Torrance  Memorial  Integrated  Physicians,  LLC  (TMIP)  Accountable  Care  Organiza2on  (ACO)  All  Providers  Mee2ng  May  6,  2014  

 TMIP  Health  Information  Exchange  

Torrance Medical Center

Physician Office

© 2012 Cerner Corporation Update 5/6/2014

HIE  Goals  

•  Establish  a  health  informa0on  exchange  pla5orm  that  will  connect  providers  with  cer0fied  EMR’s  across  the  network  by  the  end  of  2014  

•  Enable  a  “community  view”  of  the  pa2ent’s  clinical  record  •  Support  the  data  exchange  requirements  for  the  TMIP  ACO  

HIE  Goals  

•  Enable  pa2ent  engagement  with  their  own  care  by  increasing  accessibility  to  providers  &  health  informa2on    

•  Provide  the  founda2on  for  popula2on  health  analy2cs  •  Support  repor2ng  of  quality  measures  

Connectivity  Status  33  EMR  Vendors  

•  1st  Wave  -­‐  Target  Go  Live  July  31,  2014  •  Nextgen  (POSS)  •  Vitera/Greenway  •  Prime  Clinical  (pilot  site)  

 

Connectivity  Status  33  EMR  Vendors  

•  2nd  Wave  –  Start  in  June  2014  •  Soapware  •  Office  Ally  •  Medgen  •  Transmed  •  Allscripts  My  Way  •  MedInforma2x  •  Compulink  •  Nextgen  (non-­‐POSS)    

 

Connectivity  Status  33  EMR  Vendors  

•  3rd  Wave  –  QUOTES  NOT  SIGNED  •  AllMeds  •  Meditab  •  Prime  Clinical  (11  out  of  18  prac2ces)  •  Amazing  Charts  

 

Connectivity  Status  33  EMR  Vendors  

•  QUOTES  IN  DEVELOPMENT  •  Urochart  •  Prac2ce  Fusion  •  Athena  Health  •  eClinicalWorks  

 

Connectivity  Status  33  EMR  Vendors  

•  Quotes  with  NO  sobware  delivery  dates  •  Dox  Podiatry  EMR  •  Office  Prac2cum  •  Pa2ent  Now  (quote  not  signed)  

   

Connectivity  Status  33  EMR  Vendors  

•  No  Quotes  and  No  HIE  Func2onality  •  Alteer  CGM  Clinicals  •  Biomedix  •  Care360  (coming  in  Q42014)  •  Eclipse  •  Eye  Doc  •  MD  Suite  •  MDIntellesys    

   

Connectivity  Status  33  EMR  Vendors  

•  No  Quotes  and  No  HIE  Func2onality  •  Medflow  •  Medisob  •  NueSob  •  SkyCareEHR  •  Iknowmed    

   

Summary  Quotes  

#  EMR’s  

 Status  

1st  Wave   3   Connec2vity  and  tes2ng  IN  PROCESS  

2nd  Wave   7   Connec2vity  to  START  in  June  

3rd  Wave   4   Quotes  Not  Signed  

Quotes  in  Development  

4   Finalizing  sobware  licensing  agreement  

Vendors  with  quote  and  no  sobware  

3   Future  sobware  delivery  dates  TBD  

No  quotes       13   No  HIE  func2onality  currently  and  no  future  sobware  delivery  dates  

Prioritization  for  Waves  

•  Technical  assessment  of  EMR  vendor  •  SIGNED  quote  from  provider  •  Assigned  resource  from  EMR  vendor  •  Scheduled  project  start  date  from  EMR  vendor  

 

HIE  Web  Portal  Access  **  NOW  AVAILABLE  **  

•  Providers  need  to  obtain  login  •  Providers  need  link  to  Web  Portal  •  Providers  need  training  (<15  minutes)  

 

TMHIE  Log  in  &  Search  Screens      

   

TMHIE  Patient  Results  Screen      

TMIP  GOALS  2014  •  QUALITY  

•  Increase  PCP  Annual  Wellness  Visit  (AWV)  Exams  to  60%  of  Pa2ents  

•  Decrease  number  of  Medicare  Beneficiaries  amributed  to  a  Specialist  

•  Make  the  highest  2er  for  the  Blue  Cross  ACO  Program  •  Distribute  meaningful  quality  and  u2liza2on  data  to  the  membership  at  least  quarterly  

TMIP  GOALS  2014  •  FINANCIAL  

•  Achieve  a  3%  savings  from  the  target  savings  in  the  Blue  Cross,  TMMC,  and  Medicare  Programs  

•  Incorporate  certain  SNFs  as  preferred  providers.  •  Improve  SNFists  care  to  decrease  SNF  LOS.  

TMIP  GOALS  2014  •  NETWORK  

•  Grow  the  PCP  base  •  Begin  to  evaluate  other  ancillaries  for  savings  

TMIP  GOALS  2014  •  INFORMATION  TECHNOLOGY  

•  90%  of  physicians  on  HIE  by  the  end  of  2014  •  Popula2on  Health  contract  by  Q3  •  Evaluate  HCC  coding  systems  to  increase  RAF  score.