Apprise Health InsightsINFOH Data Collection Kickoff

June 26, 2014

Agenda• Welcome and Housekeeping• Why INFOH?• Vendor Introduction• Specific Changes

– File Format Changes

• Conversion Timeline• Questions and Next Steps

Apprise INFOH TeamINFOH Team Member Title

Andy Van Pelt  COO, OAHHS

Elyssa Tran  Associate VP, Government Services

Wendell Whitehouse  Director of Network Systems & Hospital Tax Programs

Jerry Nemer  Director Information Systems

Mark Christman  Members Services Coordinator

Michael Pope Consultant, PointB

History of Data Collection at OAHHS

• 1985 - Began collecting 11 hospital Inpatient data fields o Initial collection was on a voluntary basis, with the mandate following one year

later.

• 1995 - Expanded collection to all “UB” Inpatient fieldso Collected through COMPdata of the Illinois Hospital Association since 1995

• 2000 - Added hospital ambulatory surgery

• 2008 - Added free-standing ASC in 2008o Collect only, cannot access data

• Other sources:o Oregon DATABANKo AHA Annual Survey of Hospitalso Annual Audited Financial Statements

Current Constraints Using currently collected data, OAHHS and Apprise staff encounter the following constraints:

o Policy Development/Advocacy• Difficult to answer questions about ED utilization or payment• Medicaid impact reports based on broad assumptions rather than data• Cannot validate state estimates when payment changes are proposed

o Rural Health Reform Initiative• No outpatient data or ED data, which is about 60% of their revenue• Alternative Payment and Delivery Modeling requires outpatient data

So what is INFOH?• Expands data collection to include: Inpatient Outpatient Emergency Department Payment

• Increase collection frequency from quarterly to monthly• Develop more robust reporting and analytics• Increase of records from 700,000 to 12 million records on an

annual basis• Build a flexible foundation for future growth and development• Position hospitals to retain control of their data in a competitive,

data-driven environment

Member Oversight Member Data Use/Policy Committee & User Groups

Publicly Available Data

• Representation and Advocacy

• Policy Development• Member Data 

Services• State Reporting• Public Reporting

HospitalData

Data CollectionSolution

Current:IP, OP‐Surg.

Phase 1:Total OP, ED Data

Phase 2:Paid Claims data

Analytics Tools

Data ReportingSolution

Strategic Vision

INFOHData

Collection

Member Implementation Advisory CommitteeMember Advisor Title Organization

Dan Grigg CEO Pioneer Memorial Hospital, Heppner

Heather Rowenhorst Manager of Budget and Decision Support Asante

David Hayes  System Services Manager Tuality Healthcare

Jim Mattes  CEO Grande Ronde Hospital

Annie Torres  Regional Health Information Services

Providence Health & Services

Vickie Morton  Management Analyst OHSU

Matt Kirby  Supervisor, Data and Development

Providence Health & Services

Vendor Selection ProcessFilters

RFP Responses and Analysis

Best Fit for Key AHI Business and

Technical Requirements

Yes

No

No

Reference CallsVendor Technical CallsData Collection Model

• Health Catalyst• COMPdata/HIDI

• Iowa

Yes

Initial Vendor List

YesResult:

IowaOxcyon

Health Catalyst

Iowa

COMPdata/HIDI

Xerox

• Health Catalyst• COMPdata/HIDI

• Iowa

• Health Catalyst• COMPdata/HIDI

• Iowa

Xerox

iVantage

Oxcyon

No

COMPdata/HIDI

Health Catalyst

iVantage

VendorDemonstrations

Implementation MilestonesKey Milestone Completion Date

Finalize File Formats Completed

Database Architecture Completed

Edit Checks Finalized Completed

Database Built Mid July

Testing Period Begins August - September

Users Manual Finalized August - September

Member Training September - October

INFOH Live Early OctoberQ4: October 1 – February, 2015

Introduction to New VendorIowa Hospital Association

• Has represented Iowa’s hospitals for 85 years• Began collecting inpatient discharge data in 1988 and all outpatient data in

2004• Has implemented data collection program in 6 states• Strong record of successful data collection implementations with partner

state hospital associations• Great references from state hospital associations that have switched from

COMPdata to the Iowa Data Collection System• Has partnered with a well respected development partner through QCI• Platform allows for flexibility and customizations unique to Oregon• We will be developing additional functionality and features during a Phase 2

of implementation once we have launched and based on user experience

Reporting & Analytics• Robust reporting tool utilizing the INFOH database• INFOH Reporting will enable hospitals to:

– Analyze market share– Perform patient services assessment– Plan hospital services– Benchmark with peers– Assess community needs

• Slice and Dice – customizable reports• Point and Click – easy report wizard• FREE of charge for hospitals for first 2 years• Unlimited number of hospital users allowed• This will replace your current COMPData reporting tool• Launch by the end of Q1 2015

Training Plan

• Detailed training platform being developed• Will offer several options to train

– In-person regional trainings (recommended)– Webcast trainings– Self-paced video trainings (shouldn’t be primary)– Ongoing refresher/new feature trainings as necessary

• Will offer for both data submission and analytics• Training required before you have access to the data

submission/reporting platforms

Priority 1:New File Layout for the

837 v5010 and Flat Files

File Layout Changes IP and OP Flat Files

Changes: • Patient First, Middle and Last Name will now be split into separate fields• Primary Insured‘s Unique Identifier has a new location in file layout

New fields: • Patient Name Suffix• Patient Address 1• Patient Address 2• Patient State• Patient ID/Medical Record Number• Patient Relationship to Insured

File Layout Changes 837 File

Fields with changes to source code for 837 data are below:

• Patient Last Name• Patient First Name• Patient Middle Name• Patient Name Suffix• Patient Address 1• Patient Address 2• Date of Birth • Patient Sex• Patient Race• Patient Ethnicity• POA - Principal Diagnosis

Code• POA - Other Diagnosis • POA - External Cause of Injury

Code 1• POA - External Cause of Injury

Code 2, 3

• Medical/Health Record Number• NUBC Billing Codes

o CONDITIONo OCCURSPANo OCCURo VALUE

• Referring Physician NPI• Other Operating Physician NPI• Patient Relationship to Insured• Expected Source of Pay• MODIFIER1• MODIFIER2• MODIFIER3• MODIFIER4

Immediate Next Steps

• Review File Format changes• Engage your IS team• EHR research complete by mid-July

– Epic– Cerner– Healthland– CPSI– McKesson– Meditech

Next WebcastJuly 30, 2014By noon tomorrow you will receive:• A copy of this slide deck• A recording of this webcast for replay• A feedback survey and link to the 7/30 webcast

Get your information and updates:• www.infoh.org• Conversion Connection Newsletter (every 2 weeks)• Member Monthly Webcasts: New Features & Key Priorities• Call 503-479-6021