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Rapid Prototyping of Interoperability Standards for Clinical Quality Measurement

HIMSS 2015 Interoperability Showcase

https://opahit.sites.usa.gov/

@OPAHIT

Clare Coleman

NFPRHA

Johanna GoderreHHS OPA

Mario Hyland

AEGIS.NET

Adam MeloanNetsmart

Christina Lachanc

eHHS OPA

Rapid Prototyping of Interoperability Standards for Clinical Quality Measurement

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7.3 million encounters annually

4.1 million clients

4,127

Service delivery sites in

1,115

Sub recipients

50+ States & territories monitored by

94 Grantees monitored by

20 Regional OPA FTEs supported by

10 Regional Health Administrators

5 National Training Centers

1 OPA HQ

Title X: A diverse and wide network

3

Source: 2014 preliminary FPAR data

The 10 HHS Federal Regions

3

Family

Planning saves

tax payers

$7.09 for every

$1 invested!Source: www.guttmacher.org

@OPAHIT@OPAHITFamily Planning Services

• Contraceptive services to prevent pregnancy

• Pregnancy testing & counseling

• Preconception health counseling & services

• Basic infertility services

• STD/HIV screening, diagnosis & treatment

• Related preventive health services e.g., screening for breast and cervical cancer

• Other preventive health services e.g., screening for lipid disorders

4

@OPAHIT@OPAHIT4,127 Title X Service Sites

53%

21%

18%

8%

65% of the clinical FTEsare NPs, CNMs, or PAs

Health Department (State, County, or Local)

Community Health Center orFQHC

Family Planning Organization

Hospital and Community-based (school, university, correctional, tribal, faith)

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CE credits available! http://www.cdc.gov/mmwr/pdf/rr/rr6304.pdf

Emphasis on Quality Framework

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Clinical Guidelines• Quality Family Planning (QFP) Recommendations*

from CDC and OPA• Oregon Health Authority & OCHIN: Pregnancy

Intention

Measure Endorsement• National Quality Forum (NQF)• CMS & ONC Meaningful Use: Chlamydia• CMS Maternal & Infant Health developmental

measures

Reporting, Use, & Analysis• HEDIS• Title X Family Planning Annual Report• Healthy People 2020 – proposed contraceptive

objective

Emphasis on Quality Framework

* CE credits available for Gavin, et al. Providing Quality Family Planning Services: Recommendations of CDC and US Office of Population Affairs. MMWR Apr 2014. PMID: 24759690

@OPAHIT

Clare Coleman

NFPRHA

Johanna GoderreHHS OPA

Mario Hyland

AEGIS.NET

Adam MeloanNetsmart

Christina Lachanc

eHHS OPA

@OPAHIT@OPAHITHow OPA wound up on this stage today

2012 - 2013

2013 - 2015

Expert working group of clinicians & administrators

• Move to encounter-level, performance-oriented system

• Data elements

Feasibility study

• Intensive review of 9 systems & process “in the wild”

• Survey to entire network• Produce implementation guidance

@OPAHIT@OPAHITHow OPA wound up on this stage today

From paper to prototype in 18 months

Nov 2013

Apr2015

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• IHE proposal approved• Details in committee for 6

months• Communications• Relationship-building

Nov 2013

Apr2015

From paper to prototype in 18 months

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Nov 2013

Apr2015May

2014

• Engaged S&I Framework for pilot on standards-based calculation of clinical quality measures (CQM)

From paper to prototype in 18 months

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Nov 2013

Apr2015June

2014

• IHE profile public comments

• Broke IHE records• 600+ comments from 80

organizations• 70% of comments from

clinicians

From paper to prototype in 18 months

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Nov 2013

Apr2015Aug

2014

• Details with SME on CQM & CDS standards

• Started Privacy & Security Roadmap

• Resolved comments and modify IHE profile

From paper to prototype in 18 months

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Nov 2013

Apr2015Sept

2014

• IHE profile published – incoming to FPAR 2.0 repository

• Contract awarded to Aegis

From paper to prototype in 18 months

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Nov 2013

Apr2015Oct

2014

• Registrations due for Connectathon – needed 3 vendors!

• Aegis started building prototype – paper to working model

From paper to prototype in 18 months

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Nov 2013

Apr2015Nov

2014

• Aegis demo to OPA• System ready for testing & onboarding:

Mitchell & McCormick, Netsmart, Patagonia

• Tested S&I artifacts in 3 systems

From paper to prototype in 18 months

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Nov 2013

Apr2015Jan

2015

• IHE NA Connectathon• All 3 competitive vendors

passed• Utah DOH added complexity• GE Centricity & international

vendor started & passed < 3 days

From paper to prototype in 18 months

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Nov 2013

Apr2015Feb

2015

• Took a breath!• Started de-identification

guidance in another IHE committee

From paper to prototype in 18 months

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Nov 2013

Apr2015Mar

2015

• Get ready for HIMSS!

From paper to prototype in 18 months

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Community benefits to data exchange

@OPAHIT2014 Wins

Converged on semantic interoperability and performance measures

Tested web services data exchange model with common vendors

Developed and tested public CDS & CQM artifacts

Built relationships with all stakeholders

Aligned with industry and stakeholder capacity and concerns

@OPAHIT@OPAHITMission Impossible in 8 weeks

@OPAHIT@OPAHITConnectathon Preparation Scorecard

Vendor 1

Vendor 2

Vendor 3

0 200 400 600

Success at ConnectathonConnectathon Dress Rehearsal BonusSocial PromotionConformance ImprovementPre- ConnectathonWeekly TestingRegistration

@OPAHIT@OPAHITWhy partner on such an ambitious timeline?

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Join us now to talk details at Booth 3486

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Tour our use case! South Building|Hall A Booth 2084-192