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OverviewInteroperability for Texas:Powering Health 2016 Report

Review for the eHealth Advisory Committee, supporting planning for the 2018 Report

March 24th, 2017

Purpose and Scope

Purpose

Review key aspects of the Health and Human Services’ 2016 Interoperability Plan to support activities of work groups within the eHealth Advisory Committee.

Scope

HHS systems that exchange protected health information (PHI).

eHealth Advisory Committee Meeting3/24/2017

Collaboration as a Key Theme

• Further development of plans and activities within the planning framework

• Stakeholder participation

• Prioritizing interoperability- business driven

• Developing/improving measures of progress and success

• Standards identification and adoption

• Managing technology change

• Advancing access and connectivity


Workgroups

• Recommendations to be developed by December 2017

• Self-selected from eHACmembers

• HHS staff can facilitate workgroups

• HHS staff can serve as subject matter experts


Planning Framework 2017-2021


Workgroup Charges

• Advise HHS in the specification of “measures of success” for advancing and achieving interoperability through measuring:

• Facilitating care coordination among the agencies;

• Ensuring quality improvement;

• Realizing cost savings.

• Advise HHS regarding the development of system improvements that will advance and improve interoperability.


HB 2641 Planning and Reporting Requirements

• The commission and each health and human services agency shall establish an interoperability standards plan for all information systems that exchange protected health information with health care providers.

• Report to the Governor and the Legislative Budget Board on the commission's and the health and human services agencies' measurable progress in ensuring that relevant information systems are interoperable with one another and meet the appropriate standards.


HHS Systems Subject to HB 2641 Standards Requirements

New information systems planned or procured after September 2015 that are used by the Texas Health and Human Services Commission (HHSC) or other State of Texas health and human services agencies (Collectively, HHS agencies) to send or receive protected health information (PHI) to/from health care providers.


Interoperability Defined and Explained

The ability of two or more systems to exchange and use electronic health information from other systems without special effort on the part of the user.

eHealth Advisory Committee Meeting

• Allows for complete access, exchange, and use of all electronically accessible health information for authorized use under applicable State or Federal law.

• Does not constitute information blocking.

Added to the federal definition by the

21st Century Cures Act:

3/24/2017

Transformation of HHS Agencies

The goals of the transformation are to create a system that:

1. Is easier to navigate for people who need information, benefits, or services;

2. Aligns with the HHS mission, business, and statutory responsibilities;

3. Breaks down operational silos to create greater program integration;

4. Creates clear lines of accountability within the organization; and

5. Utilizes clearly defined and objective performance metrics for all areas of the organization.


HHS Strategic Goals as Related to Interoperability

The exchange of PHI

is a critical activity in

supporting the goals

and advancing the

five themes of the

2017-2021 HHS

Strategic Plan.

• Accountability

• Efficiency,

• Effectiveness,

• Excellence in customer service, and

• Transparency.


Texas Structural Supports for Interoperability

• Office of eHealth Coordination

• Office of the Chief Data Officer

• Medicaid Health Informatics Services and Quality

• HHS Information Technology

• Office of the Chief Technology Officer

• Information Security Office

• HHS Privacy Office

• DSHS Center for Health Policy and Performance

• Governance Processes

• Texas Health Services Authority

• Local Health Information Exchanges

• Regional Extension Centers

• Provider and Industry Associations including, but not limited to• Texas Hospital Association• Texas Medical Association• Texas Council of Community Centers• Texas eHealth Alliance• Texas Health Information

Management Association• Association of Substance Abuse

Programs• Texas Association of Health

Information Organizations


Ongoing HHS Activities to Support Interoperability

1.Legal Agreements with THSA

2.Data Asset Repository

3.Public Health Reporting through HIEs

4.Enhancements to governance processes

5.Medicaid Provider HIE Connectivity

6.HIE Connectivity and Infrastructure Improvements


Systems Subject to HB 2641 Standards Requirements

• Syndromic Surveillance (HL7)

• High Consequence Infectious Diseases (HCID) Assessment

• HRAR Planning and Assessment Projects• HIV = Human

immunodeficiency virus• RECN = Real-time Education

and Counseling Network• AIDS = Acquired immune

deficiency syndrome• ARIES = AIDS Regional

Information Evaluation System

• Center for Health Statistics Discharge Data (ANSI)

• Pharmacy Benefits Management System (NCPDP, MITA)


Interoperability Challenges

1.Technology challenges regarding patient matching.

2.Multiple, differing standards used by vendors for transmitting and storing health information.

3.Healthcare economics.

4.EHR design.

5.Difficulties in establishing trust across and among healthcare entities.

6.Variation in state privacy laws.


Standards Development Process

Create Plan for Standard

Development/Modification

Develop Support

Draft Standard/Update

Ballot Standard

Gain Approval

Implement Standard/Changes


Example of Current Interoperability at HHS

• HHSC

• Medicaid Systems

• Pharmacy Claims

• ePrescribing

• CARE

• CMBHS

• DADS

• SSLCs

• DFPS

• Foster Care Passport

• DSHS

• State psychiatric hospitals’ EHR

• Public health registries

• Texas Cancer Registry

• Electronic Laboratory Reporting

• ImmTrac

• Vital Statistics

• Center for Health Statistics


Questions?


Contacts

Hope MorganDirector of Technology Research, [email protected]: 512.438.4675

Steve EichnerHIT Policy Director, [email protected]: 512.776.7180


mailto:[email protected]

mailto:[email protected]

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