Consumer Advisory Group

September Update

September 23, 2014 

Update on Mass HIway Customers
 	
 	225 organizations have signed Mass HIway Participation Agreements – For a full customer list see 
 	
 	http://www.masshiway.net/resources/hiwayparticipants.jsp 

 	New in June
•	David E. Adelberg MD
•	Jeremy B. Stern MD
•	Lighthouse Nursing
•	Noble VNA (Visiting Nurse and Hospice Services)
•	Tri-County Medical Associates
•	Wing Memorial
 	New in July
•	Adam A. Paszkowski MD
•	Bright Star Health
•	Carewell Dental PC
•	Charlton Optical
•	William Dunn MD
•	Hugh M. Cooper MD
•	John Howland MD
•	John Kalinowski DDS
•	Lisa M. Kralian OD
•	Robert Lebow MD
 	New in August:
•	Ashraf Farid, MD
•	Elder Services of the Merrimack Valley, Inc.
•	Mass Ave Dental, LLC.
•	Salmon VNA & Hospice

Update on Mass HIway Transactions

404,031  Transactions exchanged during August
3,415,546 Total Transactions (inception to date)

Update on Query & Retrieve Pilots
 	
 	4 organizations are piloting Mass HIway Query & Retrieve services
•	Atrius
•	Beth Israel Deaconess
•	Holyoke
•	Tufts
 	Anticipated first uses of Q&R services are to support Bi-directional exchange for Cardiology Admissions and support of Magic Button functionality

 	Pilots are meeting regularly to share progress, documents (e.g., Consent forms), and lessons learned (see next slides)

 	All pilots have been able to implement consent – It is taking ~3 months
•	Each site has worked with its vendors to configure consent flag capture
•	Sites have been able to update consent workflow processes and forms but caution that this is time consuming taking ~3 months per pilot
 	All sites are on track to begin sending patient-consented demographics to the Relationship Listing Service in late summer/early Fall

Update on Consent

 	Organizations are successfully implementing the Mass HIway consent policy – Feedback is that the consent approach is both patient centered and meaningful

 	Many organizations are using the patient education materials that the Advisory Groups helped to develop – Thank you!

 	Several consumers/patients have contacted the Mass HIway staff to let them know how supportive they are of the consent policy

 	Partners and Beth Israel presented their consent models at a recent MeHI webinar on consent – You may view this at https://www.youtube.com/watch?v=vQ6GF6uK5Bw&feature=youtu.be 

Update on Health Information Services Providers

Mass HIway continues to work with other Health Information Services Providers (HISPs) to connect Massachusetts providers 

 	HIway to HISP connections made:
•	SES (eLINC)
•	Alere
•	ADS / Data Motion
•	Inpriva
 	HIway to HISP connections underway:
•	Surescripts
•	eClinicalWorks
•	McKesson / Relayhealth
•	Athenahealth
•	Allscripts
•	Other smaller vendors (Medfx, NexJ, Aprima, Claimtrak) 

Update on Connection with Public Health Registries

An update on the status of the Public Health registries was provided. 

Update on SFY ‘15 Targets - Preliminary Metrics

 	Expanding Breadth:  More of the market using the HIway
•	Organizations using the HIway (# customers)
•	Market penetration (% of total organizations in each market segment)
 	Each organization doing more on the HIway
•	Volume of Transactions
•	# of organizations sending/receiving production transactions
•	% of live organizations sending/receiving production transactions
•	# of transactions per segment (month-on-month growth, year-on-year growth)
•	Range of Use Cases
•	# of different use cases in production
•	# of organizations transacting in each use case
•	% of each market segment transacting in each use case
 	Use of metrics
•	Create targets for measures 1-4:  these are measures HIway can influence
•	Report descriptive statistics on measures 5-8:  HIway has limited influence over these measures

Update on SFY ‘15 Targets - Preliminary FY 2015 Targets

High goals set for segments that are well-defined and already have high traction
“In Production” goals of ~5% set for segments with large and diffuse makeup (small LTCs, medium and small ambulatory practices

Update on SFY ‘15 Targets - Key Assumptions & Challenges

 	Assumptions
•	Much of the anticipated growth in physician connections to the HIway will likely come from HISP connections (eCW, SureScripts, etc.)
•	Major driver for increased use of Direct Messaging by hospitals is getting enough of their trading partners on the HIway for them to interact with – ambulatory practices and LTPAC entities
•	Populating RLS is key driver, and hospitals have the most usable and most valuable information

 	Challenges
•	How to get physicians using the HIway when they are behind the wall of another network? 
-	HIway will have limited means for knowing who they are, how many there are, and what they are doing
•	Ability of the HIway team to effectively track and report on usage given limited data retained on HIway organizations and transactions (by design)

Next steps
 	Next steps
•	Advisory Group insights to be relayed to Mass HIway leadership team
•	Presentation materials and notes to be posted Next Advisory Group Meeting – December 2, 2014    Conference call (866) 951-1151 x. 8234356
•	HIT Council – scheduled for October 6, 3:30-5:00 One Ashburton Place, 21st Floor

 	Advisory Group and HIT Council meeting schedule, presentations, and minutes may be found at http://www.mass.gov/eohhs/gov/commissions-and-initiatives/masshiway/