EsMD Pilots Workgroup May 15, 2014. Meeting Etiquette Please announce your name each time prior to making comments or suggestions during the call Remember:

esMD Pilots Workgroup

May 15, 2014

Meeting Etiquette

• Please announce your name each time prior to making comments or suggestions during the call

• Remember: If you are not speaking keep your phone on mute• Do not put your phone on hold – if you need to take a call, hang up

and dial in again when finished with your other call – Hold = Elevator Music = very frustrated speakers and participants

• This meeting, like all of our meetings, is being recorded– Another reason to keep your phone on mute when not speaking!

• Feel free to use the “Chat” or “Q&A” feature for questions or comments

NOTE: This meeting is being recorded and will be posted on the esMD Wiki page after the

meeting

From S&I Framework to Participants:Hi everyone: remember to keep your phone on mute

2

Agenda

3

Topic Presenter

Announcements Nadia Ramey

Status Nadia Ramey / Pilot Sites

Updates Nadia Ramey /Pilot Sites

Documentation Nadia Ramey/ Pilot Sites

Discussion / Next Steps Nadia Ramey

Announcements

• Potential new pilot site:- qliqSoft

Pilot SitesPilot Site Provider

RegistrationDigital

SignaturesE-Clinical Template

for PMDE-Clinical Template

for LLP1 Secure Exchange Solutions X X2 PAHISP LLC & NHDS X X X3 IBEZA LLC X4 MEA X X5 Inpriva X X6 MaxMD X X X7 eSolutions, Inc. X X X8 MRO Corporation & DigiCert X X9 Strategic Healthcare Solutions X X X

10 Numotion X11 University of Pittsburgh X12 Colonial Medical X13 Monroe Wheelchair X14 MedStar National Rehabilitation Hospital X15 MedAZ.Net, LLC X X16 Opie Software X17 Quality Outcomes X

Pilot SitesOrganization POC Email Pilot Work Streams Type of Organization

Provider Profiles

AuthenticationDigital

SignaturesE-Clinical

Template for PMD

E-Clinical Template for

LLPHIE HIH RHIO HISP EHR PHR

CMS Contract

or

DME/Suppli

erProvider Org

Secure Exchange Solution Dan Kazzaz [email protected] X X X X X PAHISP LLC & NHDS Peter Bachman [email protected] X X X X X X

IBEZA LLC Victor Beraja [email protected] X X X

MEA Vijay Patel [email protected] X X X X X X

Inpriva Ginna YostDon Jorgenson

[email protected]@inpriva.com X X X

MaxMD Bruce Schreiber [email protected] X X X X

eSolutions, Inc. Greg Beech [email protected] X X X X X X MRO Corporation &

DigiCertDavid Borden

Scott [email protected]

[email protected] X X X X X

Strategic Healthcare Solutions Dr. Mark Pilley [email protected] X X X X

Numotion Mike Gohr [email protected] X X

University of Pittsburgh Brad Dicianno [email protected] X X

Colonial Medical David Bruinsma [email protected] X X

Monroe Wheelchair Doug Westerdahl [email protected] X X

MedStar National Rehabilitation Hospital Ginger Walls [email protected] X X

Med A-Z Gita ReddyVijaya Vasu

[email protected]@medaz.net X X X

Opie Software Sean Dodds [email protected] X X X

Quality Outcomes X

mailto:[email protected]









esMD Benefits

• Saving time, money and resources for CMS/Payers and Providers

• Eliminates print/mail operations required for sending or processing medical documentation request letters

• Eliminates need for postage costs• Increases the accuracy of the information requested and

received• Improved receipt time for both providers and payers• Improved timeliness results in improved accounts receivable

cycle for provider, so payments are received sooner• Reduced staff time spent handling paper

Documentation

Overview of esMD Pilot Site wiki sections: • Overview

- Technical Approach

• Objectives • Stakeholders and Points of Contact• Demonstrated Standards• Ecosystem Diagram• Pilot Project Timeline • Anticipated Resources • Success Metrics• Reference Materials

Overview

• Provide short summary • Identify organization’s capabilities• Plan for participation in the pilot process • Technical Approach

- Include summary of the technical specifications that will be implemented

- How pilot will be accomplished (i.e. developing a portal, creating templates).

- Document which parts of the Implementation Guide will be implemented

• Please be as specific as possible

Objectives

• Goals of the pilot• Include what you intend to show, prove, or support for the pilot• Should be an actionable statement with specifics• Also include description of what you hope to gain from this pilot

Stakeholders and Points of Contact

• Identify members of each organization supporting the pilot• Also provide the organizations and appropriate contact

information for organizations you have decided to partner with. • Indicate partnerships with other organizations • Key items:

o Nameo Roleo Email Address

• Additional items: o Phone numbero Company website

Demonstrated Standards

• Specify the standards utilized as part the pilot ecosystem, e.g.- o HL7 C-CDA Structured Documentso ASC X12 278o CONNECTo HL7 Digital Signatures DSTUo IHE DSG

Ecosystem Diagram

• A visual representation of pilots ecosystem • Could be a diagram or flow chart• Should include:

o Stakeholders and partnerships o Transfer of pertinent documentationo Overall work flow of pilot process

• Helps us to understand the partnerships and roles each organization plays, as well as the basic technical infrastructure of the pilot

PMD eClinical Template Ecosystem

Payer

Patient

LCMP

DME Supplier

Physicians

Content Transport Services

ECM

CMS Private Network

MedicareAdministrative

Contractors14

HIH

eClinical Template

PilotSite

Clinical PDF

Bundled PDF

Detailed Product Description

Clinical PDF+

LCMP Evaluation

Ecosystem Diagram

Diagram by PAHISP/NHDS

Pilot Project Timeline

• Indicate proposed timeline for conducting the pilot• Can be as simple as a dashboard of milestones, e.g. -

August ‘13April ‘13 June ‘13

Harmonization L2 AoR L1/L2 Pilots

eDoC Use Case and Requirements

eDoC Harmonization and Structured Data

PMD User Story

October ‘13 December ‘13February ‘14 April ‘14 June ‘14 August ‘14

HL7 Ballot for L2 IG

PMD e-Clinical Template Pilots

LLP User Story

eDoC Administrative Documents Templates IG for HL7 Ballot

We are here

HL7 Ballot Reconciliation

Electronic Determination of Coverage WG

Author of Record WG

Provider Registration Pilots

Overall S&I Framework Project Management and Support

Home Health User Story

AoR L2 S&I IG

Anticipated Resources

• Current resources • Resources needed to conduct pilot process:

o Technicalo Organizationalo Human Resources

Success Metrics

• How will success of the pilot be determined? • Should be quantitative and not subjective (as much as possible)• Example:

o Successfully review and sign bundled documents for determination of Coverage for PMD, and submit to online CMS Portal

Reference Materials

• Include documentation developed for the pilot• Include documents relevant to your pilot ecosystem• Can include:

o esMD Pilot Project Profile o Process documentso Templates o Screen shots

Discussion / Next Steps

• Lessons Learned • Questions