October 10, 2018

Who is healtheConnect Alaska?

• healtheConnect Alaska belongs to every Alaskan and the entire healthcare community from Anchorage to Anaktuvuk Pass. We are an unbiased, non-profit organization, entrusted by the Alaska Department of Health and Social Services to implement services and technologies to ensure every Alaskan gets the right care at the right time and care providers have the right information to make informed decisions for the best possible outcomes.

Who is healtheConnect Alaska?

• healtheConnect Alaska has built a governance model, a legal framework, policies, awareness, and trust within the Alaskan healthcare community.

• We are a neutral convener and purveyor of shared centralized services

• Master Patient Index (MPI)• Provider Directory• ADT (Admit, Discharge, Transfer HL7 messages) network• User Identity Management• Consent• Direct Secure Messaging

healtheConnect Alaska

• We have one goal in mind – to improve the health and welfare of the Alaska community through the secure sharing of health information.

A New Direction: “Re Start-up”

• In order to create a path for the HIE’s future, healtheConnectAlaska has changed its primary service provider from Orion to Audacious Inquiry (Ai) and is utilizing a “best in breed” approach with multiple vendors.

• The technology shifts healtheConnect Alaska away from a centralized repository to a federated model

• New Leadership Team

• Increased staffing with subject matter experts

• More engaged board of directors

All New Staff

Italics=to be filled

Laura Young

Executive Director

Maryana Boyce

Administrative Assistant

Sterling Grover

Outreach Director

Rebecca LynchMarketing/

Communications

Coordinator

Kate Lunt

Marketing Consultant

Gregg DunlapOps & Clinical HIT

Director/PSO

Grace Park

Clinical HIT Advisor

(remote)

Tanya Grubin Accounting Assistant

(PT)

Clinical HIT Advisor

Melinda Evans

Data Quality Analyst

Bill Pearch

Program Director

Georgiana Page

Account Manager

John Boerema

Sr. Project Manager

(remote)

Brian Ioele

Integration Architect

(remote)

HIE SMEs

Permanent Staff

Contractor

• Leveraging funds available to established HIE organizations to invest in technology, increased onboarding, sustainability planning and long-term vision

• Recently completed a rebrand of the organization – new name and new look

A New Direction: “Re Start-up”

Services Tier

New Architecture

Application Tier

Data Tier

Cerner, etc. EPIC, Athena, etc. VA, DoD, etc. PDMP

Push-based Smart Alerts, Pull-based Gateways

Master Person Index (MPI) Integration Engine

Portal, User Identity & Access Management (IAM)Consent, Authentication, Authorization, Audit

Care Coordination, Census View Panel-Based Analytics APIs

BH (AKAims), VacTrAK,ELR<SS, SOA, API, etc.Patient-Centered

Data Home (PCDH)

EHR Systems Secure Text Image Exchange Medication History

Integration

Lab Orders & Results

Fuzzy Patient Search

Fuzzy search to allow for public health and case managers to better find patients across the health IT systems deployed through the state.

Federated Queries: PDMP, PMPi Results shown here can be from multiple states

Ability to see patient level prescribing detail

Overdose alerts and notifications

Overdose alerts shown here in context in healtheHUB.

These can also be pushed into the in-context workflow in an

EMR

Federated Queries: Snapshot

Ability to view patient encounter history, pertinent demographics, etc

CT of the Head Southern Peninsula Hospital

XRay Southern Peninsula Hospital

MRI of Knee Southern Peninsula Hospital

01/19/2018

03/19/2018

• Patient Management• As healthcare professionals manage multiple fields of practice, their

responsibilities grow proportionally. PROMPT makes managing patients who may be either ACO members or part of specific care management programs more consolidated. A single user can access multiple panels once they have been given permission instead of having to create multiple logins or use separate interfaces. Likewise, multiple users can be assigned to the same group, allowing work to be divided across the organization.

• Search & Filter Patient List• PROMPT allows users to search for patients using many criteria and

notification fields, all in a simple dashboard. Add or remove refinement filters on the fly. Complex searches can be saved—creating a one step method to call up prior searches, revisit the status of patients over time, or check on patients with chronic conditions.

• Care Coordination Workflow• PROMPT is not just a viewer for notifications. The care coordination workflow

function allows users to quickly mark notifications as being in progress or completed. Users can easily keep track of their work queues and mark different notifications so that their teams are not duplicating work, allowing for an easy method to coordinate follow-up activities with patients.

PROMPT: Census View

NOTE: Census View could be leveraged to support the Behavioral Health 5-day Follow-up Regulation

PROMPT: Task View

ADT Analytics: Chronic Conditions per Patient

ADT Analytics: Hospital Utilization

WHAT IS ENS®?

• Encounter Notification Service® (ENS®), delivers actionable patient data in real-time to enable connected care.

• The technology is easily deployable and relies on basic healthcare data in the Admission, Discharge and Transfer (ADT) message.

• It is used by health information organizations and hospital associations to unite primary care providers, payers and others accountable for coordinating care for patients across Alaska.

• Improve Care Coordination• Clinicians and care managers receive real-time ENS notifications so they can promptly direct

patients to the most appropriate care settings.

• Improve Patient Satisfaction• When care providers and case managers improve communications and streamline workflows, this

leads to greater patient engagement.

• Reduce Avoidable Utilization• Identify when, where, and why a patient is hospitalized, or receive insight into a patient’s

relationships to make informed clinical decisions.

• Optimize Financial Performance• ENS’ ability to improve care coordination and reduce avoidable utilization is necessary to achieve

your financial goals under value-based contracting or through enhancing Transitional Care Management (TCM) revenue.

• Meaningful Use Compliance• Enables the automatic routing of discharge summaries from hospitals in a manner compliant with

MU requirements for Transitions of Care.

eHealth Exchange in AK(most notably, VA, DoD)

A few Key Points:•>10yrs in production; continued steady growth

•Technology: Federated Connectivity(XCA, just like FL HIE PLU)

•Legal: DURSA•Governance: Coordinating Committee•Federated model (no Shared Services beyond UDDI)

•Onboard directly (after vetting and testing)

•Known, low fees•Policy: whitelisting is commonplace

Integration of Behavioral Health

• Incorporating a robust 42 CFR Part 2 consent system

• Projects:• AKAIMS

• Alaska Psychiatric Institute (API)

• Pilot with providers that use Qualifacts

• Looking for pilots!

Group Purchasing

• Leveraging our state-wide user base to secure competitive pricing for services such as:

• Direct Secure Messaging (DSM) via Inpriva

• Secure Texting via TigerConnect

• Role-based scheduling automation via Tigerflow

• Diagnostic quality radiology image exchange via Ambra

• Enterprise Master Patient Index (EMPI) via Nextgate

Timeline of Feature Releases

Oct 18 Nov 18 Dec 18 Jan 19Q1-Q2

19• Nextgate migration• All interfaces

migrated to Mirth• ENS live• PROMPT live

healtheHUB Patient Snapshot live including:• Allergies• Lab Results• Med Fill History

HealtheHUB features live:• Discrete Labs &

Trending• PDMP Data• eHealth Exchange

• Data quality/aggregation/de-duplication

• Diagnostic Quality Images available via healtheHUB

• Analytics Live• Direct Secure Messaging

Integration• Secure Texting Integration• Lab Orders & Results module

available• 42 CFR Part 2 Consent Live• BH data available

Questions?Laura Young, healtheConnect Alaska

Executive Director

laura@ak-ehealth.org

Sterling Grover, healtheConnect Alaska

Outreach Directorsterling.grover@ak-ehealth.org

Jerry Jenkins, healtheConnect Alaska

Board President