Statewide Collaboration Process SHIN-NY Technical Workgroup

1. Statewide Collaboration ProcessSHIN-NY Technical Workgroup SHIN-NY Technical Workgroup Monthly Call July 8th, 2011 1 PM – 2 PM

2. Meeting Agenda • Meeting Reminders Ali Hussaini • SHIN-NY SCP EMPI Subgroup Progress Mark Greaker • SHIN-NY SCP UPHN Subgroup Progress Ivan Gotham

3. Meeting Reminders • In order to be counted as attending a meeting, you must either: • Sign-in to the ReadyTalk meeting from your computer • Email me at ahussaini@nyehealth.org • Remember to mute your phones when you are not speaking (*6 to Mute, *7 to Unmute). • Do not place the call on hold (you may have hold music or sounds that you are unaware of). • Please identify yourself for the group when speaking.

4. Meeting Reminders • Meeting minutes and materials for each of the subgroup meeting can be on the wiki sites: SHIN-NY SCP EMPI Subgroup: shinnywgempiwikispaces.com SHIN-NY SCP UPHN Subgroup: shinnywguphn.wikispaces.com

5. SHIN-NY SCP EMPI Subgroup Co-Chair: Mark Greaker

6. Goals from our last time together in Albany: • EMPI design and standards • ADT (How to load the Patient) • MPI (How to match the Patient) • Patient Request (RLS? How to find the Patient) • Data Submitted (How to view the Patient) • SHIN-NY Communications • RHIO to SHIN-NY • RHIO to RHIO • Auditing design and standard • Provider Directory

7. Results after 3 months: • EMPI design and standards- The Overall design and workflows are completed. There are some minor changes in data stewardship that need to be finalized. • ADT (How to load the Patient)- HL7 v3 PIX Patient New/Update record • MPI (How to match the Patient) – Draft matching criteria completed. Final version will come with the application vendor that will to be selected next quarter. • Patient Request (RLS? How to find the Patient) NO RLS service this round. A standard Patient request and retrieval via the HIE standards for phase I. • Data Submitted (How to view the Patient)- The data sources (RHIO’s) will provide a consolidated CCD for phase I. CCD standard to be completed by CCD Tiger team (next quarter). • SHIN-NY Communications- Communications between the RHIO’s and the SHIN-NY will be a standard design uses Private and public certificates (x.509) and encryption. • Auditing design and standard- Draft functions are ready, once the MPI application is defined, detail auditing and reporting can be finalized. • Provider Directory- Collaboration with the DOH to assure all efforts are in synch and assure there is one standard and maybe one directory services many organizations.

8. SHIN-NY SCP UPHN Subgroup Co-Chair: Ivan Gotham

9. Pharmacies Hospitals Labs Long term care Health Plans State Health Clinics Local hhs Medicaid Consumers Clinicians Current State: WHY Do need a Universal Public Health Node ?

10. Universal Public Health Node (UPHN) Project A strategic organizational process, informatics approach and technical infrastructure to transform public health practice through health information exchange in NY. Enable integration of practice public health within the health enterprise, as part of the business model for effective and economical health care delivery across the continuum. Assuring sustainability and effectiveness of delivery of public health services within the continuum of health care. Identification and implementation of strategic Public health activities/priorities within an organized governance process for public health infrastructure1 planning, investment, implementation, management and evaluation. Support public health information exchange as a value proposition within statewide strategic and operational plans for HIT. 1 Public Health Infrastructure= three strategic assets: workforce, information (technology) architecture and information.

11. Internal Priorities Advanced by UPHN Project Improve the efficacy of public health practice through the multiplicative effects of Program access to integrated longitudinal information assets that are authoritative, interoperable, reusable, reliable and timely. Supporting: evidence-based interventions evidence-based policy and decision making supportive of public health priorities and agenda Increased organizational ( workforce ) capacity and efficiency Accurate and effective measurement and evaluation of program intervention, policy and Public health infrastructure investments Extension of public health practice within the care continuum through provision of externally facing information exchange services of high clinical and business value to our clinical health information trading partners Decrease IT and Program Cost of Ownership through: Reducing the need for state and local health in maintaining multiple, duplicative, data systems and reporting venues. Reducing duplicative data cleaning, linkage, QA/QC, translation, transformation, program processing of multiple disparate data systems. Reduction in diversity, disparity and program-centric information access control. Increase in reusable information and data Uncoupling of information from technology

12. External Priorities Advanced by UPHN Project Passive (vs. active) bi-directional information exchange with DOH data systems and health care providers Reducing administrative burden on providers to report to multiple disparate state/local systems in addition to using clinical information systems (EHRs, LIS, etc…) Hierarchy of information exchange infrastructure that is transparent to clinical workflow and business. Improved clinical practice and health care cost efficiencies through access to DOH enabled external facing data/information services of high clinical/business value Integrating clinical, quality and population health guidelines into physician workflow Change the business model from regulator v regulated to strategic partnerships in health information trading

13. Universal Public Health Node: Shared, Reusable Core Services Prioritized by Statewide Collaborative Process Version 1 Services supporting Epidemiologic Surveillance, Case Investigation, Aggregate population or quality measures, Hospital Resource utilization Meaningful Use Testing Services Immunization Registry Reporting Syndromic Surveillance Laboratory reporting Bi-Directional Public Health Information Exchange Services Priority Use Case:Child Health Information services. Subsets Immunization and Newborn blood spot screening Registry Reporting Value Return for reporting : Provider queries for heath records (e.g. immunization history) Value Return from reporting: Provider decision support ( e.g. guidance )

14. Universal Public Health Node: Shared, Reusable Core Services Directory Services: Use Case - Master Provider Information Directory ( Collaborative composite services ) Value service : Authoritative source: Provider contact information, medical conduct actions, vital events, licensing, qualifications, board certs, specialties, profile information, medicaid ID. Reusable Data Reporting Services: Use Case - Admission Discharge Transfer (ADT) Message Value Service: reusable data feed supporting and replacing multiple program reporting venues: Hospital Bed availability, Syndromic surveillance, ED utiliization, NICS, Event Patient tracking Alerting and Notification services: Use Case – Population health alerts Value service : Authoritative source: Population Health Alerts, Advisories, Updates, Information. ( future ) Value Service: Individual “alerts” – Decision Support Other planned Services Vital event notification Services ( births and deaths ) Bidirectional disease registry reporting and information services

15. Future State: High-level Design (example)Hierarchical Information Exchange Leveraging Community of Clinical Care SHIN-NY standards NYSDOH Child Heath Information Services examples from CHI2 Other 250+ NYSDOH Health Systems (Master Child Index) Perinatal Data System Birth Data Immunization registry Newborn screening UPHN Statewide Health Information Network for New York (SHIN-NY) RHIO Qualified Health IT Entity Hospital Hospital Physician Practice

16. Meeting Schedule SHIN-NY SCP Technical Work Group Meetings are on the 2nd Friday of every month from 1 PM -2 PM EST: Upcoming Meeting dates: • August 12 • September 9 • October 14 • November 11 • December 9