Blueprint for Health

% of Blueprint patients with recorded measures in the Vermont Clinical Registry

74.0%2018

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Notes on Methodology
  • The denominator is the number of patients receiving most of their care at Blueprint Patient-Centered Medical Home (PCMH) whose data was in the Vermont Clinical Registry. The numerator is the number who could be linked to claims data in VHCURES, the state’s all-payer claims database.
  • The statewide average percentage of linked Blueprint patients with recorded measures in the Clinical Registry is generated by Onpoint Health Data, the statewide administrator of VHCURES. Onpoint linked claims in the VHCURES to clinical records stored by Capitol Health Associates in the Clinical Registry. Onpoint updated this percentage every six months, accounting for the next 6-month time period.
Partners
  • Vermont Information Technology Leaders (VITL)
  • Capitol Health Associates (until 12/31/2019)
  • Electronic Health Record (EHR) vendors
  • Patient-Centered Medical Homes (PCMHs)
  • DVHA HIE/HIT Unit
Story Behind the Curve

This is a measure of the percent who could be linked to claims data in VHCURES of those patients receiving most of their care at Blueprint PCMH and whose data was in the Vermont Clinical Registry .

This measure is an indicator of the effectiveness of the HIE to aggregate data and the effectiveness of the Clinical Registry to populate clinical measures. This measure also reflects the ability of EHR systems to send structured data in Clinical Continuity Documents (CCDs). These data can be used to enhance patient care and inform improvements throughout the system.

The trend line above suggests improvement in the most recent 2 years. Blueprint practices across the state have been populating the Clinical Registry for over 7 years. The Registry, previously referred to as DocSite, was purchased from Covisit under a perpetual software license and was managed by Capitol Health Associates, LLC until 12/31/2019. After analysis of the data in the Clinical Registry for quality and completeness, the data were de-identified and linked at the person level with the corresponding individual’s claims records in VHCURES. This linkage was conducted by the Blueprint’s analytics vendor, Onpoint Health Data, who determined the portion of the population in VHCURES for which clinical data could be associated with claims, and of that population, the percentage that had recorded clinical measures.

In July 2015, a number of practices experienced interruptions in, or terminations to, their clinical data feeds to the VHIE as a result of upgrades made to their EHRs, including: switching to a cloud-based system, EHR vendors releasing updated software, and practices switching EHR vendors. 

Beginning in late 2020 or early 2021, a new clinical data registry will be provided by VITL.


Last updated:  03/02/2020

Author:  Blueprint for Health

Strategy
  • Continue work with VITL to develop interface standards, including adoption and utilization of national standards such as Fast Healthcare Interoperability Resources (FHIR). 
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