2023-07 TrueHealth Running Meeting Notes

NACHC Informatics

TrueHealth

HealthFlow

Integration

Data

Implementation Process

NACHC Informatics

TrueHealth

HealthFlow

Integration

Data

Implementation Process

NACHC Informatics

TrueHealth

HealthFlow

Integration

Data

Implementation Process

NACHC Informatics

TrueHealth

HealthFlow

Integration

Data

Implementation Process

NACHC Informatics

TrueHealth

HealthFlow

Integration

Data

Implementation Process

NACHC Informatics

TrueHealth

HealthFlow

Integration

Data

Implementation Process

NACHC Informatics

TrueHealth

HealthFlow

Integration

[Yesterday 4:24 PM] Julia Skapik NACHC

Notes from the TrueHealth call: all 9 sites for deployment share the same EHR instance and would deploy simultaneously but the Healthflow team agreed to filter out sites since TrueHealth would prefer to start with a few. TrueHealth will provide those ASAP to Healthflow. Training is currently potentially delaying the go-live right now because sites have not done it yet-- Healthflow asked to expedite the training now so they can schedule go live. The go live is not yet scheduled but the estimate is 2 weeks from finalizing the "pipeline" this week. 

Data

Implementation Process

NACHC Informatics

TrueHealth

HealthFlow

Integration status and next steps

athena’s expected level of effort and proposed schedule for them to support the requested flow that athena approved - from Ben, who should have the data by the time of the meeting.

Rosanna, Ken and Ben - have been working on the integration process, they are in contact.

Ken & Ben are in touch to determine architecture of the API, what the script is looking for

What is needed for the API to fire.

Consulting with Dr. Senors - on how to see… athena cannot do a popup to signal provider to approve the order. So now looking for a way to do…

Best place: In the reason for the visit, encounters.

Information will appear there on the intake side - the MAs will see it, will signal to providers that the patient has not been screened for HIV. To prompt a conversation. The provider would then add the order or counsel patients if declined at that point.

The location really matters - must be at the beginning of the clinical flow.

Questions:

If the CDS fires and it shows up in reason for the visit - if an action is not taken, will it fire again another time until an action is taken or denied.

• if the order is placed by provider and the patient refused, there is a way to document that refusal, and make sure it does not fire again.

Ben has summarized progress, Ken’s team is testing.

• How long will HealthFlow need to test? They just access this afternoon 11/13/2023.

TrueHealth will test as well and looking at training of clinical staff and providers, not to be a burden, just to be a reminder but don’t want providers to dismiss it too quickly. Rosanna will be creating a training guide for staff.

Ken to get back to Rosanna with his timeframe for testing.

What can NACHC do to help?

Is there feedback from NACHC’s data team on the data quality?

Data

Pedro confirmed that the data is all set.

TrueHealth will run numbers just prior to go-live, and periodically after to tweak if necessary.

Brings up the question for athena - to consider other measures that might benefit from a pop-up.

NACHC Informatics

TrueHealth

HealthFlow

Integration status and next steps

Establish where we left off - athena did not reach out after the first technical call.

Julia was going to reach out to contacts to see what was going on and ask them to contact Rosanna/Dr. Senors.

Rosanna put in a ticket for the athena team - can athena reach out to facilitate to make sure there is no disconnect between the two athena teams; athena has many teams and the effort needs to be made, based on experience to approach and make sure one of the teams has been tasked with contacting athena.

Julia will contact the fellow who was the head of the technical team from the last tech meeting with athena, cc’ing Rosana and Dr. Senors.

Data

Sarah can give a report on the baseline data pulls.

All the data pull for all tables have been pulled - needs deduping.

Goal is to upload by the end of this week by Rosanna.

Will try to upload via Confluence, if not SFTP site.

SOW

NACHC

NACHC Informatics

TrueHealth

HealthFlow

Integration

No news.

There was 1 group that was supposed to supply the customer service rep with info to give to TrueHealth. Ken recalls that it was to come back to NACHC - to formalize between NACHC and athena.

Ken recalled that athena proposed that this would be done in the same way that they do any sort of customer customizations, but just for TrueHealth at the moment. If the relationship can be between NACHC and athena, it will help drive the wider implementation.

Julia will contact - athena

Regina Haynes - Manager - not TrueHealth customer service.

Dr. Nele Jessel - overall advisory

Doug - was this the team lead on the special team?

BJ Bloom

Data

Data Pull - any questions?

TrueHealth has started working on the reports.

Dx table - does not see in athena where to put in dx start date. There is encounter date, not start date.

• Looking for the dx given at the encounter

• They had the historical one to find out if they had already been dxed with HIV or have hep B because they have considerations if they go to PrEP.

  • It is ok to have it be encounter date.

File size - Use Confluence upload page TrueHealth HIV File Upload Page

If any questions, contact Pedro pcarneiro@nachc.com

Implementation Process

Admin

• Contract

Rosanna Jayson

Sarah Raymonde

Karenna Senors

Data Pull - Data Dictionary and Data Request