Wave seven progress updates
We've divided the four year PHR for LTSS Demo Project timeline into seven waves. We are currently in wave six (4/1/2017 - 9/30/2017). Here is the latest:
Personal Health Record for LTSS Waiver beneficiaries:
MN.IT @ DHS has built functionality that allows for automatic updates to be sent to the PHR on a daily basis. Each morning at 6:30 AM, the system automatically checks to see if any relevant data has changed about PHR users in MMIS and/or MAXIS. If it has, the system automatically creates Health IT industry HL7 standard messages (ADT and XDS.b) that securely update the PHR with data and place an updated .pdf version of a “Profile Page” in the user's PHR. We continue to document important lessons learned about internal DHS systems, the PHR system and what it takes to integrate data from DHS to the PHR.
MN.IT @ DHS has built the recipient and case worker back-end management tool. This allows for TEFT admin staff to have better control over the management of beneficiary and case manager accounts in the PHR.
There are 43 people using the PHR in Otter Tail County:
- 16 beneficiaries/legal representatives
- 8 county case managers
- 20 provider staff members
There are 21 people using the PHR in Southern Prairie:
- 11 beneficiaries/legal reps
- 7 case managers
- 3 county staff
We hosted our first set of focus groups in February 2017 and received some excellent feedback on the PHR from beneficiaries, legal representatives, case managers and provider staff. The feedback we received related to the usability of the PHR portal and the activities of the PHR pilot project.
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.
The Otter Tail Collaborative is currently exchanging continues to exchange the Otter Tail eLTSS data elements about real beneficiaries by sending a standardized form to each other through the secure messaging function in the RelayHealth portal. These messages include information about a beneficiary who is on Medical Assistance.
FASI:
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.
A copy of the most current reports are available online:
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.
