Embed Size (px)
Citation preview
1
MU Town Hall Meeting MiHIN Direct Presentation
Copyright 2013 Michigan Health Information Network
December 17, 2013
2
The Direct Project
Copyright 2013 Michigan Health Information Network
• 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
3
Direct = secure SMTP
Simple Mail Transfer Protocol
What is a Direct message?
Direct = secure email
Copyright 2013 Michigan Health Information Network
Direct messaging nationwide
MI in pilot ‘13
5Copyright © 2012-13 Michigan Health Information Network
Dr. Jones
Dr. Smith
Provider to Provider Email
DefinitionsHISP – Health Information Service
Provider
HISP
HISP
Federally-bridged digital security certificate as
trust anchor
6
From: [email protected]
System-to-system messaging
DefinitionsHISP – Health Information Service
Provider
HISP
HISP
Copyright © 2012-13 Michigan Health Information Network
Federally-bridged digital security certificate as
trust anchor
7
State of MichiganData Hub
Immunization Registry
VPN into State
Public Health Use Case: Immunizations via Direct
Copyright © 2012-13 Michigan Health Information Network
• 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
Copyright 2013 Michigan Health Information Network 8
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)
Copyright 2013 Michigan Health Information Network
9
Eligible Providers
Eligible Hospitals
CA Hospitals
Data Peeler
Cypress/DQA
SOM Data Warehouse
CQMData Mart
(Final)
MDSS MCIR MSSS
ELR
’s
Syndrom
icsVX
U’s
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
QRDA
QRDA
QRDA
Valid QRDA
QRDA
QRDAQRDA
CQMRR
QRDA (CAT I & III)
QRDA (CAT I & III)
Copyright 2013 Michigan Health Information Network 10
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)
11
.
Copyright 2013 Michigan Health Information Network
Copyright 2013 Michigan Health Information Network 12
13
state maps can show aspects of medical care and organize it by region
Copyright 2013 Michigan Health Information Network
14Copyright 2013 Michigan Health Information Network
MiDiGate™- Public Health/MU
Copyright 2013 Michigan Health Information Network. 15
MiDiGate
ADT-Subscribers
Medical Information Direct GatewayTM MiDiGateTM for Public Health &
Meaningful Use Reporting
CQM Data Mart
Medicaid ADT Repository
MCIRMDSS MSSS
SOM Data Warehouse
VPN to SOM
Outbound
M
I
DG
IA
TEM
I
DG
IA
T
E
Inbound
[email protected] Cat III
QRDA CAT III
QRDA
MU Credit
MeaningfulUse
Database
QRDA
Copyright 2013 – MiHIN – Corporate Confidential – ProprietaryPatent Pending
Any provider organization
Physicians
Labs
Hospitals
Other States
HIEs
CorrectionalFacility
Patients
EDRS
MDCHData Hub
MCDR
Direct Email Convention Examples Using MiDiGate& Health Provider Directory
[email protected]@direct.mihin.org
[email protected]@direct.mihin.org [email protected]
[email protected]@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
Copyright 2013 Michigan Health Information Network. 16
MDCHData Hub
HIE QO/VQO
MiDiGate
Michigan Direct GatewayTM MiDiGateTM
for HIE QOs and VQOs
CQM Data Mart
Medicaid ADT Repository
MCIR
MDSS
MSSS
SOM Data Warehouse
VPN to
SOM
Outbound
M
I
DG
IA
TEM
I
DG
IA
T
E
Inbound
[email protected] Cat III
QRDA CAT III
MU Credit
MeaningfulUse
Database
QRDA
Copyright 2013 – MiHIN – Corporate Confidential – ProprietaryPatent Pending
Any provider organization
Physicians
Labs
Hospitals
HIEs
CorrectionalFacility
Patients
EDRS
MCDR
VPN to HIE/QO/VQO
MiHINVPN to
MiHIN
Repository
HIE
Other StatesDirect Email Convention Examples Using MiDiGate
& Health Provider Directory Inbox
[email protected]@direct.hieqo.org
[email protected]@direct.hieqo.org
[email protected]@direct.hieqo.org [email protected]
[email protected]@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
DescriptionLab Results
Death NoticesImmunizations
Use Case SpecificBirth Defect Notices
Clinical Quality Measures Admit, Discharge, Transfer
Foster Kids Care SummariesConsolidated Clinical Document Architecture
Copyright © 2012 Michigan Health Information Network. All rights reserved.
MiDiGate™ for Health Plans
17
ccdas@direct.[healthplan].org
MiDiGate
adts@direct.[healthplan].org
Medical Information Direct GatewayTM MiDiGateTM for Health Plans
labs@direct.[healthplan].org
Quality
OutboundM
I
DG
IA
TEM
I
DG
IA
TE
Inbound
cqms@direct.[healthplan].org
Quality & PQRS ReportingQRDA
authorizations@direct.[healthplan].org
Any provider organization
Physicians
Labs
Hospitals
Other States
HIEs
QRDA VPN
Revenue Management
Incentive
HospitalContract
Provider Relations
Pharmacy
UtilizationManagement
Care Management
Analytics Fraud
Health Plan Data Warehouse
MyEmail@direct.[healthplan].org
Copyright 2013 – MiHIN – Corporate Confidential – ProprietaryPatent Pending
CorrectionalFacility
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
DescriptionLab Results
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)
Copyright © 2012-13 Michigan Health Information Network
Questions?
Contact:
Jeff Livesay
Associate Director
Copyright © 2012-13 Michigan Health Information Network
![SummaryMap ward2 [Converted] · 2019-10-01 · MU-2 MU-6 MU-16 MU-14 MU-6 MU-2 MU-20 MU-9 MU-4 MU-13 MU-15 MU-13 MU-16 MU-18 MU-22 MU-19 MU-16 MU-27 MU-4 MU-3A MU-17 MU-13 MU-4](https://img.pdfslide.us/doc/110x75/5f5e4f591750d150e9633369/summarymap-ward2-converted-2019-10-01-mu-2-mu-6-mu-16-mu-14-mu-6-mu-2-mu-20.jpg)
