March 14, 2011
In-person and phone Attendees:
- Jim Anfield, Blue Cross/Blue Shield
Stan Krok, Children's Memorial Hospital
Elizabeth McKnight, CHITREC
Ivan Handler, Healthcare and Family Services
Peter Ingram, Sinai Health System
Mary Ring, Illinois Critical Access Hospital Network (ICAHN)
Tom Dombrosky, Lincoln Land HIE Planning Team
Crystal VanDeventer, Lincoln Land HIE Planning Team
Jay McCutcheon, Lincoln Land HIE Planning Team
Doreen Haaksma, Independent Consultant
Bill Odman, Connect SI
David Miller, Central Illinois HIE
John Lynch, Provena
Attendees from OHIT:
- Laura Zaremba
Diego Estrella opened the meeting at 9 a.m., hosted by OHIT.
Laura Zaremba provided an update on the state's approach to ensuring that secure messaging capacity would be available in Illinois for those providers seeking to attest Stage 1 Meaningful Use (MU) capabilities. Per the Office of the National Coordinator (ONC), national market solutions using the Direct Project standards are being currently being deployed by several vendors. The Direct Project’s wiki site lists the following vendors within their “Ecosystem” Page.
- AAFP Web site (American Academy of Family Physicians) Physicians Direct (based on Surescripts Network for Clinical Interoperability)
To date, OHIT has not been made aware of a large contingency of Illinois healthcare providers that are currently seeking to utilize the Direct Option to meet MU requirement in 2011. As such, OHIT approached the ONC to discuss focusing resources on the development of an RFP for the statewide Provider Directory and core HIE services. OHIT will continue to communicate with both Illinois’ RECs to ensure that providers seeking exchange capacity are directed to an approved list of sources for exchange capacity. OHIT would also rely on status reports from the local HIEs to understand what capabilities (if any) are being planned to facilitate secure exchange in 2011.
Mary McGinnis requested that participants representing any of the local HIE initiatives provide status updates.
Mary Ring (ICAHN) noted that the organizational structure and software planning efforts have been completed. Some modifications to the access rights and control measures for the exchange network continue in progress. ICAHN anticipates these software changes to be completed within the next two months. The exchange network is based on the NextGen Community Health solution with 17 data categories (including CCD and CCR, and, Results Delivery). A phased roll-out of the solution’s functionality is anticipated with an initialization date on June 2011. The network was designed to accommodate any EHR platform via standard HL7 interfaces.
Jay McCutcheon represented the Lincoln Land HIE Planning Team with the following update: Medicity technology is being deployed to the founding members of the HIE. Memorial Hospital is implementing electronic orders and results. Blessing Hospital is working on a repository and will enable the routing of referrals. Hospital Sisters Health System (HSHS) is creating a community database with repository and results delivery functionality. The repository will focus on Oncology, Orthopedics and Family Practice. These HIE capabilities will first be shared with the LLHIE founder community, then the provider customers. Future functionality will allow transactions to be routed to PHR systems.
Medicity is offering “HISP-like” services with a “lite” version of a Provider Directory to enable Direct standards-based exchange.
Bill Odman noted that Health Information Exchange of Southern Illinois (HIESI) continues in the RFP phase for the selection of a technology vendor. They anticipate completing the selection process within three weeks and begin planning by May 2011.
Dave Miller reported that the Central Illinois HIE is finalizing its By-Laws and Articles of Incorporation. Led by Quality Quest for Health of Illinois, the project continues working through the vendor selection process. Communications regarding services are being coordinated with both the Lincoln Land and Metro East St. Louis HIE initiatives. Longitudinal record exchange is expected by the 4th Quarter of this year. Virtual community record services are anticipated to offer complete health history.
Peter Ingram provided status for the Metropolitan Chicago Healthcare Council (MCHC) HIE project. Peter affirmed that MCHC is in the final rounds of contract negotiation. MCHC is expecting to bring five early adopters on line by summer 2011. About two-thirds of all Chicago-area hospitals have signed Letters of Intent to participate in the MCHC HIE.
John Lynch provided status for the Northern Illinois/Rockford-area HIE project. John noted that discussions were still in progress with Tiani Spirit as the potential HIE vendor.
Jay McCutcheon also provided status for the Metro East St. Louis-area HIE initiative. Jay mentioned that this project was about three months behind the Lincoln Land HIE. Two hospitals were in the process of deploying NextGen software. Work is also beginning at three HSHS hospitals: St. Joseph's (Breese), St. Joseph's (Highland), and, St. Elizabeth's (Belleville). Conversations were still pending with St. Anthony's Hospital (Effingham); because of its location, this facility is expected to also have interaction with the Lincoln Land HIE. The HIE is working through the trust agreements. NextGen is expected to provide interfaces for exchange between systems. The Critical Access Hospitals are looking into the Computer Programs and Systems, Inc. (CPSI) EMR solution.
Mary McGinnis asked whether any of the participants were encountering issues with workforce availability. Jay McCutcheon affirmed that he was aware of vendors and hospitals in his area that had such issues.
John Lynch asked what the state’s strategy would be to address any gap in secure messaging capacity if market vendors are unable/unwilling to provide capacity without hospital support or sponsorship. Mary McGinnis explained that OHIT would continue monitoring provider need for secure messaging capabilities via field reports from the RECs and the local HIE initiatives, and address capacity issues in advance of any demand increases.
Jay McCutcheon asked whether the state would be incorporating HIE interfaces for the local HIEs to access/exchange information with other State/Federal entities (e.g., V.A., local Air Force bases). Ivan Handler acknowledged that this should be reviewed for incorporation into the RFP.
Jay McCutcheon also asked whether the Legal Task Force was discussing oversight responsibility over the accuracy of information being exchanged as well as the management of Direct exchange directories for appropriate sender/receiver addressing. Mark Chudzinski did not believe that these topics were being discussed within any of the Legal Task Force teams, but would bring it up for discussion at a future meeting.