BID-MAeHC DEMONSTRATION PROJECT Steering Committee Meeting

1. BID-MAeHC DEMONSTRATION PROJECTSteering Committee Meeting October 19, 2009

2. AGENDA AGENDA • Measure Development Working Group • Data Transport and Connectivity Working Group • Reporting Working Group • Web OMR Working Group • Project Plan-Timeline • Key Issues for Discussion • Next Steps

3. Measure Consolidation Process • Measure specifications were derived from • HIT Standards Committee (Meaningful Use) • BID Clinical Standards WG (derivative of TCNY) • MAeHC QDC • Process • Measures were grouped into categories and sub-categories to streamline the consolidation process • All HIT Standards Committee measures were kept • BID contract incentive items were flagged and kept • All remaining measures were assessed for similarities and excluded if the measure was identified as the same based upon definition, numerator, denominator, and coding specifications • Measures were also excluded if they were based upon specific needs that did not apply to BID • As of October 16th, 97 measures were consolidated down to 72 • Detailed specifications still need to be defined by the HIT Standards Committee • Additional measures may be excluded once this happens

4. Measure Consolidation Process

5. Measures as of October 16, 2009

6. Measure Details

7. Measure Details (II)

8. Measure Details (III)

9. Measure Details (IV)

10. Measure Details (IV)

11. AGENDA AGENDA • Measure Development Working Group • Data Transport and Connectivity Working Group • Reporting Working Group • Web OMR Working Group • Project Plan-Timeline • Key Issues for Discussion • Next Steps

12. Proposed High Level Design

13. Data Transport and Connectivity WG Key conversation points and decisions taken: • Utilize C32 Document type • Implement as many of the HIT Privacy and Security Standards as isappropriate Access, Authentication, Authorization – Role based Secure transmission of data (TLS) Auditing De-identification and Re-identification • Reviewed data elements available from source systems (ECW and webOMR)

14. Draft - C32 Data Element Requirements Source: HITSP CDA Content Modules Component

15. Draft - C32 Data Element Requirements Source: HITSP CDA Content Modules Component

16. Draft - C32 Data Element Requirements Source: HITSP CDA Content Modules Component

17. AGENDA AGENDA • Measure Development Working Group • Data Transport and Connectivity Working Group • Reporting Working Group • Web OMR Working Group • Project Plan-Timeline • Key Issues for Discussion • Next Steps

18. BIDPO Reporting Dimensions

19. Administrative Report Categories and Views

20. AGENDA AGENDA • Measure Development Working Group • Data Transport and Connectivity Working Group • Reporting Working Group • Web OMR Working Group • Project Plan-Timeline • Key Issues for Discussion • Next Steps

21. AGENDA AGENDA • Measure Development Working Group • Data Transport and Connectivity Working Group • Reporting Working Group • Web OMR Working Group • Project Plan-Timeline • Key Issues for Discussion • Next Steps

22. ROLES AND RESPONSIBILITIES

23. I Design II III IV HIGH-LEVEL SCHEDULE • Project phases • June 2010 • April 2010 • January 2010 • October 2009 • August2009 Measure Spec/Analysis Update Database Design/Schema Application/Reports Design DEV/TEST SYS Prep Develop Upgrade Data Transport Method Modify APP/dB Internal Testing TEST Data Validation First Pilot PROD SYS Prep Implement Enable Live Data Feed Install dB/App • Key dates Project Kickoff Measure Acceptance Go-Live Signoff Development Completed

24. Project Plan

25. Project Plan

26. Project Plan

27. AGENDA AGENDA • Measure Development Working Group • Data Transport and Connectivity Working Group • Reporting Working Group • Web OMR Working Group • Project Plan-Timeline • Key Issues for Discussion • Next Steps

28. Key Issue for Discussion: Privacy and Security • Identified versus de-identified Patient Information • Name • Enterprise ID • Address (Town, Zip) • Compliance with Security Standards • Encryption of data at rest – should that include the database?

29. AGENDA AGENDA • Measure Development Working Group • Data Transport and Connectivity Working Group • Reporting Working Group • Web OMR Working Group • Project Plan-Timeline • Key Issues for Discussion • Next Steps

30. Next Steps • Acceptance of finalized Measure Set • MAeHC Statement of Work • Legal Agreements between parties (BIDPO, BIDMC, MAeHC, CSC) • Establishment of HW infrastructure to support the new QDC