Commonwealth of Massachusetts
Executive Office of Health and Human Services

Health Information Technology Council
Meeting

May 8, 2017

Agenda

Welcome – Alice Moore

HIway Regulations Update – Michael Chin

HIway Strategy Update – David Whitham, John Gilbert, Gary Sing

Event Notification Service

HIway Adoption and Utilization Services (HAUS)

Implementing the new Mass HIway Direct Messaging System

Conclusion – Alice Moore

Appendix A: Supporting information for the HIway Strategy Update
Appendix B: HIway Operations Update

HIway Regulations Update

Michael Chin

At the February 6, 2017 HIT Council meeting, EOHHS provided an overview of the feedback and testimony from the public comment period and public hearing .

The Mass HIway Regulations took effect on February 10, 2017

In March 2017, EOHHS and the Mass HIway released the following supporting documents related to the Mass HIway Regulations:

Mass HIway Regulations Summary

Mass HIway Regulations FAQs

Mass HIway Fact Sheet for Patients

Mass HIway Policies & Procedures (version 3)

4

Who & When: Provider organizations that have HIway connection dates that are specified in the regulations are required to submit a Year 1 Attestation Form by July 1st after their initial HIway connection requirement.

Provider Organization	
Date of the “Year 1” HIway connection requirement	
Due date of the Year 1 Attestation Form	

Acute Care Hospitals	
February 10, 2017	
July 1, 2017	

Large and Medium
Medical Ambulatory Practices	
January 1, 2018	
July 1, 2018	

Large Community Health Centers	
January 1, 2018	
July 1, 2018	

Small Community Health Centers	
January 1, 2019	
July 1, 2019	

How:	Year 1 Attestation Forms should be submitted to the Mass HIway (via email at: MassHIwayAttestation@state.ma.us )

The Year 1 Attestation Form (and instructions) are available on the Mass HIway web page.

The Year 1 Attestation Form is two pages long, and will be used by provider organizations that have a HIway connection requirement date. The form will provide information about how the organization met the requirement, their EHR (if they have one), and how they connect to the Mass HIway.

The Year 1 Attestation Form collects the following information:

How the organization met the Year 1 HIway connection requirement:
The Year 1 requirement:	To send or receive HIway Direct Messages for at least one use case
(The use case may be within any category of use cases)
Questions on the attestation form include:
The use case is within what category of use cases?
Categories include: (1) Provider-to-Provider Communications, (2) Payer Case Management, (3) Quality
Reporting, (4) Public Health Reporting, (5) Other
Describe the use case
Approximate # of HIway Direct Messages per month for the use case

Describe whether or not the organization has an EHR (and if so, how does it connect to the HIway):
Questions on the attestation form include:
Name and version of the EHR?
Is the EHR an ONC Certified Health IT Product?
How is the organization connecting to the HIway?
Options include:  (1) EHR directly to HIway, (2) EHR via a HISP,  or (3) via Mass HIway webmail

The Attestation Forms for Years 2, 3 and 4 are forthcoming and will collect information regarding the four-year phased-in HIway connection requirement that is described in the Mass HIway Regulations

How Provider Organizations connect:

There is a four-year phased-in approach for fulfilling the HIway connection requirement:

Ye ar 1:  Send or receive HIway Direct Messages for at least one use case.
The use case may be within any category of use cases.

Ye ar 2:		Send or receive HIway Direct Messages for at least one use case that is within the Provider-to-Provider Communications category of use cases.

Ye ar 3:		Send HIway Direct Messages for at least one use case, and also receive HIway Direct Messages for at least one use case. Both of these uses cases should be within the Provider-to-Provider communications category of use cases.

Ye ar 4: The provider organization may be subject to penalties, if that organization has not met the requirements established in this section. Penalties do not take effect until Year 4 of the connection requirement (i.e., in January 2020, at the earliest).

Acute Care Hospitals: In addition to using HIway Direct Messaging, Acute Care Hospitals are also required to send Admission Discharge Transfer notifications (ADTs) to the Mass HIway within 12 months of the ENS' launch as a part of the HIway connection requirement.

8

Additional outreach & education related to the Mass HIway Regulations:
Outreach to stakeholders

Mass HIway webinars: (Thursdays, noon-1pm)
April 27, 2017: Mass HIway Regulations Overview
May 18, 2017: Mass HIway Connection Requirement & Attestation Overview
June 8, 2017: Improving Care Coordination by Leveraging Mass HIway Direct Messaging
June 22, 2017: Mass HIway 101
June 29, 2017: ENS Update for the community

Webinar content is posted after the webinar on the Mass HIway website (in the “News & Events” section of the website)

To receive the updates related to the Mass HIway Regulations, sign up to receive the Mass HIway Newsletter on the Mass HIway’s web page at: www.MassHIway.net

HIway Strategy Update

David Whitham, John Gilbert, Gary Sing

9

Mass HIway strategy update

Three initiatives are the core of the Mass HIway’s strategy for 2017 and 2018:

HIway Event Notification Service (ENS)

HIway Adoption and Utilization Services (HAUS)

Implementing the new Mass HIway Direct Messaging System

HIway Event Notification Service: Overview

A HIway Event Notification Service (ENS) will facilitate real-time notifications to providers when a patient is admitted, discharged or transferred to or from an inpatient setting. This in turn allows clinicians to respond with information and/or clinical support and coordination of care.

Value of a Statewide ENS:

Private ENS services currently are accessed by individual providers or systems, but none provide the scope to support payment reform and delivery system improvement efforts statewide

Approach:

In Spring 2017, the HIway is doing the following:

Gathering input from stakeholders including representatives from hospitals, individual clinicians, vendors, as well as healthcare organizations

Publishing an Request for Information (RFI) from ENS. RFI release is expected in May 2017.

Key Takeaways From Stakeholder Sessions

Stakeholders sessions have provided key feedback regarding how the forthcoming ENS may be designed and what the various needs are of different stakeholders

Data Quality and Integrity:

Patient matching (i.e., uniquely identifying patients) is a challenge

Patient and physician relationship management is vital to the successful operations of an ENS

Avoiding alert fatigue will be important for a statewide ENS

Information Distribution:

The most efficient scenario for an ENS is that the ADT (Admission, Discharge, Transfer) notification is sent EHR-to-EHR

Other care providers besides the primary care provider for the patient should receive notifications as well

Some stakeholders indicate that attachments to notifications (such as a discharge summaries) would be useful
12

HIway Adoption and Utilization Services (HAUS): Overview

Goal:

The HAUS initiative is aimed at increasing and streamlining care coordination and provider- to-provider communication through increased use of HIway Direct Messaging.

Approach:

Each engagement within the HAUS initiative may include the following components:

Engage both clinical, technical and business leadership from both organizations

Establish technical readiness with provider organization and trading partner(s)

Undertake one focused use case between two provider organizations

Address any barriers to exchange and work with both organizations to ensure end to end technical and business workflow integration

Report metrics/outcomes (details are forthcoming)

Share success stories and lessons learned to promote the benefits of care coordination via health information exchange in the Commonwealth

HAUS Overview (continued)

Engagements within the HAUS initiative must support either:

Meaningful Use Eligible Providers (EPs) and Eligible Hospitals (EHs), or

Medicaid providers that EPs and EHs coordinate with

The HAUS initiative, through one of its engagements, will support MassHealth restructuring efforts

Status update:

An RFR is currently open for a vendor to assist in implementing the HAUS initiative, with contract expected to begin in summer 2017

21 total engagements to date (2 completed, 9 implementing, 4 in pipeline, 6 on hold)

See Appendix A for list of engagements

The Mass HIway has an active procurement in progress to implement a new Mass HIway Direct Messaging System, with an expected go-live date of September 2017

Why Is This Necessary?

The Mass HIway custom designed the current system while Direct Messaging standards were being developed. Some common standards now in use are not supported by the Mass HIway.

As an example, the Mass HIway uses a single private key certificate for both message signing and encryption. The HISP used by OCHIN no longer accepts this approach and requires the use of two separate certificates.

DirectTrust is now the primary facilitator of HISP-to-HISP communications across the nation. By procuring a new system that is part of the DirectTrust, the Mass HIway will:

More easily connect to other HISPs

Be prepared to exchange messages with certain federal agencies including the Veteran’s Administration

Benefits of Procuring a New System:

The Mass HIway can procure a commercial product that is in use by other state and regional HIEs, and that is supported with regular enhancements to adapt and evolve with the industry.

New features are expected to make the Mass HIway easier to use, especially for Webmail users, and most products are enhanced regularly with improvements for efficiency, security, and usability.

The Mass HIway can procure a product that is already accredited by EHNAC (the Electronic Healthcare Network Accreditation Commission) for participation in DirectTrust.

Connecting to the Mass HIway will be easier, whether directly from an EHR system as a Mass HIway Participant or through another HISP.

EHR vendors may follow the prevalent standard for making an XDR Direct connection to the Mass HIway.

HISPs that are members of DirectTrust will be automatically connected.

Conclusion

Alice Moore

2017 Schedule

HIT Council - Meeting Schedule:
Typically the 1st Monday of every third month
Meetings are from 3:30 to 5:00 PM unless otherwise noted
All meetings are at One Ashburton Place, 21st Floor, Boston

Planned 2017 Meetings:
Monday, February 6, 2017
Monday, May 8, 2017
Monday, August 7, 2017
Monday, November 6, 2017

Commonwealth of Massachusetts
Executive Office of Health and Human Services

Thank you!

Appendix A:

Supporting information for the HIway Strategy Update

ENS Update:	Stakeholder Sessions

Central Massachusetts, Westborough, March 8th

Eastern Massachusetts, Boston, March 21st

Southeastern Massachusetts, Brockton, March 28th

Western Massachusetts, Holyoke, May 12th

Sessions being scheduled:

Mass Medical Society

Mass League of Community Health Centers

Accountable Care Organizations

Individual meetings with EHR Companies

#	

Primary Organization		

Trading Partner	

Status	
1	Southcoast Health	SSTAR		Completed	
2	Maples Nursing & Rehab	Milford Regional Medical Center	Completed	
3	Cambridge Health Alliance	Chelsea Jewish Lifecare (Nursing & Rehab)	Implementing	
4	Child & Family Services	BID Plymouth		Implementing	
5	Greater Lawrence Family Health Center	Pentucket Medical Associates	Implementing	
6	Lawrence General Hospital	Greater Lawrence Family Health Center	Implementing	
7	Lowell General Hospital	TUFTS Maternal Fetal Medicine	Implementing	
8	Signature Healthcare - Brockton Hospital	Care Tenders		Implementing	
9	Tufts Medical Center	Chelmsford Pediatrics @ Lowell General Hospital	Implementing	
10	Cambridge Health Alliance	Sancta Maria Nursing Facility	Implementing	
11	Child and Family Services	Greater New Bedford Health Center	Implementing	
12	Signature Healthcare	TUFTS Medical Center	Pipeline	
13	Franciscan Children’s Hospital / Wediko	TUFTS Medical Center	Pipeline	
14	Cambridge Health Alliance	Eliot Community Human Services	Pipeline	
Status Definitions
Pipeline: Account Manager proposing Deep Dive program to organization
Initiated: Organization agrees to undertake project, establishes a team, and sets a meeting schedule.
Gathering Requirements: Organization identifies a clinical use case and information trading partner(s)
Implementing: Organization engages trading partner(s), validates end-to-end connection, and designs new workflow for the clinical use case.
Completed: Organization successfully implements the clinical use case with personnel.

#		

Primary Organization		

Trading Partner	

Status	
15	Child & Family Services	Southcoast Health System	Pipeline	
16	Edinburg Center	Newton Wellesley Hospital	On Hold	
17	Franciscan Children’s Hospital	Wediko		On Hold	
18	TUFTS Medical Center	Cambridge Health Alliance	On Hold	
19	Harbor Health Services	Steward Health – Medical Assoc./Carney Hospital	On Hold	
20	Holyoke Health Center	Mercy Medical Center	On Hold	
21	Wediko		Cambridge Health Alliance	On Hold	

Status Definitions
Pipeline: Account Manager proposing Deep Dive program to organization
Initiated: Organization agrees to undertake project, establishes a team, and sets a meeting schedule.
Gathering Requirements: Organization identifies a clinical use case and information trading partner(s)
Implementing: Organization engages trading partner(s), validates end-to-end connection, and designs new workflow for the clinical use case.
Completed: Organization successfully implements the clinical use case with personnel.

How the new Mass HIway Direct Messaging system will support MassHealth restructuring efforts:

The new system will retain the capability of connecting to the Mass HIway by different methods, including via webmail. This will allow MassHealth ACO, their trading partners, and Community Partners (some of which may not have EHR systems) to communicate with each other via Mass HIway Direct Messaging

MassHealth ACOs:	EOHHS will require ACOs to develop plans to ensure that their providers consistently use the HIway to send or receive, in accordance with the law, clinically appropriate information and support transitions of care.	This may include leveraging the HIway to allow providers utilizing different EHR systems within an ACO to communicate via Direct Messaging with each other immediately without needing to wait to establish direct EHR/EHR interoperability

MassHealth Community Partners (CPs):	EOHHS will require CPs to:
Develop policies and procedures for Mass HIway connection with their contracted ACOs and MCOs, helping to facilitate communication

Use the Mass HIway for data exchange, including communication related to Comprehensive Assessments, Person-Centered Treatment Plans, and other information to support transitions of care

Timeline

EOHHS expects to contract for a new system by June/July 2017.

Set-up and configuration to meet Mass HIway requirements is expected to be completed by Fall of 2017.

Once the new system is ready, new Participants all will be connected to it and no additional connections will be made to the old system.

Migration of existing Mass HIway Participants will be gradual, with both the new and old system operating during the transition period.

Old and new systems will co-exist so that Participants can continue to exchange messages with each other regardless of which system they use.

All migrations are expected to be completed in 9 to 12 months, with anticipated decommissioning of the old system by the Fall of 2018.

Appendix B:	HIway Operations Update

26

13 Month HIway Transaction Activity

7,460,597 Transactions* exchanged in April (03/21/2017 to 04/20/2017**)

134,819,578  Total Transactions* exchanged inception to date

8

7

6

5

Millions

4

3

2

1

	Apr'16	May'16	Jun'16	Jul'16	Aug'16	Sep'16	Oct'16	Nov'16	Dec'16	Jan'17	Feb'17	Mar'17	Apr'17	
Total transactions	5,546,391	5,321,134	5,697,933	5,798,117	5,842,932	6,422,013	7,004,402	7,119,245	6,853,779	7,029,969	7,100,105	7,463,101	7,460,597	

0

* Note: Includes all transactions over Mass HIway, both production and test
27  ** Note: Reporting cycle is through the 20th of each month.

HIway Production Transaction Trends – Provider to Provider (Apr 2016 – Apr 2017) 3% of HIway activity in April* was for Provider to Provider transactions
250000

200000

150000

100000

50000

0
Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17

	Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17	
Provider to Provider	183980	179483	180788	176069	171657	182934	193363	214852	205901	216487	186118	186244	217828	

HIway Production Transaction Trends – Quality Reporting (Apr 2016 – Apr 2017) 5% of HIway activity in April* was for Quality Reporting transactions

450000

400000

350000

300000

250000

200000

150000

100000

50000

0
Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17

	Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17	
Quality Reporting	376828	386426	392037	361916	386838	358863	361605	381174	350651	325166	339380	270903	397178	

HIway Production Transaction Trends – Payer Case Management (Apr 2016 – Apr 2017)

< 1% of HIway activity in April* was for Payer Case Management transactions

40000

35000

30000

25000

20000

15000

10000

5000

0
Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17

	Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17	
Payer Case	33734	33879	30692	31805	31967	30251	31878	30667	30112	29700	28538	27786	32687	

HIway Production Transaction Trends – Public Health Reporting (Apr 2016 – Apr 2017)

91% of HIway activity in April* was for Public Health Reporting transactions.
These Public Health transactions are analyzed by application on the following slides.

8000000

7000000

6000000

5000000

4000000

3000000

2000000

1000000

0
Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17

	Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17	
DPH Transactions	4017260	3810471	4281210	4655963	4692690	5258400	5779091	5911329	5843908	6401741	6452225	6867272	6656846	

Public Health Reporting – Analysis by Application (Apr 2016 – Apr 2017) Syndromic Surveillance Transactions

7000000

6000000

5000000

4000000

3000000

2000000

1000000

0
Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17

	Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17	
Syndromic	3339839	3210337	3740508	3941092	3906947	3867053	3690015	4214062	4667528	5480332	5454437	5094559	5742681	

Public Health Reporting – Analysis by Application (Apr 2016 – Apr 2017) Immunization (MIIS) Transactions

2500000

2000000

1500000

1000000

500000

0
Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17

	Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17	
MIIS	630649	518751	517318	692856	702715	1269445	1943323	1606817	1143928	888367	837521	1733218	867478	

Public Health Reporting – Analysis by Application (Apr 2016 – Apr 2017) Boston Public Health Commission Transactions
20500

20000

19500

19000

18500

18000

17500

17000

16500

16000

15500

Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17

	Apr-16	May-16	Jun-16	Jul-16	Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17	
Boston Health	19854	19076	19496	18682	19300	19955	19266	19352	18193	19078	19535	17213	19685	

Public Health Reporting – Analysis by Application (Aug 2016 – Apr 2017) Opioid Treatment Program (OTP) Transactions **
2500000

2000000

1500000

1000000

500000

0
Aug-16	Sep-16	Oct-16	Nov-16	Dec-16	Jan-17	Feb-17	Mar-17	Apr-17

* Note: Reporting cycle is through the 20th of each month.
** Note: OTP data available starting August 2016.

600

Public Health Reporting – Analysis by Application (Apr 2016 – Apr 2017) Other Public Health Transactions

500

400

300

200

100

ELR MCR PMP CBHI
eReferral

	1	2	3	4	5	6	7	8	9	10	11	12	13	
ELR	136	166	183	169	166	176	170	186	170	176	402	268	233	
MCR	222	30	15	60	67	92	72	10	316	226	73	111	57	
PMP	0	0	0	0	0	0	0	0	0	0	0	0	0	
CBHI	0	0	0	0	2	0	0	0	0	0	0	0	0	
eReferral	226	112	195	157	189	179	238	187	235	250	426	430	485	

0

* Note: Reporting cycle is through the 20th of each month.

A

MASSACHUSETTS HEALTH INFORMATION HIGHWAY

Tier (As of Apr 20 2017)	Universe (Est.)	Actively Using	%ActivelyUsing	Connected	%Connected	Enrolled	Tier Total	
la. Large hospitals/Health Systems	37	27	73%	5	14%	5	37	
lb. Health plans	9	3	33%	2	22%		5	
lc. Mu lti-entity H I E	12	4	33%	6	50%	2	12	
ld. Commercial imaging centers & labs	5	3	60%	2	40%		5	
								
2a . Small hospita ls	46	35	76%	11	24%		46	
2b. Large ambulatory pra ctices (50+)	33	18	55%	15	45%		33	
2c. Large LTCs (500+ licensed beds)	8	2	25%		0%		2	
2d. Am bulatory Surgical Centers	63		0%	1	2%		1	
2e. Ambu lance and  E mergency  Response	39		0%	1	3%		1	
2f .Business associate aff i liates	5	1	20%	1	20%		2	
2g.  Local government/ Public Health	8	1	13%	7	88%		8	
								
3a. Small LTC (<500 licensed beds)	310	23	7%	42	14%		65	
3b. Large behavioral hea lth (10+ licensed providers)	10	1	10%	8	80%		9	
3d. Large FQHCs (10-49)	30	14	47%	11	37%		25	
3e. Med i um  ambulatory practices  (10-49)	365	46	13%	24	7%		70	
								
4a . Small behavioral hea lth(<lO licensed providers)	90	5	6%	13	14%		18	
4b. Home health, LTSS	149	23	15%	35	23%	4	62	
4c. Small FQHCs (3-9)	29	4	14%	1	3%	1	6	
4d . Small ambulatory practices (3-9)	1595	124	8%	119	7%	1	244	
								
Sa. Very  Small  ambulatory  practices  ( 1-2)	4010		4%	353	9%	6	513	
								
Grand Total	6853	(488	)	7%	( 657 )	10%		) i164	

-154

-

(19
"'--

"-""

((Actively Using" means connected and actively using; ((Connected " means connected but not yet act ively using; a nd ((Enrolled" mea ns a n agreement has been signed but not yet connected

HIway Participation: Jan 21 – April 20, 2017

24 Hours Care
Advocates Inc.

25 New Participation Agreements

Old Colony Elder Services
Orthopedics New England

Dermatology Consultants at Newton Wellesley, P.C.
Eliot Community Human Services (Formerly MA
Society for the Prevention of Cruelty to Children)
Inner Balance Integrative Medicine
Laura McCann, MD
Lowell Oral Surgery <dba Chelmsford Oral Surgery /
Nashua Oral Surgery>
Martin Richler, MD
Maura F. McGrane, MD, PC
Mayflower Place Nursing and Rehabilitation Center
Minuteman Senior Services
Miriam Dougherty, MD
Newton Wellesley Eye Associates PC
Newton Wellesley Neurology Associates PC
North Shore Center for Orthopedics

Paul Birnbaum, MD
Paul Levy, DDS
Ralph Talbot, MD
Riverside Community Care
Somerville-Cambridge Elder Services
Steven Smith, MD
The Pediatric Physicians' Organization at Children’s
Hospital (PPOC) for EPIC
Wellesley Women’s Care, PC

29 New Connections




	Bureau of Public Health Facilities Coastline Elderly Services, Inc.
Dermatology Consultants at Newton Wellesley, PC
Eliot Community Human Services (Formerly MA Society	



	Mount Auburn Hospital
Newton Wellesley Eye Associates, PC
Newton Wellesley Neurology Associates, PC
North Shore Center for Orthopedics	

	for the Prevention of Cruelty to Children (MSPCC))
Hebrew Senior Life	
	Old Colony Elder Services
Orthopedics New England	



	Inner Balance Integrative Medicine
Joseph Spinali DMD
KidsWell Pediatrics and Urgent Care
Lowell Oral Surgery <dba Chelmsford Oral Surgery /	


	Paul Birnbaum, MD Peter Drob DMD, PC Ralph Talbot, MD
Somerville-Cambridge Elder Services	

	Nashua Oral Surgery>
Maura F. McGrane, MD, PC	
	Southwest Boston Senior Services, Inc. DBA Ethos
Springwell, Inc	



	Mayflower Place Nursing and Rehabilitation Center
Minuteman Senior Services
Miriam Dougherty, MD
Montachusett Home Care	


	Steven Smith, M.D.
The Pediatric Physician’s Organization at
Children’s Hospital (PPOC)
Wellesley Women’s Care, PC	

Plus Non-Participant Orgs - 21

23 HISPs Connected to Mass HIway

Allscripts (MedAllies HISP)
Aprima
Athenahealth
CareAccord
CareConnect (NetSmart HISP)
Cerner
DataMotion
eClinicalWorks
eClinicalWorks Plus
eLINC
EMR Direct
Inpriva

MaxMD
MatrixCare
McKesson (RelayHealth)
Medicity
MyHealthProvider (Mercy Hospital)
NextGen Share
NHHIO
SES
Surescripts
UpDox
Wellport (Lumira HISP)

3 HISPs In Process of Connecting to Mass HIway

HISP Vendor	
Kickoff	
Onboarding	
Testing	HIway Prod Readiness	
Live/Target Date	

PCE Systems					
Jun	

ASP.md					
TBD	

Care 360					
TBD	

IICA-Direct					
TBD	

13 Month HIway Availability Trends

100.2%

100.0%

99.98%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

100.00%

99.8%

99.73%

99.75%

99.78%

99.6%

99.4%

99.29%

99.2%

99.0%

98.82%

98.8%

98.6%

98.4%

98.2%

Apr-2016	May-2016	Jun-2016	Jul-2016	Aug-2016	Sep-2016	Oct-2016	Nov-2016	Dec-2016	Jan-2017	Feb-2017	Mar-2017	Apr-2017

Metric Targets:

Target % Availability	% Total Monthly Availability (Sev 1, 2 & PEM)

“Total Monthly Availability” – no lower than 99.9% (downtime no more than ~44 minutes/month)