Issues in State-Wide Regional Healthcare Information

Organizations

Paul Macielak, Esq. New York Health Plan Association

June 28, 2005

New York Health Plan AssociationNew York Health Plan Association

Health Plan Association (HPA) represents 31 Health Plan Association (HPA) represents 31 managed care health plans in New York Statemanaged care health plans in New York State

HPA at the request of the governor drafted pay HPA at the request of the governor drafted pay for performance language for inclusion in the for performance language for inclusion in the 2005-06 NYS budget 2005-06 NYS budget

HPA convenes the Coalition for Health HPA convenes the Coalition for Health Information Technology in New York StateInformation Technology in New York State

HPA is a founding member of the Health HPA is a founding member of the Health Information Exchange of NY (HIXNY), currently Information Exchange of NY (HIXNY), currently working on RHIO developmentworking on RHIO development

Paul Macielak

2005-06 New York State Budget 2005-06 New York State Budget Health Information Technology Health Information Technology ResourcesResources

Health Care Efficiency and Affordability Law for New Health Care Efficiency and Affordability Law for New YorkersYorkers (HEAL-NY) Bond Act provides $1 Billion (HEAL-NY) Bond Act provides $1 Billion capital capital grant program with $250 million per year for 4 years grant program with $250 million per year for 4 years – 2005-06 $185 million was authorized for bonding and $65 million 2005-06 $185 million was authorized for bonding and $65 million

was allocated in the capital budgetwas allocated in the capital budget $1.5 Billion $1.5 Billion Federal State Health Reform Partnership Federal State Health Reform Partnership

(F-SHRP)(F-SHRP) Medicaid (1115 waiver) savings Medicaid (1115 waiver) savings $10 Million Pay for Performance Demonstration Projects$10 Million Pay for Performance Demonstration Projects $3 Million Health Information Technology Demonstration $3 Million Health Information Technology Demonstration

ProgramProgram Enactment of a Preferred Drug Program for Medicaid Enactment of a Preferred Drug Program for Medicaid

Paul Macielak

Coalition for Health Information TechnologyCoalition for Health Information Technology

A collaboration of hospital, physician, and other health A collaboration of hospital, physician, and other health care professionals, government, health plan and care professionals, government, health plan and business associations whose goals include:business associations whose goals include:    

Providing opportunities for the health care community to be educated about the advantages of electronic health information systems

Providing a venue for sharing intelligence on emerging electronic health technology policy developments

Advancing consumerism by enabling more transparent information on healthcare quality, and outcomes

Educating policy-makers on key actions to advance improvements in the quality, safety and efficiency of healthcare through the adoption and use of electronic health information technology

Working with regional health technology coalitions to foster fundamental improvements in the coordination of the health care delivery system

Paul Macielak

Coalition for HIT in NYS MembersCoalition for HIT in NYS Members Physician groupsPhysician groups American College of American College of

Obstetricians and GynecologistsObstetricians and Gynecologists American College Physicians of American College Physicians of

NYSNYS NYS Academy of Family NYS Academy of Family

PhysiciansPhysicians Capital Care Medical GroupCapital Care Medical Group NYS Association of Health Care NYS Association of Health Care

Providers Providers Medical Society of the State of NYMedical Society of the State of NY

Hospital AssociationsHospital Associations Greater New York Hospital Greater New York Hospital

AssociationAssociation Healthcare Association of NYSHealthcare Association of NYS Iroquois Healthcare AllianceIroquois Healthcare Alliance United Hospital FundUnited Hospital Fund

City and State GovernmentCity and State Government NYC Department of Health and NYC Department of Health and

Mental HygieneMental Hygiene NYS Department of HealthNYS Department of Health

– Office of Managed CareOffice of Managed Care– Office of MedicaidOffice of Medicaid– Office of Patient Safety Office of Patient Safety

NYS Department of InsuranceNYS Department of Insurance Governor’s OfficeGovernor’s Office Senate & Assembly Health Senate & Assembly Health

CommitteesCommittees New York State Pharmacy Board New York State Pharmacy Board

Business and Health Plan Business and Health Plan AssociationsAssociations

Business Council of NYS, IncBusiness Council of NYS, Inc New York Health Plan AssociationNew York Health Plan Association

Paul Macielak

NYS Data ExchangeNYS Data Exchange

Convened by the Greater NY Hospital Association Convened by the Greater NY Hospital Association HPA participates in a monthly conference call with HPA participates in a monthly conference call with regional RHIO type organizations sharing project regional RHIO type organizations sharing project development and status information development and status information – New York Clinical Information Exchange (NYCLIX) New York Clinical Information Exchange (NYCLIX) – Health Information Exchange of NY (HIXNY)Health Information Exchange of NY (HIXNY)– Taconic Health Information Network and Community (THINC)Taconic Health Information Network and Community (THINC)– North Country Health Data ExchangeNorth Country Health Data Exchange – Rochester HealthNetRochester HealthNet – Upstate New York Professional Healthcare Information and Upstate New York Professional Healthcare Information and

Education Demonstration Project (UNYPHIED)Education Demonstration Project (UNYPHIED)

Paul Macielak

New York State Data Exchange ProjectsNew York State Data Exchange Projects

Paul Macielak

Health Information Exchange of NYHealth Information Exchange of NY HIXNY is a collaboration of health care providers and HIXNY is a collaboration of health care providers and

insurers in the capital district working to reduce health insurers in the capital district working to reduce health care costs and promote high quality clinical care. care costs and promote high quality clinical care.

HIXNY developed a collaborative approach to HIPAA HIXNY developed a collaborative approach to HIPAA obligations to expedite learning, reduce common errors, obligations to expedite learning, reduce common errors, and develop common interpretations to facilitate and develop common interpretations to facilitate interactions by sharing best practices knowledge to interactions by sharing best practices knowledge to quickly enable rapid actionquickly enable rapid action and reduce costs associated and reduce costs associated with purchasingwith purchasing

HIXNY secured $250,000 from HIXNY secured $250,000 from Health Resources and Health Resources and Services AdministrationServices Administration (HRSA) and $100,000 (HRSA) and $100,000 reappropriation from the NYS Senate to fund reappropriation from the NYS Senate to fund RHIO RHIO planning and to support regional demonstration projectsplanning and to support regional demonstration projects

Paul Macielak

RHIOs in New York StateRHIOs in New York State HPA is leading efforts in NYS to share information about HPA is leading efforts in NYS to share information about

and to drive the adoption and use of Health Information and to drive the adoption and use of Health Information Technology to improve patient care Technology to improve patient care – Coalition for Health Information Technology comprised of key Coalition for Health Information Technology comprised of key

stakeholders to develop the necessary stakeholders to develop the necessary health information health information infrastructure to link electronic health information andinfrastructure to link electronic health information and RHIO’s in RHIO’s in NYSNYS

– Organizing a HIT policy conference to educate state level decision Organizing a HIT policy conference to educate state level decision makers about the Benefits and Barriers to an interoperable health makers about the Benefits and Barriers to an interoperable health information system in NYSinformation system in NYS

– Convener of the E-Rx stakeholders workgroup working on the Convener of the E-Rx stakeholders workgroup working on the infrastructure necessary to develop a statewide medication history infrastructure necessary to develop a statewide medication history information at the point of careinformation at the point of care

– Facilitating RHIO development in the Capital District through Facilitating RHIO development in the Capital District through HIXNY HIXNY

Paul Macielak