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Virginias Statewide
Health Information
     Exchange
Todays Topics

Kim Barnes, Office of Health IT
 Introduction to ConnectVirginia

Jeff Odell, ConnectVirginia
 DIRECT Messaging Overview
 Demo
 How to Enroll
                                    2
ConnectVirginia History

                                                                                    1Q 2012
                                                                                    Governing Body
                                                            October 2011 :          convened.
                                                            VDH awarded             DIRECT
                                                            Community Health        Messaging live.
                                                            Alliance the contract
                                    Spring 2011: VDH        for the Statewide
                                    issued an RFP for a     HIE
                                    contractor to
                                    establish a
                                    Statewide HIE
                 2010 : HITAC       governance
                 developed a        structure, create the
                 Strategic Plan     Statewide HIE
                 and an             organization,
                 Operational Plan   manage the
                 for the Virginia   Statewide HIEs
 2009:           Statewide HIE      operations on an
 HITECH Act is                      ongoing basis, and
 passed as                          put in place and
 part of ARRA                       operate the
                                    technology
                                    infrastructure of the
                                    Statewide HIE
                                                                                                3
Governing Body Members
 Kim Barnes                                 Shirley Gibson
  Virginia State HIE Coordinator              Associate VP of Nursing, VCU

 Ellen Bieschke, RN                         William Hazel, M.D.
  Winchester Orthopedic                       Virginia Secretary of Health

 Sallie S. Cook, M.D.                       Holly Morris
  CMO, VHQC                                   President, Old Belt Pharmacists Association

 Sandy L. Chung, M.D.                       Cathy Pumphrey
  President, Fairfax Pediatric Associates     Director of Informatics, Fairfax-Falls Church
                                              Community Services Board
 Robert Fortini, PNP                        Sterling Ransone, M.D.
  VP, Chief Clinical Officer, Bon Secour
                                              Fishing Bay Family Practice
 Jodi Fuller                                Bert Reese
  Director, Meadwestvaco, Global Benefits
                                              Senior VP and CIO, Sentara Healthcare
 Katherine Gianola, M.D.  Karen Remley, M.D., MBA
  Chief, Health Informatics and Telehealth,
  Richmond VA Medical Center                  Virginia Commissioner of Health




                                                                                              4
Governing Body Members
 Karen Rheuban, M.D.                              Judie Snipes
  Medical Director, UVA, Office of Telemedicine     Privacy/Security Officer, Carilion Clinic

 Terri Ripley, MIT, CPHIMS  Nancy Stern
  Director, Systems and Programming, ARRA           Executive Director, Eastern Shore Rural Health
  Coordinator, Centra Health                        System

 Marshall Ruffin, Jr., M.D.                       John B. Syer, Jr.
  Chief Technology Officer, Inova Health System     VP, Provider Engagement and Contracting,
                                                    Anthem
 David R. Selig
  CEO, Community Care Network of Virginia          Jerry Venable
                                                    VP Human Resources, HCA Capital Division




                                                                                                5
ConnectVirginia Goals
 Implement an operational HIE by the end of the ARRA grant
  funding (Feb. 2014)
    Support National and State Interoperability
    Secure
    Protects Privacy
    Scalable
    Technical foundation for the Standard of Care

 Develop a sustainment model to support ConnectVirginia after
  Feb. 2014
    Provide Value
    Promote Trust
    Autonomous Entity

                                                              6
ConnectVirginia
DIRECT Messaging Overview
                            7
DIRECT Messaging
 Based on the National Direct Project, an initiative of Office of the
  National Coordinator (ONC)

 Allows providers to share health information electronically
     o Method similar to regular email
     o Added security required for sensitive health information
 Push secure messaging system
     o Information is sent from one registered provider to another
     o Recipient must be known to the sender
 Supports common use cases: referrals, transitions in care, consults
 Meets a Meaningful Use requirement
                                                                         8
DIRECT Messaging - Phase I
Sender logs in, composes a message, attaches
 file(s), presses send. Any file type: CCDs,
  PDFs, scanned files, text files, Word docs.




     Receiver logs in, views message and
 attachments. Imports documents into EMR if
                    desired.
                                                 9
Phase II
Organizational Direct Users                       Individual Direct Users


 abcfamilypractice@direct.connectvirginia.org       bob.smith@direct.connectvirginia.org




                                                                                             Primary End
         Organizational Primary End User
                                                                                                Users
                                                        Individual Primary End User
                    Sally Jones
                                                              Bob Smith, M.D.
     (Designated by ABC as Site Administrator)




                                                                                             Delegate End
 Delegate End User        Delegate End User      Delegate End User       Delegate End User      Users
   Jessica White          Tom Brown, M.D.         Susan Sample            Jennifer Johnson
Advantages
   Very robust credentialing process that restricts access to Virginia
    health care professionals
   Based on the national Direct Project which is specifically designed
    to handle protected health information.
   Each state and U.S. territory will support messaging based on the
    Direct Project.
   Recognized by CMS to meet a Meaningful Use requirement.
   DIRECT Messaging will be the de facto standard for pushing
    information among a large number of Virginia health care
    providers.
   Workflow flexibility with use of delegates.
   Easy access via Internet browser. A separate email system is not
    required. No extra steps to remember.
   Users will be able to be notified of messages received via a
    notification to their mobile device.
   Low cost  free until April, 2013. Then $15/month thereafter.         11
Security
Security features include:
     DIRECT Messaging requires Two Factor Authentication.
     The environment is PCI compliant, a standard utilized by
      financial institutions for storing credit card numbers.
     Password requirements are compliant with NIST Level 3 standards.
     Certificates for DIRECT Messaging are transparent to the user.
     The encryption utilized, Advanced Encryption Standard (AES), has
       been adopted by the U.S. government.
As a result of this security infrastructure these messages:
     Are routed only to intended and trusted recipients.
     Cannot be compromised during transmission.
     Can be read only by the intended recipient.
Sign Up Today!
Enrolling is simple:

 Print the ConnectVirginia DIRECT Messaging
  Enrollment form.
 Read it carefully, sign it, and have it notarized.
 Send it to us at enroll@connectvirginia.org or via
  U.S. mail to: ConnectVirginia Enrollment, 4900
  Cox Road, Suite 245, Glen Allen, Virginia 23060
  and well contact you within a few days to
  complete the process.
 Questions? Send to info@connectvirginia.org

                                                       13
Demonstration
                14
Questions?




             15
Connect with us at
www.ConnectVirginia.org

      Thank you!


                          16

More Related Content

Direct For Vhit Apr 2012

  • 2. Todays Topics Kim Barnes, Office of Health IT Introduction to ConnectVirginia Jeff Odell, ConnectVirginia DIRECT Messaging Overview Demo How to Enroll 2
  • 3. ConnectVirginia History 1Q 2012 Governing Body October 2011 : convened. VDH awarded DIRECT Community Health Messaging live. Alliance the contract Spring 2011: VDH for the Statewide issued an RFP for a HIE contractor to establish a Statewide HIE 2010 : HITAC governance developed a structure, create the Strategic Plan Statewide HIE and an organization, Operational Plan manage the for the Virginia Statewide HIEs 2009: Statewide HIE operations on an HITECH Act is ongoing basis, and passed as put in place and part of ARRA operate the technology infrastructure of the Statewide HIE 3
  • 4. Governing Body Members Kim Barnes Shirley Gibson Virginia State HIE Coordinator Associate VP of Nursing, VCU Ellen Bieschke, RN William Hazel, M.D. Winchester Orthopedic Virginia Secretary of Health Sallie S. Cook, M.D. Holly Morris CMO, VHQC President, Old Belt Pharmacists Association Sandy L. Chung, M.D. Cathy Pumphrey President, Fairfax Pediatric Associates Director of Informatics, Fairfax-Falls Church Community Services Board Robert Fortini, PNP Sterling Ransone, M.D. VP, Chief Clinical Officer, Bon Secour Fishing Bay Family Practice Jodi Fuller Bert Reese Director, Meadwestvaco, Global Benefits Senior VP and CIO, Sentara Healthcare Katherine Gianola, M.D. Karen Remley, M.D., MBA Chief, Health Informatics and Telehealth, Richmond VA Medical Center Virginia Commissioner of Health 4
  • 5. Governing Body Members Karen Rheuban, M.D. Judie Snipes Medical Director, UVA, Office of Telemedicine Privacy/Security Officer, Carilion Clinic Terri Ripley, MIT, CPHIMS Nancy Stern Director, Systems and Programming, ARRA Executive Director, Eastern Shore Rural Health Coordinator, Centra Health System Marshall Ruffin, Jr., M.D. John B. Syer, Jr. Chief Technology Officer, Inova Health System VP, Provider Engagement and Contracting, Anthem David R. Selig CEO, Community Care Network of Virginia Jerry Venable VP Human Resources, HCA Capital Division 5
  • 6. ConnectVirginia Goals Implement an operational HIE by the end of the ARRA grant funding (Feb. 2014) Support National and State Interoperability Secure Protects Privacy Scalable Technical foundation for the Standard of Care Develop a sustainment model to support ConnectVirginia after Feb. 2014 Provide Value Promote Trust Autonomous Entity 6
  • 8. DIRECT Messaging Based on the National Direct Project, an initiative of Office of the National Coordinator (ONC) Allows providers to share health information electronically o Method similar to regular email o Added security required for sensitive health information Push secure messaging system o Information is sent from one registered provider to another o Recipient must be known to the sender Supports common use cases: referrals, transitions in care, consults Meets a Meaningful Use requirement 8
  • 9. DIRECT Messaging - Phase I Sender logs in, composes a message, attaches file(s), presses send. Any file type: CCDs, PDFs, scanned files, text files, Word docs. Receiver logs in, views message and attachments. Imports documents into EMR if desired. 9
  • 10. Phase II Organizational Direct Users Individual Direct Users abcfamilypractice@direct.connectvirginia.org bob.smith@direct.connectvirginia.org Primary End Organizational Primary End User Users Individual Primary End User Sally Jones Bob Smith, M.D. (Designated by ABC as Site Administrator) Delegate End Delegate End User Delegate End User Delegate End User Delegate End User Users Jessica White Tom Brown, M.D. Susan Sample Jennifer Johnson
  • 11. Advantages Very robust credentialing process that restricts access to Virginia health care professionals Based on the national Direct Project which is specifically designed to handle protected health information. Each state and U.S. territory will support messaging based on the Direct Project. Recognized by CMS to meet a Meaningful Use requirement. DIRECT Messaging will be the de facto standard for pushing information among a large number of Virginia health care providers. Workflow flexibility with use of delegates. Easy access via Internet browser. A separate email system is not required. No extra steps to remember. Users will be able to be notified of messages received via a notification to their mobile device. Low cost free until April, 2013. Then $15/month thereafter. 11
  • 12. Security Security features include: DIRECT Messaging requires Two Factor Authentication. The environment is PCI compliant, a standard utilized by financial institutions for storing credit card numbers. Password requirements are compliant with NIST Level 3 standards. Certificates for DIRECT Messaging are transparent to the user. The encryption utilized, Advanced Encryption Standard (AES), has been adopted by the U.S. government. As a result of this security infrastructure these messages: Are routed only to intended and trusted recipients. Cannot be compromised during transmission. Can be read only by the intended recipient.
  • 13. Sign Up Today! Enrolling is simple: Print the ConnectVirginia DIRECT Messaging Enrollment form. Read it carefully, sign it, and have it notarized. Send it to us at enroll@connectvirginia.org or via U.S. mail to: ConnectVirginia Enrollment, 4900 Cox Road, Suite 245, Glen Allen, Virginia 23060 and well contact you within a few days to complete the process. Questions? Send to info@connectvirginia.org 13
  • 16. Connect with us at www.ConnectVirginia.org Thank you! 16