Health Information Exchange Health Information Exchange Cooperative Agreement Program: Cooperative Agreement Program: Cooperative Agreement Program: Cooperative Agreement Program: Background and Governance Background and Governance Candice Whitfield Health Policy Analyst, Office of the Governor February 2010 1
Mississippi Health Information Infrastructure Task Force 2
• Health IT Task Force – Executive Order 979 • Established the Mississippi Health Information Infrastructure Task Force – Purpose: Improving the quality and safety of h healthcare delivery by means of the expedited lth d li b f th dit d adoption and implementation of health information technology (HIT) and health information exchange (HIE) across the state – 20-Member Task Force 20 M b T k F – Focus: Review issues surrounding the creation of a statewide and interstate HIT infrastructure and provide its recommendations to the Governor within 2 years. • Established: March 2007 • Sunset: December 2009 3
• Health IT Task Force – Proposed Strategy: Proposed Strategy: • Proposed Extension: June/September 2010 • The Task Force will be utilized in the Cooperative Agreement strategic planning process • Health IT Task Force: Health IT Task Force: – Serve as key health care stakeholders to build trust in and support for a statewide approach to HIE – Key Focus: Key Focus: • Development of Strategic Plan for ONC 4
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Mississippi Coastal Health Information Exchange 6
MSCHIE MSCHIE • Health IT Demonstration Project – Regional HIE – Recommended and sponsored by Governor’s Health IT Task Force – Rigorous and competitive RFP process • MSCHIE and the three coast Phase I stakeholders have actively i implemented the architecture platform and integration for Phase I: l t d th hit t l tf d i t ti f Ph I – Outpatient medication history, face-sheets, discharge summaries, lab results, transcription, and radiology reports • State’s best interest to leverage existing resources State s best te est to e e age e st g esou ces – Evaluate the impact of the MSCHIE project, assessing the core components of the functional requirements of the Request for Proposal (RFP). – Provide invaluable opportunity to analyze the project to determine what aspects of the project are successful and worth duplicating of the project are successful and worth duplicating – Intent is to ensure sound areas of technical functionalities, business requirements, and stakeholder support for the M-HIN 7
8 Governance
• Governance – Mississippi Health Information Network • Purpose: To promote the use of health information technology and exchange of that information in the State to improve health care quality and efficiency • Public–private partnership for the benefit of all of Public private partnership for the benefit of all of the citizens of this State • Governed by a Board of Directors consisting of at least 12 and not more than 20 members – Membership of the Board shall reasonably Membership of the Board shall reasonably reflect the public-private and diverse nature of the MSHIE – Legislation: – Legislation: • HB 941 – Representative Holland 9
Proposed Governance Structure for the M-HIN 10
Health Information Exchange Health Information Exchange Cooperative Agreement Program: Cooperative Agreement Program: Cooperative Agreement Program: Cooperative Agreement Program: Funding Opportunities Funding Opportunities Craig P. Orgeron, Ph.D. Director, Strategic Services, ITS February 2010 11
Incentive Program: − CMS will provide incentive payments for the meaningful use of certified EHR technology (The Division of Medicaid will administer this program). − The Medicare EHR incentive program will provide incentive payments to eligible professionals (EP), eligible hospitals, and critical access hospitals (CAHs) that are meaningful users of certified EHRs that are meaningful users of certified EHRs. − The Medicaid EHR incentive program will provide initial incentive payments to EPs and hospitals for efforts to adopt, implement, upgrade or meaningfully use certified EHR technology or for meaningful use, ifi d EHR h l f i f l and incentive payments in subsequent years for meaningful use. 12
State HIE Program: – Award to states and qualified State q Designated Entities (SDEs) – Develop and advance mechanisms for information sharing across the health care information sharing across the health care system – States and SDEs will be required to match grant awards beginning in 2011 grant awards beginning in 2011 – Funding: $564 million – Goal: To achieve widespread and sustainable h health information exchange (HIE) within and lth i f ti h (HIE) ithi d among states through the meaningful use of certified Electronic Health Records (EHRs) 13
State HIE Program: – Participating states will also be expected to use their authority and resources to: their authority and resources to: • Develop and implement up-to-date privacy and security requirements for HIE; • Develop directories and technical services to enable interoperability within and across states; interoperability within and across states; • Coordinate with Medicaid and state public health programs to enable information exchange and support monitoring of provider participation in HIE; • Remove barriers that may hinder effective HIE • Remove barriers that may hinder effective HIE, particularly those related to interoperability across laboratories, hospitals, clinician offices, health plans and other health information exchange partners; • Ensure an effective model for HIE governance and Ensure an effective model for HIE governance and accountability is in place; and • Convene health care stakeholders to build trust in and support for a statewide approach to HIE. 14
State HIE Program: – Respective state governments, federal government and private sector will all play important roles in advancing HIE among health care providers through the grant programs: • States will develop and implement Strategic Plans St t ill d l d i l t St t i Pl – Ensure measurable progress toward universal adoption of HIE before Medicare payment penalties begin in 2015 • Federal government to advance efforts to assure interoperability and health information exchange among f states and on a national level • Private sector will play an important role in providing innovative technological solutions to initiate, establish g , and maintain appropriate and secure HIE among health care providers at the state and national levels 15
State HIE Program: – State Designated Entity: State Designated Entity: • Mississippi Department of Information Technology Services – State Health IT Coordinator: • Office of the Governor – State Funding: $10,387,000 St t F di $10 387 000 – Grant Submission: October 16, 2009 – Grant Award: January 2010 G t A d J 2010 16
State Health Information Exchange Cooperative Agreement Program: Stat s Status 17
Cooperative Grant Status Cooperative Grant Status – Received “approval status” – Received approval status • Required to address weaknesses indicated in the application review – Application Q&A Conference Call Application Q&A Conference Call • Lee Stevens from ONC on 1/12/10 • Concerning grant application review weaknesses – Currently addressing the feedback C tl dd i th f db k • Completed and to the ONC no later than 1/26/10 – Expected Award: March 15th p 18
State Health Information Exchange Cooperative Agreement Program: Strateg Strategy 19
Goal – Plan and develop the HIE infrastructure to ensure: • Widespread interoperability across the entire state • Providers and hospitals can achieve meaningful use f Required Plans Domains to Address Types of Exchanges Strategic Plan : Governance Eligibility & claims transaction State’s vision, goals, Finance objectives and strategies eRx & refill requests Technical Infrastructure Technical Infrastructure for statewide HIE; for statewide HIE; Lab ordering & results including plans to support Business & Technical Ops delivery provider adoption Legal & Policy Public health reporting Quality reporting Operational Plan : p Rx fill status and/or med Detailed explanation, fill history targets, dates for execution of strategic plan Clinical summary for care coordination & patient engagement engagement
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