BID-MAeHC DEMONSTRATION PROJECT

Steering Committee Meeting

October 19, 2009

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AGENDAAGENDA

Measure Development Working Group

Data Transport and Connectivity Working Group

Reporting Working Group

Web OMR Working Group

Project Plan-Timeline

Key Issues for Discussion

Next Steps

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Measure Consolidation Process

Measure specifications were derived from

• HIT Standards Committee (Meaningful Use)

• BID Clinical Standards WG (derivative of TCNY)

• MAeHC QDC

Process

• Measures were grouped into categories and sub-categories to streamline the consolidation process

• All HIT Standards Committee measures were kept

• BID contract incentive items were flagged and kept

- All remaining measures were assessed for similarities and excluded if the measure was identified as the same based upon definition, numerator, denominator, and coding specifications

- Measures were also excluded if they were based upon specific needs that did not apply to BID

• As of October 16th, 97 measures were consolidated down to 72

• Detailed specifications still need to be defined by the HIT Standards Committee

- Additional measures may be excluded once this happens

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Measure Consolidation ProcessGroup Measures by Category and

Sub-CategoryMU Measure?

BID Contractual Measure?

Similar to another

measure?

Keep Measure Keep Measure Keep Measure

Measure Definition Review (incl age range, lookback,

etc)

Yes Yes No

YesDefinition Same?

Determine and document

substantive differences

Measure Denominator

Review

Denominator Same?

Determine and document

substantive differences

Keep Measure

Keep Measure

Measure Denominator

Codes Review

Denominator Codes Same?

Determine and document

substantive differences

Keep Measure

Measure Numerator Codes

Review

Denominator Definition Same?

Determine and document

substantive differences

Keep Measure

No

Yes

Yes

No

Numerator Codes Same?

Yes

No

Yes

No

Exclusion Criteria Review

Consolidate Measure

Same?

Yes

YES!

No

Document changes in

spreadsheet

Consolidated Measure

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Measures as of October 16, 2009

Measure Categories # of MeasuresAcute Bronchitis 1

Adverse drug event 1Asthma 3

Cancer Screening 5Cardiovascular Conditions 14Cardiovascular Conditions 1

Depression 2Diabetes 10

HIV 2Hypertension 2

Immunizations 7Lead Screening 2Medical Home 6

Pediatric Measures 3Pharyngitis 2

Reproductive Health 3Substance Abuse 1Surgery Patients 1

Tobacco 2URI 2

Vital Signs 2Total 72

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Measure Details

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Measure Details (II)

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Measure Details (III)

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Measure Details (IV)

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Measure Details (IV)

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AGENDAAGENDA

Measure Development Working Group

Data Transport and Connectivity Working Group

Reporting Working Group

Web OMR Working Group

Project Plan-Timeline

Key Issues for Discussion

Next Steps

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Proposed High Level Design

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Data Transport and Connectivity WG

Key conversation points and decisions taken:

Utilize C32 Document type

Implement as many of the HIT Privacy and Security Standards as isappropriate

Access, Authentication, Authorization – Role based

Secure transmission of data (TLS)

Auditing

De-identification and Re-identification

Reviewed data elements available from source systems (ECW and webOMR)

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Draft - C32 Data Element Requirements

Source: HITSP CDA Content Modules Component

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Draft - C32 Data Element Requirements

Source: HITSP CDA Content Modules Component

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Draft - C32 Data Element Requirements

Source: HITSP CDA Content Modules Component

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AGENDAAGENDA

Measure Development Working Group

Data Transport and Connectivity Working Group

Reporting Working Group

Web OMR Working Group

Project Plan-Timeline

Key Issues for Discussion

Next Steps

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BIDPO Reporting Dimensions

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Administrative Report Categories and Views

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AGENDAAGENDA

Measure Development Working Group

Data Transport and Connectivity Working Group

Reporting Working Group

Web OMR Working Group

Project Plan-Timeline

Key Issues for Discussion

Next Steps

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AGENDAAGENDA

Measure Development Working Group

Data Transport and Connectivity Working Group

Reporting Working Group

Web OMR Working Group

Project Plan-Timeline

Key Issues for Discussion

Next Steps

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ROLES AND RESPONSIBILITIES

ACTIVITY MAeHC BIDMC/BIDPOCSC/NEHEN Gennius

Program/Project Management

Measure Gap Analysis/Spec

Report Design

App/dB Dev

Interface/Connectivity

Testing/Validation

Communication

Training/Optimization

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HIGH-LEVEL SCHEDULE

Develop

TEST

Implement

Measure Spec/Analysis

Update Database Design/Schema

Design

I

II

III

IV

DEV/TEST SYS Prep

Upgrade Data Transport Method

Internal Testing

PROD SYS Prep First Pilot

Project phases August2009

October 2009

January 2010

April 2010

June 2010

Key dates Project Kickoff

Measure Acceptance

Go-Live Signoff

Application/Reports Design

Development Completed

Enable Live Data Feed

Data Validation

Modify APP/dB

Install dB/App

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Project PlanID Task Name Duration Start Finish % Complete

1 Initial Kick-off meeting 1 day Wed 2/25/09 Wed 2/25/09 0%

2 High-level Scope Finalization 6 days Mon 6/8/09 Mon 6/15/09 100%

3 Identify Workgroups and WG chairs/members 6 days Mon 6/8/09 Mon 6/15/09 100%

4 Finalize and document scope definition 168 days Wed 2/25/09 Fri 10/16/09 0%

5 Measure Development Workgroup 146 days Mon 8/3/09 Mon 2/22/10 0%

6 Kick-off Meeting 1 day Mon 8/3/09 Mon 8/3/09 100%

7 Establish initial scope of work, timeline, deliverables, and budget 41 days Mon 8/3/09 Mon 9/28/09 0%

8 Consolidate measures from multiple sources (BID, TCNY, HIT Standards Committee) 51 days Mon 8/24/09 Mon 11/2/09 0%

9 Confirm measures with Clinical Standards Group 51 days Mon 8/24/09 Mon 11/2/09 0%

10 Determine attribution requirements 21 days Mon 10/19/09 Mon 11/16/09 0%

11 Steering Committee Sign-off 1 day Wed 12/9/09 Wed 12/9/09 0%

12 Develop approved measures 46 days Mon 11/2/09 Mon 1/4/10 0%

13 Incorporate attribution rules 21 days Mon 11/23/09 Mon 12/21/09 0%

14 Validate developed measures 36 days Mon 1/4/10 Mon 2/22/10 0%

15 Reporting Workgroup 173 days Mon 9/21/09 Wed 5/19/10 0%

16 Kick-off Meeting 1 day Mon 9/21/09 Mon 9/21/09 100%

17 Identify reporting needs and specifications 26 days Mon 9/21/09 Mon 10/26/09 0%

18 Identify reporting tools and mechanisms 26 days Mon 9/21/09 Mon 10/26/09 0%

19 Determine business rules for report generation/access 26 days Mon 9/21/09 Mon 10/26/09 0%

20 Establish initial scope of work, timeline, deliverables, and budget 31 days Mon 9/21/09 Mon 11/2/09 0%

21 Steering Committee Sign-off 1 day Wed 12/9/09 Wed 12/9/09 0%

22 Design new reports (form and function) 21 days Mon 10/26/09 Mon 11/23/09 0%

23 Determine data requirements for reports 21 days Mon 10/5/09 Mon 11/2/09 0%

24 Develop data model for reports 21 days Mon 11/2/09 Mon 11/30/09 0%

25 Create technical specifications for reports 6 days Mon 11/30/09 Mon 12/7/09 0%

26 Reports development activities 118 days Mon 12/7/09 Wed 5/19/10 0%

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Project Plan

ID Task Name Duration Start Finish % Complete

41 Data Transport and Connectivity Workgroup 96 days Tue 8/11/09 Tue 12/22/09 0%

42 Kick-off Meeting 1 day Tue 8/11/09 Tue 8/11/09 100%

43 Establish initial scope of work, timeline, deliverables, and budget 25 days Tue 8/11/09 Mon 9/14/09 0%

44 Data format and standards 51 days Tue 9/8/09 Tue 11/17/09 0%

49 DB schema/model/architecture 66 days Tue 9/22/09 Tue 12/22/09 0%

67 Identify and inventory required business processes that feed QDC 40 days Tue 9/15/09 Mon 11/9/09 0%

79 Design database schema/model/architecture 40 days Tue 9/29/09 Mon 11/23/09 0%

80 Develop new DB schema/model/architecture 31 days Tue 12/15/09 Tue 1/26/10 0%

81 Steering Committee Sign-off 1 day Wed 12/9/09 Wed 12/9/09 0%

82 EMR CCD document development 40 days Wed 12/9/09 Tue 2/2/10 0%

83 Install/configure data transport mechanism 20 days Wed 2/3/10 Tue 3/2/10 0%

84 Sign-off to begin testing/validation 1 day Tue 3/2/10 Tue 3/2/10 0%

85 webOMR Workgroup 130 days Mon 8/31/09 Fri 2/26/10 1%

86 Kick-off Meeting 1 day Mon 8/31/09 Tue 9/1/09 100%

87 Establish initial scope of work, timeline, deliverables, and budget 15 days Mon 8/31/09 Fri 9/18/09 0%

88 Identify structured data fields 60 days Mon 9/7/09 Fri 11/27/09 0%

89 Collaborate on monthly basis to track progress 100 days Mon 10/12/09 Fri 2/26/10 0%

90 Coordination with Third Parties 130 days Mon 10/5/09 Fri 4/2/10 0%

91 Create development and testing environment 16 days Mon 10/5/09 Mon 10/26/09 0%

92 Develop implementation strategy and communication plan 45 days Mon 1/18/10 Fri 3/19/10 0%

93 Map coded elements of required data sets to QDC based standards/definitions 45 days Mon 1/18/10 Fri 3/19/10 0%

94 Develop training documentation 50 days Mon 1/18/10 Fri 3/26/10 0%

95 Finalize user-guides and reference materials 50 days Mon 1/25/10 Fri 4/2/10 0%

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Project Plan

ID Task Name Duration Start Finish % Complete

96 Testing 176 days Mon 10/26/09 Mon 6/28/10 0%

97 Cross WG coordination 135 days Mon 10/26/09 Fri 4/30/10 0%

98 Design and specify the Infrastructure Requirements 11 days Tue 10/27/09 Tue 11/10/09 0%

103 Acquire infrastructure components 4 days Tue 11/10/09 Fri 11/13/09 0%

107 Install testing hardware 26 days Tue 11/10/09 Tue 12/15/09 0%

108 Acquire test data from source vendor 28 days Mon 3/1/10 Wed 4/7/10 0%

112 Develop and unit test message documents 82 days Mon 1/18/10 Tue 5/11/10 0%

142 Integration testing activities - Quality and reporting 51 days Mon 3/8/10 Mon 5/17/10 0%

156 Validate and test data measures 21 days Mon 5/3/10 Mon 5/31/10 0%

157 Validate and test reports 21 days Mon 5/3/10 Mon 5/31/10 0%

158 Re-ID Testing 21 days Mon 5/3/10 Mon 5/31/10 0%

159 Data integrity/Regression testing 21 days Mon 5/3/10 Mon 5/31/10 0%

160 Program any changes to reports/measures 10 days Tue 6/1/10 Mon 6/14/10 0%

161 Re-Test modifications made 10 days Tue 6/15/10 Mon 6/28/10 0%

162 Steering Committee demonstration 1 day Tue 6/1/10 Tue 6/1/10 0%

163 Implementation 171 days Tue 10/27/09 Tue 6/22/10 0%

164 Prep production environments 134 days Tue 10/27/09 Fri 4/30/10 0%

178 User Rollout 31 days Fri 5/7/10 Fri 6/18/10 0%

184 Production Rollout activities 16 days Tue 6/1/10 Tue 6/22/10 0%

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AGENDAAGENDA

Measure Development Working Group

Data Transport and Connectivity Working Group

Reporting Working Group

Web OMR Working Group

Project Plan-Timeline

Key Issues for Discussion

Next Steps

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Key Issue for Discussion: Privacy and Security

Identified versus de-identified Patient Information

• Name

• Enterprise ID

• Address (Town, Zip)

Compliance with Security Standards

• Encryption of data at rest – should that include the database?

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AGENDAAGENDA

Measure Development Working Group

Data Transport and Connectivity Working Group

Reporting Working Group

Web OMR Working Group

Project Plan-Timeline

Key Issues for Discussion

Next Steps

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Next Steps

Acceptance of finalized Measure Set

MAeHC Statement of Work

Legal Agreements between parties (BIDPO, BIDMC, MAeHC, CSC)

Establishment of HW infrastructure to support the new QDC