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OCHIN Public Policy Overview

Jennifer StollEVP, Government RelationsOCHINMay 22, 2019

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A driving force for health equity

Technology Research Support Services

Data Analytics

Electronic Health Records

Networking & Broadband

Telehealth

Chronic Pain & Opioids

Diseases Affecting the Safety Net

Health Equity & Health Policy

Social Determinants of Health

Billing

Compliance & Security

Technical Assistance

Staff Augmentation

Our National Impact

500+ Organizations in 47 states

25+ Public Health Departments

10,000 Providers

5.1M Patients served

33M+ Records exchanged past 12 months

The Population We Serve

46%

7%21%

26% Medicaid

Medicare

Private Insurance

Uninsured

Payer Mix

5.1M Active Patients

70% Female | 10% Children

46% At or Below Federal Poverty Level

Diversity42% Racially Diverse | 27% Hispanic

29% Best Served in a Language Other than English

Chronic Conditions70% Have at Least One Chronic Condition (3.5M)

52% Have Two or More (2.6M)

Migrant/Seasonal Workers

Homeless

Incarcerated

School-Based

Veterans

Foster Children 13K

22K

37K

43K

41K

40K

Moving Data to Create a Nationwide Health Care System

Federal Partners• 38K exchanges with Social Security

Administration (past 12 months)• 10K exchanges with Department of

Veterans Affairs (past 12 months)• CareQuality exchange framework

Community Referrals• 11 members live in 2 communities• 35 health systems in pipeline

Regional Exchanges• 12 contracted/legacy HIEs• 10 HIEs in pipeline

State Registries• 20 PDMP integrated members• 13 members in process for PDMP• 16 immunization registries (9 bi-directional)• 5 immunization registries in process

Laboratory • 28 Labs (all bi-directional)

InteroperabilityTelehealthHosted EHR

Hosting Epic in 20 States Supporting NextGen in 44 States

Top 4% of Epic Organizations

Quality & Process ImprovementBilling & Revenue Cycle

Services, Support, and Advocacy

Security & Compliance State & Federal Advocacy

Advocating for policies that improve access and outcomes for vulnerable patients and underserved communities:

• Improve and better coordinate patient care through data and interoperability standards

• Translate OCHIN research and learnings into policy to support health care transformation

• Increase access in rural and underserved areas by expanding telehealth and virtual care

OCHIN’s 2019 Advocacy Priorities

• California providers are leading the way in telehealth

• Providers need support both technically and financially

• Virtual Care Provider networks are incomplete

• Health Plans can be willing and supportive partners

• No playbook – still early, yet late

• Use case specific – don’t know yet where it’s optimal as a tool

• Reimbursement still a barrier – Medicaid still lags behind

What OCHIN is Learning about Virtual Care

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OCHIN Federal Virtual Care Advocacy

• FCC Funding to support affordable broadband

• Funding to ensure safety net providers can afford high quality EHR systems including behavioral health providers

• Working with the Congressional Telehealth Caucus to inform policy package for 2019

• Advocating for virtual care innovation in the Federal House Appropriations

• Advocating for strong and sustainable national standards for interoperability

• Breaking down data silos to ensure data flow and care coordination –Modernization of 42 CFR Part 2 (H.R. 2062/S. 1012)

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OCHIN California Virtual Care Advocacy

• Supporting broadband funding to underserved or unserved communities

• Driving technical assistance support for eConsult integration for health centers

• Advocating for strong and sustainable state policies for interoperability

• Policy expansion of virtual care in School Based Health Centers

• Supporting Medi-Cal virtual care updates on reimbursements including eConsult

• Ensuring smart and fair virtual care policies which include safety net providers

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How you can advocate for virtual care

• Contact your member of Congress and ask them to support: – Modernization of 42 CFR Part 2 - The Protecting Jessica Grubb's Legacy Act

(S.1012) or the Overdose Prevention and Patient Safety Act (H.R. 2062)– FCC Broadband funding – Ensure sustainability for the HealthCare Connect Fund

• Encourage your member or staff to participate - CONGRESSIONAL BRIEFING - IMPROVING RURAL HEALTHCARE WITH BROADBAND AND TELEHEALTH,

– June 10, 2019 1:00 p.m. Dirksen Senate Office Building Room SD-G11

– Innovation and expansion in telehealth programs – Support – Expansion of eConsult and virtual care

OCHIN Inc.@OCHINinc