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25	Proposed DMH EHR Vendor Validation Process DMH wants to provide a minimum statewide standard for the county mental health programs to assess EHR systems. MHSA creates initial and potential on-going funding mechanisms to enable the counties to consider contract agreements with EHR vendors Compliance with federal initiatives to implement EHR’s nationwide; Presidents New Freedom Commission Objectives and Executive Order 13335
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28	Current DMH Partners for EHR/PHR Development & Implementation DMHC - California Department of Managed Health Care DHS - California Department of Health Services CalRHIO - California Regional Health Information Organization CalOHI - California Office of HIPAA Implementation
29	"CA Health Info Security/Privacy Collaboration" CA Health Info Security/Privacy Collaboration CalOHI partnering with CalRHIO Submitted proposal to RTI International Identify: Business practice and State law barriers to the interoperability of health information exchange (HIE) Potential solutions to those barriers Implementation strategies to resolve the barriers Process includes: Inviting statewide health care industry stakeholders to participate in: 3 conferences Review and comments on reports Interaction at the national level
30	“Key Capabilities of an Electronic Health Record System” Institute of Medicine (IOM), July 2003 Health Information and Data - diagnoses, allergies, and lab results Results Management - New and past test results by all clinicians involved in treating the patient Order Management -Computerized entry and storage of data on all medications, tests, and other services Decision Support - Electronic alerts and reminders to improve compliance with best practices, ensure regular screenings and other preventive practices, identify possible drug interactions, and facilitate diagnoses and treatments Patient Support - Tools offering patients access to their medical records, interactive education and the ability to do home monitoring and testing
31	“Key Capabilities of an Electronic Health Record System” Institute of Medicine (IOM), July 2003 (Continued) Administrative Processes --Tools, including scheduling systems, that improve administrative efficiencies and patient service Reporting- Electronic data storage that uses uniform data standards to enable physician offices and healthcare organizations to comply with federal, state and private reporting requirements in a timely manner Electronic Communication and Connectivity - Secure and readily accessible communication among clinicians and patients Adapt EHR core functions for an Electronic Mental Health Record System for California Counties.
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34	Vendor Validation Process Review the requirements derived by other states and federal entities (Center for Medicaid/ Medicare Services – CMS) Work with designated stakeholders to define the minimum EHR requirements for CA’s county mental health programs Develop a Request For Information (RFI) Determine vendors interested in providing EHR systems Description of vendor products to continue vendor validation process
35	Vendor Validation Process (continued) Vendors from RFI process will be assessed on the following criteria: Minimum EHR requirements Includes security and interoperability Reference Checks Demonstrated Functionality User Experience Ease in customization Financial viability of the vendor
36	Reference Checks Panel of stakeholders would survey a broad set of EHR system users: Are any installations for county based mental health programs? How responsive is the vendor to customer suggestions or need for enhancements? Can the vendor demonstrate real time interoperability with other systems and among other installations of the same product?
37	Vendor Demonstrations Vendors will demonstrate the workflow of each system State staff with stakeholders will create test “scripts” to demonstrate the required functionality, including: Tests for system integration and interoperability Test for alerts and error checking Designated representatives (clients and family members, providers, county and state staff) will enter and “process” client information Review the ability to customize (flexibility in changing fields and functionality)
38	Vendors Described Based on predefined criteria Systems will be given percentages for overall requirements met by category Reference checks User experience ratings by designated stakeholders Ease in customization Other criteria defined in the stakeholder process
39	Validated Vendors List of “Validated” EHR vendors Counties will have documented findings Vendors can comment on information documented Functionality will be listed by categories with %’s Side by side comparisons of individual vendors Hardware and licensing requirements specified Vendors can request to be reviewed for later inclusion on Validated List
40	Connection to Funding MHSA funding available to contract with validated EHR vendors If a county has already obtained (procured) a system, MHSA funding is available to help them achieve standards and develop enhancements
41	Next Steps Engage County Directors (CMHDA) Coalition of Counties EQRO Develop Charter Define Stakeholders Clearly define goal, objectives & scope Obtain consultants to guide RFI development and oversee validation process
42	"MHSA EHR Goal" MHSA EHR Goal To transform county mental health information systems into an interoperable, comprehensive information network that can easily and securely capture, exchange and utilize information.
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