MU Town Hall Meeting MiHIN Direct Presentation Copyright 2013 Michigan Health Information Network 1...

MU Town Hall Meeting MiHIN Direct Presentation

December 17, 2013

The Direct Project

• Simple, secure, scalable, standards-based way to send encrypted information “directly” to known, authenticated, trusted recipients

• Messages sent securely between end-points:• person to person• person to system• system to person• system to system

Direct = secure SMTP

Simple Mail Transfer Protocol

What is a Direct message?

Direct = secure email

Direct messaging nationwide

MI in pilot ‘13

Dr. Jones

Dr. Smith

Provider to Provider Email

DefinitionsHISP – Health Information Service

Provider

Federally-bridged digital security certificate as

trust anchor

From: results@direct.lab.com

To: someClinic_lab_results@direct.mihin.org

System-to-system messaging

DefinitionsHISP – Health Information Service

Provider

Federally-bridged digital security certificate as

trust anchor

mcir@direct.mihin.org

State of MichiganData Hub

Immunization Registry

VPN into State

Public Health Use Case: Immunizations via Direct

• d o c t o r @ d i r e c t . f l o r i d a . o r g• d o c t o r @ d i r e c t . o h i o . o r g• d o c t o r @ d i r e c t . w i s h s i n . o r g• n u r s e @ c o r r e c t i o n s . m i h i n . o r g

CQM - Problem Statement

• Meaningful Use (MU) Stage 2 requires Clinical Quality Measurement (CQM) reporting

• status quo: no standard way for providers to submit CQMs to state agencies

• providers must manually request MU credit

• limited ability to compare quality data within single clinics, within hospitals, across clinics

• Clinical Quality Measurement Recovery and Repository (CQMRR)

Eligible Providers

Eligible Hospitals

CA Hospitals

Data Peeler

Cypress/DQA

SOM Data Warehouse

CQMData Mart

(Final)

MDSS MCIR MSSS

Syndrom

CQMs@direct.mihin.org

Valid QRDA

VPN to SOM

validQRDA

(CAT I & III)

Health Provider Directory

Meaningful Use Database

Reports, Dashboards,Comparisons,

Mining,

NPI lookup

State of MichiganData Hub

Valid QRDA

QRDAQRDA

QRDA (CAT I & III)

Reports and Data Analysis:Cross Clinical Quality Comparison

• skimming ‘la crème de la crème’• standard report generation • cross clinical comparisons

• can identify best (and worst) clinics• graphical dashboards (e.g. Tableau)• data mining capabilities• statistical analysis (e.g. SAS)• other (tbd)

state maps can show aspects of medical care and organize it by region

MiDiGate™- Public Health/MU

ccdas@direct.mihin.org

MiDiGate

ADT-Subscribers

adts@direct.mihin.org

Medical Information Direct GatewayTM MiDiGateTM for Public Health &

Meaningful Use Reporting

labs@direct.mihin.org

immunizations@direct.mihin.org

CQM Data Mart

Medicaid ADT Repository

MCIRMDSS MSSS

SOM Data Warehouse

VPN to SOM

Outbound

Inbound

cqms@direct.mihin.orgQRDA Cat III

QRDA CAT III

MU Credit

MeaningfulUse

Database

deaths@direct.mihin.org

Any provider organization

Physicians

Hospitals

Other States

CorrectionalFacility

Patients

MDCHData Hub

Direct Email Convention Examples Using MiDiGate& Health Provider Directory

Inboxlabs@direct.mihin.org

immunizations@direct.mihin.orgdeaths@direct.mihin.org

birthdefects@direct.mihin.orgcqms@direct.mihin.org adts@direct.mihin.org

fostercarehealth@direct.mihin.orgccdas@direct.mihin.org

Destination(s) .Reportable Labs to MDSSMichigan Care Improvement RegistryElectronic Death Registry System Chronic Disease RegistrySOM Data WarehouseVital statisticsFoster Kids RegistryChronic Condition Registry

DescriptionLab Results

ImmunizationsDeath notices

Birth defect noticesClinical Quality Measures

Admit, Discharge, TransferFoster kids care summaries

Consolidated Clinical Document Architecture

MidiGate™ for HIE QO & VQO

MDCHData Hub

HIE QO/VQO

ccdas@direct.hieqo.org

MiDiGate

adts@direct.hieqo.org

Michigan Direct GatewayTM MiDiGateTM

for HIE QOs and VQOs

labs@direct.hieqo.org

immunizations@direct.hieqo.org

CQM Data Mart

Medicaid ADT Repository

SOM Data Warehouse

VPN to

Outbound

Inbound

cqms@direct.hieqo.orgQRDA Cat III

QRDA CAT III

MU Credit

MeaningfulUse

Database

deaths@direct.hieqo.org

Physicians

Hospitals

Patients

VPN to HIE/QO/VQO

MiHINVPN to

Repository

Other StatesDirect Email Convention Examples Using MiDiGate

& Health Provider Directory Inbox

labs@direct.hieqo.orgdeaths@direct.hieqo.org

immunizations@direct.hieqo.orgusecasename@direct.hieqo.org

birthdefects@direct.hieqo.orgcqms@direct.hieqo.org adts@direct.hieqo.org

fostercarehealth@direct.hieqo.orgccdas@direct.hieqo.org

Destination(s) .Reportable Labs to MDSSElectronic Death Registry System Michigan Care Improvement RegistryRegistry for that use caseChronic Condition RegistrySOM Data WarehouseVital StatisticsFoster Kids RegistryChronic Disease Registry

Death NoticesImmunizations

Use Case SpecificBirth Defect Notices

Clinical Quality Measures Admit, Discharge, Transfer

Foster Kids Care SummariesConsolidated Clinical Document Architecture

MiDiGate™ for Health Plans

ccdas@direct.[healthplan].org

MiDiGate

adts@direct.[healthplan].org

Medical Information Direct GatewayTM MiDiGateTM for Health Plans

labs@direct.[healthplan].org

Quality

OutboundM

Inbound

cqms@direct.[healthplan].org

Quality & PQRS ReportingQRDA

authorizations@direct.[healthplan].org

Physicians

Hospitals

Other States

QRDA VPN

Revenue Management

Incentive

HospitalContract

Provider Relations

Pharmacy

UtilizationManagement

Care Management

Analytics Fraud

Health Plan Data Warehouse

MyEmail@direct.[healthplan].org

Patients

Direct Email Convention Examples Using MiDiGate & Health Provider Directory

Destination ExamplesCare Manager, IncentiveUtilization ManagementPharmacy, Care Manager, IncentiveHospital Contracts, Provider RelationsQuality, Revenue ManagementCare Manager, Utilization ManagerOther Qualified Organization

Inboxlabs@direct.[healthplan].org

authorizations@direct.[healthplan].orgmeds@direct.[healthplan].org

custom@direct.[healthplan].orgcqms@direct.[healthplan].orgadts@direct.[healthplan].org

ccdas@direct.[healthplan].org

AuthorizationsMedication Notices

Any PHI type messageClinical Quality Measures

Admit, Discharge, TransferConsolidated Clinical Document Architecture

Michigan Direct HISP Activities• In production with Public Health reporting:

• Immunization messages from other states

• Reportable Lab messages from Michigan HIEs or other states

• Syndromics messages from Michigan HIEs or other states

• In pilot with Meaningful Use Stage 2 reporting

• Clinical quality measures (CQM QRDA CAT III – aggregate/summaries)

• Adopting EHNAC-DTAAP (DirectTrust) accreditation in Direct Marketplace for Michigan (issued RFP to Direct vendors 12-05-13)http://mihin.org/mihin-rfp-2013-004/

• Integrating with state-wide Provider Directory

• Federated Identity Management (FIdM) Pilot – Single Sign On (SSO)

Questions?

Contact:

Jeff Livesay

Associate Director

livesay@mihin.org

MU Town Hall Meeting MiHIN Direct Presentation Copyright 2013 Michigan Health Information Network 1...

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