DHIN – Innovative Solutions That Make Health Data Useful Jan Lee,

DHIN – Innovative Solutions That Make Health Data Useful Jan Lee, MD Chief Executive Officer 04.04.2019 1

DHIN Organizational Capabilities FY21 FY20 FY19 FY18 Workstream FY17 5-Year Strategic Plan Hire, train, and/or contract for new skill sets Customer Engagement/ Marketing Targeted marketing – right message for right audience Service Offerings Implement specific new high value services Enterprise and Solution Architecture Service Operations and Management Modernize the technology stack Implement ITIL framework of best practices for IT Service Management 2

Major Current DHIN Initiatives Operationalizing the ITIL framework of IT Service Management best practices Technology refresh and modernization Implementation of the Health Care Claims Database 3

New Skill Sets HIRED TRAINED/CERTIFIED PMP certified – all DHIN project managers Chief Technology Officer / Enterprise Architect / Security Officer – Jeff Reger TOGAF certified – Enterprise Architect Director of External Affairs – Stacey Schiller Marketing Coordinator– Dave McGurgan General Counsel – Scott Perkins ITIL Foundations certified – all DHIN staff (except newest hires) ITIL Intermediate – all DHIN managers/executives ITIL Expert – DHIN managers in FY20 Cloud Technology – MedicaSoft CONTRACTED Claims Database Consultant – Freedman Healthcare 4

Modernizing the DHIN Technology Stack Key Principles: Modularity – Avoid single vendor lock-in Flexibility – Don’t architect rigid solutions that are hard to modify or update Cost Management – use scalable, cutting edge, “pay as you use” hosted cloud technologies where feasible 5

Services FHIR API Services Elasticsearch Transactional Database (Couchbase) Reporting Analytics Internal Development Transactional Parse, Match, Map, Normalize, Notify, etc. Data Lake (S3) 3rd Party Applications CHR PHR DHIN’s Current Platform Bulk Validate, Version, Match, ExtractTransform-Load, etc. Data Lake (S3) Data Warehouse (Redshift) 6

Implementing the HCCD Data Collection: 56% of Delaware Residents To begin submitting on commercial lines of business in July Aetna AetnaMed Highmark Express Scripts CVS Caremark Humana United Cigna DMMA Medicare All 2013-2018 data validated, versioned All 2013-2018 data validated, versioned All 2013-2018 data has been resubmitted, validated, versioned All 2013-2018 data validated, versioned All 2013-2018 data validated, versioned All 2013-2018 data has been resubmitted – validation/versioning in progress All 2013-2018 eligibility and pharmacy data validated, versioned All 2013-2018 medical claims and provider data will be resubmitted All 2013-2018 eligibility and provider data has been validated All 2013-2018 pharmacy claims data will be resubmitted All 2013-2018 data has been received. Currently working to resubmit eligibility data that allows us to identify different lines of business 2013-2016 data received, being staged now Data Quality, Identity Matching Awaiting resubmissions from United, Cigna, DMMA Identity matching with a DHIN EID is between 88% to 98% for most lines of business 7

Implementing the HCCD Data Access Interagency Agreement executed with SEBC; data extract prepared HCCD Admin Committee – meeting monthly Committee has considered and denied the first application for data Other applicants have signaled intent to apply once fee structure is established Continue working on fee structure Several reports have been created to demonstrate the data and types of questions that can be brought to the data Funding and Sustainability SIM funds now exhausted State appropriation of 2M will carry us through June 2020 if no other sources of revenue Working with DMMA, DHSS, Freedman on IAPD submission for federal matching funds – Could be 90% federal match for substantial portions and 75% match for remainder 8

HCCD DEMO 9

A Health Information Ecosystem in which all participants both contribute and receive value 10

Sample Reports 11

Sample Reports 12