esMD Pilots Workgroup

1. esMD Pilots Workgroup May 15, 2014

2. Meeting Etiquette • Please announce your name each time prior to making comments or suggestions during the call • Remember: If you are not speaking keep your phone on mute • Do not put your phone on hold – if you need to take a call, hang up and dial in again when finished with your other call • Hold = Elevator Music = very frustrated speakers and participants • This meeting, like all of our meetings, is being recorded • Another reason to keep your phone on mute when not speaking! • Feel free to use the “Chat” or “Q&A” feature for questions or comments From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute  NOTE: This meeting is being recorded and will be posted on the esMD Wiki page after the meeting

3. Agenda

4. Announcements • Potential new pilot site: • qliqSoft

5. Pilot Sites

6. Pilot Sites

7. esMD Benefits • Saving time, money and resources for CMS/Payers and Providers • Eliminates print/mail operations required for sending or processing medical documentation request letters • Eliminates need for postage costs • Increases the accuracy of the information requested and received • Improved receipt time for both providers and payers • Improved timeliness results in improved accounts receivable cycle for provider, so payments are received sooner • Reduced staff time spent handling paper

8. Documentation • Overview of esMD Pilot Site wiki sections: • Overview • Technical Approach • Objectives • Stakeholders and Points of Contact • Demonstrated Standards • Ecosystem Diagram • Pilot Project Timeline • Anticipated Resources • Success Metrics • Reference Materials

9. Overview • Provide short summary • Identify organization’s capabilities • Plan for participation in the pilot process • Technical Approach • Include summary of the technical specifications that will be implemented • How pilot will be accomplished (i.e. developing a portal, creating templates). • Document which parts of the Implementation Guide will be implemented • Please be as specific as possible

10. Objectives • Goals of the pilot • Include what you intend to show, prove, or support for the pilot • Should be an actionable statement with specifics • Also include description of what you hope to gain from this pilot

11. Stakeholders and Points of Contact • Identify members of each organization supporting the pilot • Also provide the organizations and appropriate contact information for organizations you have decided to partner with. • Indicate partnerships with other organizations • Key items: • Name • Role • Email Address • Additional items: • Phone number • Company website

12. Demonstrated Standards • Specify the standards utilized as part the pilot ecosystem, e.g.- • HL7 C-CDA Structured Documents • ASC X12 278 • CONNECT • HL7 Digital Signatures DSTU • IHE DSG

13. Ecosystem Diagram • A visual representation of pilots ecosystem • Could be a diagram or flow chart • Should include: • Stakeholders and partnerships • Transfer of pertinent documentation • Overall work flow of pilot process • Helps us to understand the partnerships and roles each organization plays, as well as the basic technical infrastructure of the pilot

14. PMD eClinical Template Ecosystem Detailed Product Description Patient DME Supplier + Clinical PDF Clinical PDF Physicians LCMP Bundled PDF LCMP Evaluation Pilot Site eClinical Template HIH ECM Content Transport Services Payer Medicare Administrative Contractors CMS Private Network 14

15. Ecosystem Diagram Diagram by PAHISP/NHDS

16. Pilot Project Timeline We are here April ‘13 June ‘13 August ‘13 October ‘13 December ‘13 February ‘14 April ‘14 June ‘14 August ‘14 • Indicate proposed timeline for conducting the pilot • Can be as simple as a dashboard of milestones, e.g. - Overall S&I Framework Project Management and Support Harmonization L2 HL7 Ballot for L2 IG AoR L1/L2 Pilots HL7 Ballot Reconciliation Author of Record WG AoR L2 S&I IG Provider Registration Pilots eDoC Use Case and Requirements PMD e-Clinical Template Pilots PMD User Story LLP User Story Home Health User Story eDoC Harmonization and Structured Data eDoC Administrative Documents Templates IG for HL7 Ballot Electronic Determination of Coverage WG

17. Anticipated Resources • Current resources • Resources needed to conduct pilot process: • Technical • Organizational • Human Resources

18. Success Metrics • How will success of the pilot be determined? • Should be quantitative and not subjective (as much as possible) • Example: • Successfully review and sign bundled documents for determination of Coverage for PMD, and submit to online CMS Portal

19. Reference Materials • Include documentation developed for the pilot • Includedocuments relevant to your pilot ecosystem • Can include: • esMD Pilot Project Profile • Process documents • Templates • Screen shots

20. Discussion / Next Steps • Lessons Learned • Questions