Arizona’s Health IT Roadmap 2.0:

1. Arizona’s Health IT Roadmap 2.0: December 6, 2013

2. Background for Roadmap 2.0 • Where have we been? What are key influencers? • Health-e Connection Roadmap 1.0 (2006) • HIE Cooperative Agreement findings • Stakeholder comments • Changing federal landscape • Questions about role of the State • How can we drive the pathway forward for health IT success in Arizona? How can we make the biggest impact?

3. Purpose of Roadmap 2.0 • Develop a 2014–2016 strategic plan and roadmap for HIT/HIE in Arizona • The Roadmap will show how Arizona will enable sustainable HIT/HIE across multiple providers to: improve patient safety, improve health care quality, and decrease health care costs. • Content areas of focus will include summaries for: • Public Health • AHCCCS • HINAz • How the Roadmap will be used • What are the steps that we should take to ensure that the widest numbers of providers have access to HIT & HIE? • How can the capability of statewide health information exchange support the changing health care landscape?

4. Fundamental Shifts Are Occurring - 12 -

5. Arizona Health IT Roadmap 2.0 Vision Arizonans will experience an improved quality of health enabled by robust health information technology and exchange. Project Mission Determine the Roadmap for Arizona to establish effective, efficient health information technology and exchange. - 16 -

6. Project Team Arizona Strategic Enterprise Technology Office (ASET) • Funder of Roadmap 2.0 project • Coordinator of state agency participation • Lorie Mayer - State IT Coordinator Arizona Health-e Connection (AzHeC) • Convener for Health IT in Arizona • Lead for Stakeholder Engagement and Communication • Melissa Rutala - CEO Mosaica Partners • Consultants and subject matter experts in HIE and health IT • Lead for Project Design and Implementation • Laura Kolkman - President

7. Roadmap 2.0 Key Stakeholders Health Care Payers • AHCCCS • Commercial Payers Government Agencies • Public Health – ADHS • County Health Agencies • Federal Partners – IHS VA Other Organizations • AzHeC • HINAz • Legal Counsel • Consumers Health Care Providers • Hospital Systems • Physicians • Other Providers • Behavioral Health • Long Term / Post Acute Care Health Care Ancillary Providers • Laboratories • Imaging • Pharmacy

8. Project Scope • Telemedicine/ Telehealth • Mobile Health and apps (mHealth) • Meaningful Use Requirements • Data Access and Use • Access to State-held information • Use of information for exchange • Legislation, Regulation & Policy • Three year outlook 2014 - 2016 • Health Information Exchange (HIE) • HINAz • Bi-directional electronic exchange with State agencies • ACOs • “Direct” exchange • Robust exchange • Exchange with IHS and VA • Exchange outside of Arizona • Health Information Technology (HIT) • EHR adoption and use • Personal Health Records (PHR)

9. Project Process Open and transparent with broad stakeholder participation • Hold pre-project workshops with AHCCCS and Public Health focused on Meaningful Use Stage 2 readiness • Hold project Kick-Off to introduce and explain the project • Conduct 7 envisioning workshops – with key healthcare stakeholders – to describe Arizona’s HIT/HIE desired future state COMPLETE • Hospitals • Providers • Payers • AHCCCS • Public Health - ADHS • Validate workshop findings through a survey of the broader stakeholder community. COMPLETE • Convene public meeting to review progress and solicit feedback OCTOBER 1, 1-3pm

10. Roadmap 2.0 – Development Objectives Capabilities Enablers Initiatives Roadmap 2.0 What we want to achieve What we must be able to do to achieve objectives What needs to be in place Projects or programs to put the enablers in place - 20 -

11. Summary of Barriers Identified During Workshops - 7 -

12. Survey Barriers Identified as Most Important to Address 174 Respondents

13. Barriers Identified as Most Important to Address 174 Respondents

14. Barriers Identified as Most Important to Address 174 Respondents

15. Barriers Identified as Most Important to Address 174 Respondents

16. Next Steps • Use the feedback received so far to draft initiatives • Vet initiatives with stakeholders via workshops and October 1st public meeting • Incorporate feedback on initiatives and draft Roadmap 2.0 • Publish Roadmap 2.0 in December 2013

18. Consumer Campaign • State HIE Cooperative Agreement Grant- Awarded to HINAz in collaboration with AzHeC- Timeframe: June-December 2013 • Consumer Health IT Education & Awareness Campaign - Phase IA: HIE acceleration- Phase IB: HIE/HIINAzawareness- Phase II: General health IT community awareness

19. Consumer Connections Task Force • Health PlansBlue Cross Blue Shield of Arizona, Aetna/Mercy Care, United Health Care, Care 1st, Cigna, Health Choice, Phoenix Health Plan, University of Arizona Health Plan • Health Care OrganizationsBanner Health, Carondelet Health Network, Tucson Medical Center, Northern Arizona Healthcare, El Rio Community Center, Jewish Family and Children Services, Sonora Quest Laboratories, Marana Health Center • Government AgenciesAHCCS/ASET, AZDHS, AZDES/DDD, Pima County, Governor’s Advisory Council on Aging & Office on Aging, Arizona Chamber of Commerce • Non-Profit Community Organizations (partial list)Arizona Heart Association, Arizona Cancer Society Action Network, Arizona Diabetes Association, Arizona Partnership for Immunization (TAPI), Arizona Leukemia & Lymphoma Society, Arizona Council of Human Services Providers, Arizona Pharmacy Association, children’s Action Alliance, Tucson Osteopathic Medical Foundation, Pima Council on Aging, and many others.

20. Consumer Campaign Strategy • Message Strategy - Create a consumer health IT organization and brand.- Describe EHRs, E-Prescribing & HIE as one movement. - Link eHealth Technology to other consumer technology, i.e. banking, retail. • Distribution Strategy- Engage a broad-base of community organizations in message development for consumer campaign. - Develop a consumer health IT website sponsored byHINAz/AzHeC as focal point with broad base of support. - Utilize the distribution channels of consumer task force plus a PR/advertising campaign to maximize total impressions.

21. Consumer Consent Toolkit • Overview of legal requirements - Three step Consent Process: Notice/Signature/Change of Consent - Patient rights under Arizona law - Critical points to understand • Key documents for consent process - Notice of Health Information Practices - Change of Consent Form • Patient education materials- Consumer Fact Sheet - Sample script - Nurse video • Consent and ROI (request for information) Policies

22. Elements of General Consumer Campaign • Create Consumer Campaign Brand • Develop Messages & Materials • Execute Public Relations & Advertising Campaign • Launch Consumer Campaign Website

23. Campaign Logo

24. Web site: eHealth4az.org eHealthforAZ.org

25. Print Ad

26. Advertising Buy PRINT • Arizona Parenting • The Arizona Republic • Section A, Wednesday, Sunday • The Arizona Republic • Living Well monthly section • Phoenix Business Journal • Arizona Daily Star • Lovin' Life After 50 • Daily News - Sun Publishing • Independent Newspapers-Sun City • Sun Lakes Splash • ONLINE • AZ Central.com • AZStar.net • Latino Perspectives • RADIO • Phoenix Public Radio • KJZZ • KBACH • Tucson • KUAZ • KUAT FM

27. Provider Poster Arizona eHealth Provider _________________________ has been recognized for achievements in advancing eHealth technology to improve health care quality and delivery eHealth4AZ represents more than 50 Arizona stakeholders, including hospitals and health care systems, health plans, state and county governments and non-profit organizations. We recognize providers who are effectively using eHealth tools such as electronic health records, electronic prescribing, patient portals, and health information exchange. We educate consumers on how to become more active and engaged in their own health and wellness through eHealth technology. Find out more about eHealth in Arizona at www.eHealth4AZ.org.