1. Michigan Primary Care Association:
Health Center Controlled Network
Health Center Controlled Network Funding
Opportunity: Member Discussion
July 26, 2012
www.mpca.net
2. HCCN Key Attributes
Economies of scale – group purchasing
power and shared resources, staff,
infrastructure, and training
Data and information expertise –
supporting quality measurement and
improvement
Diverse experiences – relationships with
multiple HIT/EHR products and the ability
to pool lessons learned across providers.
3. MPCA’s Network History
MPCA Health Information Technology
(HIT) Network
Michigan Quality Improvement Network
(MQIN)
Michigan Health Center MIS Network
(SIMIS)
4. Most Recent HCCN Opportunity
Provides 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 HCCN
Proposals due by September 10, 2012
6. Program Requirement 1: Adoption
and Implementation
Due Diligence
Economies of Scale/Vendor Management
Pre-Implementation
Go Live
Post-Implementation/Ongoing Support
8. Program Requirement 3: Quality
Improvement
HIT Enabled Use of Data for Quality
Improvement
Data Sharing and Information Exchange
Best Practices for System Use and System
Optimization
Use of Health IT for Practice Transformation
and Alignment with Health Care Landscape
10. 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 EHR's 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.
11. 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.
13. Next Steps
Let MPCA know of your interest in being
part of the proposal ASAP (no later than
8/2/12) by emailing Lynda at
lmeade@mpca.net
Provide a signed copy of the MOA and
HCCN Baseline Assessment and sign the
participation verification sheet by
8/15/12.
14. Questions?
Our mission is to promote, support and develop comprehensive,
accessible and affordable community-based primary health care
services to everyone in Michigan.
Notes de l'éditeur
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.