Health Information Technology

The Massachusetts eHealth Collaborative (MAEHC) approach to successful health information exchange is focused on how the exchange will be operationalized and how the change process will be managed across organizations. MAeHC will leverages its HIE experience with hundreds of disparate organizations utilizing different systems to develop a “roadmap” that ensures the technical feasibility for each proposed exchange while mitigating known barriers. Depending on the engagement, MAeHC may assist with end to end testing.

MAeHC's process includes identification of a clinical champion from each participating organization. We assess current processes and develop new ones that may augment or replace them. MAeHC will work with the both organizations to develop a value proposition for both the sender and receiver and ensure that it is aligned with the MassHealth contract requirements for the ACO and or CP. We will validate the data requirements and the associated workflows and identify any potential failure points for remediation. We will start small and pilot each scenario before fully engaging to validate the process and value. Where appropriate, we will advise or assist on training, evaluation and sustainability.

MAeHC recognizes that ACO, CPs and LTSS organizations will face unique HIE challenges for achieving care coordination using with providers and services operating outside of their traditional network and who may be using different systems. ACOs and affiliated organizations will need to move beyond simply pushing a CCD with a basic data set at a care transition to sharing and managing care plans across multiple providers and services in real time, in less predictable ways. Working with state-wide HIEs, we have tested exchange between a wide range of EHRs and HISPs across a wide range of “use cases” and discovered multiple gaps, barriers and opportunities for achieving interoperability. MAeHC will utilize its knowledge of the HIE landscape to steer participating organizations to opportunities and help them avoid barriers along the way.

Project Example:

MAeHC will employ its proven practice transformation strategies for EHR implementation and optimization to SDOH and Community Provider organizations. in a manner that reflects their current state of HIT/HIE maturity. MAeHC will evaluate and validate CCDA content requirements and make appropriate technical and workflow changes for effective electronic exchange.

Within a shared geographic region, ACOs and CP will need to share patient information among multiple providers from different organizations using different systems.  Event notification systems will be used to facilitate exchange and MAeHC will help organizations ensure they are able to locate a recipient’s address, understand their workflow and their readiness to receive; issues that stymie exchange today.  MAeHC will assist ACO participants in managing versioning and “ownership” of exchanged information. MAeHC will utilize a traditional project management framework to achieve commitment, planning, monitoring and communication of results, issues and progress.