New Hampshire Health Information Organization Board of Directors Meeting Minutes May 11, Airport Road Concord, NH 03301

Transcription

1 New Hampshire Health Information Organization Board of Directors Meeting Minutes May 11, Airport Road Concord, NH I. Call to order Ms. Eldredge called to order the regular meeting of the New Hampshire Health Information Organization (NHHIO) Board of Directors at 8:33 am on May 11, II. Roll call The following members were present: Mary Beth Eldredge, Carol LaCross, Deb Mullen, Charles Fanaras, Bill Baggeroer, David Querusio, Steve Kelleher, Michael Lehrman, David Briden, Steve Kelleher, Jim Harris and Lorraine Nichols. The following members were present by phone: Kristen Platte, Patricia Witthaus, Brian Collins and Alison Bidgood. The following members were absent: Dan Waszkowski MD, Dick Lafleur MD. The following non-members were present: Jeffrey Loughlin, Jackie Baldaro, Jaime Dupuis, Nancy Fennell and Denise Purington. Name Feb-16 Mar-16 May-16 Bill Baggeroer P A P Carol LaCross P P P Daniel Waszkowski, MD (NHMS) A P A David Briden (NHHA) R P P David Querusio P R P Deb Mullen (Home Care) P P P Kirsten Platte (BSPC) R A R Lorraine Nichols P P P Brian Collins (BH) R P R Mary Beth Eldredge P P P Michael Lehrman R A P Patricia Witthaus (CAH) P P R Dick Lafleur, MD R P A Charlie Fanaras, RPh (Pharm) P P P Steven Kelleher P P P Allison Bidgood P A R Jim Harris P Mr. Baggeroer made a motion to approve the March 9, 2016 meeting minutes; Mr. Querusio seconded the motion. Mr. Harris requested an edit to be made to the meeting minutes to change his noted role with Maryland HIMSS; he was a board member and not Chair of this organization.

2 The board approved the meeting minutes for the March 9, 2016 NHHIO Board of Directors meeting; 16 in favor; 0 opposed; 0 abstentions. III. New business There was no new business brought forward. IV. Updates and committee reports Ms. Eldredge formally welcomed Mr. Jim Harris to the NHHIO Board of Directors. Orion Health Contract Update Mr. Loughlin provided an overview of the new Orion Health Contract. He noted that Orion Health has agreed to terminate NHHIO s current contract early at the end of May, 2016 and institute this new contract that will be a thirteen (13) month contract in order to match most of the New Hampshire hospitals fiscal year. He reported that Orion Health has reduced the total contract price and that NHHIO will be moving to a more standardized SaaS agreement while retaining the liability language from the original contract. Ms. Eldredge thanked Mr. Loughlin for his efforts to successfully negotiate a favorable outcome. Mr. Loughlin reviewed the proposed updated membership dues pricing with the group. Ms. Eldredge commented that she looks at the value added piece of NHHIO staff services and consulting behind the technical platform as a key consideration when considering the dues her organization is asked to pay. Ms. Mullen asked the group if they should consider a Services Used model beyond simple connection type, such as number of mailboxes or Direct addresses. Mr. Loughlin noted for the group that staffing expense is another area that could be considered to lower overall cost to participants. Ms. Eldredge asked the group for opinions about offering a three year participant contract option with discounts applied. Mr. Briden commented that in order to lock into a three year contract, he would need to know what the market is doing. Ms. Platte asked to review the current termination clause in the current participation agreement. Mr. Loughlin reported that there is only an out clause for breach; if a participant terminates prior to the three year term, they will need to pay full dues. Mr. Baggeroer suggested offering both a multiple year term and one year term agreement would be favorable. Based upon this discussion, Mr. Loughlin will circulate another pricing grid that reflects pricing by service for the group to consider. Ms. Eldredge commented that reaching out to the larger hospitals to have conversations about next year s dues will need to be completed quickly. Mr. Harris asked if there is a way to make NHHIO services more attractive to the smaller providers. Ms. Eldredge commented that the additional services of secure texting and event notification may be of value to all participants. She feels that the NHHIO does struggle with product offerings and what additional services can be provided due to the limitations previously discussed. She commented that there is uncertainty as well as uncertain demand in the market place; these additional services are being asked for in the New Hampshire market Waiver discussion Ms. Eldredge reported that there is a component of the 1115 waiver that requires Integrated Delivery networks (IDNs) to describe how they plan to exchange information and perform consolidated reporting of measures. Ms. Mullen discussed some feedback she received from her staff that attended an 1115 Waiver meeting that there was discussion during the meeting that discouraged the use of NHHIO. The group discussed that it would be surprising if the IDNs, under the 1115 Waiver, did not want to use their current health information exchange capability as a part of their strategy to support their projects. Ms. Eldredge discussed the possibility that each of the IDNs include a paragraph about the NHHIO capabilities as a way to place some consistent language in all the

3 applications. She commented that the dollars associated with the Waiver is not necessarily a lot of money to perform full technology support. She commented that health information exchange strategy is only one piece of what is to be accomplished under the 1115 Waiver; the problem would be if the IDNs created 7-8 different technical networks. Mr. Collins commented that his understanding of the 1115 Waiver is that the first year is to be spent on planning activities and it seems that the IDN candidates are not spending a lot of time thinking about the technical component of this project. Mr. Loughlin reported that there is a meeting scheduled on May 24, 2016 with the Commissioner and Ms. Deb Fournier to discuss the NHHIO and what the NHHIO can do; the goals of the meeting are to educate them about NHHIO s technical capabilities and how NHHIO can fit into this planning process. Ms. Eldredge commented that it will be helpful to hear from the Department of Health and Human Services (DHHS) what they are envisioning to support this grant; if there is not a plan to leverage what is currently in place, this seems to be a step backward. Ms. Mullen commented that she understood that there was discussion about performing a technical audit of the environment and this is information that the NHHIO already possesses which people do not realize. Mr. Baggeroer commented that the original individuals at DHHS who were very supportive and educated about NHHIO are no longer there and the new individuals need to be educated. Mr. Collins commented that it is important to have a technical person join these education discussions to assist the non-technical board members Legislative Approach Mr. Loughlin reviewed the current language of RSA Chapter 332-I and the issues & challenges with this language for the group. He emphasized that the law and the way it was written applies only to the NHHIO. He discussed the technology challenges with filtering the information consent and public health reporting. He feels that the way that Health Care Provider is written is actually good and leaves flexibility however there is still a disconnect with ACO activity due to the limitation with payment constriction. Mr. Loughlin commented that there is still a disconnect with the public health reporting side from a technology standpoint with the ability to filter consent. He feels that the discussion of Direct and Opt-in/Opt-out consent will also be challenging to explain to legislators. Ms. Eldredge commented that she feels the legislators still believe that the NHHIO would sell data and this misinformation needs to be corrected. Mr. Loughlin explained to the group that in theory, the NHHIO could move forward with a full EMPI with the limitations on holding demographic data but cannot do anything with it. He explained that there are three options currently on the table, 1. Changing the law and allowing access and doing a full blown Clinical Data Repository (CDR), 2. Update the healthcare definition for Provider to match HIPAA s Use and Disclosure to put the NHHIO on par with others, and 3. Completely remove the NHHIO from the law all together and leave the Medical Records Law intact as it was prior to the creation of the NHHIO. Mr. Briden commented that at the recent New Hampshire Hospitals CIO meeting a question was asked about the potential problem with poking the bear and as a result, making the law apply to all organizations, not just the NHHIO. Mr. Baggeroer commented that he used to think that way but feels that this would actually be a positive thing to happen and would bring the large organizations and their lobbying power to help strengthen the collective voice and place a focus on this. Ms. Eldredge commented that it would be helpful to have some demonstrable data in patient safety and cost savings as well as updated language prepared and at the ready. She feels that any effort with the legislature needs to come from the community as a whole and not just the NHHIO. Mr. Loughlin reviewed next steps as getting in front of the legislature. He noted that if and when NHHIO moves forward with Collective Medical Technology (CMT) that will give us some value driven data to present, and there is also additional precedence set in the state with the Immunization registry and Prescription Drug program in terms of aggregating data. Mr. Kelleher discussed that a

4 possible approach would be to reach out to some key people at DHHS and particularly Ms. Marcella Bobinsky who have had some successful discussions working successfully through and with Representative Kurk regarding the pharmacy database. Secure Texting Vendor Mr. Loughlin reported that a recent WebEx held by Tiger Text had a number of folks attending to discuss the product. He reported that the NHHIO is working on adding Cortext as an additional vendor who will also be scheduling a similar WebEx to showcase their Imprivata product. He noted that there are a number of practices and hospitals that are using Imprivata and this will offer flexibility to organizations. Event Notification Service (ENS) Vendor Presentations Mr. Loughlin reviewed the offerings of CMT. Ms. Eldredge and Mr. Briden will be reaching out to the CIO group to understand and ask them to declare their position about CMT. Mr. Briden reported that there is no one at Exeter Hospital currently asking for ED event notification services and he is wondering about overall market demand. He has heard from the CIOs that they are not sure what to think about the product. Ms. Eldredge commented that the CIO community reported on the NHHIO recent survey that Event Notification is at the top of their list of needs. She feels that the NHHIO needs to think through the strategy of sales for this as this is not an IT conversation, it is a clinical one where the users need to understand and want this service. She commented that this will need to be a multipronged reach out and she will be asking her own organization to declare who are the top ten (10) organizations that they want to see participating in using this technology and reach out to them. HIE Support Grant Mr. Loughlin reported that the grant activities are moving forward. The Communities of Practice and Peer Learning Networks are also moving forward well with a lot of activity. He reported that the required reports to ONC have been submitted and there are no issues at this point. Governance Committee There were no new committee updates. Finance Committee Ms. LaCross reviewed the current financial statements. She requested approval of the NHHIO Form Finance Committee reviewed and recommended approval of the Organization s Annual Report and Form 990. The Form 990 was previously circulated to the full Board for their review. There were no questions. Ms. LaCross made a motion to approve the IRS Form 990 report; Ms. Nichols seconded the motion. The board voted to approve the NHHIO s IRS Form 990 submission; 16 in favor; 0 opposed; 0 abstentions. Ms. LaCross made a motion to approve the annual report; Ms. Nichols seconded the motion. The board voted to approve the NHHIO Annual Report; 16 in favor; 0 opposed; 0 abstentions. Ms. LaCross made a motion to approve the NHHIO April 2016 financials; Mr. Querusio seconded the motion.

5 The board voted to approve the NHHIO April 2016 financial statement; 16 in favor; 0 opposed; 0 abstentions. Ms. LaCross reported that the Finance committee will be needing another member to join the committee due to a retiring board member in September Nominating Committee Mr. Loughlin reported that a few member terms are expiring this year: Patricia Witthaus, Dr. Richard Lafleur, Lorraine Nichols, and Kirsten Platte. He reported that hopefully Ms. Donna O Leary from DHHS, will join as a member at large. Ms. Joan Tulk will be taking over the Bi-state primary care board position. Dr. La Fleur is working internally to identify a replacement for his position from Anthem. Mr. Loughlin reported that Mr. Patrick Miller will also be joining the board and has agreed to be the vicechair. Mr. Briden made a motion to approve Mr. Patrick Miller to the NHHIO Board of Directors; Mr. Querusio seconded the motion. The board voted to accept Mr. Patrick Miller to the NHHIO Board of Directors; 16 in favor; 0 opposed; 0 abstentions. Mr. Briden made a motion to approve Ms. Donna O Leary to the NHHIO Board of Directors; Mr. Querusio seconded the motion. The board voted to accept Ms. Donna O Leary to the NHHIO Board of Directors; 16 in favor; 0 opposed; 0 abstentions. Other Updates No other business was discussed. With no further business to be discussed, Ms. Eldredge asked for a motion to close today s meeting. Mr. Querusio made a motion to close the May 11, 2016 board meeting; Mr. Baggeroer seconded the motion. Waszkowski made a motion to adjourn the meeting; Dr. Lafleur seconded the motion. The board approved the close of the May 11, 2016 NHHIO Board of Director s meeting; 16 in favor; 0 opposed; 0 abstentions. V. Next Board of Director s meeting a) The next Board of Director s meeting will take place: 8:30am, June 8, 2016 at 125 Airport Road, Concord, NH. VI. Adjournment With no further business to discuss, the meeting adjourned at 10:08am. Minutes respectfully submitted by: Ms. Jackie Baldaro, MHA.