MnCCC
AgendaCHS User MCIT, St. Paul, MN Friday, January 29, 2016Welcome/IntroductionsDan Jensen-call to order at 10 am-Quorum established Roll Call- establish quorumAnoka County Community Health & Environmental Services: Laura BrovoldBloomington: Carver County: Cass County Health, Human and Veterans Services: Clay County: Kathy McKayDakota County: Wendy BaumanDodge: Gale HesterFreeborn County: Sue YostGoodhue County Health And Human Services: ??Kandiyohi County: Denise KragenbringMcLeod County:Morrison County: Amy HeroldMower County: Lisa KocerMVNA: Lynn ChoromanskiOlmsted County Public Health Services: Dan JenssenOtter Tail County: Diane ThorsonPolk County: Rice County: Deb PurfeestSteele County: Sherburne County: Sibley: Stearns County: Renee FrauendienstTodd County: Jackie OchWadena County: Waseca County: Sondra HermanWilkin County: Deb JacobsWright: Carol SchefersMCCC: Xerox: Mary Thompson; Deb CastellanosAgenda/Additions and approvalDiscussion: Added agenda items; Motion: Sue YostSecond: Jackie OchMotion to approve passedJune 24 User Group SCHSAC meeting conflict, possible date changeDiscussion: Conflicts with SCHSAC meeting; a doodle will be sent to determine the best date. Consent AgendaApproval of Minutes-User Group Meeting-October 23, 2015Approval of Minutes-CHS Advisory Meeting-January 6, 2016PH_Doc-Support Desk Call Summary by Consumer ReportPH-Doc Technical Hours Committee Assignment and Usage ReportDiscussion: No discussionMotion: Deb Purfeerst, RiceSecond: Lynn Choromanski, MVNAMotion to approve passed Discussion: NoneDiscussion: 1180 hours-report shows by agency total; also shows allocated; total 1057 hours. Ideas on using were discussed Discussion: Reviewed report; see report for total hours left or some that were shifted; 20% of original hours can be forwarded to next year Old Business:Maintenance and Support AmendmentBusiness Associate AgreementMN Choices StatusDiscussion: working on this since last year; agreement and added the BAA as attachment-negotiations done; Ramsey County interested and chosen with some addition requests-was on hold-looking at hosting through them and not MCCC. Signatures in place; previous approvals all in place. Contract Ratification-MEMBER ACTION ITEM: Take to Board and have them do approvals and send back; goes through end of 2018. See by-laws about ratification language-90 day period after signed by MCCC. See Board Ratification Statement formDiscussion: Reviewed Document-part of JP agency-Counties are extension of MCCC. Through agreement they can legally execute contract-ratification is acceptance of these documents. Extends BAA; Some attorneys don’t see the BAA document as adequate-want to sign a separate BAA with language will not change. Email Mary T if your organization is interested in this option Discussion: Dan reviewed this enhancement request regarding interface-tried to make this work; not able to gain access to data-placed work on hold-approached LPHA to see if working with AMC and MACCSA-approach DHS to make possible to import into PH Doc and other systems; DHS has both internal and external requests; we should use this as a model for other systems too (for example MEDDS); FHV is a good example of how it could work; could there be some interfaces with larger labs? Could we look at this? Establish ground rules for this. Dan will talk with enhancement committee about how to deal with points as a priority with this “stall”; how to keep as a priority and not lose it. New BusinessAgency M&S/BAA contract ratificationMVNA specific contract ratificationRequest to use Enhancement fund to pay for updated/additional growth gridsAS400 versus SQL Data base AHC grantDiscussion: No further discussion-see the earlier discussion; Need to have it by March 31st! Discussion: Official notice from MVNA-will be coming off of PH Doc; not sure of date; Relates to ratification to (2018); special approval from this group to allow them to ratify to 2017; 1 year shorter; would allow month to month after that. Financial charges stay the same but not allowed to vote. Binds them to the 2 years. Ratification ensures revenues-commitment to the agreement through life of contracts. Can leave early but responsible for costs. What happens if they leave after 2018-Dan did some research-there are enough paying in that rates would not have to pay more. Reviewed Finance Committee discussion in June of 2015. This motion provides additional security through 2017 but not through 2018. The way the contract is now written, there should be no negative impact financially to those remaining countiesMotion made to accept the modification request from MVNA ratification (through 12/31/17); after that a month by month basisMotion: Diane ThorsonSecond: Deb JacobsMotion passedDiscussion: Current grids in system are owned-no annual support; new updates-we need programming hours and have to purchase this. Enhanced committee and Finance committee recommending purchase and enhancements ($2000-purchase; Enhancement committee will manage the hours to get this done) this is the most cost effective option. Only for growth charts for children and not for pregnant. Getting both the CDC and WHO charts.Motion to spend Motion: Laura BrovoldSecond: Jackie OchMotion carriedDeb C-outlined item; Cost to support two data bases-have to test in 2 environment; doing a lot of queries and requires two to be done; nice reporting features to use the SQL. Costs are too soft and hard to calculate. These changes would allow us to go the “denominator”; Should the user group decided SQL is the preferred and give a final date. There was not a formal vote at earlier discussions; do we want to set out a date so people have that to move forward. There are conversion costs; Amy is open to people with questions. Should we set a date such as 12/31/2018? Could there be some talking points and a contact resource? Motion made to have everyone off of AS400 and onto SQL platform by 12/31/2018Motion: Sue YostSecond: Mary HesterMotion passedDan outlined the SE MN grant thoughts: CMS grant opportunities; Accountable Health Communities; 3 tracks and 3 different requirements; track 1-3 (lowest to highest); Mayo and Olmsted looking at Track 3; group screened (75,000) and stratified screen (2900) (high touch and high tech); lower risk give education/referral; high touch would be community track for referrals/care coordination teams; etc. Goal is to improve SDH from clinical perspective. Track 3 uses HIE community and clinical-Beacon grant (11 Counties) focus; screens are at clinics and PH; LOI-February 8 with start date of January 2018- Enhancing Winona SIM work; fits well with Strategic Plan. Motion to allow Olmsted to apply and use this grant to use for enhancements for PHDoc and for user group to support this project; southeast counties impacted to participateMotion: Deb Jacobs Second: Sue YostRegular businessEnhancement CommitteeWish list surveyUpdated Enhancement request formCommittee updateFinance CommitteeDiscuss finance report formatCommittee updateDirect expenses-what to expectQuality Assurance CommitteeCommittee UpdateOmaha warehouse requestTraining CommitteeReview Recent TrainingsTrainings planned for 2016Committee updateEnhancement Committee- see summary, if you want to submit an enhancement you need to submit it by Feb. 5thFinance committee – A county received an invoice from Imprevia and shouldn't have received it but got it straightened out. They are supposed to go to MCCC. So if counties receive a bill from Imprevia forward it to MCCC. They are creating an admin only account - will get information out on thatQI- Have been working on pathways and forms over the past few months for the agencies that have been with PH- Doc a long time. It is most helpful if help set those up. The committee is recommending that work with Xerox to help make the changes and then can start using. Omaha warehouse request- request from Karen Martin to be able to download information to use for research at U of M. Diane Thorson, Joan Brandt and Bonnie Brueshoff are working on this committee to work on this. Working with an attorney to clarify what is needed. Training- The committee has been holding trainings on the 1st and 3rd Tuesdays. Training is going really well. The committee is getting other suggestions for trainings. Feedback has been good. After training a survey goes out and they are reviewed. See handout for future trainings. Feb. 2 Omaha training- One of things the committee would like to try is a face to face training. They will have a training session on SQL and security. Want to wait until after the snow is done. They would like to hold quarterly face to face training sessions. Demo/discussionSandlot Enhancements and added functionalityDemo-Sandlot - Deb C did presentation. See HIE PowerPoint handout. Imprevia is an HDI. HIOs will talk to each other to get information. They will have a master patient index, they will correlate, put in a depository and they will store them centrally. PH-doc sends mass (where you will send everyone) data to MIIC and some others. Then you will have interfaces menu in two ways- one with Mirth and one without. Payload- sends an Admission Discharge Transfer (ADT) - this is like an admission event. ORU- is a special kind of message to send certain messages like PHQ9 scores. CCD- is a more robust human readable and machine readable message. With meds, vitals...With payloads can't really send attachments, spreadsheets transport - VPNTriggers- when are you going to send it? , what tells us to send the new CCD, maybe when a patient gets a new med. Once the network department has set up the process then you are ready to set up pH-Doc. Will set up ADTs and test it to make sure it works. Then for each payload you send you will be able to keep track of what is happening. Then put it on the queue and it runs every night. Now you will go into the portal of the HIO and you can see your data. So far with this process is sending data. Then MDH is looking at being able to send information back. SEMN gets ADT alerts as the TOCs (Transition of Care). Hopefully we will be able to receive back information with Sandlot. Project updatesWinona WRCC SIM GrantCare Coordination Team Portal- Shared FolderBloomington-UCare Grant for FHV data in PH-Doc and MAHF data basesDIRECT Agency interest to connectPCORI LHSNetProject updates-Winona WRCC SIM grant- this is a project where different organizations trying to collaborate by using PH -Doc. Have done some modifications for them. Xerox is working on a proof of concept- dashboard that will show you little boxes of data specific to client with new boxes that we don't have today. This will be like a community plan on care. You can customize it for the client. Deb is programming dashboard for organizations Care Coordination Team Portal - shared folder - school nurse portal, still trying to get through Bloomington UCARE - why can't we enter the data and send it to MAHF, MAHF is the one that has to fix the problem. Wondering how we tell MAHF who the client is with the client identifier- will need to put the client identifier into PH-doc. There is still some programming to do. DIRECT agency interest to connect- Dakota can't decide who to set up as the administrator, should be more of a PH-Doc technician have to go thought the national approval. PCORI- LHSNet- patient centered outreach is an Accountable Care Act project- trying to get patients involved. Let's take a group of patient’s data and put it together in a pot to do research on. PCORI - take a copy of data to be consistent round a query against you data, will get a set of results, now send the results back to central location and they round the data. All the data is consistent. De-identified data and duplicated. This is the direction that PCORI is funding. Mayo is working on this. Second part of this they are setting up a portal and you can go in and run a query instantaneously. MCCC UpdateContract ratification possible update to by-lawsMnCC Board Liaison Update-Shirl BoelterISSG Liaison Update-Amy HeroldMCCC- when the contract ratification is required. Our Bi-laws have been updated with this and other user groups are moving to this. ISSG- Meeting this coming Wednesday. Looking to find a contact management tool and would be helpful to PHs since have so many contracts to keep track of. Dan presented to this group last meeting- do help them see what we are working on and give me a better understanding. Xerox UpdateXerox- hired a new support person, Rojean hopefully will help with training and testing, Jill is pregnant and due in June and having a little girl. Marketing and SalesWashington CountyScott CountySt. Paul-RamseyBentonPolk-Mahnomen, Norman UpdateOther?MarketingWashington County- no one knows any information as to where they are at. Scott County- did an RFP and demoed. St. Paul Ramsey- interesting in coming onto PH-Doc and now what contacted Lisa and want clarification on MCCC costs. Benton- Mary had a conversation with then a couple weeks ago. They are interested in PH-Doc but not budgeted. Suggested might want to check to see if have to do an RFP. Polk- Mahnomen Norman came on this month and Polk Also had contact from a non-profit agency from Pennsylvania - they would like to talk before Monday at 11 amPhil Basso- Dan talked with him when he was doing some consulting. He was doing some consulting in Washington DC and he mentioned PH-Doc. Now have some connections with the Public Human Service Association and will possibly do a demo to them. Next Meeting-April 22, 2016 Xerox, Waite Park, MN (conference call option available)Meeting Adjourned: By Dan Jensen Recorders: Renee Frauendienst and Sue Yost ................
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