Arizona’s Health IT Initiatives: An Update on the REC, HIE & More

1. Arizona’s Health IT Initiatives: An Update on the REC, HIE & More ATIC Public Meeting September 21, 2011

2. Agenda • Introduction • Meaningful Use & EHR Incentive Programs • Arizona REC, EHR Adoption & HIE • Provider Collaboration- Next Steps for Success

3. Health IT: A Big Pill to Swallow…

4. …But We Can Get There! 4

5. Extensive Arizona Healthcare Ecosystem Today Connected via Phone, Fax, Referral Letters, Couriers -- Paper Inpatient Care Hospitals, CAH Ambulatory Offices, Rural Health (A)-Primary Care Ambulatory Offices, Rural Health (B)-Specialist Emergency Labs Pharmacy Medicaid, Medicare, Commercial Plans Consumers

6. Inside a Courier’s Van? Where are Patient Records --- Today? In a Cabinet at the Physician Office or Hospital? In a Briefcase? Chart-holder Outside an Exam-room Door? At a Clinical Laboratory or Imaging Center? At the Pharmacy? At a Storage Facility? Within Billing and Diagnosis Codes at Insurance Plans?

7. Electronically Connected Arizona Health Care Ecosystem State & Local HIE Effectively Transforming the system via Electronic Technology Health Information Exchange (HIE)+ Electronic Health Records (EHR) _____________________________ Increasing Quality of Care & Decreasing Health Care Costs Inpatient Care Hospitals Business Associates Agreement Ambulatory Offices, Rural Health (Primary Care) Ambulatory Offices, Rural Health (Specialists) Labs Pharmacy Medicaid, Medicare, Commercial Plans Consumers

8. Arizona Health-e Connection (AzHeC) exists to Convene, Coordinate and Communicate for Health Information Infrastructure improvements that affect every Arizonan

9. AzHeC Governance Structure and Strategic Direction Arizona Health-e Connection Board Governor’s Office AHCCCS ADHS AzHHA ArMA AOMA GITA Health Plans/Insurers Employers Hospitals Pharmacy Clinical Labs Higher Education Medical Trading Areas At-Large Seats Permanent Additional Arizona Health-e Connection Staff Information Clearinghouse Policy Development Support for HII Development

10. Meaningful Use & the EHR Incentive Programs

11. Conceptual Approach to Meaningful Use

12. Notable Differences Between the Medicare & Medicaid EHR Programs

13. Incentive Payments for Medicare Eligible Professionals (EPs) First Calendar Year (CY) for which the EP receives an Incentive Payment

14. Incentive Payments for Medicaid Eligible Professionals (EPs) First Calendar Year (CY) for which the EP receives an Incentive Payment

15. Medicare & Medicaid Programs: Current Stats • Over 90,000 providers and hospitals registered for the Medicare and Medicaid • Over $652 million paid to date • Estimated that $500 million to Arizona providers and hospitals over program lifespan

16. AHCCCS EHR Incentive Program • Registration site open (www.azepip.gov) • Working through common registration issues • Data mismatches • AHCCCS EFT not set-up • Misc. other items Attestation opens next week • Attestation to open in October • Payments distributed within approx. 90 days • More resources coming soon! • Contact: EHRIncentivePayments@azahcccs.gov

17. Arizona Regional Extension Center, EHR Adoption & HIE

18. What is the REC? Arizona’s Trusted, Unbiased Health IT and Meaningful Use ResourceGoal: Assist providers in becoming Meaningful Users of Certified EHR solutions.1,958 PPCPs to MU by April 2014 18

19. Collaborative Effort within Arizona

20. Who Endorses the REC? Endorsing Organizations – Continues to Grow! Health Information Network of Arizona

21. As of Sept. 21, 2011: 1,484 PPCPs Signed Up Goal = 1,958 Outreach Success to Date

22. New REC Websitewww.arizonarec.org

23. Key HIT Collaborations

24. HIE Updates • Health Information Network of Arizona (HINAz) • Kick-Off September 27, 2011 • Operations to begin thereafter • State HIE Cooperative Agreement Program • Program now resides in ASET office, within ADOA • HIE Consultants selected (Advances in Management- AIM) • AIM currently interviewing healthcare stakeholders • Updated state HIE operational plan this fall • RFP released Nov/Dec, awards made early 2012

25. Provider Collaboration: Next Steps for Success

26. Provider Collaboration • Provider Outreach & Education is Key • REC Opportunities • Over 1500 provider members • Discussion boards, blogs, wikis • Connecting providers to one another • Health Information Sharing • Health information exchange • Direct Project • Other opportunities

27. Key Links & Resources • Arizona Regional Extension Centerwww.arizonarec.org • Provider Interest Form www.arizonarec.org/?page=interest_form • AHCCCS HIT Webpage www.azahcccs.gov/HIT/ • AHCCCS ePIP Site www.azepip.gov • CMS EHR Incentive Program www.cms.gov/EHRIncentivePrograms/

28. Arizona’s Point of Coordinationwww.azhec.orgwww.arizonarec.org Melissa Rutala, MPH Chief Executive Officer 602-288-5130 / melissa.rutala@azhec.org