Personal Health Record for LTSS (PHR):
The Otter Tail County PHR Collaborative continues to forge ahead. We currently have 45 PHR users and since our initial launch in October, there have been 88 secure messages sent through the PHR portal, 64 messages viewed, 28 documents downloaded, and 176 views of clinical information. One of our recent successes was enabling CCD documents from a hospital to be parsed into the PHR records for the pilot participants who receive services from Lake Region Healthcare. In addition, we continue to learn and work through the difficulties that arise during the on-boarding of legal representatives in using the system on behalf of beneficiaries, as well as challenges with registering minors in the portal.
MN.IT @ DHS has finished developing the recipient and case worker back-end management tool and is currently testing its functionality. This will allow for TEFT admin staff to have better control over the management of beneficiary and case manager accounts in the PHR. Work is also continuing to figure out how to incorporate data for up to two additional PHR Community Collaboratives.
The TEFT team has been meeting with the Southern Prairie PHR Community Collaborative collaborative weekly and travelling to Redwood Falls monthly for on-site meetings. Collaborative and DHS staff are continuing to prepare to recruit, train, onboard, and support additional users of the RelayHealth PHR system in Cottonwood, Jackson, and Redwood counties. Assisting with this process are the lead agencies of Southwest Health and Human Services and Des Moines Valley Health and Human Services. The goal for launching the Southern Prairie PHR is September 30, 2017.
Contract discussions are continuing with one additional collaborative that responded to the latest RFP.
eLTSS:
We're continuing to participate in weekly ONC S&I Framework calls to harmonize the national eLTSS standard. Also, provider organizations of the new Southern Prairie Community Collaborative are progressing with analyzing their data systems in preparation for sharing data based on the Otter Tail County eLTSS standard. Partner organizations have completed an inventory of available data fields and have begun discussions about how to export that data to other partners using a common template.
FASI (Functional Assessment Standardized Items):
We are concluding round one of FASI and have completed 192 FASI assessments. While we weren't able to reach the target number of assessments for beneficiaries of the Brain Injury (BI) Wavier and beneficiaries with Serious Mental Illness (SMI) due to various barriers we faced such as limited guardianship data and participant refusal due to possible survey fatigue, we were able to reach our targets with the Developmentally Disabled (DD) Waiver population.
We've drafted a work plan for round two and are hoping to learn from FASI testing whether there are aspects of FASI that could/should be incorporated at a later date into MnCHOICES, or which could help us improve on the way we ask existing MnCHOICES questions. We do not intend to use the FASI instrument itself beyond the end of the TEFT Grant.
Experience of Care:
As noted before, we received permission from CMS to forego the
second round of testing of the Experience of Care survey a/k/a Beneficiary
Experience Survey. DHS leadership concluded that further testing of this survey
would unduly burden the targeted population as it would duplicate other efforts
already under way in MN.
What are the PHR for LTSS Demo's goals?
- Demonstrate use of an untethered Personal Health Record
(PHR) system with beneficiaries of LTSS;
- Identify, evaluate and test an electronic Long Term Services and
Supports (e-LTSS) standard with the Office of the National Coordinator's
(ONC) Standards and Interoperability (S&I) Framework process;
- Field test a Beneficiary Experience Survey within multiple
CB-LTSS programs for validity and reliability; and
- Field test a set of Functional Assessment Standardized Items (FASI) measures for use with
beneficiaries of CB-LTSS programs.
Where can I learn more?
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