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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