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Nora Belcher Texas e-Health Alliance December 10, 2010

Health Information Technology Update on the Texas Landscape Presentation to TASSCC’s State of the State Conference. Nora Belcher Texas e-Health Alliance December 10, 2010. Health Information Technology Overview. Background Update on Texas Landscape Legislative Preview. Background

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Nora Belcher Texas e-Health Alliance December 10, 2010

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  1. Health Information TechnologyUpdate on the Texas LandscapePresentation to TASSCC’s State of the State Conference Nora Belcher Texas e-Health Alliance December 10, 2010

  2. Health Information TechnologyOverview • Background • Update on Texas Landscape • Legislative Preview

  3. Background Planning and Policy Development – Federal • Initiated through April 2004 State of the Union address • Furthered through the creation of the Office of the National Coordinator for Health Information Technology • Ongoing federal health IT initiatives • Open, deliberative policy development process (Health IT Policy Committee) • Certification and standardization (Health IT Standards Committee) • Health information exchange pilots (Nationwide Health Information Network) • Privacy & security (Health Information Security and Privacy Collaboration) • New health IT initiatives through the ARRA

  4. Background Planning and Policy Development – Federal • Health IT initiatives created and funded through the American Recovery and Reinvestment Act of 2009 (ARRA) • Electronic health record incentives (estimated $36-$46 billion) • Health information infrastructure ($2 billion) • State grants for HIE planning and implementation • Health IT regional extension centers • Health IT workforce program

  5. Texas Landscape: State Funding and Projects • State HIE Cooperative Agreement Program $28.8 million – HHSC/ Office of e-Health Coordination (OeHC) • Medicaid Health IT Plan/EHR Incentive Payment Program $4.5 million planning – HHSC/Medicaid • Health IT Regional Extension Centers (REC) $35.7 million – 4 awards • Strategic Health IT Advanced Research Projects (SHARP) $15 million – UT Health Science Center, Houston • Beacon Community Program 8 Texas applicants, 0 awards • Health IT Workforce Grants $5.4 million – Texas State University, San Marcos

  6. HHSC Texas Health Services Authority (THSA) • Develop & implement a state plan for HIE • Support the development of local & regional HIE • Foster the development of HIT policy for the state • $28.8m planning & implementation funds through ONC via MOU with HHSC • Pass through Medicaid incentive funds: up to $2b through 2019 • Develop & implement a Medicaid HIE (HB 1218) • Pass through planning and implementation funds to THSA Regional Extension Centers (HITRECs) Universities & Community Colleges • ONC award: Strategic Health IT Advanced Research Projects (SHARP) for research on barriers to EHR adoption: UTHSC- Houston, $15M • ONC award: Program of Assistance for University-Based Training to increase availability of HIT professionals: Texas State University, $5.4m • Funded by ONC to offer technical assistance, guidance & information on best practices to support & accelerate efforts to become meaningful users of EHRs • CentrEast REC (TAMU): $5.3m • North TX REC (DFW Hospital Council): $8.5m • West TX HIT REC (Texas Tech): $6.7m • Gulf Coast REC (UTHSC): $15.2m

  7. Texas Health Services Authority • State plan approved in November 2010 • Established a Collaboration Council and a number of working groups on specific topics • Moving into procurement phase: • Local HIE RFA • White Space RFA • State Level Services • THSA undergoes Sunset in 2013

  8. Texas Legislative Activity Increasing interest in health IT in the Texas Legislature Before 2005 – 0 health IT bills filed 2005 – 1 health IT bill filed 2007 – 6 health IT bills filed 2009 – 30 health IT bills filed 81st Regular Legislative Session (2009 ) Health passport expansion Electronic prescribing (also LBB report) Medicaid-based HIE

  9. Texas Legislative Issues Privacy and Security Regulation Telemedicine and Telehealth Scope of Practice Medicaid Managed Care Expansion Federal Health Care Reform Health Insurance Exchange

  10. Future Activities • The Texas path forward • State HIE planning and implementation grant • THSA and workgroups • Clear role for local HIEs • State Medicaid Health IT Plan development and implementation • Other, Ongoing Texas state-level projects • Office of e-Health Coordination • Medicaid HIE Initiative • Private-sector developments • Regional initiatives • Stakeholders (employers, payers, etc.)

  11. What Does It Mean For You? • Major open questions • Funding/sustainability • Achieving population and geographic coverage – network topology • Patient involvement in HIE – consent? How much? • Provider liability • Impact on state agencies • Direct impact • Indirect impact

  12. Helpful Links http://www.txrecs.org/ http://www.cms.gov/EHRIncentivePrograms/ http://www.thsa.org/ http://www.tmhp.com/Pages/HealthIT/HIT_Home.aspx http://www.himss.org/

  13. Questions? Nora Belcher Executive Director Texas e-Health Alliance nora@txeha.org (512) 536-1340

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