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Overview of Workgroup Charge and Near Term Decision Points – Vandana Shah, HWTF Workgroup Deliverables – Melanie

NC HIT Collaborative Community HIE Development & Community HIE Service Delivery Workgroup Teleconference Monday, November 16, 2009 (8:30 a.m. – 10:00 a.m.) Call-in Information: 1-866-427-0083 *8041709*. Overview of Workgroup Charge and Near Term Decision Points – Vandana Shah, HWTF

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Overview of Workgroup Charge and Near Term Decision Points – Vandana Shah, HWTF Workgroup Deliverables – Melanie

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  1. NC HIT Collaborative Community HIE Development & Community HIE Service Delivery WorkgroupTeleconferenceMonday, November 16, 2009(8:30 a.m. – 10:00 a.m.)Call-in Information:1-866-427-0083*8041709* • Overview of Workgroup Charge and Near Term Decision Points – Vandana Shah, HWTF • Workgroup Deliverables – Melanie Allison, HWTF • Discussion: Deliverable #1 Community Definition - Melanie Allison, HWTF and Laura Gerald, Community Care of North Carolina • Discussion: Deliverable #2 MU Prioritization - Melanie Allison, HWTF and Andrew Weniger, NCHICA • Next Steps – Melanie Allison, HWTF • Meeting Adjournment

  2. Background: Community HIE/HIE Service Delivery • Community HIE Work Group: Formed in October during strategic plan development and charged with creating a model for convening and organizing health exchange initiatives, as well as the creation of specific geographic communities across the state. • HIE Service Delivery: Role of Work Group expanded to prioritize Meaningful Use functions at the last HIT Collaborative meeting

  3. Workgroup Deliverables • CHIO Definition • Agreement on Community Definition • Geographic • Domain-specific • State-supported • Geographic Community Boundaries • # of CHIOs across North Carolina • Prioritization of Meaningful Use Criteria • Define Prioritization Criteria • Based on Criteria, Create Functional Development Roadmap

  4. Work Group Process

  5. Discussion: Deliverable # 1 • Community Definition: Types of Communities • Geographic • Domain-specific • Strategic Plan Definition of a Community & Domain HIE: • Community Health Information Organization (CHIO): healthcare information exchange among stakeholders within a defined geographic area within a federated, but shared services environment. • Domain Specific Health Information Organization (DHIO): health information exchange among stakeholders that have a special interest or focus. • Agreement on Definitions?

  6. State Supported Community HIE Model • Resources and Tools for Convening and Organizing a Community • Governance Framework • Standard Legal Agreements • Technical Services: • Core HIE Exchange Services • EHR Support Services • Web-based Query Application

  7. Self Funded Community HIE Model • Self-Funded Community: those communities who are able to fund the development, implementation and management of an HIE infrastructure, the HIT Collaborative fully supports that choice and will provide the standards for interoperating with the state’s Shared HIE Services environment.

  8. Background: Community HIE Functions

  9. Scenario Examples for Dividing NC

  10. Map of NC by County Alleghany Northampton Gates Camden Currituck Warren Ashe Surry Rockingham Caswell Stokes Hertford Vance Pasquotank Person Halifax Perquimans Wilkes Watauga Granville Chowan Yadkin Orange Bertie Avery Franklin Forsyth Guilford Mitchell Durham Nash Caldwell Yancey Alexander Alamance Davie Washington Edgecombe Madison Dare Martin Wake Tyrrell Iredell Davidson Burke Wilson McDowell Chatham Haywood Randolph Catawba Pitt Rowan Beaufort Buncombe Swain Hyde Lincoln Greene Johnston Rutherford Graham Lee Henderson Cabarrus Jackson Harnett Gaston Moore Stanly Lenoir Wayne Transyl- vania Polk Cherokee Craven Cleveland Macon Montgomery Pamlico Clay Mecklenburg Cumberland Jones Sampson Hoke Richmond Union Anson Duplin Carteret Scotland Onslow Robeson Bladen Pender New Columbus Hanover Brunswick

  11. Discussion- Deliverable # 2: Review of Meaningful Use Requirements • Electronic eligibility and claims transactions: Administrative Impact • Electronic prescribing and refill requests: Clinical Impact • Electronic clinical lab orders/results: Clinical Impact • Electronic public health reporting: Administrative Impact • Quality reporting: Administrative Impact • Prescription fill status/meds History: Clinical Function

  12. Prioritizing MU Requirements • Prioritization of MU requirements drives deployment roadmap • Need Criteria for Prioritizing: • High clinical value to the most patients • Substantial impact to administrative simplification • Cost of care savings • Ease of development & deployment

  13. Example of Prioritization Criteria

  14. Next Steps • Second conference call to discuss Deliverable #2 • Recommendation to HIT Collaborative is documented • Final review of document by working group • Recommendation to HIT Collaborative

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