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Requests for Information and Proposals

VITL Request for Information for Vermont Health Information Exchange (VHIE) & VITL Clinical Data Management

  • Issue Date: August 3, 2016
  • Response Deadline: September 12, 2016 at 2:00 p.m. EST

The purpose of this Request for Information (RFI) is to evaluate the current product offerings for Health Information Exchanges (HIEs) and clinical data management services that will allow Vermont Information Technology Leaders (VITL) to successfully evolve and thrive in our advanced health care market.

The goal of this RFI is to discover and evaluate the products and services that may best help VITL continue to achieve our vision over time as the healthcare market evolves and changes.

The issuance of this RFI does not constitute a commitment to issue a request for bids/proposals, award a contract, or pay any costs incurred in preparation of a response to this RFI.

VHIE Request for Information Document

Pertinent Dates

  1. Thursday, August 25, 2016, 2:00 PM EST - Deadline for vendors to submit questions on the RFI.
  2. Monday, September 12, 2016, 2:00 PM EST - RFI submission deadline.

Vendor Webinar

RFI Questions and Answers

RFI Question

Answer

What is the total size of the population being managed through VITL's VHIE today?

The total persons in our MPI is currently 2.2M. 

Approximately 2M patients are in the MPI but the state population is approximately 625K

How many data connections and types of data connections does VITL wish to include in their next stage HIE and clinical management services?

VITL is considering any or all data connections and types of data that support population health. Funding, scalability, and ability to monetize the data collected will determine the speed.

All clinical data. Initially in the form of ADT, CCD, labs, radiology, immunizations, and transcribed reports. However we envision more XML data types and the ability to extract data from EHRs using JSON or FHIR in the future.

I am studying the RFI and preparing to respond but have one question thus far. Section I, D., SCOPE states, "Interested vendors are welcome to respond with focus on a limited aspect of the scope or to respond to the scope in full."

Does this mean that vendors are not required to answer all question in Section 3? Please clarify.

Vendors are not required to answer all questions in Section 3 B. Questions 6 through 13 are general operating, security, and client relationship questions that most likely apply to respondents. "N/A" may be used to identify an answer is not applicable.

This means you may respond to the HIE section or the Clinical Data Management section or both. You must answer all questions within the section.

Is it possible that we would issue an RFP within 6-12 months?

This is answered below.

It is possible that VITL might issue an RFP for either or both of the main capabilities (HIE and/or CDM) within the next 12 months.

Should VITL decide to move forward with this effort, what is the timeframe for an RFP to be released?

Based upon the capability of respondents and the needs of the VHIE, an RFP for certain services could occur within 6 months to a year. Solutions that enable VITL to leverage and accelerate clinical data collection and management are of critical importance.

What is the estimated cost or desired not-to-exceed limit for this effort?

This has not yet been determined.

What funding source has been allocated for this effort?

This has not been determined.

How many backend users are anticipated for this solution?

For the VHIE provider portal there could be several thousand. For the clinical warehouse there could be 100 or more.

What are the drivers behind this effort?

The strategy described in the RFI.

What other HIE’s does VITL anticipate that this effort will need to integrate with?

HIXNY, Maine Health Infonet, Mass Hiway, Florida, Colorado, several departments of the federal government.

What other systems or solutions will this need to integrate with?

Claims database called VHCURES, state infrastructure, VT Department of Health, others. The VHIE will need to collect data that supports health reform; therefore any source will be considered.

What vendors provide the follow systems referenced in the RFI:

  • EHR/EMR
  • Document Imaging
  • Mobile Health Devices
  • Telemedicine
  • Master Patient Index
  • Data Analytics
  • Radiology Information System
  • Laboratory Information System

What vendors provide the follow systems referenced in the RFI:

EHR/EMR- We connect to a variety of systems owned by our clients including: EPIC, Allscripts, Amazing Charts, NextGen, eClinicalWorks, Cerner, GE, Medent, Evident, American Data, Athenahealth, Greenway, HealthFusion, iPatientCare, Meditech LSS, McKesson, Netsmart, PCC, PyraMED, UroChart

Document Imaging- We connect to a variety of document imaging systems owned by our clients. But at this point we are not connected to any PACS solutions.

Mobile Health Devices- We currently don't have any direct connections, but our mobile devices are connected to our client's systems and then transferred to us via HL7 messages.

Telemedicine- our clients may deliver remote clinical services through a variety of technologies. The information captured during those interactions or from telemonitoring devices are sent via HL7 interfaces from the EHR

Master Patient Index- Currently provided by Medicity.

Data Analytics- Currently using SQL Enterprise and Tableau.

Radiology Information System- We connect to a variety of RIS systems owned by our clients but not yet to any PACS solutions.

Laboratory Information System- We connect to a variety of systems owned by our clients.

Has VITL began work on the Medicare Access and CHIP Reauthorization Act (MACRA), Merit-Based Incentive Payment System (MIPS) and next generation ACOs initiatives? If no, what is the projected timeframe for VITL to address these initiatives?

Preliminary work with MACRA and MIPS but more extensive work with the ACO models.

When does VITL hope to procure an enterprise master patient index solution?

As part of the implementation that might come out of a solution from this RFI. Probably within 12 months.

Does VITL anticipate procuring any services related to the effort? For example: IV&V, QA, Staff augmentation, integration, solicitation prep, etc. If so, what, when and how?

Possibly but those would be included in a future RFP.

Can you send a Word version of the RFI?

Yes, upon request.

Are there any concerns if vendors submitting an RFI response attend and/or present at the VITL Summit in October 2016? No. This is an RFI not an RFP and in either case this would not be a conflict.

Describe your data monetization experience and strategy. Can you please elaborate on “Data Monetization”?

How do you help us figure the value of the data we have and what are the markets for this valuable data set?
The Clinical Data Warehouse appears to be the central clinical data repository. Is this correct? What is stored here compared to what's persisted in Blueprint Clinical Registry? Yes the Clinical Data Warehouse is all the clinical data collected from all participating member’s interfaces. The Blueprint is focused on primary care practices which are in the Blueprint program which is a Patient Centered Medical Home program. They get the data from the Blueprint practices but not from other VHIE Members.
Are clinical data feeds from the VITL integration engine into CDW message-based or are they batched, periodic feeds? What is the preferred ingestion choice? Data feeds are nearly real time. Daily ingestion is a requirement for most data.
Are OpenEMPI, Tableau Server, SQL Enterprise part of the strategic future landscape?   They are right now but there is an opportunity for a new CDM vendor to recommend new tools if they are more integrated or advance our mission.
Where does "All Payer Claims Database" get its data from and are there multiple claims databases?

This is not our solution. Please see the VHCURES web site for details. http://gmcboard.vermont.gov/tags/vhcures

What data repositories/data warehouses in CDMI are expected to hold only de-identified data?

All the data in the CDMI is identified at this point. However we expect to spin off data marts for analysis that would be de-identified

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