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Federal Overview South Dakota Health IT Summit Sioux Falls, SD October 8th, 2008 Chris Muir Senior Program Analyst O

2. Federal Roles

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Federal Overview South Dakota Health IT Summit Sioux Falls, SD October 8th, 2008 Chris Muir Senior Program Analyst O

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    1. NGA and ONC are partners ONC Team Jodi Daniel, Co-Project Officer Betsy Ranslow, Co-Project Officer Steve Posnack, HISPC Liaison Chris Muir, SLHIE Liaison NGA and ONC are partners ONC Team Jodi Daniel, Co-Project Officer Betsy Ranslow, Co-Project Officer Steve Posnack, HISPC Liaison Chris Muir, SLHIE Liaison

    2. 2 Federal Roles—Impacting the Outcomes How does government support the goals of HIT: Improving quality and efficiency of individual and population health? How does government participate in HIE? Health Care Delivery Empowering Consumers Population Health How does government ensure health information exchange meets public good requirements?

    3. 3 Federal Roles Payer (e.g., CMS) Employer (federal employees, dependents and retirees) Provider (e.g., DOD, VA, IHS, etc.) Regulator (e.g., FTC) Population Health (e.g., CDC) Infrastructure Funder (e.g., USDA and FCC) Researcher (e.g., AHRQ, HRSA) Coordinator (ONC)

    4. 4

    5. 5 Transforming Health Care: Moving from Treating to Preventing to Predicting1

    6. 6 Health Care Transformation “Through” Health IT

    7. 7 Coordination Role: Moving HIE Toward the Tipping Point

    8. 8 Cornerstones of Value-driven Health Care*

    9. 9 The ONC-Coordinated Federal Health IT Strategic Plan: 2008 - 2012

    10. 10 “The Plan” – Goals

    11. 11 Summary of Health IT Strategic Goals and Objectives: 2008-2012

    13. 13 AHIC Successor (AHIC 2.0) Continuity of leadership is needed to sustain the momentum Government transition occurs every four years Uncertainty under new leadership places momentum at risk Sustainable business model is needed to support perpetual operation Congressional appropriations are a cyclical model Decisive action is needed keep pace with large scale innovation and transformation Government is necessarily a deliberate process Continuity of leadership is needed to sustain the momentum Government transition occurs every four years Uncertainty under new leadership places momentum at risk Sustainable business model is needed to support perpetual operation Congressional appropriations are a cyclical model Decisive action is needed keep pace with large scale innovation and transformation Government is necessarily a deliberate process

    14. 14 State Level Governance Contract with AHIMA’s FORE Foundation Process of identifying guiding principles for SLHIE Explores the SLHIE unique role: Address statewide barriers to HIE Balance the rights and needs of all residents Act as a bridge between nationwide and regional HIEs Align with statewide goals for health care quality and cost-effectiveness Align HIE policies and practices with state legislative and regulatory policy environment Provides a forum for sharing information and a united voice for state level HIE

    16. 16 States: Various state privacy and security laws Health care regulation at state level Federal: HIPAA Additional privacy & security challenges with nationwide exchange Responsibilities are at the State and Federal Levels

    17. 17 34 states addressed intra-state business practices, policies and state laws associated with P/S 40+ states will address inter-state laws, policies and practices. State Alliance for e-Health

    18. 18 Privacy and Security at the Federal Level

    20. 20 (Interoperability) Standards into Products – Summary of the Cyclical Process

    21. 21 Steps to the Nationwide Health Information Network (NHIN)

    22. 22 Common Network “Dial Tone” Data and technical specifications: Provider has a patient but not their record: 1 - Patient look-up and information retrieval Updating health data where it is needed: 2 - Information routing and delivery Patient wants / doesn’t want information to be electronically released: 3 - The exchange of consumer preferences Providing the best care and protecting the population: 4 - Support for population data uses

    23. 23 The Nationwide Health Information Network

    25. 25 Adoption of Interoperable Health IT

    26. 26 Adoption of Health IT Solutions

    27. 27

    28. 28 2008 – A Banner Year

    29. 29

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