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eHealth Initiative’s 2006 Connecting Communities Learning Forum April 10, 2006 Washington D.C.

eHealth Initiative’s 2006 Connecting Communities Learning Forum April 10, 2006 Washington D.C. Track 5: Policy and Advocacy Working with State Governors and Legislators: Nuts and Bolts Kala Ladenheim National Conference of State Legislatures Project HITCh. Pressure for Legislation.

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eHealth Initiative’s 2006 Connecting Communities Learning Forum April 10, 2006 Washington D.C.

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  1. eHealth Initiative’s 2006 Connecting Communities Learning ForumApril 10, 2006Washington D.C. Track 5: Policy and Advocacy Working with State Governors and Legislators: Nuts and Bolts Kala Ladenheim National Conference of State Legislatures Project HITCh

  2. Pressure for Legislation • Cost (Medicaid, public employee) • Quality (safety and error, medical malpractice) • Consumerism (transparency, P4P) • Competition (industry or interstate) • Common ground (standards, connection) • Reform (aging population, access)

  3. Opportunity for Legislation • Budget pressure easing • Federal grant and study opportunities • Public health / Homeland Security • Mobilized sector • Convergence with quality/safety

  4. Obstacles to action: variations on distrust • High cost, uncertain benefit • Complexity • Lack of consensus • Privacy and security concerns

  5. Local variables • Health and insurance sector engagement • Business interest, consumer concern • Perception of government: expertise, trust • Strong leader or convener • Prior investment, current market

  6. States wet their toes • E-Rx • Electronic health data transmission or EHR • Telehealth • Studies/convening • Agency mission

  7. State Legislation 2006 • Commissions for study and action • Study/commission: at least 10 states • Designated agency: at least 4 state • Defining Standards: at least 3 • Privacy and breach legislation- 4 • Hospital licensing requirement • Safety and error reporting – 2 • EHR - 1

  8. State Legislation 2006 Financing • P4P with Medicaid • Revolving funds - 4 • State purchasing - 1 • Corrections, chronic • Create Fund, grants - 3 • Tax credit - 2 • Bonding - 1

  9. State Legislation 2006 • Services • State & local clinics and hospitals • Medical education requirements • Pilots and demos • corrections • advanced directives • virtual monitoring • EMR for schedule drugs

  10. contact Kala LadenheimProgram Director, Project HITChForum for State Health Policy LeadershipNational Conference of State Legislatures444 N. Capitol Street, NWSuite 515Washington, DC 20001 Kala.Ladenheim@NCSL.org202-624-3557fx 202-737-1069 ******************************************************************State Health Notes has a new look and a new location. Best of all, it's free!  Check it out at www.ncsl.org/shn***********************************************************

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