RD63 - Annual Report: Emergency Department Care Coordination (EDCC) Program – Year 2 (November 1, 2017-October 31, 2018)

Executive Summary:

The Emergency Department Care Coordination (EDCC) Program is a technology solution to connect all hospital emergency departments (EDs) in the Commonwealth of Virginia. The initiative was originally spearheaded by the Virginia Department of Health (VDH) and the Department of Medical Assistance Services (DMAS). The initiative was officially established as the EDCC Program in legislation passed during the 2017 Virginia General Assembly.

VDH and DMAS worked with the Virginia General Assembly to obtain general funds and Health Information Technology for Economic and Clinical Health (HITECH) Act matching funds. Combined, these funding streams allowed for a total budget of $3.9 million in fiscal year 2018. VDH has leveraged this funding to contract ConnectVirginia Health Information Exchange (CVHIE), to create, operate, maintain, and administer the EDCC Program. The EDCC Program is leveraging CVHIE’s existing legal and trust framework as the basis for governing the sharing of protected health information (PHI) in support of the EDCC Program.

After a Request for Proposals (RFP), CVHIE selected Collective Medical (CM) to provide the statewide technology solution to stand up this program. The CM PreManage platform is a real-time, multi-stakeholder platform for identifying future-state patient risk, engaging the appropriate stakeholders who are best positioned to intervene and mitigate that risk, as well as enabling caregivers to collaborate and execute on a patient-specific shared plan of care. The platform supports multiple applications including PreManage ED (EDie) and PreManage. EDie is an ED-based collaborative care management tool that reduces the avoidable risks of complex, high-cost, and high-needs patients who may frequent multiple points of care—including medically unnecessary ED admissions—in addition to those whose needs remain unmet by any single provider. PreManage connects health plans, other payers, and non-hospital downstream providers . PreManage is a shared platform for care coordination information and provides real-time visibility into the comings and goings of patients. PreManage identifies patients in real time who are most at risk of a future-state avoidable encounter, notifies the appropriate provider(s) to engage with that patient, and finally provides a communication vehicle through which multiple stakeholders (including ED providers and others) can collaborate around a common plan of care.