PHR for LTSS Demo - November Update

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PHR for LTSS Demo

PHR for LTSS Demo Past Updates

November 13, 2017

PHR for LTSS Demo - November Update

Personal Health Record for LTSS (PHR):

In the Otter Tail County PHR collaborative, we've been utilizing a new functionality of the RelayHealth PHR portal, which is the communication banner. This allows us to create messages that can be displayed on the PHR home page for beneficiaries, case managers, and provider staff. This has allowed us to supplement important communication we send through the secure messaging tool by displaying the information in the communication banner as well. 

We're also working on increasing the number of beneficiary participants in the Otter Tail County collaborative. Our partner provider organizations are reviewing additional participants for our project, for the purpose of being able to engage communication between the provider care team, beneficiary, and county case manager. 

The Southern Prairie PHR collaborative invited their first set of 28 beneficiaries to use the RelayHealth PHR portal through a "soft launch". These beneficiaries were identified by Des Moines Valley Health and Human Services and Southwest Health and Human Services as willing participants for the pilot. Training videos were created that provide instructions on how to use the system. 

MN.IT @ DHS is building functionality that will allow us to automatically push DHS data into the Southern Prairie PHR records, similar to how we’re pushing data to the Otter Tail County PHR collaborative. We're currently in the process of testing and resolving defects and plan to deploy the “automated launch” for Southern Prairie in January 2017.


Through our weekly ONC S&I Framework calls, we’ve reached a final harmonized national eLTSS standard data set. The Georgia TEFT team will be leading the effort to take the eLTSS standard the next step, which will be hashing out the technical details of the standards’ transport mechanism and bringing the standard to an SDO (Standards Development Organization) to attain official recognition as a standard. We met with the Georgia TEFT team for their site-visit to Minnesota on October 12 and 13, and we also plan to travel to Atlanta for a site-visit with the Georgia TEFT team to continue assisting with this project. 

Provider organizations of the Southern Prairie Community Collaborative are continuing to prepare for exchange of the Otter Tail County eLTSS standard data set. Partner organizations have mapped existing data fields within their EHRs to the OTC standard and are now determining how to extract their data into the standard template we created with OTC.

Provider organizations of the Otter Tail County Collaborative have begun the round 2 exchange of the OTC eLTSS data set standard. In round 2, there will be more responding organizations for information requests because of the work that was done to connect more of the providers' internal electronic health records (EHR) to the Microsoft Access database platform for creation of the form with standard "look and feel". 

FASI (Functional Assessment Standardized Items):

Our work plan for FASI round 2 is aiming to learn 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. 

The TEFT team has begun to have weekly calls with the vendor that will be conducting round 2 FASI assessments. Work is underway to generate a data sample that won't overlap with other populations that are being assessed or surveyed, in order to help prevent survey fatigue. 

FASI assessments will be conducted in the 7 county metro area during January - March, 2018. Our plan is to assess up to 120 Elderly Waiver beneficiaries and 120 CADI Waiver recipients with physical disabilities. 

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?

  1. Demonstrate use of an untethered Personal Health Record (PHR) system with beneficiaries of LTSS;
  2. 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;
  3. Field test a Beneficiary Experience Survey within multiple CB-LTSS programs for validity and reliability; and
  4. Field test a set of Functional Assessment Standardized Items (FASI) measures for use with beneficiaries of CB-LTSS programs.

Where can I learn more?