IADDA Ann al Conference
IADDA Annual Conference
Consortium Approaches to
Consortium Approaches to
Consortium Approaches to
Consortium Approaches to
Adopting and Purchasing
Adopting and Purchasing
EHR Systems
EHR Systems
EHR Systems
EHR Systems
A Vision
A Vision
s o
s o
for Substance Use Disorder
for Substance Use Disorder
Treatment Providers
Treatment Providers
eat e t
eat e t
o de s
o de s
Presented by:
y
Patrick Gauthier
September 2011
Problem Statement
Problem Statement
• Providers face difficult and time-consuming steps
g
p
in the selection and implementation of health IT
and software
A
t hi hl
kill d IT
id
d
t i
• Access to highly-skilled IT guidance and support is
expensive
• Providers are challenged by multiple payer
Providers are challenged by multiple payer
systems, enforcing disparate code-sets and
applying different business rules with varying rates
of success
of success
• Payer systems are rapidly changing, complicating
ability to plan for and deploy new technologies
Drivers
Drivers
• Affordable Care Act – ACA (Reform)
Affordable Care Act ACA (Reform)
• ACO and CCO
ICD 10 HIPAA 5010 M
i
f l U
• ICD-10, HIPAA 5010, Meaningful Use
• Certification
Two Approaches
Two Approaches
• Loose-knit group purchasing wherein the
Loose knit group purchasing wherein the
contracts are provider/vendor specific
though timed to coincide for
though timed to coincide for
implementation purposes
• Technology Services Organization (TSO)
• Technology Services Organization (TSO)
TSO
TSO
Provider owned and operated organization
Provider owned and operated organization
developed to provide enhanced access to
IT infrastructure and capabilities for the
IT infrastructure and capabilities for the
benefit of its members.
Includes formal organizational structure
Includes formal organizational structure
(often non-profit status), mission,
governance management staff budget
governance, management, staff, budget,
policies, procedures, infrastructure and
services
TSO Value & Benefits
TSO Value & Benefits
• Centralizes functions and creates efficiencies
• Increases funding opportunities
• Enhances revenue management
• Provides a centralized reliable source of expertise
Provides a centralized, reliable source of expertise
and dedicated IT support
• Enhances purchasing power and allied representation
• Promotes industry standard operating procedures and
• Promotes industry standard operating procedures and
Best Practices
• Facilitates standard measures and reporting for
performance based contracting purposes
performance-based contracting purposes
• Improves capacity to respond to change
• Increases user satisfaction among clinic staff and
id
providers
Mission & Goals
(Sample)
• Mission
– To provide TSO members a foundation to continuously
improve upon their business practices, administrative
efficiency, quality of care, and clinical outcomes through
enhanced deployment and utilization of information
enhanced deployment and utilization of information
technology
• Goals
– Enhance revenue through improved operational
– Enhance revenue through improved operational
efficiencies
– Capitalize on economies of scale and technical expertise
– Achieve greater reliability and stability in data
Achieve greater reliability and stability in data
management and information exchange
– Assist providers in improving care and outcomes for their
patients and communities served by TSO member clinics
TSO Model
TSO Model
Hosting Services
SaaS Services
Server Administration
Operations
Connectivity
Disaster Recovery
Software Patches, Upgrades and
Maintenance
User Support
Training
Disaster Recovery
Hardware and Operating Systems
Upgrades
Training
Implementation
Reporting
Electronic Data Interchange (EDI) &
Health Info Exchange (HIE) Services
Data Integration Mgmt
Data Warehousing
Consulting Services
Strategic Planning
Process Improvement
Help Desk
Data Warehousing
RHIO Participation
Transaction Processing
Business Intelligence
Help-Desk
Office Automation
Project Mgmt
TSO Model
TSO Model
Non
Hosting Services
Server Administration SaaS ServicesS ft P t h
Non-Members Server Administration Operations Connectivity Disaster Recovery
Hardware and Operating Systems Upgrades
Software Patches, Upgrades and Maintenance
User Support
Training
Implementation
Reporting
Members
Electronic Data Interchange (EDI) & Health Info Exchange (HIE) Services Data Integration Mgmt Data Warehousing RHIO Participation Consulting Services Strategic Planning Process Improvement Help-Desk Email Office Automation
Trading RHIO Participation
Transaction Processing Business Intelligence Office Automation Project Mgmt Partners and Payers
Hosting Services
Hosting Services
• Key benefits to this approach include member access to
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pp
a professional-grade data center environment and
Disaster Recovery services, as well expertise in system
capacity planning and 24/7 data center operations.
p
y p
g
p
• Sample Services:
Server Administration – Administration for hosted servers including configuration
d f t i
and performance tuning
Computer Operations – Operations support including backups and maintenance
Network Connection for Hosting – Installation and maintenance of required network communications lines and equipment
network communications lines and equipment
Disaster Recovery – Planning, testing and execution of DR services
Hardware/OS Upgrades – Management of operating system patches and upgrades, as well as server refresh
SaaS Services
SaaS Services
• Key benefits include hosting benefits (same as previous
y
g
(
p
slide), expert applications support, system configuration
management, help desk management and software
upgrade support.
pg
pp
• Sample Services:
Software Maintenance – Application configuration, DBMS management,
f f f f SO
management of software patches and major software upgrades for hosted TSO-standard applications. Shared benefit from ICD-10 upgrade, for example
User Support – Problem resolution and vendor liaison support for hosted TSO-standard applications
standard applications
Application Training – End user training for hosted TSO-standard applications
Implementation Support – Project management associated with the installation and implementation of hosted TSO-standard applications
and implementation of hosted TSO standard applications
Report Development – Analysis, design and development of application based reports for hosted TSO-standard applications
EDI/HIE Services
EDI/HIE Services
• Key benefits include access to a central technology
and support organization to implement and manage
health information exchange activities.
• Sample Services:
p
Data Integration Management – Planning, management, implementation and on-going monitoring of interfaces and data integration tools including interface
engines and ETL tools
Data Warehousing – Development of data warehouse/repositories and associated interfaces/extracts
RHIO Administration – Coordination and planning with data sharing partners
Transaction Processing On going operations management monitoring
Transaction Processing – On-going operations, management, monitoring, maintenance and problem resolution for EDI/HIE transactions
Business Intelligence– Analysis, design and development of reports, portals and BI tools
Consulting Services
Consulting Services
• Key benefits include access to more cost-effective
IT professionals on an as-needed basis to enhance
members’ existing IT resources
• Sample Services:
Sample Services:
Planning – Strategic planning, needs assessment and product evaluation
Operations Improvement – Business reengineering and operations improvement associated with TSO standard applications
associated with TSO-standard applications
Help Desk Support – Receipt, triaging, logging, dispatch and tracking of service requests
E M il S t Ad i i t ti d i t f il t
E-Mail Support – Administration and maintenance of email accounts
Office Automation Support – Administration and end user support for hosted office automation applications (e.g., word processing, spread sheets and publication software)
publication software)
Project Management – Planning and oversight of IT related projects (e.g., product selection and implementation)
Examples
Examples
• Community Health Access Network (CHAN) – 5 CHCs in New Hampshire
Technical and application support services for e mail Internet access and 3 software – Technical and application support services for e-mail, Internet access and 3 software
applications: EMR, PMS, Finance • Health Choice Network (HCN)
– Florida-based, 54 CHCs and other providers in 10 states, p
– Strategic Planning, application hosting, network administration and various other IT services. • Council of Community Clinics (CCC)
– 17 CHCs in San Diego and Imperial Counties
P j t t li ti h ti t k d i i t ti d i th IT – Project management, application hosting, network administration and various other IT
services
• Oregon Community Health Information Network (OCHIN)
– State of Oregon, 13 CHCs in Oregon/California, CareOregon, and HRSAState of Oregon, 13 CHCs in Oregon/California, CareOregon, and HRSA – ASP support for EPIC EMR and other IT services
• Community Health Center Association of NY State (CHCANYS) – 50 CHCs throughout New York State
– Funding advocacy, best practice collaboration, vendor coordination, and IT leadership and direction of New York Health Choice Network (NY HCN)
