Blueprint Integrated Pilot Programs (Text Version)
On September 19, 2009, Craig Jones made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (1 MB).
Slide 1
Blueprint Integrated Pilot Programs
A community system of health supported by HIT
Craig Jones MD
Director, Vermont Blueprint for Health
craig.jones@vdh.state.vt.us
Slide 2
Blueprint Integrated Pilots Coordinated Health System
Image: Figure displays a series of ovals. The central oval contains the following text:
Community Care Team
Nurse Coordinator
Social Workers
Dieticians
Community Health Workersv OVHA Care Coordinators
Public Health Prevention Specialist
Overlapping it are 4 small ovals all captioned as "PCMH," and 3 larger ovals that are captioned "Hospitals," "Mental Health and Substance Use Disorders" and "Public Health Prevention."
Below this figure are four bars bearing the following captions:
- Health IT Framework
- Global Information Framework
- Evaluation Framework
- Operations
Slide 3
| Data Source | Data Processing & Storage | Data Analysis | Data Reports & Uses | ||
|---|---|---|---|---|---|
| EMRs used for Individual Patient Care | EMR Databases | Data transmission & transformation VITL / GE | EMR Reporting Tool or Analyst | Clinical Process Measures | Individual Patient Care & Support Services |
| DocSite used for Individual Patient Care | DocSite Database | DocSite Reporting Tool | Health Status Measures | Population Management | |
| Contracted Analysis Services | Healthcare Quality Measures & Standards |
Quality Improvement | |||
| Medical Claims from Commercial Insurers & Medicaid | BISCHA Multipayer Database | BISCHA Reports | Healthcare Patterns & Resource Utilization | Provider Payment for Quality | |
| VCHIP Chart Review & NCQA Scoring | VCHIP Databases | VCHIP Analysis & Report Generation | Healthcare Expenditures & Financial Impact | Program Evaluation & Sustainability | |
| Public Health Surveys & Data Collection | Public Health Registries & Databases | VDH Health Surveillance Analytic Database | VDH Health Surveillance Analyst | Population Indicators & Risk Factors | Community Prevention Planning |
Slide 4
| Data Source | Data Processing & Storage | Data Analysis | Data Reports & Uses | ||
|---|---|---|---|---|---|
| EMRs used for Individual Patient Care | EMR Databases | Data transmission & transformation VITL / GE | EMR Reporting Tool or Analyst | Clinical Process Measures | Individual Patient Care & Support Services |
| DocSite Database | DocSite Reporting Tool | Health Status Measures | Population Management | ||
| Quality Improvement | |||||
Slide 5
| Data Source | Data Processing & Storage | Data Analysis | Data Reports & Uses | |
|---|---|---|---|---|
| Clinical Process Measures | Individual Patient Care & Support Services | |||
| DocSite used for Individual Patient Care | DocSite Database | DocSite Reporting Tool | Health Status Measures | Population Management |
| Quality Improvement | ||||
Slide 6
| Data Source | Data Processing & Storage | Data Analysis | Data Reports & Uses | |
|---|---|---|---|---|
| Healthcare Quality Measures & Standards |
Quality Improvement |
|||
| VCHIP Chart Review & NCQA Scoring | VCHIP Databases | VCHIP Analysis & Report Generation | Provider Payment for Quality | |
Slide 7
| Data Source | Data Processing & Storage | Data Analysis | Data Reports & Uses | |
|---|---|---|---|---|
| Clinical Process Measures |
||||
| Health Status Measures | Population Management | |||
| VCHIP Chart Review & NCQA Scoring | VCHIP Databases | VCHIP Analysis & Report Generation | Quality Improvement | |
Slide 8
| Data Source | Data Processing & Storage | Data Analysis | Data Reports & Uses | |
|---|---|---|---|---|
| Contracted Analysis Services | Quality Improvement |
|||
| Medical Claims from Commercial Insurers & Medicaid | BISCHA Multipayer Database | BISCHA Reports | Healthcare Patterns & Resource Utilization | |
| Healthcare Expenditures & Financial Impact | Program Evaluation & Sustainability | |||
Slide 9
| Data Source | Data Processing & Storage | Data Analysis | Data Reports & Uses | ||
|---|---|---|---|---|---|
| Quality Improvement | |||||
| Public Health Surveys & Data Collection | Public Health Registries & Databases | VDH Health Surveillance Analytic Database | VDH Health Surveillance Analyst | Population Indicators & Risk Factors | Community Prevention Planning |
Slide 10
| Data Source | Data Processing & Storage | Data Analysis | Data Reports & Uses | ||
|---|---|---|---|---|---|
| EMRs used for Individual Patient Care | EMR Databases | Data transmission & transformation VITL / GE | EMR Reporting Tool or Analyst | Clinical Process Measures | Individual Patient Care & Support Services |
| DocSite used for Individual Patient Care | DocSite Database | DocSite Reporting Tool | Health Status Measures | Population Management | |
| Contracted Analysis Services | Healthcare Quality Measures & Standards |
Quality Improvement | |||
| Medical Claims from Commercial Insurers & Medicaid | BISCHA Multipayer Database | BISCHA Reports | Healthcare Patterns & Resource Utilization | Provider Payment for Quality | |
| VCHIP Chart Review & NCQA Scoring | VCHIP Databases | VCHIP Analysis & Report Generation | Healthcare Expenditures & Financial Impact | Program Evaluation & Sustainability | |
| Public Health Surveys & Data Collection | Public Health Registries & Databases | VDH Health Surveillance Analytic Database | VDH Health Surveillance Analyst | Population Indicators & Risk Factors | Community Prevention Planning |
Slide 11
- Federal HIT/HIE Policy, Oversight, & Standards—Office of the National Coordinator (ONC)
- State HIT/HIE Policy, Oversight, & Standards — OVHA/HCR
- State Government & Public Health
- Vermont Health Care Providers & Institutions
| NIH Connectivity | ||
|---|---|---|
| Public Health surveillance, registries, & other public health functions | Health Information Exchange "Cloud " for secure, privacy protected interchange of health records, demographic data, image files, clinical messaging, & other digitized health information Statewide HIE Operated by VITL | Federally Qualified Health Centers & Rural Health Clinics |
| Medicaid health programs case management functionality and connectivity | Free Clinics | |
| Other Medicaid & AHS case management functionality and connectivity | Mental Health/BH/SA Providers | |
| Other state agency & dept. case management functionality and connectivity | Long Term Care Providers | |
| Law Enforcement, Corrections, & Court System | Home Health & Hospice Providers | |
| Tertiary and Community Hospitals | Community Human Service Agencies (Family Centers, Area Agencies on Aging, etc.) | |
| Primary Care & Specialty Providers |
Individual Vermonters: connectivity to EHR Portals, Personal Health Records (PHR), Health 2.0 applications and Ix Services
|
|
Slide 12
Blueprint Integrated Pilots Building a Scalable Model
Multidimensional evaluation framework
- Support patient care & population management
- Support ongoing quality improvement
- Evaluate trends in clinical outcomes
- Evaluate trends of financial impact
- Support sustainability & expansion


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