Slide #1

Massachusetts Health Data Consortium, Inc.

The Planets are aligning….

…for improving our health information infrastructure

Slide #2

Massachusetts Health Data Consortium, Inc.

MA-SHARE First Steps

CIO Forum initial catalyst to formation of MA-SHARE Simplifying Healthcare Among Regional Entities

Through administrative simplification and secure, appropriate sharing of clinical data.

$615K Year 1 funding secured – BCBSMA Cornerstone Grant

Advisory Committee and Executive Sub-Committee established Mission, project priorities, governance & operating procedures defined Seven projects approved

MedsInfo-ED – Diane Stone, MA-SHARE Project Manager Credentialing – Audrey Shelto, MA-SHARE Project Manager Secure E-mail – Ben Littauer, MA-SHARE Project Manager Pathology Database Query System – Paul Cleary, PhD, Project Manager Electronic Health Records – David Bates, MD, Project Manager Electronic Patient-Centered Communications – Daniel Sands, MD, Project Manager Bioterrorism Syndromic Surveillance – Ken Mandl, MD, Project Manager

Slide #3

Massachusetts Health Data Consortium, Inc.

MA-SHARE “Faster, Cheaper, Better” Strategy How can we “add value” to market initiatives?

“Faster, Cheaper, Better” Strategy

Focus MA-SHARE resources on development ofservices/technologies common to the success of most

clinical connectivity initiatives Matching patients to available clinical data sources…Master Patient

Index Aggregation and distribution of clinical data Development of community standards for privacy and security

Build service/support/education infrastructure to make these

shared services available to all market players

Develop and test models for evaluation of clinical connectivity

projects to measure the “costs/benefits” of each application

Slide #4

Massachusetts Health Data Consortium, Inc.

BCBSMA

MPI

RxHUB

HarvardPilgrim

MPI

Pilot Hospital EDs

Aggregation

MPI

Beth IsraelDeaconess

Boston MedicalCenter

Emerson Hospital

Fallon

MPI

MedsInfoTechnicalSolution

Security Layer

Tufts

MPI

NHP

MPI

Medicaid

MPI

MPIPBM

AdvancePCS

MPI

PBMPharmacare

MPI

PBMMedImpact

MPI

PBMACS

MPI

PBMExpressScripts

MPI

PBMMedco

AdditionalFuture Rx

DataSources

Chains

Other

Retail

02/05/04-rev

Surescripts

Other AmbulatorySettings

Pharmacies

No Clinical Data Stored in Technical Solution

Data Release

Presentation

Audit

New Hospitalsfor ActuarialEvaluation

Outsourced toe-Prescribing vendor

for pilot

Available toall

e-PrescribingVendors

Practice Mgmt. Sys.

Hand held

Laptop

MedsInfo Systems Process Environment

Slide #5

Massachusetts Health Data Consortium, Inc.

Emergency Department

Inpatient Treatment

OPD Clinics

Physician Offices Data Users

Clinical Data

Lab test results

Radiology results

Physician notes

PBMs

Inpatient clinicalsystems

Medical Dx andprocedures

Drug claims

Clearinghouses

Clinic EHRs Labs

DataSources

MAMA--SHARESHARECommunity UtilityCommunity Utility

•• Patient ID & links to clinical Patient ID & links to clinical data sourcesdata sources•• Data sources aggregation and Data sources aggregation and distribution to clinical sitesdistribution to clinical sites

••contractual rightscontractual rights••technical technical infrasructureinfrasructure

•• Privacy & Security standardsPrivacy & Security standards•• Technical Technical standarsstandars for Interfor Inter--operability ofoperability of

••data sources data sources ••data users data users

Pharmacies

Problem list

Payers

PatientsCommunity Health Centers

Nursing Homes VNAs, Home Health

Connectivity Requirements MedsInfo ED Proof of Concept Pilot

MedsInfo e-Prescriptions Project

Pharmacies

MA-SHARE Clinical Connectivity Vision

Slide #6

Massachusetts Health Data Consortium, Inc.

Standards needed for MA-SHARE

Medication history inquiry & response

Laboratory results Radiology findings Syndromic Surveillance Data Set Master Patient Index Master Provider Index

Slide #7

Massachusetts Health Data Consortium, Inc.

Role of PHDSC Encourage Public Health & Private

Sector Collaborative Applications Examples:

More timely Syndromic Surveillance More timely Cancer Registries Care Mgt.(Rx history?) for the Dually Eligible STD lab results could “piggyback” on ALL

lab transmissions