Delaware Health Information Network Board of Directors

Transcription

1 Delaware Health Information Network Board of Directors Wednesday, July 22, :00 p.m. 4:00 p.m. Christiana Care Corporate Data Center One Reads Way New Castle, DE Meeting Minutes CALL TO ORDER: Board Chair Randy Gaboriault called the meeting to order at 2:01 p.m. April 29, 2015 MEETING MINUTES: Bill Kirk motioned for the minutes to be accepted as presented. Kathleen Matt seconded the motion. Minutes were approved unanimously. DHIN MANAGEMENT REPORT: FY15 Financial Statements: With the close of the fiscal year, Mike Sims reviewed DHINs Financial Statements noting that DHIN finished the year with a strong quarter, posting a net income of $636K which included the data sender and payer revenue. Also contributing to change in cash flow is the Highmark contribution which was paid earlier in the fiscal year. DHIN ended the year with just under $5 million in cash in the bank. April 29, 2015 Board of Directors meeting minutes were approved DHIN finished a solid financial year with $2.1MM in net income, and noted that DHIN exceeded its planned revenue targets compared to the mid-year reforecast due to unplanned revenue from Highmark for Insurance Marketplace members, higher Medicaid member enrollment, and significant revenue from Union Hospital, who decided to send not just Delaware patient data into the system, but all patient information into the system. In addition there was revenue for providing access to the Community Health Record to DMMA and related vendor staff to monitor Medicaid Fraud, in support of a recent award to Quality Health Systems/Health Integrity. DHIN exceeded its Year over Year non-results delivery revenue growth goal of 10%, coming in at 18% due to the reasons listed above. Due to a vacancies and staff turn-over, FY15 personnel expenses were lower than planned. Within the last month of the FY, DHIN has filled all open positions for FY2015. Administration expenses were favorable due to a delay in beginning a Harvard research study that DHIN is partnering with Medicity/Aetna to quantify the impact of HIE use in the ED setting on medical costs and quality of care. The final significant variance is in the New Functions category, which was driven by delays in implementing the functionality to allow CCD s to be sent from the practice s EMR s to the DHIN Community Health Record. DHIN also amortized a significant amount for Master Patient Indices (MPI s) which was originally planned to be fully recognized as expense during FY2015. An additional driver of the variance is contract delays which have delayed the implementation of Clinical Gateway feeds to DHIN's Medicaid, SEBC, and Marketplace payers

2 In addition, DHIN budgeted for QPID/iSpecimen data infrastructure expense, and DHIN is proud to announce that the first customer agreement for implementation of ispecimen was executed in July 2015 (Union Hospital). Lastly, DHIN had planned to integrate Peninsula Regional Medical Center, but due to delays driven by PRMC's primary IT vendor, implementation is now scheduled for the Fall of DHIN ended the year with $5.7 million in unrestricted net assets and on solid footing to begin FY2016. Progress Towards FY15 Goals: Implement at least 2 new data senders outside of Delaware: Dr. Lee stated that DHIN has implemented Union Hospital; expanded services with Atlantic General Hospital and currently onboarding Peninsula Regional Medical Center. Reduce cost of new data transport and storage by 10 percent of historical average: DHINs storage cost for new data senders has been cut by 93%; and our hosting/maintenance cost have been cut by 25% Increase revenue from non-results-delivery sources by $303,800 (ie 10% of FY14 results-delivery revenue: DHN has increased revenue from non-results delivery sources by $527,000 (18% of FY14 results-delivery revenue). FY15 Adoption/Relevance Goal: Fifty percent year over year growth in adoption of services introduced in FY14: DHIN has exceeded its growth targets in services which included Event Notification; Image Sharing; Medication History; and Single-Sign-On. In addition, DHIN has ended FY15 with 47 signed agreements for Care Summary exchange. Expand participation in DHIN to at least one new constituency (such as consumers): New constituencies/services include: A contract with DMMA for fraud detection has DHIN as relied-upon technology Executed MOA with MedExpress as DHINs first walk-in clinic data sender Increase adoption of DHIN urgent care/walk-in clinics to 80%: Adoption of DHIN by urgent care/walk-in clinics stands at 81%; a year-over-year increase of 42%. FY15 Feature/Function Goals: Stand up infrastructure to support clinical research and population views of data: Infrastructure is currently in place with a growing volume of indexed data. DHINs first research data use agreement has been secured with Union Hospital

3 Implement (or contract for) tools to make clinical data available to payers (e.g. Common Provider Scorecard): Clinical Gateway is available to payers under agreements with DMMA, SEBC and Marketplace. Incorporate payer data into DHIN: Common Provider Scorecard beta practices are live. In addition, DHIN has tripled the number of Data sender organization in the past three years with an additional three signed contracts to be implemented in FY16. End-User Organization enrollment has increased 12% year over year. DHINs provider enrollment exceeds 98%. The number of enrolled providers exceeds the number of actively practicing providers in Delaware (the difference coming from out of state providers). The utilization of DHINs Community Health Record by State agencies has increased 76% year-over-year; with the highest users being Department of Corrections, Epidemiology and Cancer Registry. Additional FY15 Noteworthy accomplishments: Mark Jacobs, CIO, has been recognized for Excellence in Health Data Interoperability. Forty-nine percent of Delaware residents are now covered by a payer contributing financially to DHIN. In addition, Dr. Lee stated that there have been four bills introduced that pertain to DHIN: DE HB64: The statute authorizes a medical order (DMOST) which is transportable, standardized, and implements a patient's end-of-life care preferences. The Delaware Health Information Network (DHIN) is authorized to create an electronic registry to maintain and store executed DMOST forms and make them available to emergency-care providers, health-care providers and healthcare institutions. DE SB58: This bill codifies the Newborn Screening Program, which screens infants for a number of metabolic, hematologic, endocrinologic, immunologic and certain structural disorders. This bill also clarifies that genetic information disclosed and obtained pursuant to the Newborn Screening Program may be retained, and specifies that permissible disclosure includes to users of the source system EHR and users of the HIE. This allows DHIN to store the data and disclose it to properly authorized end users, unless parents opt out of having their infant screened

4 DE SB151: This bill addresses informed consent for collecting genetic data (generally speaking, beyond the newborn screening program), and requires that informed consent specifically addresses the fact that the data will be accessible to those individuals authorized to access the source EHR and DHIN. Until SB151 is passed and signed by the Governor, Maternal Fetal Medicine is on hold as a DHIN data sender. DE HB157: All freestanding emergency departments are being required to meet the same standards as a hospital emergency department. The bill also give these free standing emergency departments 18 months from passage of the bill to begin both sending and using data in the DHIN. COMMITTEE STATUS REPORTS: Finance Committee: Mike Sims presented the FY2016 Profit and Loss Statement to the DHIN Board of Directors noting that FY2015 was a strong year due to the improved operational revenue growth and lower than expected expenses which were driven by project delays, including CCD implementation and Payer Clinical Gateway implementation. As a result, DHINs end of year reserves came in at $5.7 million. DHINs target reserve levels are six months of operational funding and one year's worth of new project funding. The P&L presented was the worst-case scenario with no ONC grant funding, conservative revenue projections and conservative expense projections. In this scenario DHIN would lose $500k, putting the FY2016 end of year reserves at $5.2 million. The operational loss is driven by two planned one-time expenses: a possible IT vendor RFP, and development of a new 5-year strategic plan. Mike Sims noted that DHIN management will continue to monitor the P&L closely. Randy Gaboriault motioned for approval of the FY16 Budget which has been recommended by the Executive Committee and presented to the Board of Directors. Tom Trezise motioned for the FY16 Budget to be accepted as presented. Rich Heffron seconded the motion. DHINs FY16 Budget was approved unanimously. Executive Committee: FY16 Goals Dr. Lee presented the FY16 Goals which were approved by the Executive Committee on June 26, 2015, and presented as a recommendation for adoption to the full board. Approval of the FY16 Budget Successfully Execute Grant Outcomes: Manage the financial risk of the performance-based grant to implement technology initiatives which also support the State Health Innovation Plan and Meaningful Use. Generate $75K in revenue from services tied to the IMAT platform: Generate ROI from investment in the new IMAT platform and its capabilities

5 Implement clinical data feeds to two current paying network participants: Support value-based payments through access to relevant data from all sources; begin transition to payment based on use of data rather than contribution of data. Increase out-of-state exchange partnerships by two organizations: Diversify the financial base; increase the influence and relevance of DHIN in the region and beyond. Ensure certification of all Meaningful Use functionality supported by DHIN: Necessary to remain relevant to the needs of our stakeholders and customers. Implement a unified landing page for all customer-facing end-points sponsored by DHIN (eg CHR, scorecard, etc.): Create a more streamlined workflow for DHIN end users. Randy Gaboriault requested a motion for the approval of the FY16 Goals to be accepted as presented. Dr. Hawtof motioned for the acceptance of the proposed goals. Tom Trezise seconded the motion. Proposed FY16 Goals were approved unanimously. Board Development Committee: Rich Heffron presented the slate of DHIN Office Nominations as follows: Chair: Randy Gaboriault; Vice Chair: Stephen Lawless; Treasurer: Donna Goodman; Secretary: Bettina Riveros. Proceeded by DHIN Executive Committee Nominations as follows: A. Richard Heffron, William Kirk and Tom Trezise. Bill Kirk moved that the slate of nominations for both the DHIN Board Officer Nominations and the DHIN Executive Committee Nominations be approved as presented. Vote: Yay: 10; Nay: 0; Abstain: 1 Motioned and approved. EXECUTIVE SESSION At 3:31p.m., Randy Gaboriault moved, pursuant to DE Code - Title 29, Chapter 100, 10004(b)(9), that the DHIN Board go into Executive Session to discuss end of fiscal year personnel matters. Dr. Hawtof seconded the motion. The motion was approved unanimously. At 3:51 p.m., the DHIN Board of Directors voted to exit Executive Session. Randy Gaboriault advised that the DHIN Board of Directors took action in the Executive Session on personnel matters and approved all matters which were recommended. Approval of the FY16 Goals Approval of FY16 Slate of DHIN Officer nominations and the Executive Committee nominations DHIN Board of Directors voted to go into Executive Session All matters in the Executive Session were approved as recommended OTHER BUSINESS: None - 5 -

6 NEXT BOARD MEETING: The next DHN Board of Directors Meeting will be held on October 20, 2015 from 2:00 p.m. to 4:00 p.m. at the DHIN office in Dover. PUBLIC COMMENT: No one from the public offered comments ADJOURN: The meeting adjourned at 4:01 p.m. Attendance Board Members Present Randy Gaboriault Donna Goodman Dr. Jeffrey Hawtof Rich Heffron Michael Hojnicki Bill Kirk Dr. Stephen Lawless Kathleen Matt Kimberly Reinagel-Nietubicz Steve Saville Dr. Terri Steinberg Tom Trezise Board Members Absent Meaghan Brennan Steve Groff Bettina Riveros Dr. Gary Siegelman Guests Present Scott Perkins, Deputy Attorney General s Office Stacey Schiller, a.s.a.p.r. DHIN Staff Present Dr. Jan Lee Ali Charowsky Mark Jacobs Randy Farmer Lakeisha Moore Jamie Rocke Ed Seaton Mike Sims DHIN Staff (Phone) Andy Gillan Lynn Misener TerriLynn Palmer Cathy Paulish Michele Ribolla Jody Wilson - 6 -