StateNet Meeting and Webinar September 14, 2011

1. StateNet Meeting and Webinar September 14, 2011

2. Overview of Meeting • Welcome • Russ, Chair • Virtual March on Washington • NHIT Week overview • Congressional “Asks” • State-level advocacy • StateNet Engagement Platform • Beta user experiences • Next steps for all Coordinators • CHIME11Fall Forum • Fall Forum

3. Virtual March on Washington • Mon, 9/12 - Capitol Hill Technology Showcase: CHIME Booth • Tues, 9/13 -- Capitol Hill Press Event, • Wed, 9/14 • StateNet Webinar, 2:00 pm ET • HIMSS Reception & CHIME StateNet Award • Thurs, 9/15 – HIMSS Policy Summit and Hill Meetings

4. Virtual March on Washington • Mon, 9/12 – Institute for eHealth Luncheon Panel, “Implications of HIT for Patient Safety & Quality” Gretchen Tegethoff Presenting • Gretchen spoke on patient safety, highlighting problems with patient matching, both within and among hospitals

5. Virtual March on Washington • Tues, 9/13 – Capitol Hill Press Event, Joanne Sunquist Presenting • Joanne spoke about her experience as a first-year, Stage 1 attester for Meaningful Use • Other speakers included Rep. Gingery (R-Ga.) and representatives from HIMSS and EHRA

6. Virtual March on Washington • Wed, 9/14 – HIMSS Policy Summit Reception and CHIME Advocacy Award • This year’s winner is StateNet Vice-Chair Neal Ganguly • Dinner for CHIME Members attending NHIT Week

7. Virtual March on Washington • Thurs, 9/15 – HIMSS Policy Summit • Hill Visits & 2011 Congressional Asks • In order to improve the quality of your constituents’ healthcare while also reducing its costs, such as through elimination of duplicative care, Congress should continue its strong bipartisan support for Health Information Technology.  • Congress should preserve the investment being made in the Medicare and Medicaid Electronic Health Records Meaningful Use Incentive Program as an essential tool that is critical to the healthcare transformation process.  • In order to ensure that your constituent is the right person getting the right healthcare at the right time, Congress should support the development of a nationwide patient identity solution by lifting the current statutory prohibition to allow HHS to address this issue along with other health IT policy enhancements.

8. State-level Advocacy • State HIT Advocacy Days • Several CHIME members have teamed with local HIMSS chapters • Maryland • Ohio  • Virginia • Kentucky • Texas

9. Next Steps for Coordinators • Identify all the hospital CIOs in your state, developing a contact list to discuss statewide health IT initiatives, plans, concerns, ideas, rumors, etc • Establish regular contact with a representative from your state hospital association (SHA) and identify committee(s) involvement. • Forge relationships with your state HIT Coordinator to introduce StateNet. • Establish a mutually agreed upon Timeline for accomplishment of the above goals. StateNet Goal: Foster statewide coalitions charged with advancing and standardizing the adoption of health information technology and health information exchange.

10. Coordinator Goals & Objectives

11. StateNet Platform

12. StateNet Needs You! So What’s this all got to do with me? • Go to http://ciostatenet.ning.com, sign up, and set up state group • Begin populating content and informational resources (CHIME Staff will help with this aspect) • Begin outreach to other stakeholders in your state (starting with current StateNet and CHIME members) • Email jsmith@cio-chime.org for questions

13. Fall Forum • CHIME Fall Forum (Oct. 25-28) • StateNet meeting scheduled Wednesday Oct. 27 @ 6:45am! • We’ll discuss the goals and objectives • Talk about emerging issues across states and how StateNet can help address them.

14. Patient Matching – Legislative Strategy • Coalition for an Informed Patient Identity Integrity Solution (begun fall 2010) is focused on Congressional/legislative strategy • CHIME co-leads Coalition, which has met with numerous House & Senate offices to urge an updated understanding of the issue • AHIMA • AMIA • CHIME • HIMSS • HIT Now Coalition • NAHAM(National Association of Healthcare Access Management)

15. Patient Matching – Legislative Strategy Legislative Options/Strategy • Preferred option is dropping prohibition language from 2012 Labor/HHS Appropriations bill • Alternative is a GAO Study to identify technological solutions for achieving a national-level patient identify solution • Request for study requires a letter from a Committee Chair/MOC • GAO has a scheduled queue of topics • Studies generally run 6 months-year for completion • Identifiers are politically sensitive and challenging in the current climate

16. Patient Matching – Legislative Strategy • Scope of proposed Government Accountability Office (GAO) study on patient-data matching: • Prevalence and costs of patient-data mismatches nation-wide including the costs of correcting these errors • Patient safety risks of NOT having national patient identity solution • Benefits and implications of applying patient identity solutions in healthcare; the impact on privacy, security • Safety of potential national standards, current and near-term available technologies and best practices for assuring patient-data matching

17. Example: Harris County Texas • 12 years of data • 3.4 million patients in hospital district’s database • 249,213 patients have same first & last name • 76,354 patients share both names with 4 others • 69,807 pairs share both names and birth date • 2,488 patients named Maria Garcia • 231 ‘Maria Garcia’s have the same birth date Source: Houston Chronicle, 4/5/11

18. Patient Matching Data • Anecdotal information needed • Safety implications of mismatches (experienced, not hypothetical) • Costs if known • Matching methodologies and implementation – how easy/hard was it to implement current solution? • How have you attempted to mitigate human/workflow-related causes of mismatching?

19. CHIME Advocacy & StateNet Team David Muntz, ALT Chair Gretchen Tegethoff, ALT Vice Chair StateNet Russ Branzell/Colorado, Chair Neal Ganguly/New Jersey, Co-Chair Randy McCleese/Kentucky, Co-Chair Sharon Canner, Senior Director of Advocacy Programs, CHIME scanner@cio-chime.org Jeff Smith, Assistant Director of Advocacy Programs, CHIME jsmith@cio-chime.org Kathie Westpheling, Manager, Public Policy, HIMSSkwestpheling@himss.org Richard A. Correll President and CEO/CHIME Questions?