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ThSisU Advisory Committee Meeting

GoToMeeting: https://global.gotomeeting.com/join/655258469. http://phi.health.utah.gov/thsisu. ThSisU Advisory Committee Meeting. April 18, 2017. Agenda. Welcome and Introduction. Matt Hoffman, Co-chair. The Membership of the ThSisU Advisory Committee.

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ThSisU Advisory Committee Meeting

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  1. GoToMeeting: https://global.gotomeeting.com/join/655258469 http://phi.health.utah.gov/thsisu ThSisU Advisory Committee Meeting April 18, 2017

  2. Agenda

  3. Welcome and Introduction Matt Hoffman, Co-chair

  4. The Membership of the ThSisU Advisory Committee http://phi.health.utah.gov/thsisu-advisory-committee-membership/ The Committee members represent a variety of parties in health systems, including association, health care delivery system, informatics, legal, patients, payers, state IT, and Utah Department of Health.

  5. Review the Committee’s Legal Status and Responsibility • Utah Code Title 26 Chapter 2 Section 30 • Powers and Duties of Department • Utah Administrative Code Rule R380-77. • Coordination of Patient Identification and Validation Services Wu Xu, UDOH For more information, visit page: http://phi.health.utah.gov/thisisulaws/ PDF files are available at: http://phi.health.utah.gov/wp-content/uploads/2017/04/C26-1-S30_2015051220150512.pdf http://phi.health.utah.gov/wp-content/uploads/2017/04/r380-077.pdf

  6. Finalize the Committee’s Charter Sid Thornton, Co-Chair http://phi.health.utah.gov/thsisu-advisory-committee-charter/

  7. Review the SIM ThSisU Report Iona Thraen, UDOH http://phi.health.utah.gov/wp-content/uploads/2017/03/THSisU-Final-Report_Draft.pdf

  8. Review the Existing Common Shared Platform for ThSisU Sid Thornton

  9. Review the ThSisU-related Pediatric Patient Summary Use Case Iona Thraen

  10. Summarize Discussion and 2017 Work Plan/Goals Matt Hoffman

  11. Wrap Up and Planning Next Meeting Sid Thornton

  12. ThSisU project website http://phi.health.utah.gov/thsisu/ Thank you very much for your support! Any comments and suggestions, please contact Jingran Wen jingranwen@utah.gov 801-538-6320

  13. ThSisU Final report Iona M. Thraen April 18,2017

  14. Oversight and Governance

  15. Overall Conceptualization

  16. Description of ThSisU Services or Building Blocks • 1. Patient identity service for proofing, verification and identity correlationgives confidence to the disclosing organization that the electronic PHI are attached to the intended patient both at the disclosing and receiving sides of the data transmission. • 2. Patient proxy services allow for recipient identification, transmission notification and audit data to follow the correct patient through the patient-facing applications and registered personal devices in the community. • 3. Provider delivery preference services ensure the messages are delivered according to the capabilities and preferences of the intended provider and facility, the transparent auditing of the transaction. • 4. Care team management services allow for the curation of patient-to-provider relationships and allow the disclosure rules to interpret the dynamic role played by each identified provider in the care team. • 5. Patient access services enable community applications to dialogue directly with patients and their representatives for notifications, planning and data corrections for the purposes of improving patient-centric care coordination. • 6. Care coordination services ensure the information are collected from the appropriate data sources, aggregated and filtered according to community standards, and ultimately received by the appropriate data receivers/providers(s) in a timely manner with appropriate notification to the patient-facing tools. Specific care coordination logic may be contracted/sponsored by providers, payers or public health entities.

  17. Use Case Mappings

  18. One Example - Pediatric Patient Summary

  19. Utah Identity Repositories

  20. Current State Existing Identity Correlation Services Existing Provider Directors

  21. Data Sets for Care Team Identification

  22. Patient Portals

  23. Master Person Index - evaluation

  24. Legal Committee Recommendations • The Governance Committee must seek an enactment or amendment to statutory language for the following purposes: • To identify and establish the ownership of ThSisU clinical use cases. • To expressly grant participating organizations immunity or placing limitations on their civil liability for the clinical uses cases. Current language shields a participating organization from civil liability for disclosures of clinical health information. New language should also cover participating organizations "good faith use" of the disclosed information. • To include an independent contractor acting as exchange administrator for ThSisU as an entity that is immune for suit or civil liability. This can be done by modifying the term “qualified network,” as defined in Section 26-1-37(1)(f), to include an independent contractor. • To expand the Department of Health’s immunity under the Governmental Immunity Act to include ThSisU activities it performs pursuant to Section 26-1-37.

  25. Financial Costs

  26. Current Initiatives • 90/10 funding • Pediatric Patient Summary • UU declined matching support • ePOLST • Civil Money Penalty Match • Under development Back

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