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Washington State Health Reform Efforts. National Health Policy Conference February 4, 2008. Richard K. Onizuka, PhD Health Policy Director. Today’s Presentation. Health Reform Efforts Blue Ribbon Commission on Health Care Costs and Access Health Information Technology Pilot Project

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Washington State

Health Reform Efforts

National Health Policy ConferenceFebruary 4, 2008

Richard K. Onizuka, PhD

Health Policy Director


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Today’s Presentation

Health Reform Efforts

Blue Ribbon Commission on Health Care Costs and Access

Health Information Technology Pilot Project

What Washington Can Do for Washington…and Other States


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State Facts

  • Population ~ 6.4 million

  • Only state named after US President

  • State spending on health care ~ $4.5B, up from $2.7B in 2000

  • Percent of state budget ~ 28%, up from 22% in 2000

  • Approximately 593,000 insured, includes 73,000 children (2006 estimates)

  • Produces more apples than any other state


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Governor Chris Gregoire’s Five-Point Health Care Strategy

  • Emphasize evidence-based health care

  • Promote prevention, healthy lifestyles, and healthy choices

  • Better manage chronic care

  • Create more transparency in the health care system

  • Make better use of information technology


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Blue Ribbon Commission

Strategies

  • High-quality, high-performing health care system

  • Affordable health insurance options

  • Next generation health

  • Health promotion and prevention

    Recommendation #4 (of 16)

  • Health information technology


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Senate Bill 5930

“An act relating to providing high-quality, affordable health care to Washingtonians based on the recommendations of the Blue Ribbon Commission on Health Care Costs and Access”

  • Section 10:

  • Health information infrastructure

  • Consumer-centric health record banking

  • Goal:

  • Deliver health information - when and where needed


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HIT Efforts

SSB 5064 (2005): Health Information Technology

  • Health Information Infrastructure Advisory Board (HIIAB)

  • EMR and Health IT Strategy

  • Final Report - December 2006

    • Health Record Banking

    • Roadmap for State Action


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Consumer-Centric Health Record Banks

  • Consumer controlled

  • High-value data set

  • Repository for “copies”

    • Deposit

    • Withdraw

    • Query

  • Secure, private, & confidential

  • Engagement innovation


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Clinical Encounter

Health Record Banking Model

High-Value Data Set

Health Record

Bank A

Patient Input/AccessPHR

Patient

Permission?

Health Record

Bank B

9


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HIT Initiatives

Arizona

State Alliance

for e-Health

HISPC

Dossia

CCHIT

Oregon

RWJF

ONCHIT

Florida

SCI

HealthVault

AHIC

Markle Foundation

HITSP

Kentucky

Google

Revolution Health

CMS: MTG

HL 7


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What Washington Can Do

(one State’s opinion)

  • Develop national standards

  • Funding – describe, not prescribe

  • Fund pilot and evaluation of difficult solutions (e.g., financial sustainability)

  • Find out what states need

  • Please, not more policy committees


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Federal Action

“…the most promising avenue for extending health insurance coverage, limiting growth of spending, and improving the quality of care lies in action by the states, abetted by federal legislation and regulation that will encourage this state action”

Henry J. Aaron, The Brookings Institution

Testimony Before the Committee on the Budget

September 11, 2007


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Washington State Health Reform Efforts

Questions?

[email protected]

(360) 923-2820

http://www.hca.wa.gov


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