Meeting 2

Brownsville Regional Campus

Brownsville Regional CampusSchool of Public Health

Name Organization Contact

John Bender UTHealth john.p.bender@uth.tmc.edu

Susan Fisher-Hoch UTHealth susan.p.fisher-hoch@uth.tmc.edu

Anaelle Moal UTHealth anaelle.moal@uth.tmc.edu

Kristina Vatcheva UTHealth kristina.p.vatcheva@uth.tmc.edu

Pablo Sanchez UTHealth pablo.sanchez@uth.tmc.edu

Andrew Lombardo Rio Grande Valley HIE andrew@rgvhie.org

Janie Martinez Rio Grande Valley HIE janie@rgvhie.org

Kelley Chester Wellcentive kelley.chester@wellcentive.com

Emily Alpert Brownsville Community Health Center ealpert.bchc@tachc.org

Humberto Gonzalez Su Clinica hgonzalez@suclinica.org

Judith Perez Su Clinica jperez@suclinica.org

Justin Rock Valley Baptist Health System justin.rock@valleybaptist.net

Michael Paez Valley Baptist Health System michael.paez@valleybaptist.net

Wellcentive and the RGVRegistry Architecture

Brownsville Regional CampusSchool of Public Health

Patient Portal

Interested Hospital System

HL7

ADT/CCDA

ADT/CCDA

ADT/CCDA

ADT/CCDA

License and Advanced Analytics

Portal

Data

RGVHIE ADT/CCDA

Valley Baptist Health System Data

RGV registry

Brownsville Regional CampusSchool of Public Health

Wellcentive Data Flow

The Registry Review Purpose – Define means

Brownsville Regional CampusSchool of Public Health

• Identify provider/case manager/admin needs • Conduct BCHC and Su Clinica survey• Evaluate and document existing workflows

• Identify where the chronic disease registry (RGVRegistry) will fit in• Create revised workflow documents

• Evaluate the potential performance of the RGVRegistry • Create potential use case documentation

• Demonstrated use cases for the RGVRegistry• Create demonstrated use case documentation

• Establish RGVRegistry best practices• Create best practice documentation

• Evaluate the adoption of the RGVRegistry• Evaluate the usability of the RGVRegistry• Evaluate the efficacy of the RGVRegistry• Evaluate the impact of the RGVRegistry• Evaluate the accuracy/reliability of the data inside of the chronic disease registry

Wellcentive: Data quality

Brownsville Regional CampusSchool of Public Health

• Data quality practices PowerPoint (July 2014) summary:• Pro-active detection and correction of data quality issues:

• Interface data flow• Incomplete or missing data• Incorrect mappings• PCP attribution• Duplicate patients• Unexpected changes in source data

• Monthly Scorecard Metrics:• Interface Integrity: % messages processed within 48 hours of receipt• PCP Attribution: % active patients with PCP assigned• Data Mapping Management: % successful mappings of PHM-related data• Duplicate Patient Management: % active patients not tagged as duplicate

• The Registry Review data quality analysis:• De-identified .csv file from Wellcentive for statistical analysis

The Registry Review Member Roles

Brownsville Regional CampusSchool of Public Health

Name Org. Role (flexible)

John Bender UT Organizer/coordinator

Susan Fisher-Hoch UT Population health expert

Anaelle Moal UT Salud y Vida liaison

Kristina Vatcheva UT Data quality analyst

Pablo Sanchez UT Data quality analyst

Andrew Lombardo RGVHIE Technical/adoption analyst

Janie Martinez RGVHIE Technical/adoption analyst

Name Org. Role (flexible)

Kelley Chester Wellcentive Wellcentive expert/data quality analyst

Emily Alpert BCHC BCHC registry analyst

Humberto Gonzalez Su Clinica Su Clinica registry analyst

Judith Perez Su Clinica Su Clinica registry analyst

Michael Paez VBHS Salud y Vida liaison/workflow evaluation specialist

Justin Rock VBHS Salud y Vida liaison/workflow evaluation specialist

More team members?• Provider representation• Nuestra Clinica Del Valley representation?• Rio Grande State Center representation?• South Texas Health Center representation?

RGVHIE/Chronic Disease Registry Updates• Super user training• Access to training videos• Wellcentive documentation

• Salud y Vida Implementation Status• Patients in registry• Limited information• Demographics and HbA1c• PCP and other information to be updated with more connections

• Workflow document• Su Clinica Implementation Status• Technical documentation exchanged between Centricity and Wellcentive• Kickoff call to be scheduled

Brownsville Regional CampusSchool of Public Health

Salud y Vida Workflow

Brownsville Regional CampusSchool of Public Health

• Salud y Vida Liaison/Workflow Evaluation Specialists• Identify where Wellcentive

can fit in?• Redundancy is good

Preparing for Interviews• Create a survey

• How would you use a population analysis tool like Wellcentive?• Would a population analysis tool assist your practice of medicine?• Ideas?

• Who to interview?• Kelley’s recommendation:

• Case managers• Documentation for how they use system?

• Providers• Ideas?

• Interview assignments:• Emily Alpert: Brownsville Community Health Center• Humberto Gonzalez: Su Clinica

Brownsville Regional CampusSchool of Public Health

Use cases

Brownsville Regional CampusSchool of Public Health

• Community aspect:• RGVRegistry as a community disease registry

• Hospital participation:• Identify HbA1c > 8 and frequent flyers and enroll them into programs, like Salud y

Vida (CCM)

• Ideas? Team assignment to create use cases?

Questions/Next Meeting• Questions/comments:• How can we make these meetings better?• Format, topics, perspectives, etc.

• Any other questions/comments?

• Next Meeting:• RGVRegistry use cases• Survey (if not determined in this meeting)• Report from Kelley Chester on past experience with disease registry

successes/failures and existing Wellcentive registries• Kelley Chester Wellcentive demo?• Any other proposed topics?• Report from Emily Alpert (BCHC)• Report from Humberto Gonzalez (Su Clinica)

Brownsville Regional CampusSchool of Public Health

Thank you!

Brownsville Regional Campus

Brownsville Regional CampusSchool of Public Health