Commonwealth of Virginia Health Information Technology

1. Commonwealth of VirginiaHealth Information Technology • Debbie Condrey • Chief Information Officer • Virginia Department of Health • January 25, 2018

2. Overview • Virginia Department of Health Updates • Topics include: • ConnectVirginia • All Payer Claims Database • ED Care Coordination Project • Vital Records • Data Sharing / Governance / Analytics • Security • 2

3. ConnectVirginia • Connect Virginia coordinates and hosts the Virginia Veterans Lifetime Electronic Record regional meetings • Collaboration with CRISP to expand Encounter Alerts to Virginia residents in Maryland and DC facilities • Enhanced advance directives registry and bi-directional state immunization registry • Management Services through Virginia Health Information • Offerings now include the following: Exchange, public health reporting portal, advance health care directives registry, basic encounter alerts • ConnectVirginia is also working with VDH and other stakeholders to implement the Emergency Department Care Coordination program

4. Virginia’s All Payer Claims Database (APCD) 2017 Accomplishments • In 2017, the number of registered users rose to over 260 • Added Medicare Fee-for-Service data to the APCD, which includes paid claims for over 1 million Virginians. In order to do this, VHI had to become certified as a CMS Qualified Entity. Initial certification was awarded in June 2016 and VHI obtained 2015 and 2016 Medicare Fee-for-Service data. VHI also applied to obtain authorization to use the data for VDH to use for public health initiatives. This is awaiting final approval from CMS. • APCD In Action • Population health infographics and whitepapers • Virginia Center for Health Innovation’s Health Value Dashboard initiative and similar dashboards for FQHCs • Choosing Wisely and the MedInsight Health Waste Calculator • Healthcare Pricing Report to increase transparency to consumers • Working to obtain paid claims data from the Federal Employee Health Program and TRICARE, and expand to more self-insured employers

5. Emergency Department Care Coordination Program • Program Overview: • Provide a statewide technology solution that connects all hospital emergency departments to facilitate real-time communication and collaboration amongst health care providers • Enable the exchange of real-time patient visit information and integration with hospitals’ electronic health records systems • Ensure executed data exchange contracts exist with participants to ensure privacy and security of patient information

6. Emergency Department Care Coordination Program • Enable receipt of real-time alerts to identify patient-specific risks, to create and share care coordination plans, and to assess other clinically beneficial information • Provide the patient’s primary care physician and managed care organization with treatment and care coordination information • Integrate with the Prescription Monitoring Program and the Advance Health Care Directive Registry • Funding for the project – General Funds and HITECH

7. Emergency Department Care Coordination Program • Accomplishments: • Vendor has been secured: Collective Medical • Established the ED Advisory Council (ED Council) • “Road Shows” with Hospitals/Health Systems and Health Plans • Two main workstreams: technology and data sharing/trust agreements • Eleven hospital systems are in process on the technology piece

8. Emergency Department Care Coordination Program • Next Steps: • Create detailed implementation plans with each system and health plan as we complete these “road shows” • Implement the solution in hospital EDs across the state and with Medicaid Managed Care Plans by Jun 30, 2018 • Integrate the solution to the Prescription Monitoring Program and the Advance Directive Registry • Expand the program to downstream providers such as FQHCs and CSBs • Develop metrics to analyze the success of the program • Create the Clinical Consensus Group

9. Vital Records Systems • Updates on Electronic Death Registration System: • System is currently voluntary; several bills in this year’s General Assembly seek to make this mandatory • Almost all funeral homes are participating and around 1200 physicians • Bringing on UVA and VCU before April 2018 • Data Sharing – death information, etc.

10. Data Governance • Vision: A sustainable, collaborative environment promoting data excellence throughout the Virginia Department of Health. • Highlights: • Standardized, flexible methodology for sharing data • Secure data transport available for use at no cost • Executive, Management, and Staff level engagement • Framework for institutionalizing dialogue and feedback • Improving coordination between different elements of VDH

11. What’s on the Horizon? • Electronic Health Records system for VDH? • Implement ED Care Coordination in all emergency departments by June 30, 2018 • Continue to build on this program by convening the Clinical Consensus Group to help determine next steps • Interoperability • Data sharing – open data