health information exchange planning meeting september 3, 2009 hie planning meeting – september...

Health Information ExchangePlanning Meeting

September 3, 2009

HIE Planning Meeting – September 2009

Health Information Exchange Planning MeetingThursday, September 3, 2009

Agenda

• Welcome and Introductions – Kathy Lively, Executive Director, Connect SI

• Health Information Exchange: HFS Prospective – Mary McGinnis, HIE Project Manager, Illinois Department of Healthcare and Family Services

• Health Information Exchange Planning in Southern Illinois – Nick Bonvino, HIE Consultant, Connect SI

• Questions and Answers

Mission & Vision

3

Vision Statement “Connect SI will be a national leader for

collaborative rural economic transformation fueled by world class broadband and health care.”

Mission Statement “Connect SI will, through regional

collaboration, encourage and sustain economic growth while valuing quality of life in southern Illinois.”

Illinois Department of Healthcare and Family Services

Health Information Exchange:HFS PerspectiveMary McGinnis HIE Project ManagerIllinois Department of Healthcare and Family Services

In Illinois – On February 4, 2009, Governor Pat Quinn signed Public Act 95-1030 into law, appropriating $3 million to the Department of Healthcare and Family Services to establish a program for health information exchange planning.

Across the Country – The American Reinvestment and Recovery Act (ARRA), signed into law on February 17th, dedicates more than $20 billion nationwide in federal funding to implement electronic health records and health data exchange by 2014.


The ARRA statute includes the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH Act), which sets forth a plan for advancing the appropriate use of health information technology to improve quality of care.

The Office of the National Coordinator (ONC), which was funded by the HITECH Act, is the principal federal entity charged with coordinating the effort to implement a nationwide HIT infrastructure that allows for the electronic use and exchange of health information.


The HITECH Act authorizes CMS to administer incentives to eligible professionals and hospitals for meaningful use of electronic health records. These incentives are anticipated to drive the adoption of EHRs.

There are three critical prerequisites to qualify for incentives.


1. Clinicians and hospitals must acquire and implement certified EHRs in a way that fully integrates these tools into the care delivery process;

2. Technical, legal, and financial supports are needed to enable information to flow securely to wherever it is needed to support health care and population health;

3. A skilled workforce needs to support the adoption of EHRs, information exchange across health care providers and public health authorities, and the redesign of work-flows within health care settings to gain the quality and efficiency benefits of EHRs, while maintaining individual privacy and security.


Improve healthcare quality and outcomes Reduce medical errors and redundant

services Improve patient safety Enhance coordination of patient care

among providers Reduce health disparities Deliver healthcare more cost efficiently



With funding from PA 95-1030, HFS awarded 16 grants across Illinois for HIE planning

The goals of HIE Planning Grants are to: establish the governance structures promote provider collaboration develop the social capital necessary to sustain

HIE develop an operational framework develop a financially sustainable state-level

HIE promote state-level interoperability


Conduct a state-wide survey to determine the level of EHR adoption in Illinois

To leverage federal incentives for EHR adoption and health information exchange outlined in ARRA and the HITECH Act

Plan for ability to share protected health information from disparate information systems and service providers within their MTA


Grantees must encourage Meaningful Use of HIE within their Medical Trading Areas

Meaningful use must be consistent with the requirements set forth by HHS, and include: E-prescribing Active exchange of health information Active electronic reporting of quality measures

Provide access to comprehensive patient health data for the patient’s health care team

Use evidence-based order sets and Computer-based Provider Order Entry (medication, laboratory, procedures, diagnostic imaging, immunization and referral)

Apply clinical decision support at the point of care


Capability to exchange key clinical information (e.g., problem list, medication list, allergies, test results) among providers of care electronically

Perform medication reconciliation at relevant encounters and each transition of care

Communicate with public health agencies


Generate lists of patients who need care, use these lists to reach out to patients (e.g., reminders, care instructions, etc.)

Provide patients and families with timely access to data, knowledge, and tools to make informed decisions; manage their health

Report to patient registries for quality improvement, public reporting, etc.


HISPC – Illinois; Multi-state collaborative Ensure privacy and security provisions Developing privacy notices, consent forms for

disclosure of PHI Analyzing interstate and intrastate legal

concerns Testing provider and consumer education

materials It’s Safe, It’s Secure, It’s Time



http://hie.illinois.gov All MTA maps, details about counties,

hospitals, and FQHC contained in each MTA

Planning Grant resources, toolkits Educational webinars Best practices lessons learned from HIE

projects and initiatives in Illinois and other states

http://hie.illinois.gov/

HIE PLANNING

IN SOUTHERN ILLINOIS

KICK-OFF MEETING SEPTEMBER 3, 2009

Nick BonvinoConnect SI*NB Consulting, Inc. 2008 All rights reserved

Reproduction or use without permission is prohibited

THE ULTIMATE OBJECTIVE

EHRs used interactively at the point of care delivery interoperable with all relevant data sources complimenting the caregiver with a body of

knowledge and clinical tools accessible by patients and other providers

Enabling the practice of Evidence Based Medicine and Quality Measures

MANAGING PATIENT BEHAVIOR

& CARE DELIVERY Reducing the variation of treatment

thru alerts and reminders at the point of care(45% of care is either under or over utilized)

Providing Quality measures and reporting against evidence based medicine (EBM) standards

Managing and influencing patient behavior by increased communications with caregivers and patient health information

PROJECT WORK PLAN AND BUDGET

Produce a Project Work Plan and Budget that plans a program for the mass deployment of EHRs and an HIE. This will take advantage of economies of scale and shared services to most efficiently and effectively transform healthcare in Southern Illinois.

STAKEHOLDERS

Coordinate and facilitate HIE planning with a Consortium that represents a minimum of 50% of the covered lives, 75% of medical transactions, 50% of Stakeholder groups including FQHCs & Public Health Departments in our MTA.

GOVERNANCE

Steering Committee - 15 Members representing stakeholder groups

Physician Hospital Nurse Pharmacy Lab Imaging Sustainability & Business Plan -

Communications & Education Clinical Priorities Committee

Payors Employer Behavioral Health Technical Architecture Public Health and

Quality Reporting Privacy & Security Federal & State

Requirements

GOVERNANCE CONTINUED

Steering Committee Members chair associated work groups

15 work groups serve as conduit for interested parties to participate

COMMUNICATIONS & EDUCATION

Marketing and communications plan Meaningful Use of EHRs and HIE Collateral materials to support plan and roll-out

across the MTA Conduct marketing and education sessions

SUSTAINABILITY MODEL

Create a Sustainable Business Model that funds the initial investment and ongoing support of this future state vision with all stakeholders contributing their pro-rata share based upon the accrual of benefits.

CLINICAL PRIORITIES COMMITTEE

Initial use cases, sequence of applications, and the types of information (initial and long-term) that will be exchanged through the HIE reconciling with the sustainability model, Work Groups, and technical requirements

ADMINISTRATION AND OPERATIONS

Determine the appropriate neutral entity to serve as the focal point for collaboration representing all stakeholders. This will be the actual provider of shared services to support the governance and operations of the HIE.

TECHNOLOGY ARCHITECTURE

Identify the appropriate Technology Architecture consistent with standards outlined by the Office of the National Coordinator (ONC) and as a component of a state-level HIE, including:

Certification Privacy & Security Interoperability Governance

PRIVACY & SECURITY WORK GROUP

Participate with HFS to coordinate MTA policies and procedures consistent with state-level requirements.

Coordinate with the ONC and subordinate entities to comply with federal standards.

Determine privacy and security standards for use in the EHR & HIE selection processes.

CRAFT A PROGRAM FOR THE MASS DEPLOYMENT OF EHRS AND AN HIE Identify opportunities for shared services and

economies of scale among stakeholders Endeavor to satisfy the timelines for

incentives and penalties in the American Reinvestment and Recovery Act (ARRA)

TIMELINE FOR PLANNING PROCESS

Kick-off today

Completed by June 30, 2010

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www.connectsi.us

If you would like to know more about Connect SI or any of the projects

currently underway, please contact:Kathy Lively

Connect SI

Executive Director

3000 W. De Young Street, Suite 800B

Marion IL 62959

[email protected]

Phone: (618) 998-0970 ext. 237

Fax: (618) 998-1291

www.connectsi.us

mailto:[email protected]

health information exchange planning meeting september 3, 2009 hie planning meeting – september...

Documents

exchange of health information

si health information

population health

health data exchange

clinical health act

health care providers

health care settings

family services slide