Thanks for being here virtually today to learn more about MPCA’s HCCN proposal. This is Becky Cienki from MPCA and I wanted to introduce you to the MPCA staff here on this webinar. They include Dr. Mazhar Shaik, our Clinical Quality Director and Bill Collins and John Cahill from MPCA’s Virtual CHC. For this call we will provide an overview of MPCA’s proposal and then most importantly, provide an opportunity for you to ask us questions and/or provide input on what would be most valuable to you.
For over ten years, HRSA has supported collaboration through funding opportunities targeted to multiple-health center consortia. In recent years, HRSA developed a formal designation of some entities as Health Center Controlled Networks or HCCNs. The purpose of these networks is to provide economies of scale to health centers and this also includes an opportunity for health centers to share their experiences and expertise in a formalized way.
MPCA has been involved with HCCNs for over 14 years. A HCCN was the foundation for MPCA’s VirtualCHC in 1998 when MPCA received a SIMIS grant. Not have Network opportunities served as the foundation for the development of VirtualCHC, subsequent HCCN funding has provided a platform for clinical quality improvement, data aggregation and warehouse capacity, and health information technology to health centers.
This particular HCCN funding opportunity provides grant so HCCNS to advance the adoption and implementation of Health information Technology and to support quality improvement. There will approximately 25-30 awards over a three year period. Eligible applicants have to be majority controlled by CHCs which means to have the collective authority to appoint a minimum of 51% of the HCCN’s Board Members.
For budgetary purposes it is important that MPCA know very quickly which health centers will be participating in MPCA’s proposal. The grant dollars are awarded by Health Center Grantee participation, not individual sites.
Due Diligence – develop baseline survey to assist in selection of EHR. Facilitate and provide support to CHC in EHR selection. Develop assessment tool to determine where CHC is on continuum of readiness to adopt EHR. Economies of Scale – Leverage EHR’s potential to improve quality. Maximize economies of scale through pooling of resources, IT staff, group purchasing of EHR software. Pre-Implementation – Develop and provide workflow templates to maximize efficiencies prior to implementation. Plan/prepare for cultural changes of EHR system. Perform gap analysis of current meaningful use risk areas and develop work plan to address risk areas. Go Live – Provide assistance and support with user training, workflow analysis and redesign with on-site support. Create and facilitate user groups. Post Implementation – Develop collaborative relationships with key stakeholders, ie regional extension centers, State of Mich health information exchange. Provide access through the existing VCHC data repository to support UDS reporting and clinical improvement.
System Architecture – Provide functional interoperability and health information exchange assessment and guidance to assist with MU Stage 1. Provide on-site technical support and training to assess and evaluate workflow design in support of MU requirements specific to data collection and reporting.
MPCA has distributed a draft MOA, which follows the requirements of this funding opportunity. While I won’t go over each of the components of the MOA today we are happy to answer any specific questions you may have about it.
Health Center Controlled Network Presentation
Michigan Primary Care Association:Health Center Controlled Network Health Center Controlled Network Funding Opportunity: Member Discussion July 26, 2012 www.mpca.net
HCCN Key AttributesEconomies of scale – group purchasingpower and shared resources, staff,infrastructure, and trainingData and information expertise –supporting quality measurement andimprovementDiverse experiences – relationships withmultiple HIT/EHR products and the abilityto pool lessons learned across providers.
MPCA’s Network HistoryMPCA Health Information Technology (HIT) NetworkMichigan Quality Improvement Network (MQIN)Michigan Health Center MIS Network (SIMIS)
Most Recent HCCN OpportunityProvides grants to HCCNs to advance the adoption and implementation of HIT and to support quality improvement.HRSA will award approximately $20 million to 25- 30 grantees for 2013-2105.Eligible applicants: HCCN majority controlled by CHCs A Health Center applying on behalf of a HCCNProposals due by September 10, 2012
Program Requirement 1: Adoptionand ImplementationDue DiligenceEconomies of Scale/Vendor ManagementPre-ImplementationGo LivePost-Implementation/Ongoing Support
Program Requirement 2:Meaningful UseSystem ArchitectureEHR Incentive Program ApplicationOngoing Technical Support
Program Requirement 3: QualityImprovementHIT Enabled Use of Data for Quality ImprovementData Sharing and Information ExchangeBest Practices for System Use and System OptimizationUse of Health IT for Practice Transformation and Alignment with Health Care Landscape
MEMORANDUM OFAGREEMENTPLEASE SEE SEPARATE MOA DOCUMENT FOR DETAILS
Network Responsibilities Be established to provide technical assistance to Network Members in ◦ Electronic Health Record (EHR) adoption and implementation; ◦ Meaningful use of EHR; ◦ Quality improvements, including improvements in UDS measures and Patient Centered Medical Home (PCMH) recognition. Establish an assessment and evaluation process relative to HIT adoption, meaningful use status quality measures and PCMH status. Develop and disseminate templates and tools that will assist health centers with developing new processes to maximize efficiencies. Maximize economies of scale through pooling of resources via shared staff, group purchasing, shared training and vendor negotiation. Leverage an EHRs potential to improve quality and value of care through customization, template building, and customization of reports. Establish staff leadership as to discharge the responsibilities of the work plans of approved projects and define responsibilities of Network Members.
Member Responsibilities Adopt and implement a (ONC-ATCB) certified Electronic Health Record (EHR) system at all sites by November 20, 2015. Complete necessary technical upgrades and workflow changes to meet applicable stages of meaningful use requirements. Identify at least one Uniform Data System (UDS) clinical quality measure and improve beyond the Healthy People 2020 goal level. Attain PCMH Recognition. Identify a designated “champion” within the health centers to address the three program requirements. Participate in an initial and yearly MPCA HCCN assessment of HIT adoption, meaningful use status, quality measures and PCMH status. Partner with the HCCN project staff to develop a customized work plan addressing the responsibilities of the HCCN and a summary of the expected actions to be taken to address the unique needs of each health center in each program area (adoption and implementation, meaningful use, and quality improvement). Establish Health Center Controlled Network Board of Directors, membership policies and project work groups to direct approved activities. Within 90 days of MPCA HCCN award, commit to specific HCCN activities with defined goals, objectives, and timetables, as documented in each Health Center’s individualized work plan. Commit to maintaining the current level of quality of health services currently being provided to patients served by participating health centers. Be held accountable by the MPCA Board of Directors to honor commitments and to act in an ethical and equitable manner with all Network members, collaborators and colleagues, in compliance with applicable laws regulations and policies.
HCCN MEMBER BASELINEASSESSMENTPLEASE SEE SEPARATE ASSESSMENT DOCUMENT FOR DETAILS
Next StepsLet MPCA know of your interest in being part of the proposal ASAP (no later than 8/2/12) by emailing Lynda at firstname.lastname@example.orgProvide a signed copy of the MOA and HCCN Baseline Assessment and sign the participation verification sheet by 8/15/12.
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