Oregon Health Lawyers Association 2010 Health Law CLE October 8, 2010 - PowerPoint PPT Presentation

Presentation Transcript

Oregon Health Lawyers Association2010 Health Law CLEOctober 8, 2010

Carol Robinson

Director, Health Information Technology Oversight Council

Oregon State Coordinator, Health IT

Presentation Objectives

Progress to Date – HB2009 Health Information Technology Update
Identify potential areas for legislation
Provide an overview of Health Information Exchange (HIE) planning in Oregon
Identify future directions where HIE can accelerate health reform goals

Health Information Technology Oversight Council

Chair

Steve Gordon, M.D., Eugene

System Senior Director, HITECH Implementation, PeaceHealth

Bob Brown, Portland

Consumer Advocate

Brian DeVore, Hillsboro

Director of State Health Policy, Intel

Greg Fraser, M.D., Sublimity

Medical Director of Information Systems and Informatics,

Mid-Valley IPA

Bridget Haggerty, Portland

VP, CIO, Oregon Health & Sciences University

Bill Hockett, Portland

Director, Web Strategy, ODS Companies

Vice Chair

Rick Howard, Salem

CIO, Oregon Department of Human Services

Marie Laper, Corvallis

Behavioral Health Clinical Coordinator, OCHIN

Robert Rizk, Hermiston

Director, Information Technology, Good Shepherd Health System

Sharon Stanphill, Roseburg

Clinic Director, Cow Creek Band of Umpqua Tribe of Indians

Dave Widen, Dayton

Adjunct Professor, Pacific University

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

HB2009 Established Health Information Technology Oversight Council (HITOC)

“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)

Progress to Date

HB2009 Established Health Information Technology Oversight Council (HITOC)

(illustrating intrastate HIE gaps)

Oregon HIE Landscape

Health Referral Region (illustrating interstate HIE needs)

Federal Health IT/HIE Funding Opportunities in Oregon

Medicaid and Medicare EHR Incentives

Incentives for Providers achieving “meaningful use”
of Certified Electronic Health Records (EHRs):

Medicaid:

Up to $63,750 for individual providers (6 years)
Medicaid patient volume requirements
Do not have to meet Meaningful Use in Year 1

Medicare:

Up to $44,000 for individual providers (4 years)
Minimal Medicare patient volume requirements
Must meet Meaningful Use in Year 1

Potential for $236 million to Oregon hospitals

Medicaid EHR Incentives Basics

Medicaid Eligible Professionals:

Physicians, Nurse Practitioners, Cert. Nurse Midwifes, Dentists, Physician Assistants in certain settings
Medicaid patient volume requirements: 30% for most, 20% for Pediatricians
Year 1 ($21,250): Adopt, implement, upgrade to certified EHR
Years 2-6 ($8,500/year): Meaningful use
2016 is last year to begin program for Medicaid incentives

Hospitals:

Acute care hospitals (including Critical Access Hospitals) – with 10% Medicaid patient volume, and limits on average length of stay
Payments are over 3-5 years, and based on a formula

Timeline for Incentive Program

Core Components of HIE Strategic Plan

Incremental Phased Approach
Support Local Health Information Organizations
Light Central Services
Standards & Certification
Role of State

Communicate
Coordinate
Facilitate (evolving through the phases)
Oversight
Risk Mitigation and Coverage of Gaps

HITOC Workgroups & Advisory Panels

* Please note that the HIO Executive Panel will comprise of CEO or equivalent from the HIOs.

Health Information Exchange and Health Reform Goals

Better information in the hands of providers at the point of care
Provide infrastructure and capabilities for providers to achieve meaningful use and receive incentive payments
Enable comprehensive quality reporting and data analysis, including both claims and clinical information
Support Public Health surveillance initiatives
Provide data to the Oregon Health Authority, stakeholders and to Legislators to inform policy choices to increase quality, improve patient safety and contain rising health care costs

Possible Legislation

Consent policies for information exchange will be key to maximize patient safety, increase the quality and coordination of care
Data security and breach remediation policies will be key to ensuring provider and consumer confidence in HIE
Requirements for the designation of a non-profit public/private entity to run operations of statewide HIE
Accreditation and regulations to define “rules of the road”

Key Next Steps

Determine how to maximize use of electronic health data for quality improvement
Define the benefits and impacts of HIE, including elements of public good
Lay the foundation in a rapidly evolving environment with great potential to help meet the goals of public health, higher quality, patient safety and lower costs