Kno2

1

October 22, 2015

Agenda

Introduction

Goal of PilotTier PilotingActivity to PilotRole of Kno2 in the pilot

Standards and Technologies Under Consideration

Logistics

Ecosystem

Defining Success

Resources/References

Introduction: Pilot Team

Name Role Email

Dane Meuler208-830-8978

Other IT system (EHR, HIE, legal etc.)

dmeuler@kno2.com

Kno2 Activation Team

support@kno2.com

Surescripts Activation Team

As needed by Kno2

Introduction: Organization

• Kno2 is a cloud platform that is standards based for Interoperability using elements of Direct messaging for transport and clinical document and information exchange

• We connect communities through Hospital, Health system, ACO and HIE outreach for better care coordination and requests for information and through our partnerships with technology vendors including EMR’s, medical devices, lab and radiology systems. Now nearly 3,000 customers

• Currently, we Improve care coordination through exchange of important clinical documentation to complete any and every system of record and actor in the use cases; and replace fax workflows for referrals, request for and release of information.

• Exchange of clinical information and documents, electronically, both structured and unstructured . C-CDA, PDF, Word, HL7, etc. Data driven and narratives to improve care coordination.

eLTSS Plan

eLTSS Plan

Physical TherapistPAPER

InternistEMR/PAPER

HospitalEMR

Skilled Nursing-Rehab

PORTAL

CardiologistEMR

NephrologistEMR

Behavioral HealthEMR/PAPER EMR/PAPER

PHRPHR

eLTSS

Record

eLTSS

Record

HIEHIE

Beneficiary - EstellaFamilyPOA

EMR

EMR EMR

EMR

EMR

EMR

Direct Messaging

Direct Messaging

MU2

MU2

MU2

Home Health/Care PAPER CHARTS

Payers/CMS

Pilot Introduction: Business Drivers

• Instantly Ubiquitous - Connection to any actor with any technology

• Affordable

• Easy to Use

5

Goal of the Pilot

Kno2 We are

the ARROWS!

User Story 2

7

Kno2 We are

the ARROWS!

Pilot Workflow

8

eLTSS Plan

eLTSS Plan

Physical TherapistPAPER

InternistEMR/PAPER

HospitalEMR

Skilled Nursing-Rehab

PORTAL

CardiologistEMR

NephrologistEMR

Behavioral HealthEMR/PAPER EMR/PAPER

PHRPHR

eLTSS

Record

eLTSS

Record

HIEHIE

Beneficiary - EstellaFamilyPOA

EMR

EMR EMR

EMR

EMR

EMR

Direct Messaging

Direct Messaging

MU2

MU2

MU2

Home Health/Care PAPER CHARTS

Payers/CMS

Direct messageDirect message

Message Header

ToFromPatient Information

Message Header

ToFromPatient Information

Payload

Message TextAttachmentEncrypted

Payload

Message TextAttachmentEncrypted

CDA XML HL7

HISP to HISP trustsActivation ServicesDirectory Exchange

Native EMR’sKno2

Kno2 enabled EMR’sIdentity proofing

Piloting all tiersStandards Under Consideration:

• Tier 1– PDF files via efax or Direct

• Tier 2– Direct– C-CDA (Structured and

unstructured documents), HL7 (2.x) events, PDF files

• Tier 3:– C-CDA (content and transport)

API’s for integration, OAUTH (security), FHIR

Standards Across Tiers•Direct•HL7 •CCDA•Equifax Level 3 Assurance•Two-Factor Authentication•SSL•Hybrid AES/RSA, encryption for data at rest•IETF•W3•Microsoft (MS)•NIST•Microsoft Azure•HTML5•CSS3

Standards Across Tiers•Direct•HL7 •CCDA•Equifax Level 3 Assurance•Two-Factor Authentication•SSL•Hybrid AES/RSA, encryption for data at rest•IETF•W3•Microsoft (MS)•NIST•Microsoft Azure•HTML5•CSS3

What are you intending to pilotWhat role do we play

• Applicability– Create Plan– Approve/Authorize Plan/Services (Kno2 transports data and documents)– Access, View, Review Plan (Kno2 transports data and documents)– Update Plan (Kno2 transports data and documents)– Connect the community of providers including:

• Work, Community, Choice & Decision Making, Relationships, Self-Direction, Demographics, Person-Centered Profile, Medication, ADLs/IADLs, Safety, Behavioral Needs, Restrictions, Service, Financial/Payer Information, Service Information, Family Information, Community Connections, Access & Support Delivery, Information & Planning, Health and all others.

What role do you play in the pilotWhat role do you play in the pilot

• Beneficiary/Advocate• Beneficiary System• CB-LTSS Provider• Clinical and Institutional based provider• EHR system

• Eligibility Determination Form Submitter• eLTSS plan developer• eLTSS plan facilitator/steward• LTSS/case management info• LTSS/Service Provider System• Payer, Payer System, Other

Kno2 We are the ARROWS! We are transport and

transformation services for documents and dataFor the systems, roles and organizations listed above

Pilot Logistics:

• Timeline – (April 2016 is end date for round one pilots)

TODAY Sign up for Kno2 – 10 minutes to get your own Direct address, www.kno2.com

Partnerships available with TEFT states for Community Connect programand technology organizations as technology partner

Pilot Ecosystem

Kno2iQ Partner map - Partial

Hospitals nationwide for community outreachApproximately 3,000 Kno2 locations nationwide – Oct 2015

300+ new Kno2 subscribers each month

How do you define success

VA, Indian Health Services earn Direct 'milestone' accreditation - October 19, 2015 - Healthcare IT Newshttp://www.healthcareitnews.com/news/va-indian-health-services-earn-direct-milestone-accreditation

Nearly 80% of eligible hospitals attested to MU2 in 2014- January 15, 2015 – Becker’s Hospital Reviewhttp://www.beckershospitalreview.com/healthcare-information-technology/nearly-80-of-eligible-hospitals-attested-to-mu2-in-2014.html

Direct messaging trends – June 2013http://www.healthcareitnews.com/infographic/infographic-direct-messaging-trends •67% of participants support Direct as method of exchange•Top Challenges

• High cost• Changing workflows• Other providers not ready to interface