Health Information TechnologyRequest for Grant Applications

Applicants Conference

November 21, 2006

10:00am - 1:00pm

Conference Panelists•Bill Schroth - Moderator

•Anna Colello - Evaluation Co-Chair

•Ellen Flink - Evaluation Co-Chair

•Marybeth Hefner-DOH - GrantsAdministrator

•Janice Dee – DOH – HEAL NY

•Bob Veino - DOH - Legal

•Tracy Raleigh - DASNY - Finance

•Sara Richards - DASNY - Legal

HEAL NY - Phase III

• Support Federal Strategic HIT Plan

• Broad definition of Clinical Data Information Sharing Projects

• Principle: Large public interest in building clinical data sharing infrastructure

• Majority of funds to existing stakeholders

• Show community benefit and support

Financial Issues•Funding for capital costs - Statutory

•60% match funds required

–Leverage grants

–“Skin in the game”

–Reduce to 50% in certain circumstances

•Financial viability

–Real implementation, not temporary

–Encourage payer involvement

Multi-stakeholders/Community Buy-in

•Across corporate/stakeholder boundaries

•Minimum requirements

•The more the merrier

•Openness to new stakeholders

•CAUTION: Make sure applicant is

“eligible”

Technology

•Interoperability

•Existing standards, certification for EHRs

•Choice of platforms/vendors

•Prescriptive standards for e-Imaging and eRx

•Requirements

•Recommendations

Three Project Categories

• e-Imaging $10MM

• Public Health $10MM

• Clinical data sharing $32.875+ Million

• Increase proportionally if total Phase 3 amount increased

1- e-Imaging: Interoperable Sharing of Imaging Data across a Community

•Imaging is the fastest growing medical expense•Digital imaging increases diagnostic capability: resolution,

contrast, historical images•Opportunity to avoid duplication & unnecessary images•Advanced technical standards

•Four (4) Requirements•Decision/Recommendations

•Financial support from payers, possibly vendors•Required: 20% funding from Payers•Higher scores for larger payer and/or vendor financing•Only 50% match required for projects utilizing existing

PACS

2 – Public Health

•Projects with specific public health functionality:

•Clinical laboratory data

•Medical records

•Connect with the clinical

•Detailed specifications and standards

3 – Clinical Data Sharing – Provider infrastructure & connecting software for various projects

•E H R, eRX, and other

•Connect others to existing projects

•Connect Existing projects

•Projects in Geographic Areas where none exist

•E H R Certification

•eRX standards

•3 Requirements

•Recommendations/Discussion

Regional Allocations

• Evaluation combines project quality and category with geographic distribution

• Right to alter grant/project size – hope not to use

• Three steps:

• Fill e-Imaging & public health categories

• Geographic distribution to specific 6 regions

• Remainder to highest scores statewide

0

2

4

6

8

10

12

14

16

18

20

Western Northern NY

Example: Step One - e-Imaging & Public Health

HudsonValley

LICentral

MILLIONS $5MM $5MM $5MM

$2MM

$0

$4MM

0

2

4

6

8

10

12

14

16

18

20

Western Northern NY

e-Imaging & PH Geographic Quotas

Example: Step Two – Geographic Quotas

MILLIONS

LIHudsonValley

Central

$5MM $5MM

$2MM

$4MM$3.1MM

$11MM

0

2

4

6

8

10

12

14

16

18

20

Western Northern NY

e-Imaging & PH Geographic Quotas

Example: Step Two – Geographic Quotas

MILLIONS

LIHudsonValley

Central

$5MM $5MM

$2MM

$4MM$3.1MM

$11MM

$0

$4

$8

$12

$16

$20

Western Northern NYC

e-Imaging & PH Geographic Highest Remaining Scores

Example: Step Three – Highest Remaining Scores

LIHudson Valley

Central

$5MM

$8MM

$4MM

$9MM

$20MM

$7MM

MILLIONS

Capital Costs and Matching Funds

• Project Phases

– Preliminary design phase

– Software development phase

– Post-implementation/operational phase

Preliminary Design Phase

• Costs apply only to matching costs

• Direct costs only

• Must be incurred 10/1/06 or later

Software Development Phase

• Costs can apply to match or be reimbursable

• Direct costs only

• If used for match, must be incurred 10/1/06 or later

• If used for reimbursement, must be incurred after contract start

Post-Implementation/Operational Phase

• Costs apply only to matching costs

• Direct costs only

• Must be incurred after contract start date

Examples of Allowed Costs

• Payroll for staff directly involved

• Payroll related costs (employee benefits)

• Travel for direct staff

• Hardware

• Software purchase - specific to project

• Software development by third party

Eligible Applicants

• Legally existing corporation licensed tooperate entity Section 3.2 in NYS of RGA

• May be an eligible applicant for only one application, but may be a stakeholder in one or more applications

• May be Clinical Information Data Exchangemade up of Section 3.2 entities and mustexchange data with stakeholder of adifferent category

Stakeholders

• Same entities as eligible applicants with theaddition of adult homes with assisted livingprograms, hospices, payers, pharmacies andlabs

• Must be medical entity to qualify and themore appropriate organizations that partnerthe better

• May be part of multiple applications

Requirement to Certify that: I will make every effort to ensure that the applicant will be consistent with the

goals and recommendations, when available, of the Commission on Health Care Facilities in the Twenty-First Century, as established pursuant to Section 31 of Part E of Chapter 63 of the Laws of 2005.

I will make every effort to ensure that the applicant will design a project which is interoperable and adheres to the national standards for their type of Project.

I certify that the work covered by the Grant Disbursement Agreements (“GDAs”) shall be deemed “public work” subject to and in accordance with Articles 8, 9 and 10 of the Labor Law, if applicable.

I certify that the applicant will collaborate with other grant recipients in their region and with the Department of Health on the development of statewide standards.

I certify that the information contained in this application and attached materials are accurate and true.

I certify that the funds received pursuant to subdivision 1 of section 2818 of the Public Health Law will be expended solely for the purposes for which the monies were awarded under the RGA for __________________________________.

• Attachment 6 (Name of Facility)

Evaluation Criteria• The Technical component is worth 70% and the

Financial component is worth 30%• Minimum score of 65 to be eligible for

consideration• Within the technical component, the areas of most

importance are: quality, technology and community buy-in/commitment

• The technical component and financial component will be reviewed by separate teams

• An awards committee will make the final award determinations

Evaluation Criteria

• Project Description- 40 points

• Technology - 20 points

• Project Evaluation / Monitoring - 10 points

• Financial - 30 points

• Cost effectiveness

• Financial viability

Review Teams

• Program Teams

• Technology Teams

• Financial Teams

Award Criteria Considerations

• Strength and scope of overall Project

• Availability of funds

• Responsiveness to the goals and objectives of HEAL NY and RGA

• Evidence of substantial applicant organizational capability, support, and

commitment

• Financial commitment and viability

Submitting the Application

• Applications must be prepared using the forms on the website, including the budget and certification.Attachments can be found at:

http://www.nyhealth.gov. /funding/rfa/0610100951/index.htm• Applications should be submitted to:

Robert SchmidtDirector, HEAL NY Implementation TeamNew York State Department of HealthHedley Building, 6th floorTroy, NY 12180

• Questions due by November 27, 2006

• Questions & Answers will be posted

December 1, 2006 at http://www.nyhealth.gov/funding/rfa/0610100951/index.htm

• Application due date - January 8, 2007

• Anticipated Award Date - Spring 2007

Key Dates