Planning For the Future

1. Planning For the Future

2. Activities • Summit Update • NGA Workshop • HIE Vision • ONC Grants

3. Summit Update Lindsay Mann AUM Center for Government

4. The SummitWhat did we accomplish? • Vision • What does the ideal system look like? • It’s a better “toolbox” • Clinically-relevant, information on demand • Information you need / don’t need all (ATM)model • Standards-based / Secure / Know the source of information • Benefits for patients (Filling out forms/Blue Card) • Based on practice management model / MD workflow • Matches up with Meaningful Use • Vision to Reality • Governance structure • Plan Development • Stakeholders buy-in • Challenges • Success Factors

5. Success Factors • Leadership – executive/governance • Creating public trust and positive identity with system that is good for all • Facilitate Trust Among Stakeholders • Buy-in • Money – funding • Clearly defined vision

6. How will this information be used?

7. HIE Concept Paper • Originated from the Summit • Comments Received • Used to Help Guide the Planning Process • Evolving Document as We Learn

8. HIE Commission • Created by Executive Order • Decision Makers • Interim Governance Structure • Medical Association • Hospital Representative • Alabama Academy of Pediatrics • Alabama Academy of Family Physicians • Pharmacy Representative • Long-Term Care Industry • Primary Health Care Center • Governor’s Office • Alabama Department of Public Health • Alabama Information Systems • Alabama Department of Mental Health • Alabama Department of Human Resources • Alabama Department of Senior Services • Alabama Department of Rehabilitation Services • HIE Regional Extension Centers • Private Health Plan Payer • Alabama Medicaid Agency, Chair

9. The Real Work . . . Creation of Individual Workgroups • Corresponds to the Five Domains • Add Marketing/Communications • Components of the Plan • Recommendations to the Commission

10. WorkGroups ARE . . . Governance Finance Technical Infrastructure Business and Technical Operations Legal/Policy Marketing/Communications

11. Workgroup Representation • Commission Members Appoint • Previous Interest • Appointment by Expertise • Sign-up Via WebSite/Email • January Kickoff

12. Health Information Technology Funding Funding Categories Hospitals Program Area Agency Appropriation Medicare EHR Incentive Program $23.1 B CMS Medicare $745 M EHR Incentives via Carriers & TPA Doctors EHR Incentive Funds $46.8 Billion Medicaid EHR Incentive Program $21.6 B CMS Medicaid $300 M State Medicaid $1.05B Incentive via State Medicaid Health Centers HITECH FUNDING PROVISIONS ONC Planning Grants HIE Planning & Implementation $300 M Implementation Grants State Designated Entity Loan Funds for States Other Providers Appropriated Grant Funds $2.0 B EHR Adoption Loan Program TBD Health IT Research States Regional Tech Program Regional Tech Centers Universities Medical Informatics HHS NSF Workforce Training Tribes EHR For Med Education GME Training New Technology Research HIT Enterprise Research Research

13. What is Happening . . . • ONC Cooperative Agreement • Due 10/16 • Awarded 1/15 • Start 1/15/2010 • Planning to Plan for the Statewide Exchange • Consultant to Write the Plan • Establishment of an HIT Office • CMS 90/10 Planning Money • APD – Advanced Planning Document • No Due Date • Maximize Resources • Very Specific Budgeting Requirements • Support Meaningful Use

14. Still Happening. . . • Broadband Initiatives • Regional Extension Centers

15. In Closing . . . • Medicaid Is Leading • ONC Grant Submitted by October 16th • APD for the 90/10 Monies • Create Infrastructure • No Single Starting Point And lots of overlap • There is Not a Master Plan to Take Over the World • You Need to Be Engaged To Be Part of The Solution