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HIMSS Oregon January 21, 2100 Oregon’s Progress – Moving Toward Statewide HIE

HIMSS Oregon January 21, 2100 Oregon’s Progress – Moving Toward Statewide HIE. Progress to Date. HB2009 Established Health Information Technology Oversight Council (HITOC) American Recovery and Reinvestment Act (ARRA) has been a game changer HITOC has focused on:

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HIMSS Oregon January 21, 2100 Oregon’s Progress – Moving Toward Statewide HIE

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  1. HIMSS OregonJanuary 21, 2100Oregon’s Progress –Moving Toward Statewide HIE

  2. Progress to Date HB2009 Established Health Information Technology Oversight Council (HITOC) American Recovery and Reinvestment Act (ARRA) has been a game changer HITOC has focused on: Responsible stewardship of federal funds Reasonable phased approach to HIT and HIE implementation Strong public/private partnership “To improve the quality of our health care while lowering its cost, we will make the immediate investments necessary to ensure that within five years, all of America’s medical records are computerized … It just won’t save billions of dollars and thousands of jobs – it will save lives.” (January 5, 2009)

  3. Federal Health IT/HIE Funding Opportunities in Oregon

  4. Oregon’s Statewide HIE Strategy Focuses on: First- Facilitating HIE by enabling basic communication of health information using a set of core services and standards Then- Enhancing HIE through a set of ancillary, shared services Characteristics: Federated approach leveraging existing efforts and investments across the state Central services: Core (initially) and Ancillary (over time) National and industry-based standards Phased, with incremental and iterative delivery

  5. Service Registry ELPD ILPD Statewide Health Information Exchange Administrative and Participant Registration processes have already occurred Directory Services Provider Dr. Alice Dr. Bob Provider Deliver PHI / Routed via HISP Send PHI / Routed via HISP HISP Services Deliver PHI / Routed via HISP Patient Send PHI / Routed via HISP Routing Directory Convert Payloads Convert Payloads Step UP/DOWN Messaging Services State/SDE Send PHI / Routed via HISP Route PHI HIE Participant HIE Participant Send PHI Direct Communication 5 5

  6. Coming Up Next: Moving into Implementation Seeking an assessment on healthclaims (proposed for 2013 Legislative session) Some bridge funding needed for 2011-13 Provider Directories Messaging Services Trust Services Ancillary Services later Finance Plan HIE Services • Upcoming Deliverables: • RFP for core technology components • Governance determined by Legislature • Rulemaking authority specified • Standard consent policy • HIE Participant Qualification Program • Bridge funding to 2013 • Strategies for increasing Lab and e-Rx • Public Health systems ready for MU measures • Communication to providers and consumers • Clinical quality measurement pilots Policy Needs Stakeholder Engagement Standard Consent Accountability & Oversight Standard Data Sharing Agreement Interstate Agreements Providers Consumers/Patients Regional HIO Leaders Hospitals Payers Purchasers

  7. Risks and Challenges Ahead Shifting Sands • Continued evolution of the National Health Information Network (NHIN) role • Standards will likely evolve; uncertainty may impact pace of adoption • Other reforms may create competing priorities for states and communities • Subject to political debate and redirection Market Driven • Value must be measurable to contributors • Federated approach depends on the success of many community efforts • Finding the fine line between facilitating statewide HIE with core services and competing with regional and local HIO efforts Legal and Policy Hurdles • Interstate agreements will take time • Security standards should be consistent

  8. HITOC Workgroups & Advisory Panels

  9. Resources HITOC: http://www.oregon.gov/OHPPR/HITOC/index.shtml (HIE Strategic and Operational Plans, meeting materials, list serve, other reports) O-HITEC: http://o-hitec.org/ (Oregon’s Regional Extension Center for technical assistance relating to EHR adoption and meeting Meaningful Use) Oregon Health Network: http://www.oregonhealthnet.org/ (Executing on FCC Grant for Broadband expansion) Oregon Medicaid HIT:http://www.oregon.gov/DHS/mhit/index.shtml (Planning for State Medicaid HIT Plan with 90/10 funding for HIT/HIE) CMS Incentives: http://www.cms.gov/EHrIncentivePrograms/ (Medicaid and Medicare payment incentive programs for Meaningful Use of EHRs Office of the National Coordinator for Health IT: http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__home/1204

  10. For More Information Carol Robinson State Coordinator, Health Information Technology Director, Health Information Technology Oversight Council carol.robinson@state.or.us 503-373-1817 http://www.oregon.gov/OHPPR/HITOC

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