Apprise Health InsightsINFOH Data Collection Kickoff
June 26, 2014
Agenda• Welcome and Housekeeping• Why INFOH?• Vendor Introduction• Specific Changes
– File Format Changes
• Conversion Timeline• Questions and Next Steps
Apprise INFOH TeamINFOH Team Member Title
Andy Van Pelt COO, OAHHS
Elyssa Tran Associate VP, Government Services
Wendell Whitehouse Director of Network Systems & Hospital Tax Programs
Jerry Nemer Director Information Systems
Mark Christman Members Services Coordinator
Michael Pope Consultant, PointB
History of Data Collection at OAHHS
• 1985 - Began collecting 11 hospital Inpatient data fields o Initial collection was on a voluntary basis, with the mandate following one year
later.
• 1995 - Expanded collection to all “UB” Inpatient fieldso Collected through COMPdata of the Illinois Hospital Association since 1995
• 2000 - Added hospital ambulatory surgery
• 2008 - Added free-standing ASC in 2008o Collect only, cannot access data
• Other sources:o Oregon DATABANKo AHA Annual Survey of Hospitalso Annual Audited Financial Statements
Current Constraints Using currently collected data, OAHHS and Apprise staff encounter the following constraints:
o Policy Development/Advocacy• Difficult to answer questions about ED utilization or payment• Medicaid impact reports based on broad assumptions rather than data• Cannot validate state estimates when payment changes are proposed
o Rural Health Reform Initiative• No outpatient data or ED data, which is about 60% of their revenue• Alternative Payment and Delivery Modeling requires outpatient data
So what is INFOH?• Expands data collection to include: Inpatient Outpatient Emergency Department Payment
• Increase collection frequency from quarterly to monthly• Develop more robust reporting and analytics• Increase of records from 700,000 to 12 million records on an
annual basis• Build a flexible foundation for future growth and development• Position hospitals to retain control of their data in a competitive,
data-driven environment
Member Oversight Member Data Use/Policy Committee & User Groups
Publicly Available Data
• Representation and Advocacy
• Policy Development• Member Data
Services• State Reporting• Public Reporting
HospitalData
Data CollectionSolution
Current:IP, OP‐Surg.
Phase 1:Total OP, ED Data
Phase 2:Paid Claims data
Analytics Tools
Data ReportingSolution
Strategic Vision
INFOHData
Collection
Member Implementation Advisory CommitteeMember Advisor Title Organization
Dan Grigg CEO Pioneer Memorial Hospital, Heppner
Heather Rowenhorst Manager of Budget and Decision Support Asante
David Hayes System Services Manager Tuality Healthcare
Jim Mattes CEO Grande Ronde Hospital
Annie Torres Regional Health Information Services
Providence Health & Services
Vickie Morton Management Analyst OHSU
Matt Kirby Supervisor, Data and Development
Providence Health & Services
Vendor Selection ProcessFilters
RFP Responses and Analysis
Best Fit for Key AHI Business and
Technical Requirements
Yes
No
No
Reference CallsVendor Technical CallsData Collection Model
• Health Catalyst• COMPdata/HIDI
• Iowa
Yes
Initial Vendor List
YesResult:
IowaOxcyon
Health Catalyst
Iowa
COMPdata/HIDI
Xerox
• Health Catalyst• COMPdata/HIDI
• Iowa
• Health Catalyst• COMPdata/HIDI
• Iowa
Xerox
iVantage
Oxcyon
No
COMPdata/HIDI
Health Catalyst
iVantage
VendorDemonstrations
Implementation MilestonesKey Milestone Completion Date
Finalize File Formats Completed
Database Architecture Completed
Edit Checks Finalized Completed
Database Built Mid July
Testing Period Begins August - September
Users Manual Finalized August - September
Member Training September - October
INFOH Live Early OctoberQ4: October 1 – February, 2015
Introduction to New VendorIowa Hospital Association
• Has represented Iowa’s hospitals for 85 years• Began collecting inpatient discharge data in 1988 and all outpatient data in
2004• Has implemented data collection program in 6 states• Strong record of successful data collection implementations with partner
state hospital associations• Great references from state hospital associations that have switched from
COMPdata to the Iowa Data Collection System• Has partnered with a well respected development partner through QCI• Platform allows for flexibility and customizations unique to Oregon• We will be developing additional functionality and features during a Phase 2
of implementation once we have launched and based on user experience
Reporting & Analytics• Robust reporting tool utilizing the INFOH database• INFOH Reporting will enable hospitals to:
– Analyze market share– Perform patient services assessment– Plan hospital services– Benchmark with peers– Assess community needs
• Slice and Dice – customizable reports• Point and Click – easy report wizard• FREE of charge for hospitals for first 2 years• Unlimited number of hospital users allowed• This will replace your current COMPData reporting tool• Launch by the end of Q1 2015
Training Plan
• Detailed training platform being developed• Will offer several options to train
– In-person regional trainings (recommended)– Webcast trainings– Self-paced video trainings (shouldn’t be primary)– Ongoing refresher/new feature trainings as necessary
• Will offer for both data submission and analytics• Training required before you have access to the data
submission/reporting platforms
Priority 1:New File Layout for the
837 v5010 and Flat Files
File Layout Changes IP and OP Flat Files
Changes: • Patient First, Middle and Last Name will now be split into separate fields• Primary Insured‘s Unique Identifier has a new location in file layout
New fields: • Patient Name Suffix• Patient Address 1• Patient Address 2• Patient State• Patient ID/Medical Record Number• Patient Relationship to Insured
File Layout Changes 837 File
Fields with changes to source code for 837 data are below:
• Patient Last Name• Patient First Name• Patient Middle Name• Patient Name Suffix• Patient Address 1• Patient Address 2• Date of Birth • Patient Sex• Patient Race• Patient Ethnicity• POA - Principal Diagnosis
Code• POA - Other Diagnosis • POA - External Cause of Injury
Code 1• POA - External Cause of Injury
Code 2, 3
• Medical/Health Record Number• NUBC Billing Codes
o CONDITIONo OCCURSPANo OCCURo VALUE
• Referring Physician NPI• Other Operating Physician NPI• Patient Relationship to Insured• Expected Source of Pay• MODIFIER1• MODIFIER2• MODIFIER3• MODIFIER4
Immediate Next Steps
• Review File Format changes• Engage your IS team• EHR research complete by mid-July
– Epic– Cerner– Healthland– CPSI– McKesson– Meditech
Next WebcastJuly 30, 2014By noon tomorrow you will receive:• A copy of this slide deck• A recording of this webcast for replay• A feedback survey and link to the 7/30 webcast
Get your information and updates:• www.infoh.org• Conversion Connection Newsletter (every 2 weeks)• Member Monthly Webcasts: New Features & Key Priorities• Call 503-479-6021