Foster Care Health Passport Interoperability Vendor Conference

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Foster CareHealth Passport InteroperabilityVend
or Conference
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Health Passport Interoperability RFP Overview

• Background and Health Passport Features
• Mission
• Scope of Work
• Performance Goals
• Performance Measures
• Compensation

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Health Passport InteroperabilityBackground

• In 2005, Texas legislature enacted Senate Bill 6
  (SB6), which called for the development of a
  comprehensive medical services delivery model for
  children in foster care to provide uniform care
  to foster care children through a single managed
  care entity
• SB6 also mandated the development of an
  electronic health information systemthe Health
  Passport
• The Health and Human Services Commission (HHSC)
  contracted with Superior HealthPlan Network as
  the managed care organization for the STAR
  Health program
• Superior contracted with Cerner for development
  of the Passport
• The Passport became operational on April 1, 2008

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Health Passport InteroperabilitySystem Features

• Demographics Displays personal contact
  information of the childs physicians and other
  individuals involved in the childs care
• Visit History Displays claim-based record of
  each visit to a health care provider with date of
  service, diagnosis, and procedure(s) performed
• Medications Displays claims-based record on all
  prescriptions filled
• Immunizations Displays a comprehensive list of a
  childs immunizations
• Lab Results Displays results of lab tests
  performed, if available
• Electronic Documentation Providers can document
  Texas Health Steps, dental, and behavioral
  assessments within the Passport
• Vital Signs Providers can record vital signs at
  the point of care
• Allergies Providers can record allergies at the
  point of care Passport checks the allergy for
  medication interactions

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Health Passport Interoperability Mission

• HHSCs mission for this procurement is to develop
  and implement a health information exchange
  process that
• exchanges clinical data between the Foster Care
  Health Passport and network providers electronic
  medical record (EMR) systems,
• improves access to health information, and
• increases the quality and reliability of care
  provided to STAR Health members.

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Health Passport InteroperabilityScope of Work

• Development Phase all activities that take place
  between the time of contract award and the
  operational start date(s).
• Operational Phase implementation of the data
  exchange system
• Operations Phase One (data exchange process from
  providers EMR systems to the Passport)
• will target network hospitals with EMR systems,
  and Primary Care Providers with EMR systems
  certified by the Certification Commission for
  Healthcare Information Technology (CCHIT) as
  ambulatory EMRs
• Operations Phase Two (data exchange process from
  providers EMR systems to the Passport)
• will target PCPs with EMRs that are not
  CCHIT-certified and other network providers
  (e.g., behavioral health and specialists)
• Operations Phase 3 (data exchange process from
  the Passport to providers EMR systems)
• Turnover Phase all activities that the vendor
  must complete prior to transitioning the system
  to HHSC or a subsequent vendor

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Health Passport InteroperabilityEHR Data Exchange
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Health Passport InteroperabilityPerformance Goals

• Demonstrate that the vendor can receive EMR
  system data in the format identified in the
  project work plan
• Demonstrate that the vendor has coordinated with
  HHSC, the STAR Health MCO, the Passport vendor,
  and other stakeholders to obtain relevant data
  files, formats, and other information necessary
  for data exchange operations
• Demonstrate compliance with the test plan
  included in the project work plan
• Address and correct issues identified during
  readiness review prior to launching each
  operational phase
• System must perform secure transmission of
  protected health information using secure file
  transfer protocols or other methods of secure
  data transmission
• Demonstrate compliance with HIPAA privacy and
  security regulations

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Health Passport InteroperabilityPerformance
Measures

• The contractor will provide the following items
  for HHSC review and approval
• Work plan
• Technical plan
• Bi-monthly progress reports to monitor and track
  contractor performance
• Web-based educational materials

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Health Passport InteroperabilityCompensation

• Cost Proposal -- submit (fixed fee, hourly rates,
  etc) as Attachment A
• Payment
• Invoice submission
• Payment per Prompt Payment Act

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Texas Health and Human Services Commission (HHSC)

• Questions Submittal
• Followed by Break

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Closing Comments

• Office of General Counsel
• Collusion
• Conflict of Interest
• Permissible contacts