHIT@OPAHITFamily Planning Services
• Contraceptive services to prevent pregnancy
• Pregnancy testing & counseling
• Preconception health counseling & services
• Basic infertility services
• STD/HIV screening, diagnosis & treatment
• Related preventive health services e.g., screening for breast and cervical cancer
• Other preventive health services e.g., screening for lipid disorders
4
@OPAHIT@OPAHIT4,127 Title X Service Sites
53%
21%
18%
8%
65% of the clinical FTEsare NPs, CNMs, or PAs
Health Department (State, County, or Local)
Community Health Center orFQHC
Family Planning Organization
Hospital and Community-based (school, university, correctional, tribal, faith)
@OPAHIT@OPAHIT
CE credits available! http://www.cdc.gov/mmwr/pdf/rr/rr6304.pdf
Emphasis on Quality Framework
@OPAHIT@OPAHIT
Clinical Guidelines• Quality Family Planning (QFP) Recommendations*
from CDC and OPA• Oregon Health Authority & OCHIN: Pregnancy
Intention
Measure Endorsement• National Quality Forum (NQF)• CMS & ONC Meaningful Use: Chlamydia• CMS Maternal & Infant Health developmental
measures
Reporting, Use, & Analysis• HEDIS• Title X Family Planning Annual Report• Healthy People 2020 – proposed contraceptive
objective
Emphasis on Quality Framework
* CE credits available for Gavin, et al. Providing Quality Family Planning Services: Recommendations of CDC and US Office of Population Affairs. MMWR Apr 2014. PMID: 24759690
@OPAHIT
Clare Coleman
NFPRHA
Johanna GoderreHHS OPA
Mario Hyland
AEGIS.NET
Adam MeloanNetsmart
Christina Lachanc
eHHS OPA
@OPAHIT@OPAHITHow OPA wound up on this stage today
2012 - 2013
2013 - 2015
Expert working group of clinicians & administrators
• Move to encounter-level, performance-oriented system
• Data elements
Feasibility study
• Intensive review of 9 systems & process “in the wild”
• Survey to entire network• Produce implementation guidance
@OPAHIT@OPAHITHow OPA wound up on this stage today
From paper to prototype in 18 months
Nov 2013
Apr2015
@OPAHIT@OPAHIT
• IHE proposal approved• Details in committee for 6
months• Communications• Relationship-building
Nov 2013
Apr2015
From paper to prototype in 18 months
@OPAHIT@OPAHIT
Nov 2013
Apr2015May
2014
• Engaged S&I Framework for pilot on standards-based calculation of clinical quality measures (CQM)
From paper to prototype in 18 months
@OPAHIT@OPAHIT
Nov 2013
Apr2015June
2014
• IHE profile public comments
• Broke IHE records• 600+ comments from 80
organizations• 70% of comments from
clinicians
From paper to prototype in 18 months
@OPAHIT@OPAHIT
Nov 2013
Apr2015Aug
2014
• Details with SME on CQM & CDS standards
• Started Privacy & Security Roadmap
• Resolved comments and modify IHE profile
From paper to prototype in 18 months
@OPAHIT@OPAHIT
Nov 2013
Apr2015Sept
2014
• IHE profile published – incoming to FPAR 2.0 repository
• Contract awarded to Aegis
From paper to prototype in 18 months
@OPAHIT@OPAHIT
Nov 2013
Apr2015Oct
2014
• Registrations due for Connectathon – needed 3 vendors!
• Aegis started building prototype – paper to working model
From paper to prototype in 18 months
@OPAHIT@OPAHIT
Nov 2013
Apr2015Nov
2014
• Aegis demo to OPA• System ready for testing & onboarding:
Mitchell & McCormick, Netsmart, Patagonia
• Tested S&I artifacts in 3 systems
From paper to prototype in 18 months
@OPAHIT@OPAHIT
Nov 2013
Apr2015Jan
2015
• IHE NA Connectathon• All 3 competitive vendors
passed• Utah DOH added complexity• GE Centricity & international
vendor started & passed < 3 days
From paper to prototype in 18 months
@OPAHIT@OPAHIT
Nov 2013
Apr2015Feb
2015
• Took a breath!• Started de-identification
guidance in another IHE committee
From paper to prototype in 18 months
@OPAHIT2014 Wins
Converged on semantic interoperability and performance measures
Tested web services data exchange model with common vendors
Developed and tested public CDS & CQM artifacts
Built relationships with all stakeholders
Aligned with industry and stakeholder capacity and concerns
@OPAHIT@OPAHITConnectathon Preparation Scorecard
Vendor 1
Vendor 2
Vendor 3
0 200 400 600
Success at ConnectathonConnectathon Dress Rehearsal BonusSocial PromotionConformance ImprovementPre- ConnectathonWeekly TestingRegistration