This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

Montana HIMSS Spring Convention May 11th, 2012

HIE and Beyond

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

• December 2005 - HealthShare Montana, (originally known as the Montana HIT Task Force), began in late 2005 as a grass-roots coalition of stakeholders. Senator Max Baucus is responsible for getting us started

• January 2007 - Steering Committee chosen and charged with creating a governance structure for HealthShare Montana

• July 2007 - A 21-member board composed of carefully chosen representatives from every geographic region and aspect of healthcare across the state of Montana is formed to govern HealthShare Montana

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BRIEF HISTORY

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

Governor Brian Schweitzer selected HealthShare Montana to be the designated entity in charge of establishing a statewide health information exchange in May of 2009.

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DESIGNATION

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

FUNDING

• $674,000 State contract • $706,000 HRSA grant • $5.67 million ONC grant • $1.40 million ONC challenge grant • Expected to be self funded by September of 2013

or before

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

HIE ELECTRONIC SOLUTION SELECTION PROCESS

• Due-diligence – Two separate RFP processes completed, one in 2008 and one in 2010

• DocSite was named the preferred vendor in both processes

• More due diligence. DocSite pilot project involving Billings Clinic, Montana CHC HIT Network and Montana Frontier Healthcare Network

• DocSite is now Covisint/DocSite

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

COVISINT, A COMPUWARE COMPANY

– Compuware Corporation: – Leading the world in application

performance – Founded in 1973 – Compuware helps organizations

achieve maximum value from IT investments by optimizing application performance

– 23,000 customers, 46 of the top 50 Fortune 500 companies

– Strong financial profile: • $929M total revenue FY 2011 • $107.4M in FY 2011 net income

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

HSM CAPABILITES - VISION

HIE

EHR-Lite

Research Environment

Quality Reporting

Standardizes data format and display

Aggregates data across the health care continuum

Providers have the right information at the right time

PQRI PCMH

ACO NCQA

Advanced analytics capabilities

Predictive modeling

Risk assessment

Risk adjustment

Population-based studies

Help providers get to meaningful use

MU

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

OUR PROJECTS

HIE PCMH

CHALLENGE THEME 5

I2B2

EHR

DOCSITE

ACO AHO

CONSUMER INNOVATION CHALLENGE

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

Health Information Exchange

• Currently fully functional • One (1) Critical Access Hospital Contract – To

begin Data Integration 6/1 • Currently in final contract negotiations with a

major Montana medical facility • Expected contracts in place by EOY = 10

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

Challenge Theme 5, i2b2

• Awarded to HealthShare Montana in March 2011 • The proposal was submitted in collaboration with:

– Institute of Translational Health Sciences at the University of Washington

– Recombinant Data Corporation, Inc. of Boston, MA

• Research environment based on Harvard’s open-source Informatics for Integrating Biology and the Bedside (i2b2)

• Allows robust analytics to be applied to both identified and de-identified data collected by the HSM clinical data repository

• Identified data goes through “honest-brokering” and IRB process

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

Patient-Centered Medical Home PCMH

• MT BC/BS PCMH - Successfully won the RFP for the creation of the first PCMH in the state – In final contract and SOW negotiations – Expected release in August of 2012

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

Accountable Health/Care Organization AHO/ACO

• Currently in contract negotiations for creating the first AHO/ACO in Montana

• Integrates clinical data + claims data + pharmacy data + patient portal

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

Consumer Innovation Challenge

• Challenge grant awarded to HSM Feb 2012 • Patient portal into the health information

exchange • Make PHI more readily available to consumers • Improve consumer engagement with their

own care and self-management • Montana among only 5 other states working

on this project

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

HOW DOES IT ALL FIT TOGETHER?

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

EHR Clinical Data

HSM HIE CDR

I2b2, Ingenix and Other Analytics

Patient Portal

T5 Data Trust & Computing

Environment

Claims, PBM & Other Data

Sources

DocSite CDS & QI Reporting

Covisint Connectivity Platform

HSM Value Proposition: HIE, Metrics Reporting, Data Uses & Computing Infrastructure

Data Use Value

Metrics Value

HIE Value

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

HealthShare Montana 2012 Stakeholder Meeting Thursday, July 12, 2012 9:30 a.m. to 4:00 p.m.

Great Northern Hotel – Helena

Go to www.healthsharemontana.org to register

This project is funded in whole or in part under a contract with the Montana Department of Public Health and Human Services. The statements herein do not necessarily reflect the opinion of the Department.

Thank you! Brad Putnam, Executive Director

(406) 794-0170, ext. 1001 bputnam@healthsharemontana.org

www.healthsharemontana.org