www.directtrust.org 1101 connecticut ave nw, washington, dc 20036 1:00 pm et, july 10, 2015 (626)
TRANSCRIPT
www.DirectTrust.org1101 Connecticut Ave NW, Washington, DC 20036 1
DirectTrustAll Members Meeting
1:00 pm ET, July 10, 2015
https://global.gotomeeting.com/meeting/join/930802605
(626) 521-0013 -- 930-802-605#
www.DirectTrust.org1101 Connecticut Ave NW, Washington, DC 20036 2
Agenda
• Welcome and new member greetings• DTAAP, industry update, and news from members.– Directory Services Pilot– HIMSS Survey– Certificate Discover Tool from MaxMD demo
• Workgroup updates• Open discussion and comments
“You are the most trusted names in Healthcare Exchange”
www.DirectTrust.org1101 Connecticut Ave NW, Washington, DC 20036
DirectTrust Members151 and Counting…..
33
Lucy Johns, MPH
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DirectTrust Members151 and Counting….
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New Members
• Urgent Consult LLC
• Mount Airey Group, Inc.
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Renewing Members
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Full newsletter from CareAccordWebsite https:www.careaccord.org
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Calendar of Events
– August 18th at 2:00 pm ETJoin Us for a Webinar: “Health Information Governance: A Discussion on the Regulations and Policies Governing the Release of Health Information,” led by DirectTrust Member, David Borden from MRO Corporation.
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Accredited DirectTrust Members
New Accreditations in 2015 Quest Diagnostics Orion Health Nitor Group Health Unity iShare Medical Cozeva – Applied Research Work, Inc. eClinicalDirect Pulse Systems Glenwood Systems Shifox
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Accredited Trust Anchor Bundle
Cerner Corporation Informatics Corporation of America
Inpriva, Inc. MedAllies DataMotion Inc. IOD Incorporated
MRO Corporation EMR Direct
Covisint Secure Exchange Solutions, Inc.
Updox, LLC Truven Health Analytics
Mirth LLC RelayHealth
Health Companion, Inc. MedicityHealthcare Information Xchange of New York, Inc. Optum
Axesson Rochester RHIO
Athenahealth, Inc. Orion Health
Nitor Group Cozeva - Applied Research Works, Inc.
iShare Medical LLC MaxMD
Michiana Health Information Network CareAccord
HealthUnity Corporation Surescripts
eClinicalDirect, LLC New York eHealth Collaborative
Cerner MobileMD Glenwood Systems
Let’s toast to the HISPs in the Accredited Trust
Anchor Bundle. Congratulations!
**Note: Pulse Systems and Integrated Care Collaboration are in the process of joining the Accredited Bundle. **
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Fully Accredited HISPs/CAs/RAs
Count of Organization Name ProgramsStage -- Organization Name 1- DTAAP-HISP 2- DTAAP-CA 3- DTAAP-RA Count Expiration Date Trust Bundle Accreditation
athenahealth, Inc. 1 1 1 10/24/2016 ATABAxesson 1 10/3/2016 ATABCareAccord 1 1 1 10/24/2015 ATABCerner Corporation 1 4/29/2015 ATABCerner MobileMD 1 4/29/2017 ATABCovisint 1 2/14/2016 ATABCozeva - Applied Research Works, Inc. 1 2/26/2017 ATABDataMotion Inc. 1 1 1 1/7/2016 ATABeClinicalDirect, LLC 1 4/7/2017 ATABEMR Direct 1 1 1 2/11/2016 ATABHealth Companion, Inc. 1 1 1 9/3/2016 ATABHealthcare Information Xchange of New York, Inc. 1 9/26/2016 ATABHealthUnity Corporation 1 2/25/2017 ATABInformatics Corporation of America 1 1 1 5/8/2015 ATABInpriva, Inc. 1 1 1 7/11/2015 ATABIOD Incorporated 1 1 1 2/3/2016 ATABiShare Medical LLC 1 2/26/2017 ATABMax.MD 1 1 1 5/8/2017 ATABMedAllies 1 1 1 12/12/2015 ATABMedicity 1 9/17/2016 ATABMichiana Health Information Network 1 8/8/2017 ATABMirth LLC, a QSI company 1 8/6/2016 ATABMRO Corporation 1 2/3/2016 ATABNew York eHealth Collaborative 1 5/15/2016 ATABNitor Group 1 2/24/2017 ATABOptum 1 10/1/2016 ATABOrion Health 1 1/13/2017 ATABPulse Systems, Inc. 1 4/17/2016 ATABRelayHealth Clinical 1 8/20/2016 ATABRochester RHIO 1 10/3/2016 ATABSecure Exchange Solutions, Inc. 1 1 1 5/30/2016 ATABSurescripts 1 1 1 3/7/2017 ATABTruven Health Analytics 1 1 1 7/25/2016 ATABUpdox, LLC 1 1 1 6/19/2016 ATABGlenwood Systems, LLC 1 5/25/2017 ATABIntegrated Care Collaboration 1 8/13/2016DigiCert, Inc. 1 1 9/13/2015Quest Diagnostics 1 12/29/2016ShiFox, LLC 1 6/24/2017Simplicity Health Systems 1 12/19/2016Utah Health Information Network 1 1 7/19/2016
Accreditation Total 40 15 16 41
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Candidate and ApplicantHISPs/CAs/RAs
CandidateCompuGroup Medical 1 12/19/2015GSI Health 1 6/1/2016IdenTrust Services, LLC 1 1 6/19/2016Indian Health Service 1 10/21/2015INTEGRIS 1 3/27/2016Intermountain Healthcare 1 12/31/2015MedicaSoft 1 5/6/2016Medyear 1 1 1 12/29/2015The Health Collaborative 1 11/4/2015US Department of Veterans Affairs 1 12/12/2015Virtua Health 1 11/5/2015
Candidate Total 10 2 2 11
Applicant 2 2
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• If you are interested in participating in the Directory Services Pilot please contact Stephen Weiss at [email protected].
• Fees for the Accredited Trust Anchor Bundle are due by July 15, 2015. Please email [email protected] if you have any questions.
Things to Remember
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HIMSS Survey
Current market view of the usage, value and future of Direct Messaging
Themes from the survey results: • substantial use of Direct in support of care coordination use cases,• broad availability to a provider directory but great variability in the method of
access,• continued challenges incorporating structured data into the EHR,• extensive membership in a HISP,• some knowledge of the availability of Direct messaging among the clinician
community, and• that most participating organizations support Direct as the method choice for
exchanging data.
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HIMSS Survey
• The top five reported uses of Direct include: (i) transitions of care, (ii) ADT notifications, (iii) patient communication, (iv) secure email for other purposes and (v) consult requests between physicians
• The top three reported benefits of using Direct include (i) improved speed of info access, (ii) reduce paper handing, more accurate and (iii) complete patient information
• Major challenges impacting Direct implementations include: (i) high cost, (ii) changing workflows and (iii) other providers not ready to interface
• 60% of respondents report use of hosted webmail accounts (available via a browser)• 76% of respondents reported access to a provider directory, further 64% report they can
access internal providers from that directory from within their EHR, whereas 52% report they can access external providers within their EHR
• 28% report their EHR offers an integrated directory, whereas 28% report they pull in the directory via web services and 17% perform a manual download
• 83% of respondents are part of a HISP; 85% of HISPs can route information to another HISP
• 85% of HIOs are part of a scalable trust network (e.g., DirectTrust, NATE, HealtheWay) and most respondents report it extremely important their HISP is part of such a network
• 51% agree that the cost of using Direct is worth the benefit of information exchange• There remains no standard provider directory format – 14% report using LDAP, 14% use
IHE HPD, 18% have no plans to adopt a standard, 18% are considering their options, while others use another proprietary standard or simply a relational database.
• Incorporating C-CDA data, identifying trading partners and funding implementations are reported as modestly challenging; completing the directory is reported as prohibitively challenging,
• In the absence of MU, respondents reported the following technical preferences for sending electronic health information: CONNECT (27%), SMTP/S-MIME (23%), Direct + XDR/XDM (15%), SOAP+XDR/XDM (6%)
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Very significant press notice
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Workgroup Reports
• Patient and Consumer Participation in Direct – Lucy Johns and Renee Smith
• Directory Policy – Bruce Schreiber and Jim Fisher• Security and Trust Compliance – Luis Maas and Jeff McDonald• Trust Anchor Bundle Operations – Greg Meyer• Certificate Policy and Practices – Don Jorgenson • Clinical Transitions of Care – Holly Miller and David Kibbe• DirectTexting - Bruce Schreiber• esMD Workgroup – Scott Rea and David Kibbe• FHIR Security and Trust – Brian Ahier and Calvin Beebe
• First workgroup meeting – June 11th at 3:00 pm ET
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Discussion
David C. Kibbe MD MBAPresident and CEO [email protected]@mac.com913.205.7968
Electronic Mail + Attachments!Encrypted! Identity Validated!Everywhere! Familiar! Easy!…and Way Better than Fax!