Consumer Advisory Group

September Meeting

 	September 25, 2013
Agenda

Project Update
Mass HIway Phase 2 – Reactions to emerging policy positions
Next Steps

Discussion about in-person vs. phone attendance
Phase 1 – Transaction and deployment update (as of Aug 2013)  
 	Deployment update:
 	Total Organizations in Production:		28
 	Total Organizations Live	                  13
 	Total Organizations on the HIway                    41

Major Clients slated for Sept/Oct Testing:	3
•	Holyoke (MIIS)
•	PVIX/Baystate
•	Atrius, Reliant, and VNA Care Network (MIIS)
Phase 2 overall timeline
Agenda

Project Update
Mass HIway Phase 2 – Reactions to emerging policy positions
Next Steps

Phase 2 - patient matching and relationship listing service
 (setting the table for the discussion)
 	Mass HIway phase 2 services will do the following functions:
•	Link together multiple “identities” for a single individual that is known by multiple organizations throughout the Commonwealth. 
-	Jenny Jones, 1 Main St. Williamstown, MA, DOB 12/31/69 =
-	Jennifer Jones, 1 Main St. Williamstown, MA, DOB 12/31/69 =
-	Jen H. Jones, 1 Main St. Williamstown, MA, DOB 12/31/69 
•	Determine the organization(s) that have a consented relationship with the patient.
-	Williamstown Medical Associates
-	North Adams Regional Hospital
-	Baystate
•	Make this information available to the patient and to the closed community of healthcare provider organizations for which patient has provided consent
Background: Overview of RLS and HIway Query-Retrieve
Policy position for reaction: Consent
 	In phase 2, Mass HIway requires that participating organizations obtain and record Patient permission to: 
•	Publish to and view the patient’s demographic information and organization relationship on the Mass HIway Relationship Listing Service (RLS)
•	Request the patient’s medical record from another provider organization via the Mass HIway
Policy position for reaction: Patient data collected and stored
 	In phase 2, Mass HIway will collect and store consented demographic data:
•	Patient Identifier (e.g., Organization specific medical record number)
•	Patient name
•	Patient gender
•	Patient date of birth
•	Patient address
•	Patient email
•	Patient phone number
•	Organization sending the information and the sender’s Direct address
•	Date message received
•	Consent attestation (Consent = Y, Consent changed from Y to N)
Policy position for reaction: Permitted Uses and Users
 	In phase 2, Mass HIway may be used for Treatment, Payment, and Operations:
•	Use of the MPI/RLS is limited to exchanges of information that are allowed by law and that are related to treatment, payment, and healthcare operations as defined by HIPAA
 In phase 2, Mass HIway users are the same as in Phase 1 with the addition of Massachusetts residents:
•	Users of the Mass HIway MPI/RLS will be: 
-	Massachusetts residents
-	Massachusetts-licensed providers and provider organizations
-	MassHealth
-	Massachusetts-licensed health plans
-	Certain employees and agents of permitted users
 	Note that EOHHS maintains sole discretion to allow, deny, or suspend participation or use for any organization or individual
Policy position for reaction: Data Access
 	In phase 2, the RLS is accessible only to the patient and a closed community of healthcare provider organizations:
•	Patient demographic data that is stored in the Mass HIway RLS may only be accessed by those organizations that have a relationship with the patient and where the patient has provided the organization consent to publish to and view the RLS

Background: RLS and Query-Retrieve Available Either Through HIway Portal or Integrated in EHR
Agenda

Project Update
Mass HIway Phase 2 – Reactions to emerging policy positions
Next Steps

Next steps
 	Next steps
•	Reactions to be taken into account by phase 2 design team
•	Meeting notes synthesized and provided back to Advisory Group for final comments
•	Presentation materials and notes to be posted to EOHHS website
•	Next Advisory Group Meeting – October 23, 10:00-11:30
-	In Person - MMS Middlesex Central Conference Room
-	Conference call (866) 951-1151 x. 8234356
•	HIT Council – scheduled for Oct 7, 3:30-5:00 One Ashburton Place, 21st Floor

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