Health Information Exchange Health Information Exchange Cooperative - - PowerPoint PPT Presentation

Health Information Exchange Health Information Exchange Cooperative Agreement Program: Cooperative Agreement Program: Cooperative Agreement Program: Cooperative Agreement Program: Background and Governance Background and Governance

Candice Whitfield

Health Policy Analyst, Office of the Governor

February 2010

1

Mississippi Health Information Infrastructure Task Force

2

• Health IT Task Force

– Executive Order 979

• Established the Mississippi Health Information

Infrastructure Task Force

– Purpose: Improving the quality and safety of h lth d li b f th dit d healthcare delivery by means of the expedited adoption and implementation of health information technology (HIT) and health information exchange (HIE) across the state 20 M b T k F – 20-Member Task Force – Focus: Review issues surrounding the creation of a statewide and interstate HIT infrastructure and provide its recommendations to the Governor within 2 years.

• Established: March 2007
• Sunset: December 2009

3

• Health IT Task Force

Proposed Strategy: – Proposed Strategy:

• Proposed Extension: June/September 2010
• The Task Force will be utilized in the

Cooperative Agreement strategic planning process

• Health IT Task Force:

Health IT Task Force:

– Serve as key health care stakeholders to build trust in and support for a statewide approach to HIE

Key Focus: – Key Focus:

• Development of Strategic Plan for ONC

4

5

Mississippi Coastal Health Information Exchange

6

MSCHIE MSCHIE

• Health IT Demonstration Project – Regional HIE

– Recommended and sponsored by Governor’s Health IT Task Force – Rigorous and competitive RFP process

• MSCHIE and the three coast Phase I stakeholders have actively

i l t d th hit t l tf d i t ti f Ph I implemented the architecture platform and integration for Phase I:

– Outpatient medication history, face-sheets, discharge summaries, lab results, transcription, and radiology reports

• State’s best interest to leverage existing resources

State s best te est to e e age e st g esou ces

– Evaluate the impact of the MSCHIE project, assessing the core components of the functional requirements of the Request for Proposal (RFP). – Provide invaluable opportunity to analyze the project to determine what aspects

• f the project are successful and worth duplicating
• f the project are successful and worth duplicating

– Intent is to ensure sound areas of technical functionalities, business requirements, and stakeholder support for the M-HIN

7

Governance

8

• Governance

– Mississippi Health Information Network

• Purpose: To promote the use of health information

technology and exchange of that information in the State to improve health care quality and efficiency

• Public–private partnership for the benefit of all of

Public private partnership for the benefit of all of the citizens of this State

• Governed by a Board of Directors consisting of at

least 12 and not more than 20 members

Membership of the Board shall reasonably – Membership of the Board shall reasonably reflect the public-private and diverse nature of the MSHIE – Legislation: – Legislation:

• HB 941 – Representative Holland

9

Proposed Governance Structure for the M-HIN

10

Health Information Exchange Health Information Exchange Cooperative Agreement Program: Cooperative Agreement Program: Cooperative Agreement Program: Cooperative Agreement Program: Funding Opportunities Funding Opportunities

Craig P. Orgeron, Ph.D.

Director, Strategic Services, ITS

February 2010

11

Incentive Program:

− CMS will provide incentive payments for the meaningful use of certified EHR technology (The Division of Medicaid will administer this program). − The Medicare EHR incentive program will provide incentive payments to eligible professionals (EP), eligible hospitals, and critical access hospitals (CAHs) that are meaningful users of certified EHRs that are meaningful users of certified EHRs. − The Medicaid EHR incentive program will provide initial incentive payments to EPs and hospitals for efforts to adopt, implement, upgrade or meaningfully ifi d EHR h l f i f l use certified EHR technology or for meaningful use, and incentive payments in subsequent years for meaningful use.

12

State HIE Program:

– Award to states and qualified State q Designated Entities (SDEs) – Develop and advance mechanisms for information sharing across the health care information sharing across the health care system – States and SDEs will be required to match grant awards beginning in 2011 grant awards beginning in 2011 – Funding: $564 million – Goal: To achieve widespread and sustainable h lth i f ti h (HIE) ithi d health information exchange (HIE) within and among states through the meaningful use of certified Electronic Health Records (EHRs)

13

State HIE Program:

– Participating states will also be expected to use their authority and resources to: their authority and resources to:

• Develop and implement up-to-date privacy and security

requirements for HIE;

• Develop directories and technical services to enable

interoperability within and across states; interoperability within and across states;

• Coordinate with Medicaid and state public health

programs to enable information exchange and support monitoring of provider participation in HIE;

• Remove barriers that may hinder effective HIE
• Remove barriers that may hinder effective HIE,

particularly those related to interoperability across laboratories, hospitals, clinician offices, health plans and

• ther health information exchange partners;
• Ensure an effective model for HIE governance and

Ensure an effective model for HIE governance and accountability is in place; and

• Convene health care stakeholders to build trust in and

support for a statewide approach to HIE.

14

State HIE Program:

– Respective state governments, federal government and private sector will all play important roles in advancing HIE among health care providers through the grant programs:

St t ill d l d i l t St t i Pl

• States will develop and implement Strategic Plans

– Ensure measurable progress toward universal adoption of HIE before Medicare payment penalties begin in 2015

• Federal government to advance efforts to assure

f interoperability and health information exchange among states and on a national level

• Private sector will play an important role in providing

innovative technological solutions to initiate, establish g , and maintain appropriate and secure HIE among health care providers at the state and national levels

15

State HIE Program:

State Designated Entity: – State Designated Entity:

• Mississippi Department of Information

Technology Services

– State Health IT Coordinator:

• Office of the Governor

St t F di $10 387 000 – State Funding: $10,387,000 – Grant Submission: October 16, 2009 G t A d J 2010 – Grant Award: January 2010

16

State Health Information Exchange Cooperative Agreement Program: Stat s Status

17

Cooperative Grant Status Cooperative Grant Status

– Received “approval status” – Received approval status

• Required to address weaknesses indicated in the

application review

Application Q&A Conference Call – Application Q&A Conference Call

• Lee Stevens from ONC on 1/12/10
• Concerning grant application review weaknesses

C tl dd i th f db k – Currently addressing the feedback

• Completed and to the ONC no later than 1/26/10

– Expected Award: March 15th p

18

State Health Information Exchange Cooperative Agreement Program: Strateg Strategy

19

Goal – Plan and develop the HIE infrastructure to ensure:

• Widespread interoperability across the entire state

f

• Providers and hospitals can achieve meaningful use

Required Plans Domains to Address Types of Exchanges Strategic Plan: State’s vision, goals,

• bjectives and strategies

for statewide HIE; Governance Finance Technical Infrastructure Eligibility & claims transaction eRx & refill requests for statewide HIE; including plans to support provider adoption Operational Plan: Technical Infrastructure Business & Technical Ops Legal & Policy Lab ordering & results delivery Public health reporting Quality reporting p Detailed explanation, targets, dates for execution of strategic plan Rx fill status and/or med fill history Clinical summary for care coordination & patient engagement engagement

HIE Objectives HIE Objectives – – Strategic Plan Strategic Plan

D l h i t t id HIE t t i l i d t i i i th t ti l f

• Develop a comprehensive statewide HIE strategic plan aimed at maximizing the potential for

federal funding and achieving the State’s objectives for the statewide HIE. The strategic plan should include:

– A consensus driven vision for the HIE in 2015 consistent with federal mandates and the State’s vision and current related initiatives. Critical aspects of this vision are: Electronic Health Record / Electronic M di l R d (EHR/EMR) d ti d li i l kfl i t ti i l h Medical Record (EHR/EMR) adoption and clinical workflow integration; regional exchange; governance and sustainability; integration of State’s Medical Assistance (MA) and Health Department HIT efforts; security requirements and patient privacy; establishment of stakeholder awareness and trust; and ensuring quality health care initiatives that require data sharing – An environmental scan of the current State, national, and federal HIE landscapes including related applications with recommendations to establish data exchanges that meet the national standards applications with recommendations to establish data exchanges that meet the national standards – SWOT assessment of healthcare programs, services and stakeholders impacted by the HIE initiative and a high-level inventory of existing health information systems and infrastructures – An analysis of gaps between the State’s current-state environment and future-state vision to support the State’s HIE initiative and meet ONC requirements – Strategic and Operational Plans focusing on actionable recommendations and proposed roadmap to include key activities, tasks, costs and a prioritized set of strategies to maximize results achieved using ONC HIT grant money

Approach and Methodology Approach and Methodology

• To accomplish the development of the Strategic Plan and later the Operational

Plan, the approach and methodology should include:

– Review of ONC’s Guidance on State Health Information Exchange Cooperative Agreement Program Program – Review of State Agencies’ and other stakeholders’ documentation related to the State’s HIE Initiative – Review the ability to leverage and build upon the plans and initiatives already underway in the State – Technology Environment Scan Survey of the existing Statewide infrastructure and Technology Environment Scan Survey of the existing Statewide infrastructure and EHR/EMR systems – Review of industry documentation from similar Statewide Health Information Exchange and interoperability efforts – Applied Research, best practices and lessons learned from other HIE implementations to the content of the Strategic Plan Draft / Roadmap in the five domains g p – Creation of the final report to support the planning effort describing the State’s HIE vision and goals, current capabilities, leveragability of current initiatives, existing gaps, and a prioritized set of alternatives and recommendations

Strategic Plan Development Strategic Plan Development

– Primary initiative will be to facilitate, draft, and manage the development a strategic and

• perational plan for the design and
• perational plan for the design and

implementation of the M-HIN

• Working closely with dedicated Task Force

workgroups ITS and the Office of the Governor workgroups, ITS, and the Office of the Governor

– RFP is currently in development

• Release NLT March 2, 2010

,

• Award NLT April 2, 2010
• Project Start April 12-19, 2010

23

Q & A

24