New Hampshire Health Information Organization Board of Directors Meeting Minutes June 8, Airport Road Concord, NH 03301

Transcription

1 New Hampshire Health Information Organization Board of Directors Meeting Minutes June 8, 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 8:36 am on June 8, II. Roll call The following members were present: Mary Beth Eldredge, Carol LaCross, Deb Mullen, Bill Baggeroer, Kristen Platte, Patricia Witthaus, Brian Collins, Michael Lehrman, Richard Lafleur, MD and Lorraine Nichols. The following members were present by phone: David Querusio and Jim Harris. The following members were absent: Dan Waszkowski MD., David Briden, Charles Fanaras, Steve Kelleher, and Alison Bidgood. The following non-members were present: Jeffrey Loughlin, Micky Tripathi, Jackie Baldaro, Jaime Dupuis, Elizabeth Shields, Nancy Fennell and Denise Purington. The group reviewed the meeting minutes of the May 11, 2016 NHHIO Board of Director s; a typo was noted within the meeting minutes and corrected. Mr. Baggeroer made a motion to approve the May 11, 2016 meeting minutes; Mr. Collins seconded the motion. The board approved the meeting minutes for the May 11, 2016 NHHIO Board of Directors meeting with the correction noted; 12 in favor; 0 opposed; 0 abstentions. III. New business There was no new business brought forward. IV. Updates and committee reports Ms. Eldredge discussed with the group that this coming year will be a challenging year in which the NHHIO Board of Directors will need to be highly focused on NHHIO s business model and position in relation to pricing and maintaining current membership into the next year. NHHIO Pricing Review Mr. Loughlin reviewed the new pricing model and the potential impact of hospitals not re-signing with NHHIO this coming year. He noted that NHHIO has successfully renegotiated a lower baseline cost of services with Orion Health. He discussed staffing model options to maintain current operations and noted current cash flow is in a positive position. He reviewed changes made to the revenue based model per the board s request, as well as the newly raised the cap for hospital organizations. Ms. Eldredge commented that her organization, Dartmouth Hitchcock, has moved higher in price point under the new pricing however they feel that the value of services still outweighs the increase in cost,

2 particularly compared to pricing and services from other HISP vendors. Mr. Loughlin reported that the new webmail pricing is right in line with market pricing of what other HISPs are charging for this similar service. He noted that overall under the revised model most organizations dues go down with the exception of some of the hospital organizations. He discussed that participant pricing becomes higher for example, when there is combined technical services such as both a webmail service and public health reporting via LAND. He also reviewed potential organizations who may not continue to participate in the coming year. The group discussed the value proposition that NHHIO offers to participants. Ms. Platte commented that the NHHIO has been a common denominator for coordinated conversations among trading partners across the state which has been a great value for her organization the Community Health Access Network. She asked the group if there is a way to outline the whole value proposition to include this highly valued consulting and facilitating service. Mr. Loughlin discussed the example of Concord Hospital and that the NHHIO has done a lot of work coordinating conversations with Concord Hospital and their trading partners noting that although the only technical service Concord has purchased from NHHIO is public health reporting - the NHHIO has served as facilitator and convener coordinating these conversations in the community. Ms. Eldredge requested that more participant testimonials be added to the website, like the Concord Hospital example, to demonstrate value. Ms. Witthaus commented that the market is moving and narrowing with vendors buying into concepts like CommonWell and there are a lot of smaller groups that are not in these groups. Mr. Loughlin commented that the organizations that are needing to meet Meaningful Use are already connected to NHHIO. He commented that CommonWell Health Alliance is building a query and retrieve centralized data repository model to which patients consent to have their information contributed to and organization s EHR vendors need to agree to participate within. Mr. Lehrman asked if the NHHIO is looking at other grant money to focus on standards to create clinical connections across the state. Mr. Loughlin reported that the team regularly reviews grant opportunities for any that may apply to NHHIO Waiver discussion Mr. Loughlin reported on a recent meeting with the Commissioner and Ms. Deborah Fournier. During the meeting it was communicated that DHHS will not be approaching the legislation for any changes to current statute. He reported that the NHHIO group learned that the 1115 Waiver monies are funneled through the IDNs only. He commented that there was strong support for the NHHIO during the meeting and for the convening role that NHHIO plays which was very positive. He also noted the overall excitement over the new availability of ENS services to organizations in the state. He discussed that there is an additional RFA that has been released; Phase I is conducting an environmental technical scan for the state and for infrastructure needs in the community and Phase II is to manage an HIT Task force and establish learning collaboratives. Ms. Eldredge reported that the CIOs want to be kept apprised of what the IDNs are doing as they share a concern about not wanting to see seven different technology approaches unfold across the state. Mr. Loughlin, with the board s approval, feels the NHHIO is well positioned to respond to this additional RFA. He reported that Ms. Lucy Hodder from the Citizens Health Initiative has agreed to join the team on the application as the NHHIO s 42 CFR part 2 expert. Ms. Platte inquired as to the amount of the award. Mr. Loughlin reported that there is a per hour rate cap of $100 however there was no cap indicated on number of hours. He reported that he has letters of support from Bi-State Primary Care, Citizens Health Initiative, and New Hampshire Hospital and is waiting on confirmation today from the Behavioral Health Association.

3 Ms. LaCross made a motion to approve the NHHIO staff to respond to the RFA as it supports the NHHIO s mission; Dr. Lafleur seconded the motion. Mr. Baggeroer asked if there is a feeling that the relationship between MAeHC and NHHIO may be confusing and not understood well to benefit the NHHIO application. Mr. Loughlin agreed reported that he would ensure delineation between the organizations was articulated in the RFP response. Mr. Brian Collins commented that the IDNs are waiting for DHHS to tell them what to do for technology and DHHS is looking to the IDNs to decide so there is a gap that needs to be filled. He recommends that the NHHIO also ask the seven IDN leader leaders for letters of recommendation. Mr. Tripathi asked a question from the public, he wanted to know if there is an opportunity to help the IDNs be a bit more proactive and get out ahead of the process. Mr. Baggeroer commented that perhaps waiting until the approved IDNs are announced is prudent. Ms. Mullen reported that they need education and an introduction to what the NHHIO is and what the NHHIO can do. Mr. Collins asked the group to be mindful, that in all of the business design discussions and consideration of smaller organizations, as a part of the board discussions to keep an eye on how the NHHIO adds value. Ms. Eldredge commented that reaching beyond the technical folks to the clinical folks is essential. The board voted to approve the NHHIO staff to respond to the RFA as it supports the NHHIO s mission; 12 in favor; 0 opposed; 0 abstentions. Event Notification Service (ENS) Vendor Presentations Mr. Loughlin reviewed the offerings of CMT and noted that he has heard from some hospitals that they are not yet ready to be the first to sign up for ENS services. Ms. Eldredge noted that during a New Hampshire CIO meeting, the members of the group communicated that they were not quite sure of what to think about the ENS services. Mr. Loughlin discussed that despite CMT s low cost and ease of it integration, there is no push from the hospitals clinical leaders to move forward. He reported that there is the sense that no one wants to go first and that those organizations that are interested want to see others go first to create a tipping point before signing on. Ms. Eldredge affirmed that Dartmouth Hitchcock will be moving forward with the Pre Manage ED product which will represent about 10 hospitals ADT data. She noted that Dartmouth s use of Pre Manage ED will provide a model for other organizations to be able to view. The group discussed that the next step will be to target the IDN organizations to provide education about ENS services. Ms. Eldredge reported that CMT will not bill monies to participants until there is a critical mass of users. Mr. Loughlin reported that during the recent ONC annual meeting in Washington DC, Ms. Karen De Salvo emphasized that there is a national push for nationwide event notification. Secure Texting Vendor Mr. Loughlin reported that the Cortext contract has been finalized. He noted for the group that Concord Hospital is moving forward with Cortext. HIE Support Grant Mr. Loughlin reported that the HIE Support Grant activities are moving forward successfully. The Communities of Practice (CoP) meeting in the North Country hosted last week by Co-Aggregators: Weeks Hospital, Androscoggin Valley Hospital and Coos County Family Health Services, went very well and as a number of new organizations have signed up to participate in the grant activities. He reported that the Peer Learning Networks (PLNs) are also moving forward well with a lot of activity;

4 the Homecare/VNA and Behavioral Health PLNs have been well attended and each groups project are moving forward successfully. Mr. Loughlin reported that Jaime Dupuis attended the ONC Annual meeting in Washington. Mr. Loughlin reported that the Citizens Health Initiative and NH QIO, has NHHIO on the books for $7,000 in services rendered for the NHHIO staff activities in coordination with their initiatives. Board Member Terms and Retiring Members Ms. Eldredge reported that a number of board members will be ending their terms this year and will need to be replaced. Ms. Lorraine Nichols is retiring from the board of directors in July Mr. Michael Lehrman is stepping down from the boat due to his many commitments; Mr. Lehrman reported that Mr. Brendan Williams is interested in assuming his seat. Mr. Loughlin reported that Ms. Alison Bidgood has communicated that she is also stepping down from her board seat due to her many commitments. Dr. Lafleur is retiring from the board and he reported that Mr. Sean Shedenhelm is interested in joining the board as the Anthem representative. Ms. Platte is retiring in August 2016 and reported that Ms. Joan Tulk will assume her Bi-State Primary Care seat. Ms. Eldredge reported Ms. Mullen will become the chair of the governance committee. Ms. Donna O Leary will be joining the board in September Ms. Eldredge reported that the finance committee is also looking for new members to join the committee to replace departing members. Ms. Witthaus has volunteered to join and chair the nominating committee. Mr. Loughlin reported that Ms. Witthaus was reinstated as the Critical Access Hospital representative. Mr. Collins volunteered to join the Finance committee. Ms. Platte inquired as to the status of the Legislative Committee. Mr. Loughlin reported that this committee will be resuming activities. Governance Committee There were no new committee updates. Finance Committee Ms. LaCross reviewed the current financial statements. She reported that the current cash balance is a little low due to waiting for the HIE Support Grant funds to be applied. She reviewed the current financials by class; noting that the P&L is a little low as per her previous comment.

5 Ms. LaCross made a motion to approve the NHHIO May 2016 financials; Ms. Eldredge seconded the motion. The board voted to approve the NHHIO May 2016 financial statement; 12 in favor; 0 opposed; 0 abstentions. Nominating Committee The group discussed current board terms and membership reports as a part of the general meeting discussion. 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. Ms. Nichols made a motion to close the May 11, 2016 board meeting; Mr. Lehrman seconded the motion. The board approved the close of the May 11, 2016 NHHIO Board of Director s meeting; 12 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, July 13, 2016 at 125 Airport Road, Concord, NH. VI. Adjournment With no further business to discuss, the meeting adjourned at 9:52am. Minutes respectfully submitted by: Ms. Jackie Baldaro, MHA.