The Clinical Data Repository An Overview Health Care

The Clinical Data Repository An Overview Health Care Authority, Health Information Technology Section Dennis Worrell Health IT Stakeholder Engagement Manager HIMMS, October 15, 2018

Who said this…and when? “I need to bring attention to the urgent need to adopt. . . some uniform publication system of hospital statistic records. . . ” “If used smartly, these statistics will tell us the actual relative value of some current measures and forms of treatment. ” 2

Web Portal: Summary View 3

What is the Clinical Data Repository? CDR Secure, webbased database storing clinical and claims info for Apple Health (Medicaid) enrollees Future State! -Other data sets after consent mgt. tools (SUD, STI, etc. ) -Only data from physical health providers now 4 Health Information Exchange Provider One. Health. Port maintained Provider maintained Secure connection EHR Improved Care at the Point of Care

What’s in the CDR? Clients in system: 2. 2 million Clients with Claims Data >94% Care Summaries (CCDs): 4 million on 40% of clients by July, 2018 Future State! CDR -Mental health data - SUD data (incl. methadone) with CFR 42 part 2 consent mgt. solution -Care coordination tools

How can providers access CDR data? Client 1 Info CDR EHR Client 2 Info Client 3 Info Future State! Providers can query (auto-pull) info from the CDR to their EHRs 6 Provider Tablet or PC View-only web portal

What Info gets in the CDR? Problems Allergies Medications Social History Procedures Mental Status Family History Results Nutrition Plan of care Functional Status Advance Directives Medical Equipment 7 Immunizations Patient demo -graphics Payers Vital Signs E-Version: Clinical Care Record

Incentive for Providers to participate? MCO contracts with providers: If an organization answers yes to all three, it is required to participate in the CDR. Can’t say yes to all three? Participation is not required. . . at this time 8 Part of MCO provider network serving Apple Health Clients? Have a “Certified EHR”? Received Medicaid or Medicare EHR Incentive Payment Funding

How did we get here? Natural and/or other disasters To date: 6, 000+ providers and 88 hospitals = $355 million + in funding 9 ARRA$ HITECH$ 2009: WA appoints HCA lead agency driving interoperability 2009: One. Health. Port wins competitive bid to host WA’s Health Information Exchange (HIE)

Alternatives Do Nothing ? ? • Not really an option. . . 10 Wait ? ? Take the Lead! • Hope vendors create interfaces between disparate Electronic Health Records Systems • Create Data Base • Vendor-neutral • Standardsbased • Supports national certification standard • CMS & ONC

Who said this…and when? “I need to bring attention to the urgent need to adopt. . . some uniform publication system of hospital statistic records. . . ” “If used smartly, these statistics will tell us the actual relative value of some current measures and forms of treatment. ” 11

Next Steps • Find more about the CDR initiative at: www. onehealthport. com/hca-cdr • Contact HCA’s Health IT team to schedule presentations and deeper dives with HCA or One. Health. Port’s technical team: • healthit@hca. wa. gov, 360 -725 -1514 12