Technology Advisory Group October Meeting

October 18, 2013

Agenda

Project Update

Mass HIway Phase 1 HISP to HISP approach Next Steps

Phase 1 – Transaction and deployment update (as of September 2013)

Deployment update:

Total Organizations in Production:	18 Total Organizations Live	24 Total Organizations on the HIway	55

Transaction update:		
Transactions exchanged in Sept:	110,547	
Cumulative transactions to date:	1,577,181	

Phase 2 overall timeline

Mass HIway Phase 2 high level project schedule

Activity	Target date	
CMS approval of Phase 2 IAPD	Completed	
Phase 2 contract (or change order) executed	Completed	
Go-live - Public Health - Immunization Registry Node	Completed	
Go-live - Public Health - Reportable Lab Results (ELR) Node	Completed	
Testing - Public Health - Syndromic Surveillance Node	Completed	
Testing - EOHHS – Children’s Behavioral Health (CBHI) Node	Completed	
Phase 2 Requirements Gathering & Validation	Completed	
Phase 2 Design Approach Preliminary Decision	Completed	
Go-live - Opiod Treatment Program (OTP) Node	Sept 2013	
Go-live- Cancer Registry Node	Dec 2013	
Go-live- Lead Poisoning Prevention Node	March 2014	
Go-live for Phase 2, Release 2 (EMPI, RLS, Consent, Provider Portal, Consumer Portal)	Oct 2013 – Mar 2014	

Agenda

Project Update

Mass HIway Phase 1 HISP to HISP approach Next Steps

Setting the table for today’s discussion

-A large number of EHR vendors serving Massachusetts providers have recently decided to become Health Information Services Providers (HISPs) on behalf of their customers as part of their information exchange strategies.

-This development means that a larger than originally expected number of Massachusetts providers will access the HIway through a non-HIway HISP.

-This development has raised the importance and urgency of figuring out HISP to HIway connectivity, doing so with vendors who are midstream in figuring out their own HISP to HISP approaches, and doing so in the absence of well adopted standards

-The HIway teams have been working on each of the thorniest issues including:

Establishing HISP to HISP trust

Certificate exchange

Provider Directories

Supported transport standards

-Today we will review the current Mass HIway technical position for HISP to HISP connectivity and will gather your input and reactions.

EHR Vendors expected to connect to HIway as a HISP

11 Vendors expected to connect members to HIway via vendor HISP:

Surescripts

eClincalworks

Epic

Allscripts

Aprima

KeyHIE Transform

eLINC

ClaimTrak Systems

eHana

McKesson

MEDfx Corporation

HIway HISP Technical Approach

HIway will support the exchange of Anchor Cert with other HISP’s

HIway/HISP will make Anchor Certs “discoverable” via Web Service

HIway/HISP providers will be on-boarded into “White List”

HIway Provider Directory listing will be available to HISP via Web Service and Bulk Download

SMIME -> will support SMIME transactions including for DPH programs

HIway HISP Solution Overview

HIway Participant

Webmail

LAND

HIway

SMIME
Gateway

Direct Gateway

External HISP

SMIME

XDR

XDRGateway

XDR

White List Validation

2

Certificate Validation

1

3
HIway Cert
Discovery Service

Provider Directory exposed via Web Service or Bulk Download

Provider Directory

Hardware
Security Module (HSM)

HSM provides strong physical security for HISP Anchor Certs

External HISP exchanges Anchor Certs with HIway and stored in HSM

Provider White Lists are exchanged and On-Boarded

Messages are exchanged and decrypted via “discoverable” Anchor Certs

Implementation Approach

Step #1: HISP Testing Period – identify select HISP testing partners
December 2013
Provider Directory White List
Anchor Certificate Validation
HSM Implementation
Stage Environment

Step #2: HISP Go-Live – extend HISP capability to support all participating HISP’s
January 2014
Adjustments based on Testing Period
Additional On-Boarding Services
Extend Internal HSM Services
Migration to PROD Environment

Agenda

Project Update

Mass HIway Phase 1 HISP to HISP approach Next Steps

Next steps

Next steps

Reactions to be taken into account by HIway 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 – December 20, 2013

-	Conference call (866) 951-1151 x. 8234356

HIT Council – scheduled for Nov 12, 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