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Oregon Health Lawyers Association 2010 Health Law CLE October 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

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oregon health lawyers association 2010 health law cle october 8 2010

Oregon Health Lawyers Association2010 Health Law CLEOctober 8, 2010

Carol Robinson

Director, Health Information Technology Oversight Council

Oregon State Coordinator, Health IT

presentation objectives
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
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

Progress to Date

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)
  • 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
progress to date5

“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)
  • 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
slide11

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 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
core components of hie strategic plan
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
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
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
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
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
resources
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
slide20

Questions or Comments:

Carol Robinson

State Coordinator, Health Information Technology

Director, HITOC

carol.robinson@state.or.us

503-373-1817 (office)

503-856-6662 (cell)