Technology Advisory Group

March Meeting

 	March 21, 2014

Agenda

Project Update
Discussion
Next Steps

HIway Operations Update (as of February 2014)
 
132 Mass HIway Participants
 	104 Participants live
 	5 Participants went live in February 

4 New Participation Agreements completed 
The Carson Center for Human Services 
Fairlawn Rehabilitation Hospital 
Mount Auburn Hospital 
Dr. John D. Mudrock 

April / May 
Volume testing  
109,021 Transactions exchanged during February 
2014 2,096,557 Total Transactions (inception to date, Test and Production)

Mass HIway Participants (1 of 3)
List of participant s and which ones are live 

Mass HIway Participants (2 of 3)
List of participant s and which ones are live 

Mass HIway Participants (3 of 3)
List of participant s and which ones are live 

 Mass HIway Connection Forecast
List of participant s and which ones are live 
 	
Goal:
•	Connect over 135 organizations to the HIway Connections by June 30, 2014

 	Key Drivers for Growth:
•	Public Health Reporting - Immunizations, Opioid Treatment, and Syndromic Surveillance programs
•	Members of other HISPs joining the Mass HIway using HISP-to-HISP connections

Primary uses of HIway to date
 Primary uses of the HIway have not changed since December, but transactions have increase significantly in care and public health uses. 

Use Case	 		Cumulative total 			Cumulative Total 
			 	Transaction through 		transactions through		% 
			 	11/30/13 					2/20/2014			Change 
Care Coordination 	208					 5, 343				 2469%
Public Health 		52,261 				 120,839 				  131%
Case Management		21,236				  29,941				   41%
Quality Reporting 		626,908				 845, 123				   35%

Mass HIway Release Schedule
Mass HIway Development Timeline 

Activity 	Target date 	
Opioid Treatment Program Node Go-Live 	March 2014 	
Cancer Registry Node Go-Live 	April 2014 	
Provider Directory Upgrade Go-Live (support for external use of PD through web-services) 	April 2014 	
Webmail Upgrade Go-Live (MU2 compliance, shared folders to support SEE application) 	April 2014 	
Meditech XDR Solution Go-Live (enables providers to send/receive Direct messages from their Meditech EHR) 	April 2014 	
HISP to HISP Solution Go-Live (enables providers to connect to the HIway through another HISP) 	April 2014 	
eReferral Phase 1 Node Go-Live (enables bi-directional communications on health related targets given from HPOs to CBOs such as YMCA, Tobacco quit lines, etc.) 	June 2014 	
Childhood Lead Poison Prevention Program Node Go-Live 	March 2014 
Q3 2014 (deprioritized) 	
Phase 2, Release 2 (Web service access to RLS, eMPI tuning, AIMS integration, Notifications, etc.) 	Q3 2014 	
Healthcare Provider Portal 	Q3 2014 	

Last Mile Program wrapped up with end of ONC grant on Feb 7
 	The Last Mile Program concluded with the end of the Statewide Health Information Exchange Cooperative Agreement with the Office of the National Coordinator (ONC) on February 7, 2014

 	Contact for all Mass HIway activities is the Executive Office of Health and Human Services (EOHHS):
•	1-855-MA-HIway (1-855-624-4929)
•	masshiway@state.ma.us

 	Mass HIway is finalizing documentation and educational resources (website included) to promote scalability and self service. Mass HIway will continue to partner with the Massachusetts eHealth Institute (MeHI) on development of targeted educational sessions, mass communications, and general awareness building.

Agenda

Project Update
Discussion
Next Steps

Phase 2 Rate Card Analysis
 	The private share requirement for Phase 1 and Phase 2 is $1.3M:
•	Phase 1:  ~$700K
•	Phase 2:  ~$550K

 	Phase 1 realized revenue has already exceeded $500K, and there are over 100 organizations in the pipeline with projected revenue of $500K-$750K

 	Pricing for Phase 2 needs to take into account a number of considerations:
•	What is the target private share revenue requirement for Phase 2?
•	How many customers, and what types of customers, are likely to purchase Phase 2 services at a given price level?
•	What is optimal pricing that will:
-	Ensure achievement of required private share revenue requirement
-	Minimize barriers to entry to HIway participation and adoption, especially in light of Chapter 224 and public health HIway requirements
-	Maintain principles of fairness and accessibility for providers with limited resources and focused on the under-served

Phase 2 Rate Card

Mass HIway phase 2 document architecture
Agenda

Project Update
Discussion
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 – Not yet scheduled - TBD
•	HIT Council – scheduled for April 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