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

Blueprint Integrated Pilot Programs A community system of health supported by HIT. Craig Jones MD Director, Vermont Blueprint for Health craig.jones@vdh.state.vt.us. Blueprint Integrated Pilots Coordinated Health System. Hospitals. PCMH. PCMH. Community Care Team Nurse Coordinator

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

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  1. Blueprint Integrated Pilot Programs A community system of health supported by HIT Craig Jones MD Director, Vermont Blueprint for Health craig.jones@vdh.state.vt.us

  2. Blueprint Integrated Pilots Coordinated Health System Hospitals PCMH PCMH Community Care Team Nurse Coordinator Social Workers Dieticians Community Health Workers OVHA Care Coordinators Public Health Prevention Specialist Mental Health & Substance Use Disorders PCMH PCMH Public Health Prevention Health IT Framework Global Information Framework Evaluation Framework Operations

  3. Blueprint Integrated Pilots Evidence Based Quality Improvement Data Source Data Processing & Storage Data Analysis Data Reports & Uses EMRs used for Individual Patient Care EMR Databases Data transmission & transformation VITL / GE EMR Reporting Tool or Analyst Clinical Process Measures Individual Patient Care & Support Services DocSite used for Individual Patient Care DocSite Database DocSite Reporting Tool Health Status Measures Population Management Contracted Analysis Services Healthcare Quality Measures & Standards Quality Improvement Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer Database BISCHA Reports Healthcare Patterns & Resource Utilization Provider Payment for Quality VCHIP Chart Review & NCQA Scoring VCHIP Analysis & Report Generation Healthcare Expenditures & Financial Impact Program Evaluation & Sustainability VCHIP Databases Public Health Surveys & Data Collection Public Health Registries & Databases VDH Health Surveillance Analytic Database VDH Health Surveillance Analyst Population Indicators & Risk Factors Community Prevention Planning

  4. Blueprint Integrated Pilots Evidence Based Quality Improvement Data Source Data Processing & Storage Data Analysis Data Reports & Uses EMRs used for Individual Patient Care EMR Databases Data transmission & transformation VITL / GE EMR Reporting Tool or Analyst Clinical Process Measures Individual Patient Care & Support Services DocSite used for Individual Patient Care DocSite Database DocSite Reporting Tool Health Status Measures Population Management Contracted Analysis Services Healthcare Quality Measures & Standards Quality Improvement Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer Database BISCHA Reports Healthcare Patterns & Resource Utilization Provider Payment for Quality VCHIP Chart Review & NCQA Scoring VCHIP Analysis & Report Generation Healthcare Expenditures & Financial Impact Program Evaluation & Sustainability VCHIP Databases Public Health Surveys & Data Collection Public Health Registries & Databases VDH Health Surveillance Analytic Database VDH Health Surveillance Analyst Population Indicators & Risk Factors Community Prevention Planning

  5. Blueprint Integrated Pilots Evidence Based Quality Improvement Data Source Data Processing & Storage Data Analysis Data Reports & Uses EMRs used for Individual Patient Care EMR Databases Data transmission & transformation VITL / GE EMR Reporting Tool or Analyst Clinical Process Measures Individual Patient Care & Support Services DocSite used for Individual Patient Care DocSite Database DocSite Reporting Tool Health Status Measures Population Management Contracted Analysis Services Healthcare Quality Measures & Standards Quality Improvement Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer Database BISCHA Reports Healthcare Patterns & Resource Utilization Provider Payment for Quality VCHIP Chart Review & NCQA Scoring VCHIP Analysis & Report Generation Healthcare Expenditures & Financial Impact Program Evaluation & Sustainability VCHIP Databases Public Health Surveys & Data Collection Public Health Registries & Databases VDH Health Surveillance Analytic Database VDH Health Surveillance Analyst Population Indicators & Risk Factors Community Prevention Planning

  6. Blueprint Integrated Pilots Evidence Based Quality Improvement Data Source Data Processing & Storage Data Analysis Data Reports & Uses EMRs used for Individual Patient Care EMR Databases Data transmission & transformation VITL / GE EMR Reporting Tool or Analyst Clinical Process Measures Individual Patient Care & Support Services DocSite used for Individual Patient Care DocSite Database DocSite Reporting Tool Health Status Measures Population Management Contracted Analysis Services Healthcare Quality Measures & Standards Quality Improvement Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer Database BISCHA Reports Healthcare Patterns & Resource Utilization Provider Payment for Quality VCHIP Chart Review & NCQA Scoring VCHIP Analysis & Report Generation Healthcare Expenditures & Financial Impact Program Evaluation & Sustainability VCHIP Databases Public Health Surveys & Data Collection Public Health Registries & Databases VDH Health Surveillance Analytic Database VDH Health Surveillance Analyst Population Indicators & Risk Factors Community Prevention Planning

  7. Blueprint Integrated Pilots Evidence Based Quality Improvement Data Source Data Processing & Storage Data Analysis Data Reports & Uses EMRs used for Individual Patient Care EMR Databases Data transmission & transformation VITL / GE EMR Reporting Tool or Analyst Clinical Process Measures Individual Patient Care & Support Services DocSite used for Individual Patient Care DocSite Database DocSite Reporting Tool Health Status Measures Population Management Contracted Analysis Services Healthcare Quality Measures & Standards Quality Improvement Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer Database BISCHA Reports Healthcare Patterns & Resource Utilization Provider Payment for Quality VCHIP Chart Review & NCQA Scoring VCHIP Analysis & Report Generation Healthcare Expenditures & Financial Impact Program Evaluation & Sustainability VCHIP Databases Public Health Surveys & Data Collection Public Health Registries & Databases VDH Health Surveillance Analytic Database VDH Health Surveillance Analyst Population Indicators & Risk Factors Community Prevention Planning

  8. Blueprint Integrated Pilots Evidence Based Quality Improvement Data Source Data Processing & Storage Data Analysis Data Reports & Uses EMRs used for Individual Patient Care EMR Databases Data transmission & transformation VITL / GE EMR Reporting Tool or Analyst Clinical Process Measures Individual Patient Care & Support Services DocSite used for Individual Patient Care DocSite Database DocSite Reporting Tool Health Status Measures Population Management Contracted Analysis Services Healthcare Quality Measures & Standards Quality Improvement Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer Database BISCHA Reports Healthcare Patterns & Resource Utilization Provider Payment for Quality VCHIP Chart Review & NCQA Scoring VCHIP Analysis & Report Generation Healthcare Expenditures & Financial Impact Program Evaluation & Sustainability VCHIP Databases Public Health Surveys & Data Collection Public Health Registries & Databases VDH Health Surveillance Analytic Database VDH Health Surveillance Analyst Population Indicators & Risk Factors Community Prevention Planning

  9. Blueprint Integrated Pilots Evidence Based Quality Improvement Data Source Data Processing & Storage Data Analysis Data Reports & Uses EMRs used for Individual Patient Care EMR Databases Data transmission & transformation VITL / GE EMR Reporting Tool or Analyst Clinical Process Measures Individual Patient Care & Support Services DocSite used for Individual Patient Care DocSite Database DocSite Reporting Tool Health Status Measures Population Management Contracted Analysis Services Healthcare Quality Measures & Standards Quality Improvement Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer Database BISCHA Reports Healthcare Patterns & Resource Utilization Provider Payment for Quality VCHIP Chart Review & NCQA Scoring VCHIP Analysis & Report Generation Healthcare Expenditures & Financial Impact Program Evaluation & Sustainability VCHIP Databases Public Health Surveys & Data Collection Public Health Registries & Databases VDH Health Surveillance Analytic Database VDH Health Surveillance Analyst Population Indicators & Risk Factors Community Prevention Planning

  10. Blueprint Integrated Pilots Evidence Based Quality Improvement Data Source Data Processing & Storage Data Analysis Data Reports & Uses EMRs used for Individual Patient Care EMR Databases Data transmission & transformation VITL / GE EMR Reporting Tool or Analyst Clinical Process Measures Individual Patient Care & Support Services DocSite used for Individual Patient Care DocSite Database DocSite Reporting Tool Health Status Measures Population Management Contracted Analysis Services Healthcare Quality Measures & Standards Quality Improvement Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer Database BISCHA Reports Healthcare Patterns & Resource Utilization Provider Payment for Quality VCHIP Chart Review & NCQA Scoring VCHIP Analysis & Report Generation Healthcare Expenditures & Financial Impact Program Evaluation & Sustainability VCHIP Databases Public Health Surveys & Data Collection Public Health Registries & Databases VDH Health Surveillance Analytic Database VDH Health Surveillance Analyst Population Indicators & Risk Factors Community Prevention Planning

  11. Statewide Health Information Exchange Federal HIT/HIE Policy, Oversight, & Standards - Office of the National Coordinator (ONC) State HIT/HIE Policy, Oversight, & Standards – OVHA/HCR State Government & Public Health Vermont Health Care Providers & Institutions NHIN Connectivity Health Information Exchange “Cloud” for secure, privacy protected interchange of health records, demographic data, image files, clinical messaging, & other digitized health information Statewide HIE Operated by VITL Public Health surveillance, registries, & other public health functions Tertiary and Community Hospitals Primary Care & Specialty Providers Medicaid health programs case management functionality and connectivity Federally Qualified Health Centers & Rural Health Clinics Free Clinics Other Medicaid & AHS case management functionality and connectivity Mental Health/BH/SA Providers Long Term Care Providers Other state agency & dept. case management functionality and connectivity Home Health & Hospice Providers Community Human Service Agencies (Family Centers, Area Agencies on Aging, etc.) Law Enforcement, Corrections, & Court System Individual Vermonters: connectivity to EHR Portals, Personal Health Records (PHR), Health 2.0 applications and Ix Services

  12. Blueprint Integrated Pilots Building a Scalable Model • 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

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