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Date : November 17, 2010 Time : 1:00 pm – 3:30 pm Location : NC Hospital Association

Date : November 17, 2010 Time : 1:00 pm – 3:30 pm Location : NC Hospital Association Dial in : 1-866-922-3257 Participant Code: 654 032 36#. Agenda. CEO Report. Workgroups Phase II. Timeline of ONC Requirements and Responsibilities.

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Date : November 17, 2010 Time : 1:00 pm – 3:30 pm Location : NC Hospital Association

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  1. Date: November 17, 2010 Time: 1:00 pm – 3:30 pm Location: NC Hospital Association Dial in: 1-866-922-3257 Participant Code: 654 032 36#

  2. Agenda

  3. CEO Report

  4. Workgroups Phase II

  5. Timeline of ONC Requirements and Responsibilities • Support Meaningful Use (in 2011): Develop policy and technical strategies plus goals and tracking metrics to ensure at least one option for EPs/EHs in 2011 for: • E-prescribing • Receipt of structured lab results • Exchange of patient care summaries • Sustainability Plan (due Spring 2011): “An annual report on sustainability that includes a business plan with feasible public/private financing mechanisms for ongoing information exchange.” • Federal Alignment Plan (due Spring 2011): “An annual report on statewide HIE alignment with other federal programs.” • Monitor and Track HIE Capabilities (in 2011): States responsible for tracking measures identified in Operational Plan • Assure Trust of Information Sharing (in 2011): State responsible for developing a privacy and security framework that addresses the elements of the HHS HIT Privacy and Security Framework

  6. Governance Workgroup

  7. Clinical & Technical Operations Workgroup

  8. Finance & Business

  9. Legal & Policy

  10. Consumer Engagement

  11. NC HIE Management – Implementation Activities

  12. Financing and Sustainability:Building and Operating Statewide HIE Infrastructure

  13. Statewide HIE InfrastructureBuilding the Financing Model Our financing model addresses four questions... • What are we trying to build? • When will it be built? • What will it cost? • How will we pay for it?

  14. Financing and SustainabilityProposed Components of Statewide HIE Tier 3 HIE Services Med management, clinical decision support Benefits • Decrease preventable inpatient adverse drug reactions • Avoid unnecessary inpatient hospitalizations due to missing information • Decrease outpatient visits related to preventable outpatient ADEs and missing information • Decrease unnecessary, duplicative laboratory and radiology tests • Decrease redundant and overuse of medications • Decrease emergency department expenses Tier 2 HIE Services Eligibility check, radiology images, procedural results, CCD translation, disease surveillance Med history, lab normalization, immunization, public health and quality reporting Tier 1 HIE Services Provider & facility index, access layer, lab & CCD routing, clinical messaging Core Services: Secure Hub-Hub Routing Statewide HIE Policy Infrastructure NC HIE creation and oversight of operations

  15. Financing and SustainabilityValue-Added Services...Approach to Prioritization

  16. Financing and SustainabilitySequencing of Services...Initial Recommendation Candidate Value-Added Services Phase 2 Phase 1 Procedural Results Delivery Disease Surveillance Access to Aggregated Data Clinical Decision Support Service Access Layer: Transport, Orchestration, Audit, Reporting Lab Results Routing for Reporting Radiology Results Delivery Radiology Image Delivery CCD Translation Lab Normalization Immunization Medication History Quality Reporting Core Services Security Services Patient Matching Master Facilities Index Master Clinician Index NHIN Gateway

  17. Financing and SustainabilityAdvantages of Accelerated Deployment of HIE The value of NC HIE is highly dependent on: (1) the types of services, (2) the availability of data, and (3) the costs for building the network. By accelerating the delivery of services: • users will have access to fuller range of services • Intensify the value for participants • users will have access to more data • Participant value increases to the extent that more data are available • we can design and build NC HIE as a complete system which will translate into lower costs and lead to a more integrated and efficient system

  18. Statewide HIE InfrastructureEstimated Costs and Federal Funds Costs • Presented as a model infrastructure purchase • Costs gradually decrease after 2012 when system is complete • Alternative pricing models (e.g., subscription service) offer a variety of cost allocations • Total 5 year cost (est): $23 M Funding • Funding calculation only includes ONC funds for 2011 (doesn’t include the $1.1 M spent on planning in 2010) • Total ONC funding: $11.8 M

  19. Statewide HIE InfrastructureNext Steps • Collect Feedback • Engage stakeholders through meetings/calls • Refine Analysis of “Up Front” Investing Model • Define the benefits of “up front” investing (e.g., achieve critical threshold of participation, enhance predictability, lower administrative costs, etc.) • Identify drawbacks and risk mitigation strategies • Prepare and Propose a Cost Allocation Methodology

  20. Executive Search

  21. Open Board Discussion

  22. Open Public Comment and Closing Comments

  23. Open Public Comment & Closing Comments Next Steps Upcoming Meetings Board Meeting – December 16, 2010 Questions or Comments? Contact nc.hie@healthwellnc.com

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