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NC HIT Collaborative Community HIE Development & Community HIE Service Delivery Workgroup Teleconference Monday, November 16, 2009 (8:30 a.m. – 10:00 a.m.) Call-in Information: 1-866-427-0083 *8041709*. Overview of Workgroup Charge and Near Term Decision Points – Vandana Shah, HWTF

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NC HIT Collaborative Community HIE Development & Community HIE Service Delivery WorkgroupTeleconferenceMonday, November 16, 2009(8:30 a.m. – 10:00 a.m.)Call-in Information:1-866-427-0083*8041709*

  • Overview of Workgroup Charge and Near Term Decision Points – Vandana Shah, HWTF

  • Workgroup Deliverables – Melanie Allison, HWTF

  • Discussion: Deliverable #1 Community Definition - Melanie Allison, HWTF and Laura Gerald, Community Care of North Carolina

  • Discussion: Deliverable #2 MU Prioritization - Melanie Allison, HWTF and Andrew Weniger, NCHICA

  • Next Steps – Melanie Allison, HWTF

  • Meeting Adjournment


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Background: Community HIE/HIE Service Delivery

  • Community HIE Work Group: Formed in October during strategic plan development and charged with creating a model for convening and organizing health exchange initiatives, as well as the creation of specific geographic communities across the state.

  • HIE Service Delivery: Role of Work Group expanded to prioritize Meaningful Use functions at the last HIT Collaborative meeting


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Workgroup Deliverables

  • CHIO Definition

    • Agreement on Community Definition

      • Geographic

      • Domain-specific

      • State-supported

    • Geographic Community Boundaries

      • # of CHIOs across North Carolina

  • Prioritization of Meaningful Use Criteria

    • Define Prioritization Criteria

    • Based on Criteria, Create Functional Development Roadmap



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Discussion: Deliverable # 1

  • Community Definition: Types of Communities

    • Geographic

    • Domain-specific

  • Strategic Plan Definition of a Community & Domain HIE:

    • Community Health Information Organization (CHIO): healthcare information exchange among stakeholders within a defined geographic area within a federated, but shared services environment.

    • Domain Specific Health Information Organization (DHIO): health information exchange among stakeholders that have a special interest or focus.

  • Agreement on Definitions?


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State Supported Community HIE Model

  • Resources and Tools for Convening and Organizing a Community

  • Governance Framework

  • Standard Legal Agreements

  • Technical Services:

    • Core HIE Exchange Services

    • EHR Support Services

    • Web-based Query Application


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Self Funded Community HIE Model

  • Self-Funded Community: those communities who are able to fund the development, implementation and management of an HIE infrastructure, the HIT Collaborative fully supports that choice and will provide the standards for interoperating with the state’s Shared HIE Services environment.




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Map of NC by County

Alleghany

Northampton

Gates

Camden

Currituck

Warren

Ashe

Surry

Rockingham

Caswell

Stokes

Hertford

Vance

Pasquotank

Person

Halifax

Perquimans

Wilkes

Watauga

Granville

Chowan

Yadkin

Orange

Bertie

Avery

Franklin

Forsyth

Guilford

Mitchell

Durham

Nash

Caldwell

Yancey

Alexander

Alamance

Davie

Washington

Edgecombe

Madison

Dare

Martin

Wake

Tyrrell

Iredell

Davidson

Burke

Wilson

McDowell

Chatham

Haywood

Randolph

Catawba

Pitt

Rowan

Beaufort

Buncombe

Swain

Hyde

Lincoln

Greene

Johnston

Rutherford

Graham

Lee

Henderson

Cabarrus

Jackson

Harnett

Gaston

Moore

Stanly

Lenoir

Wayne

Transyl-

vania

Polk

Cherokee

Craven

Cleveland

Macon

Montgomery

Pamlico

Clay

Mecklenburg

Cumberland

Jones

Sampson

Hoke

Richmond

Union

Anson

Duplin

Carteret

Scotland

Onslow

Robeson

Bladen

Pender

New

Columbus

Hanover

Brunswick


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Discussion- Deliverable # 2: Review of Meaningful Use Requirements

  • Electronic eligibility and claims transactions: Administrative Impact

  • Electronic prescribing and refill requests: Clinical Impact

  • Electronic clinical lab orders/results: Clinical Impact

  • Electronic public health reporting: Administrative Impact

  • Quality reporting: Administrative Impact

  • Prescription fill status/meds History: Clinical Function


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Prioritizing MU Requirements Requirements

  • Prioritization of MU requirements drives deployment roadmap

  • Need Criteria for Prioritizing:

    • High clinical value to the most patients

    • Substantial impact to administrative simplification

    • Cost of care savings

    • Ease of development & deployment



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Next Steps Requirements

  • Second conference call to discuss Deliverable #2

  • Recommendation to HIT Collaborative is documented

  • Final review of document by working group

  • Recommendation to HIT Collaborative


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