In this series, we’ll be interviewing a diverse range of Contexture staff involved in the unified platform migration project, gathering their perspectives on the update as well as the internal and external value of this project.

Employee Interviews – ONE Platform Migration Project

First up is our Chief Information Officer (CIO) Deanna Towne. Deanna oversees Contexture’s team of information technology professionals, as well as the development of new products to meet the needs of the Colorado and Arizona healthcare communities. She also oversees all IT systems required to support Contextures’ objectives and goals, as well as leads the digital transformation of the organization.

Deanna Towne, CIO

  1. What will be the greatest benefit to Contexture’s HIE Participants once ONE Platform is fully implemented?

    ONE Platform will bring together data from all existing HIE connections into a single view of the patient within our provider portal. As a result, the patient data will be available regardless of which state the patient resides, helping to give the most comprehensive view of patient information.

  2. How will ONE Platform benefit Contexture and its workflows?

    The Contexture team has been busy supporting multiple HIE platforms to ensure the highest level of service and quality for our participants. The ONE Platform migration will allow the Contexture team to focus on a single, integrated approach to service and product delivery, resulting in greater customer service and improved technology support.

  3. How will the ONE Platform update impact HIE Participant workflows?

    ONE Platform seeks to make data available in a variety of delivery methods to help get as much actionable information out to the community as possible. The goal is to always make information as effortless as possible to receive, either through push approaches or through easy-to-access and all-inclusive portals. Contexture will continue to promote HIE adoption and utilization through tools — such as single sign-on — to help keep providers as close to their preferred workflow as possible.

  4. Why is this HIE platform upgrade important to you?

    As an HIE, providing accurate, timely and understandable information to our community is our most important task. ONE Platform pulls together disparate platforms and data to build a single platform for all HIE services, meaning our participants get cleaner, more reliable and complete information.

  5. What one thing will add the greatest value as a result of this migration?

    The ONE Platform migration is allowing improved standardization of both inbound and outbound data, as well as a dedicated focus on data quality. These two critical items will result in improved data insights and analytics and, ultimately, help to meet the HIE mission of improving community health and wellness for the 30 million+ patients we serve.

Next up in the series is Contexture’s Director of Quality and Payment Programs Megan Reilly. Megan oversees Contexture’s Quality Improvement (QI) team that supports healthcare organizations with Practice Transformation and Technical Assistance, provides guidance on advanced payment models and clinical coding and helps providers navigate new regulations in healthcare and changes in clinical guidelines and compliance. 

Megan Reilly, Director of Quality and Payment Programs

  1. How will ONE Platform help improve participants’ healthcare data quality and care delivery? 

ONE Platform will require participants to send specific data elements and code sets to support data analytics and actionable clinical data insights. Analytics can support the identification of gaps in care, enhance care coordination, support achieving population health goals, understand and address health disparities and predict patient outcomes; this will all support high-value, high-quality care. The actionable clinical data insights that drive from the analytics allow providers to make visible improvements to their quality initiatives. 

  1. How will ONE Platform assist current and future participants in meeting any of the current or upcoming federal and state programs? 

ONE Platform can assist in current and future federal or state programs by supporting participants with electronic clinical quality measures (eCQMs). ONE Platform will utilize continuity of care documents to calculate numerator, denominator, exclusions and exceptions based on the eCQM value set requirements. Participation in ONE Platform’s eCQMs will allow participants to obtain their performance data, helping to identify and address gaps in care such as a patient who misses their breast cancer screening or a child who is not compliant with their vaccines. Identifying and addressing care gaps will increase quality measure performance and improve the community’s health and wellness. 

  1. What is the Quality Improvement team’s role in implementing ONE Platform?

The QI team is working with participants on the Arizona Health Care Cost Containment System (AHCCCS) Differential Adjusted Payment Program (DAP), supporting the successful completion of DAP milestones during new implementations to ONE Platform. For participants with data quality milestones, the QI team will work with data senders and vendors to improve the quality of data being ingested into the health information exchange (HIE). Improved data quality and standardization allows for additional reporting capabilities, data insights and analytics. In addition, the QI team is supporting Colorado’s Medicaid Alternative Payment Model (APM) Participants in the transition to ONE Platform’s eCQMs. The QI team is working closely with KPI Ninja/Health Catalyst to complete data validation for each selected APM Measure and to compare each site, identifying and correcting any differences in performance rates. 

  1. What QI program(s) will be most impacted by ONE Platform and how can Contexture participants prepare?

The AHCCCS DAP participants can expect Contract Year End (CYE) 2025 milestones related to ONE Platform integration activities. Participant-assigned Quality Improvement Advisors will be working with participants on building Quality Improvement plans for data quality initiatives, and the entire QI team is available to answer any questions to support reaching all DAP milestones.  

Colorado participants who are electronically submitting data for the APM through the Department of Healthcare Policy and Financing (HCPF) for eCQMS will transition to ONE Platform’s eCQMs. The Quality Improvement Team will work very closely with participants to provide real-time access to their data, data validation, data mapping, and ongoing workflow analysis to ensure the transition is seamless. 

  1. Why is this platform upgrade important to you?

Participants will have real-time, high-quality, actionable data and information with ONE Platform’s focus on data quality and reporting functionality. This will allow for improved patient experience, better outcomes, lower costs, improved clinical well-being due to decreased administrative burden and equitable healthcare, achieving the Quintuple aim.   

  1. What one thing will add the greatest value as a result of this platform migration? 

ONE Platform’s ability to transform health data into actionable information. Providing actionable information and supporting participants in the utilization of the data will contribute to a successful value-based healthcare system and improved, equitable healthcare in our communities.  

Next up in our series is Contexture’s Vice President of Integration Myriah Vandre. Myriah oversees the Integration team that supports Contexture and its technologies by building, testing and deploying Core Product interfaces, developing and defining internal specifications that are backed by HL7 Standards, protecting and mitigating negative impacts on Contexture’s environments and acting as the subject matter experts on all of the data that enters the HIE environment.

Myriah Vandre, Vice President of Integration

  1. What is the Integration team’s role in implementing ONE Platform?

The Integration Team’s role is to onboard and implement all Colorado and Arizona participant interfaces to ONE Platform which includes all inbound HL7 and CCD data and migrating Alerts for Arizona participants to ONE Platform’s Notification service. Integration tasks include establishing connectivity between participants and HCI (VPN, web services, SFTP/DSM), OID branching, Domain/Taxonomy/Verato Source set-up, PreAnalysis of HL7 senders, interface spec and configuration reviews, UAT, bug issue identification and resolution, deployment of interfaces to production and transition to operations.

  1. How will ONE platform improve data being sent to the Contexture environment?

Contexture will ingest and parse data elements that have not been contributed to the health information exchange (HIE) historically and will allow us to add new data to the HIE. Through a significant effort of the Data Governance Committee, we established the HL7 Gold Standard and code sets to ensure HL7 standards are applied to interfaces and allow for consistent and improved normalization across a myriad of HL7 contributors with differing electronic health records (EHRs).

  1. What is one challenge that the integration team can help participants overcome when migration to ONE Platform begins?

The Integration Team’s collective years of HIE integration experience will ensure participants’ new interfaces are built with quality and adhere to HL7 standards. For those who are differential adjusted payment (DAP) participants, we will be able to evaluate the inbound data as we onboard them and have an opportunity to remedy any data quality issues, setting them up for successful DAP reporting measures. For data recipients, Contexture will be able to deliver data content in a standard format whereby we normalize code sets to HL7 standards and ensure data is sent in standard HL7 fields.

  1. Why is this platform upgrade important to you?

The platform upgrade is important to me because it provides an opportunity to enhance our HIE portal and provide new features to participants who have been accessing the same portal for over 10 years. I’m even more excited to have all Contexture participants on the same platform which will allow the Integration Team to utilize the same interface engines and systems and reduce the number of systems we support daily.

  1. What one thing will add the greatest value as a result of this platform migration?

The input all Contexture teams have contributed to ensure that our data needs are met now and in the future, and that data needs will be appropriately scoped to be supported by ONE Platform will be the greatest value-add. As standards change, and participants and vendors evolve to enhance and expand the data they contribute, Contexture will be better prepared with a foundation to ingest and support clinical data as needs arise upfront, rather than having to go back and modify our interfaces and products to include additional segments individually. A big thank you to all the teams who contributed input to ensure we captured as many use cases as possible.

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