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NCVHS

NCVHS. Taking ideas from early discussion, through hearings, allowing public/private review, making recommendations and actually changing the health information landscape. Today’s Discussion. The Committee It’s Breadth of Influence

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NCVHS

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  1. NCVHS Taking ideas from early discussion, through hearings, allowing public/private review, making recommendations and actually changing the health information landscape.

  2. Today’s Discussion • The Committee • It’s Breadth of Influence • From Early Discussions to Doctor’s Offices in NC “NCVHS made a Difference”.

  3. The Committee 18 individuals who have distinguished themselves in a wide range of health information policy areas. Excellent staff assistance from numerous government agencies willing involvement by health information industry professionals and selected experts in fields appropriate to subjects under review.

  4. It’s Breadth of Influence Subcommittees • Privacy • HIPAA • NHIN • Populations • Eliminating Health Disparities • Populations based data collection • Quality Initiatives

  5. From Discussions at NCVHS to Doctor’s Office in NC • MMA mentioned ePrescribing • NCVHS held hearings • NCVHS recommended core standards • Secretary accepted these standards • Health industry embraced these standards • So What! • Real results for patients, doctors, employers, BCBSNC

  6. Healthcare Goals Individual (Employee, Member, Patient) • Good Health • Good Care • Good Outcomes • Good Business • Appropriate Costs Employer Provider Payer

  7. ePrescribing at BCBSNC Individual (Employee, Member, Patient) ePrescribing @ BCBSNC • Protects Provider/Patient Decisions • Protects Patient against drug/drug, drug/allergy interactions • Drug History (Actual) • Delivers benefits clearly (formulary, tiers, costs, etc.) • Reduces physician liability and delivers real time pertinent care data • Introduces generic options • National Standards Based • Employer & Payer Incentives to Providers Provider Employer Payer

  8. ePrescribing Results Individual (Employee, Member, Patient) • Goal 1,000 Physicians • Implemented YTD 200 • Recruited 130 • Drug/Drug Interaction alerts result in: • 34% change of drug • Drug Allergy alerts result in: • 27% change of drug • Formulary alerts result in: • 46% change when not formulary compliant or generic available • Generic allowed: • 98% of time, if available • BCBSNC has waived co-pays on Generics Provider Employer Payer

  9. The Future in NC Individual (Employee, Member, Patient) • ePrescribing will be adopted by others (gov’t, other payers, etc.) • Incentives may be implemented to make it happen • Technology can now deliver the information, the right information is the challenge (individuals & provider) • Standard protocols & information help eliminate disparities in care Provider Employer Payer

  10. The Future with NCVHS Populations • NHIN • Standards Alignment • Collaboration enhances adoption • Real change, Real results Standards NHII Privacy

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