Roadmap

Minnesota e-Health Roadmap

The Minnesota e-Health Roadmap for Behavioral Health, Local Public Health, Long-Term and Post-Acute Care, and Social Services (PDF) providers includes use cases, a person-centered view (PDF), 10 recommendations (PDF), and over 40 actions to support and accelerate the adoption and use of e-health. The Roadmap also includes resources for providers and over 35 actions for partners to support the implementation of the Roadmap.

Recommendations
The ten recommendation, summarized below, are for the priority settings and support the adoption and use of e-health to support healthier individuals and communities. Click on a recommendation to reach the actions and resources that support the recommendations.

 

Minnesota e-Health Roadmap Recommendation: Leadership

LEADERSHIP commits to e-health to provide guidance and ensuring support and resources to adopt and use e-health.

Action 1: Learn about e-health and understand what is required under Minnesota law.

Resource: Understanding the Minnesota Interoperable Electronic Health Record Mandate (PDF)
Description: Provides guidance on the Interoperable EHR Mandate.

Action 2: Use a structured process to create an action plan and prioritize for e-health through the development and implementation of an e-health vision and goals based on present and future needs.

Resource: Stratis Health’s Health Information Technology (HIT) Toolkits
Description: Provides many resources that guide the implementation of an EHR from assessing your current needs through optimizing an EHR.

Action 3: Incorporate e-health into budgeting and financial planning. Develop a business case for adoption and use of e-health.

Resource: Funding Resources
Description: Utilize state and national grants and additional resources for e-health.

Action 4: Communicate effectively and frequently with staff by sharing a clear statement of the value of e-health and how to implement an e-health vision and goals.

Minnesota e-Health Roadmap Recommendation: Assess

ASSESS readiness for e-health adoption and optimization to determine the current e-health capabilities, future needs, and readiness to achieve your goals.

Action 1: Utilize readiness assessment tools and the Minnesota e-Health Roadmap to identify where you are at and where you need to be focusing on technical, organizational, leadership, and operational factors.

Resource: Minnesota Behavioral Health Community
Description: Large number of resources to help behavioral health providers with the selection and implementation of EHR systems.

Resource: Building an Informatics-Savvy Health Department
Description: Resource assists public health organizations by both defining necessary informatics capabilities, and by enabling a self-assessment that aids in planning and priority setting.

Resource: How to Implement EHRs
Description: Useful resources created by ONC to provide six steps to implement an HER from assessment through continue quality improvement. Office of the National Coordinator for Health Information Technology (ONC) .

Resource: Public Health Informatics Toolkit (PDF)
Description: A guide that you can use to create a comprehensive summary of your agency´s current and projected information system needs and opportunities.

Resource: SAMHSA Health Information Technology (HIT)
Description: Resource for mental health and substance abuse providers.

Action 2: Measure leadership and staff e-health beliefs and identify strategies to build support for e-health.

Resource: Stratis Health’s Health Information Technology (HIT) Toolkits
Description: Provides many resources that guide the implementation of an EHR from assessing your current needs through optimizing an EHR.

Action 3: Evaluate the e-health needs and potential benefits for the individuals you serve using a person-centered view of e-health focusing on what information is needed, how it can be used, and who to share it with.

Resource: Stratis Health’s Health Information Technology (HIT) Toolkits
Description: Provides a practical guidance to providers and provider organizations on what they can do now to overcome barriers and accelerate progress in adopting interoperable EHRs. This includes ensuring their workforce has the skills necessary to use these technologies effectively.

Action 4: Select the appropriate e-health system to achieve your goals.

Resource: Stratis Health’s Health Information Technology (HIT) Toolkits
Description: Provides many resources that guide the implementation of an EHR from assessing your current needs through optimizing an EHR.

Minnesota e-Health Roadmap Recommendation: Collect

COLLECT and integrate information needed for care to identify the information needs of individuals, providers and other sources.

Action 1: Identify the information elements necessary for an individual’s care.

Resource: Appendix D from the e-Health Roadmap
Description: Contains a core set of information elements, including social determinants of health, for the priority settings based on the use cases, priority settings special needs, and health equity.

Resource: The Capturing Social and Behavioral Domains and Measures in Electronic Health Records: Phase 2
Description: Resource includes information on the collection and use of social determinants of health.

Resource: Understanding the Minnesota Interoperable Electronic Health Record Mandate (PDF)
Description: A pilot tool, which can provide more detail on social determinants of health.

Resource: Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Description: Address the improving data collection across the health care system.

Action 2: Select and use an ONC certified EHR.

Resource: Comprehensive List of Certified Health Information Technology
Description: A comprehensive list of certified EHRs.

Action 3: Select and use an EHR or other HIT that implements the Interoperability Standards Advisory released by the ONC.

Resource: Interoperability Standards Advisory
Description: The Office of the National Coordinator (ONC) for Health Information Technology’s current thinking on the best available standards and implementation specifications, and is updated annually. To ensure incorporation of your priority setting, engage in the annual review and update.

Action 4: Train your staff to utilize best practices and workflows to collect and integrate information into the correct fields in the EHR or other HIT.

Resource: What training resources are available for electronic health record implementation?
Description: Website provides links to training resources because training is one of the larger cost of EHR implementation.

Minnesota e-Health Roadmap Recommendation: Use

USE information and automated tools to enhance care and outcomes.

Action 1: Implement an EHR that has decision support tools that are relevant to the care you provide and individuals served.

Resource: Clinical Decision Support (CDS)
Description: Clinical Decision Support encompasses a variety of tools to enhance decision-making in the clinical workflow.

Action 2: Implement an EHR that has computerized provider order entry (CPOE).

Resource: Computerized Provider Order Entry
Description: Resource assist understanding the application and use of computerized provider order entry (CPOE).

Action 3: Implement an EHR that has registry capabilities.

Resource: Stratis Health's Health Information Technology (HIT) Toolkits use Optimization Strategies for Registries
Description: A registry is a tool for tracking care and outcomes of a group of individuals for whom you are providing care.

Resource: Using a Simple Patient Registry to Improve Your Chronic Disease Care
Description: Resource strategies for using a spreadsheet or database software to make sure individuals get the care they need.

Action 4: Implement an EHR that captures medication lists and use this information to conduct medication reconciliations.

Resource: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliations (PDF)
Description: Provides guidance on medication reconciliation.

Action 5: Implement an EHR that produces reports about providers and cohorts.

Resource: eCQI: What It Is, and How It Can Help You
Description: Achieving measurable care quality improvement is a healthcare imperative. This resource is an approach to this goal that optimizes Health IT applications, including clinical decision support.

Resource: Minnesota e-Health website
Description: MDH is currently developing a framework to describe the components of an e-health repository that will be published in late 2016.

Action 6: Implement an EHR that includes reporting capabilities that are specific to your setting.

Resource: KHA REACH data analytic portal
Description: Data analytics should be a consideration during the assessing, planning and selecting phases of an EHR or other health information technology.

Resource: College of St. Scholastica MOOC courses
Description: Massive Open Online Courses (MOOCs) are classes that are offered online. Two courses Health Data Analytics and Health Data Analytics with Microsoft Excel.

Minnesota e-Health Roadmap Recommendation: Share

SHARE information to support care coordination and population health.

Action 1: Evaluate your readiness for HIE.

Resource: A Practical Guide to Understanding HIE, Assessing Your Readiness and Selecting HIE Options in Minnesota (PDF)
Description: Provides an introduction to HIE and help providers understand their HIE choices in Minnesota.

Action 2: Understand the level of support provided by your EHR vendor as they can help you assess your EHR system’s technical capabilities as it relates to HIE.

Action 3: Implement an EHR with imbedded HIE capabilities or a separate HIE service provider that supports Direct Secure Messaging.

Resource: Stratis Health's Health Information Technology (HIT) Toolkits
Description: Provides a variety of tools, recorded trainings, and reference documents for understanding and implementing - Using Direct for HIE (implement section).

Resource: Using a Simple Patient Registry to Improve Your Chronic Disease Care
Description: Resource strategies for using a spreadsheet or database software to make sure individuals get the care they need.

Action 4: Understand what is required under Minnesota and federal law.

Resource: Minnesota State-Certified Health Information Exchange Service Providers page
Description: Resource provides information on connecting to state-certified HIE service providers.

Resource: Minnesota e-Health website
Description: MDH is currently developing a framework to describe the components of an e-health repository that will be published in late 2016.

Action 5: Implement an EHR that provides a patient portal or other technology, such as a PHR.

Resource: OpenNotes
Description: Allows individuals to view virtually all of the information in their record.

Resource: What is a Patient Portal?
Description: Provides the basics on patient portals and tools for providers to use portals to engage individuals.

Action 6: Implement an EHR that allows you to send and receive secure messages with the people you serve.

Resource: Minnesota State-Certified Health Information Exchange Service Providers page
Description: Resource provides information on connecting to state-certified HIE service providers.

Resource: Minnesota Health Information Exchange Framework and Guidance to Support Accountable Health (PDF)
Description: The framework provides recommendations on how to use HIE to help support and achieve accountable health. It is a starting point for organizations, networks or collaboratives developing HIE strategies and is intended to be an assessment and planning tool.

Minnesota e-Health Roadmap Recommendation: Individuals' Access

Increase INDIVIDUALS’ ACCESS to health information to empower individuals and support decision-making.

Action 1: Provide a patient portal, PHR or other HIT with up-to-date and actionable information that allows individuals to view, download and share their information.

Resource: What is a Patient Portal?
Description: Provides the basics on patient portals and tools for providers to use patient portals to engage individuals.

Action 2: Provide an after-visit summary report that can include provider notes, vital signs for visit, encounter diagnoses, medication list, problem list, and health maintenance information.

Resource: OpenNotes
Description:
Allows individuals to view virtually all of the information in their record.

Resource: Providing Clinical Summaries to Patients after Each Office Visit: A Technical Guide (PDF)
Description: Gives details on best practices for providing office visit summaries.

Action 3: Identify and share relevant education materials to support individuals and their caregivers in managing their health and well-being.

Resource: Patient Engagement for Care Teams
Description: Tools for promoting shared decision-making and facilitate improve care outcomes for individuals through empowerment.

Minnesota e-Health Roadmap Recommendation: Privacy, Security and Consent

Comply with PRIVACY, SECURITY AND CONSENT laws and other requirements to protect privacy and keep information safe and Recommendation secure.

Action 1: Conduct a security risk assessment and a privacy gap analysis to ensure compliance with state and federal laws to reduce the risk of an impermissible use or disclosure of protected health information (PHI).

Resource: Stratis Health’s Health Information Technology (HIT) Toolkits
Description: A Security Risk Analysis tool can be found in the Optimization section.

Action 2: Establish privacy and security policies and procedures in compliance with the Privacy Rule, the Security Rule, and the Breach Notification Rule under HIPAA as well as the Minnesota Health Records Act and other applicable statutes.

Resource: ONC Guide to Privacy and Security of Electronic Health Information (PDF)
Description: Resource is intended to help providers ― especially HIPAA Covered Entities (CEs) and Medicare Eligible Professionals from smaller organizations ― better understand how to integrate federal health information privacy and security requirements into their practices.

Resource: Privacy and Security Resources
Description: A Minnesota model notice of privacy practices, a summary of proactive monitoring procedures, a security risk analysis tip sheet, and a summary of HIPAA, the Minnesota Health Records Act, and Psychotherapy notes. As additional Minnesota resources become available, they will be posted here. Legal analysis of the privacy and consent issues of four priority use case (David, Sally, Grace and Anderson Family).

Action 3: Implement consent and authorization procedures and develop release of information forms that are compliant with all state and federal requirements to release PHI and health records.

Resource: Consent & Confidentiality: Providing Medical and Mental Health to Minors in Minnesota (April 2002)
Description: Provides a brief review of laws that guide the provision of health care to minors in the state of Minnesota.

Resource: Minors’ Consent for Health Care (PDF)
Description: The Research Department of the Minnesota House of Representatives offers a brief summary and link to statutes regarding minor consent.

Minnesota e-Health Roadmap Recommendation: E-Health Skills

Develop staff E-HEALTH SKILLS and knowledge to effectively adopt and use e-health.

Action 1: Consider the broad range of skills and knowledge necessary for the adoption and use of e-health, and the collection, use and sharing of information.

Resource: EHR Implementation: Training pays dividends
Description: A list of 14 actions to ensure high-quality training.

Action 2: Assess e-health skills and knowledge needs.

Resource: Building an Informatics-Savvy Health Department tool
Description: Assists public health organizations by both defining necessary informatics capabilities, and by enabling a self-assessment that aids in planning and priority setting.

Action 3: Implement a training plan, with a focus on role-based training, and budget that ensures staff receive ongoing training and for new staff.

Resource: Stratis Health's Health Information Technology (HIT) Toolkits
Description: A training plan tool is in the Implement section. Provides a variety of assessment and inventory tools for staff capacity in the Assess sections.

Action 4: Develop and update staff roles and position descriptions that incorporate new e-health activities and responsibilities.

Resource: Workforce Position Classifications and Descriptions
Description: E-health position descriptions and classifications for local public health.

Minnesota e-Health Roadmap Recommendation: Standards

Use nationally recognized STANDARDS to ensure information can be used and shared.

Action 1: Learn about standards and participate in the development, identification, and adoption of standards necessary for priority settings to enable sharing of information.

Resource: Standards and Interoperability (S&I) Framework
Description: The S&I Framework creates a forum – enabled by integrated functions, processes, and tools – where stakeholders can focus on solving real-world interoperability challenges.

Action 2: Select and use an EHR that is certified by the ONC.

Resource: Comprehensive List of Certified Health Information Technology
Description: A comprehensive list of currently certified EHRs.

Resource: Standards Recommended to Achieve Interoperability in Minnesota (Updated 2011) (PDF)
Description: Provides practical support to those having to meet the Minnesota Interoperable EHR Mandate, as wells as to achieve the Minnesota e-Health Initiative’s goals of improving care and supporting healthier communities.

Action 3: Select and use an EHR or other HIT that implements the Interoperability Standards Advisory released by the ONC.

Resource: Interoperability Standards Advisory
Description: The Office of the National Coordinator (ONC) for Health Information Technology’s current thinking on the best available standards and implementation specifications, and is updated annually. To ensure incorporation of your priority setting, engage in the annual review and update.

Action 4: Select and use an American Nursing Association recognized terminology within the EHR or health information technology.

Resource: Recommendations Regarding the Use of Standards Nursing Terminology in Minnesota (PDF)
Description: Developed by the Minnesota e-Health Standards & Interoperability Workgroup to fill a gap in national recommendations on nursing terminology.

Minnesota e-Health Roadmap Recommendation: Workflow

Optimize WORKFLOW for effective use of e-health to increase efficiency, effectiveness and quality of care.

Action 1: Plan for e-health implementation by assessing current workflow by utilizing tools, techniques, and mapping to identify obstacles in information capture, environment, policies and procedures, staffing and training.

Resource: Agency for Healthcare Research and Quality Workflow Assessment for Health IT Toolkit
Description: Resource to for FAQ on workflow.

Resource: Health Resources and Services Administration’s Health IT Adoption Toolkit Description: Adapting workflow to include an EHR starts with documenting the existing process at your organization. To document the process, observe and interview staff to capture their workflows accurately.

Action 2: Address changes to new or updated workflows by developing a process to confront concerns or issues with communication, commitment, human resource issues (roles), motivation, and resources. Show staff how the change will benefit them.

Resource: Stratis Health’s Health Information Technology (HIT) Toolkits
Description: A Workflow and Process Improvement Tool is in the Implement section

Resource: SAMHSA-HRSA Center for Integrated Solutions Workflow
Description: Resource on this contains list of additional resources to improve workflow.

Action 3: Design and implement new workflows to streamline processes, increase efficiency and improve quality.

Resource: Agency for Healthcare Research and Quality Plan-do-check-act (PDSA)
Description: Plan-do-check-act (PDCA) is a four-step cycle that allows you to implement change, solve problems, and continuously improve processes.

Resource: Analyzing Clinical Data and Workflow.
Description: Focuses on the entire workflow from information origin to use.

Resource: Quality Improvement
Description: Resource can assist you in redesigning your system and improving your outcomes.

The Approach and Methods Report (PDF) documents the development of the Roadmap.

This project is part of a $45 million State Innovation Model (SIM) cooperative agreement, awarded to the Minnesota Departments of Health and of Human Services in 2013 by the Center for Medicare & Medicaid Innovation (CMMI) to help implement the Minnesota Accountable Health Model.

Minnesota e-Health Roadmap Updates
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Updated Thursday, March 16, 2017 at 04:35PM