Transcript Maryland - Welcome to ASTHO

Paul Messino, MPP, DrPH Candidate
Patricia Swartz , MS, MPH
Medicaid Public Health IT Collaboration
August 15, 2011
Public Health Services
Data Collection – Current Status
 Immunization
 Mostly manual data entry
 Laboratory Reporting
 Mostly paper reports
 Syndromic Surveillance
 Non-standard electronic formats
3
Collaborative Planning
TASK
APPROACH
1. Education/Awareness of
MU requirements and
impact on Public Health
 Internal Meetings
2. Evaluate DHMH capability
and capacity
 Partnership Meetings
 Medicaid, Public Health
(August 2010)
 Leadership, Medicaid, Public
Health, IT, HIE
(May-June 2011)
 CMS, Medicaid, PH, IT
(June 2011)
3. Communicate with
Providers/Hospitals
 Formal/Informal
 Letter, phone/email
4
Results of Collaborative Planning
 Goals
 Enable all providers and hospitals participating in the
EHR Incentive Program to successfully attest and receive
payments
 Increase electronic public health data submissions
 Objectives
1.
2.
3.
Determine public health programmatic requirements
Determine departmental capability/capacity to support data
submission
Set up and execute departmental plan to accept public
health data submission (testing and going live)
5
Results of Collaborative Planning
Process flow
1. Listed data submission steps
2. Created a survey to capture eligible
providers/hospitals information
3. Posted information on Medicaid MU website
4. Set up an internal process to track progress

communication, data testing and acceptance,
queuing, feedback and confirmation
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7
8
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Survey Questions
 Public health measure
 Eligible provider/hospital
 Facility, Main contact, IT contact, CCN/NPI, VFC #
 EHR Incentive Program
 Medicare, Medicaid or both, Attestation period
 EHR product information
 Standards to be used, e.g. HL7 version, LOINC
 Transport layer
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Results: Submission Process
 Contact – Establish communication with providers
 Schedule – Set testing date
 Test – Transmit data
 Verify – Check format
 Notify – Send official letter about status
 File – Document status
 Queue – Continue/future submission (HIE)
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Official Letter
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Conclusion: Successes
 Public Health integral part of State Medicaid HIT Plan
(SMHP)
 Coordinated, strategic HIT planning for the Department
 Process in place to move forward with more MU tests

Refine website, survey, and internal process
 Results (to date)




Number of completed surveys: 40
Number successfully completed testing: 17
Number scheduled for testing: 17
Average time to connect and complete testing: 2 days
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Conclusion: Challenges
 Field providers/EHR vendors questions

Some questions need Medicaid/CMS guidance
 Role of Health Information Exchange


Still in planning stages for most individual providers
Encourage these individual providers to submit data but not
discourage them from connecting to HIE
 Working to increase capacity/staff

Funds from ELC, Immunization, and CMS EHR
Implementation Advanced Planning Document (I-APD)
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Acknowledgments
 ASTHO, CDC, CMS
 The DHMH Collaborative Team
•
Health Care Financing/Medicaid (Planning)
Tricia Roddy (Director)
Ryan Benson, Paul Messino
•
Public Health Services
Dr. David Blythe (State Epidemiologist)
Keith Childress (Center for Immunization)
Zachary Faigen (Preparedness and Response)
Dale Rohn (Infectious Disease Surveillance)
•
Operations (Information Technology)
Saleem Sayani (Chief Information Officer)
Maura Comer, Gregory Glavaris, Rashid Malik, Kishok Rojohn, Chandeep Singh,
Patricia Swartz
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Questions
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