2. Today’s Topics
Kim Barnes, Office of Health IT
• Introduction to ConnectVirginia
Jeff Odell, ConnectVirginia
• DIRECT Messaging Overview
• Demo
• How to Enroll
2
3. ConnectVirginia History
1Q 2012
Governing Body
October 2011 : convened.
VDH awarded DIRECT
Community Health Messaging live.
Alliance the contract
Spring 2011: VDH for the Statewide
issued an RFP for a HIE
contractor to
establish a
Statewide HIE
2010 : HITAC governance
developed a structure, create the
Strategic Plan Statewide HIE
and an organization,
Operational Plan manage the
for the Virginia Statewide HIE‟s
2009: Statewide HIE operations on an
HITECH Act is ongoing basis, and
passed as put in place and
part of ARRA operate the
technology
infrastructure of the
Statewide HIE
3
4. Governing Body Members
• Kim Barnes • Shirley Gibson
Virginia State HIE Coordinator Associate VP of Nursing, VCU
• Ellen Bieschke, RN • William Hazel, M.D.
Winchester Orthopedic Virginia Secretary of Health
• Sallie S. Cook, M.D. • Holly Morris
CMO, VHQC President, Old Belt Pharmacists Association
• Sandy L. Chung, M.D. • Cathy Pumphrey
President, Fairfax Pediatric Associates Director of Informatics, Fairfax-Falls Church
Community Services Board
• Robert Fortini, PNP • Sterling Ransone, M.D.
VP, Chief Clinical Officer, Bon Secour
Fishing Bay Family Practice
• Jodi Fuller • Bert Reese
Director, Meadwestvaco, Global Benefits
Senior VP and CIO, Sentara Healthcare
• Katherine Gianola, M.D. • Karen Remley, M.D., MBA
Chief, Health Informatics and Telehealth,
Richmond VA Medical Center Virginia Commissioner of Health
4
5. Governing Body Members
• Karen Rheuban, M.D. • Judie Snipes
Medical Director, UVA, Office of Telemedicine Privacy/Security Officer, Carilion Clinic
• Terri Ripley, MIT, CPHIMS • Nancy Stern
Director, Systems and Programming, ARRA Executive Director, Eastern Shore Rural Health
Coordinator, Centra Health System
• Marshall Ruffin, Jr., M.D. • John B. Syer, Jr.
Chief Technology Officer, Inova Health System VP, Provider Engagement and Contracting,
Anthem
• David R. Selig
CEO, Community Care Network of Virginia • Jerry Venable
VP Human Resources, HCA Capital Division
5
6. ConnectVirginia Goals
• Implement an operational HIE by the end of the ARRA grant
funding (Feb. 2014)
– Support National and State Interoperability
– Secure
– Protects Privacy
– Scalable
– Technical foundation for the “Standard of Care”
• Develop a sustainment model to support ConnectVirginia after
Feb. 2014
– Provide Value
– Promote Trust
– Autonomous Entity
6
8. DIRECT Messaging
• Based on the National Direct Project, an initiative of Office of the
National Coordinator (ONC)
• Allows providers to share health information electronically
o Method similar to regular email
o Added security required for sensitive health information
• „Push‟ secure messaging system
o Information is sent from one registered provider to another
o Recipient must be known to the sender
• Supports common use cases: referrals, transitions in care, consults
• Meets a Meaningful Use requirement
8
9. DIRECT Messaging - Phase I
Sender logs in, composes a message, attaches
file(s), presses “send”. Any file type: CCDs,
PDFs, scanned files, text files, Word docs.
Receiver logs in, views message and
attachments. Imports documents into EMR if
desired.
9
10. Phase II
Organizational Direct Users Individual Direct Users
abcfamilypractice@direct.connectvirginia.org bob.smith@direct.connectvirginia.org
Primary End
Organizational Primary End User
Users
Individual Primary End User
Sally Jones
Bob Smith, M.D.
(Designated by ABC as Site Administrator)
Delegate End
Delegate End User Delegate End User Delegate End User Delegate End User Users
Jessica White Tom Brown, M.D. Susan Sample Jennifer Johnson
11. Advantages
• Very robust credentialing process that restricts access to Virginia
health care professionals
• Based on the national Direct Project which is specifically designed
to handle protected health information.
• Each state and U.S. territory will support messaging based on the
Direct Project.
• Recognized by CMS to meet a Meaningful Use requirement.
• DIRECT Messaging will be the de facto standard for “pushing”
information among a large number of Virginia health care
providers.
• Workflow flexibility with use of delegates.
• Easy access via Internet browser. A separate email system is not
required. No extra steps to remember.
• Users will be able to be notified of messages received via a
notification to their mobile device.
• Low cost – free until April, 2013. Then $15/month thereafter. 11
12. Security
Security features include:
• DIRECT Messaging requires Two Factor Authentication.
• The environment is PCI compliant, a standard utilized by
financial institutions for storing credit card numbers.
• Password requirements are compliant with NIST Level 3 standards.
• Certificates for DIRECT Messaging are transparent to the user.
• The encryption utilized, Advanced Encryption Standard (AES), has
been adopted by the U.S. government.
As a result of this security infrastructure these messages:
• Are routed only to intended and trusted recipients.
• Cannot be compromised during transmission.
• Can be read only by the intended recipient.
13. Sign Up Today!
Enrolling is simple:
• Print the ConnectVirginia DIRECT Messaging
Enrollment form.
• Read it carefully, sign it, and have it notarized.
• Send it to us at enroll@connectvirginia.org or via
U.S. mail to: ConnectVirginia Enrollment, 4900
Cox Road, Suite 245, Glen Allen, Virginia 23060
and we‟ll contact you within a few days to
complete the process.
• Questions? Send to info@connectvirginia.org
13
