The TEFT team has been meeting with the Southern Prairie PHR Community Collaborative weekly and travelling to Redwoods Falls monthly for on-site meetings. Collaborative and DHS staff are continuing to prepare to recruit , train, onboard, and support additional users of the RelayHealth PHR system in Cottonwood, Jackson, and Redwood counties. Assisting with this process are the lead agencies of Southwest Health and Human Services and Des Moines Valley Health and Human Services. The goal for launching the Southern Prairie PHR is September 30, 2017.
The State is currently reviewing submitted proposals for Additional PHR Community Collaboratives to demonstrate an electronic Personal Health Record (PHR) for Minnesota beneficiaries of Long Term Services and Supports (LTSS) funded by Medical Assistance (MA), and to participate in pilot execution and evaluation of a nationally developed electronic LTSS (eLTSS) standard. Updates will be coming soon.
Members of the Otter Tail PHR Community Collaborative continue to work closely with DHS to move the PHR for LTSS demonstration forward. The collaborative has been meeting monthly with DHS staff and contractors since November 2015 to further define the functions of an electronic Personal Health Record for Medical Assistance (MA) Waiver beneficiaries, and to participate in the first of two rounds of pilot testing to help define an electronic Long-Term Services and Supports (eLTSS) Standard.
Minnesota has received a Supplemental Award from CMS in the amount of $1.5 million to expand the PHR for LTSS Demo project to additional communities, as well as expanding the work being done on internal systems to enable data segmentation for privacy (DS4P).
Wave six progress updates
We've divided the four year PHR for LTSS Demo Project timeline into seven waves. We are currently in wave six (4/1/2017 - 9/30/2017). Here is the latest:
Personal Health Record for LTSS Waiver beneficiaries:
MN.IT @ DHS succeeded in automating updates to Release 1.0 of the PHR. Each morning at 6:30 AM, the system automatically checks to see if any relevant data has changed about PHR users in MMIS and/or MAXIS. If it has, the system automatically creates Health IT industry HL7 standard messages (ADT and XDS.b) that securely update the PHR with data and place an updated .pdf version of a “Profile Page” in the user's PHR. We continue to document important lessons learned about internal DHS systems, the PHR system and what it takes to integrate data from DHS to the PHR.
MN.IT @ DHS has finished developing the recipient and case worker back-end management tool and is currently testing its functionality. This will allow for TEFT admin staff to have better control over the management of beneficiary and case manager accounts in the PHR. In addition, we’re adding more data fields to the PDF profile page to include major program name and begin/end dates. Work is also continuing to figure out how to incorporate data for up to two additional PHR Community Collaboratives.
Currently, we have 43 people using the PHR:
We hosted our first set of focus groups in February and received some excellent feedback on the PHR from beneficiaries, legal representatives, case managers and provider staff. The feedback we received related to the usability of the PHR portal and the activities of the PHR pilot project.
We're continuing to participate in weekly ONC S&I Framework calls to harmonize the national eLTSS standard. Also, provider organizations of the new Southern Prairie Community Collaborative are progressing with analyzing their data systems in preparation for sharing data based on the Otter Tail County eLTSS standard. Partner organizations have completed an inventory of available data fields and have begun discussions about how to export that data to other partners using a common template.
The Otter Tail Collaborative is currently exchanging continues to exchange the Otter Tail eLTSS data elements about real beneficiaries by sending a standardized form to each other through the secure messaging function in the RelayHealth portal. These messages include information about a beneficiary who is on Medical Assistance.
In addition, OTC partners are currently working on an assignment that identifies the reasons for why certain data elements are not available within their record systems and commenting on how current the information is within those data fields.
We are concluding round one of FASI and have completed 192 FASI assessments. While we weren't able to reach the target number of assessments for beneficiaries of the Brain Injury (BI) Wavier and beneficiaries with Serious Mental Illness (SMI) due to various barriers we faced such as limited guardianship data and participant refusal due to possible survey fatigue, we were able to reach our targets with the Developmentally Disabled (DD) Waiver population.
We've drafted a work plan for round two and are hoping to learn from FASI testing whether there are aspects of FASI that could/should be incorporated at a later date into MnCHOICES, or which could help us improve on the way we ask existing MnCHOICES questions. We do not intend to use the FASI instrument itself beyond the end of the TEFT Grant.
Experience of Care:
As noted before, we received permission from CMS to forego the second round of testing of the Experience of Care survey a/k/a Beneficiary Experience Survey. DHS leadership concluded that further testing of this survey would unduly burden the targeted population as it would duplicate other efforts already under way in MN.
The goal of the PHR for LTSS Demo project is to demonstrate the benefit of a personal health record for people enrolled in community-based services and supports that contains both their acute health care and long-term services and supports information.
This project is intended to:
The total project budget is $5.5 million over four years.
PHR for LTSS Demo Updates Subscription
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