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  • In this role, HCA coordinates applications for federal stimulus funding through the Health Information Technology for Economic and Clinical Health Act (HITECH) provisions of the American Recovery and Reinvestment Act of 2009 (ARRA). At the time the ARRA HITECH provisions became law, the Washington State legislature passed Substitute Senate Bill 5501 (SSB 5501) requiring the HCA to designate a lead entity or entities to work with key stakeholders to create the HIE.
  • OneHealthPort hit the ground running as the lead organization for HIE Planning and Implementation. They recently completed public meetings throughout the state to provide an overview of the project scope and find out which organizations are willing to pay for and use HIE.
  • Bellevue was the unanimous choice of the cross-state group, which seeks underwriting to train 1,500 workers in two years. The U.S. Department of Health and Human Services will fund five regional consortia nationally, all part of an effort to gear up a health IT workforce, through the federal stimulus package.Lead applicant in a 10-state consortium, seeking $6.2M in funding for health IT training -- 10 states = Washington, Alaska, Oregon, Idaho, Montana, Wyoming, North & South Dakota, Utah and ColoradoEvery physician practice, clinic and hospital in the United States receives incentive funding from the federal government to digitalize patient records. Failing to do so will result in penalties.The goal is to put people to work, assisting in national rollout of EMRs
  • The SHARP opportunity will grant 4 awards across the US to support breakthrough research done in collaborative, multidisciplinary programs.  Each award will be in one of 4 specific research areas: Security of Health IT, Patient Centered Cognitive Support, Health Care Applications & Network Platform Architectures, and Secondary Use of EHR Data.  After due consideration and consultation with R&D community stakeholders, UW opted not to apply for the SHARP opportunity, but will continue to watch for possible funding opportunities that support applied research, working to solve real world issues and challenges in healthcare informatics.The UW Division of Biomedical and Health Informatics (BHI) has the unique opportunity to host the 2010 International Partnership in Health Informatics Education (IPHIE) Master Class sessions which will take place at UW in late June, 2010.  This is an international consortium of leading research universities who come together annually to discuss cutting edge research and education in healthcare informatics.   They are seeking Washington state businesses as potential supporters of this international conference.  For more information, please contact Peter Tarczy-Hornoch, MD, FACMI at pth@uw.edu 
  • core health IT infrastructure activity will be included within the scope of the eHCE to assure good coordination across HITECH programs as needed. Once these USDA funding opportunities are announced, the WTC, as the TeleHealth Lead Org, will coordinate the grant application process for WA state among the various stakeholder members of the TeleHealth community.  There are no TeleHealth and TeleMedicine funding announcements so far in 2010 from USDA.
  • After due consideration and consultation with R&D community stakeholders, UW opted not to apply for the SHARP opportunity, but will continue to watch for possible funding opportunities that support applied research, working to solve real world issues and challenges in healthcare informatics.

Slide 1 Slide 1 Presentation Transcript

  • ARRA/HITECH UpdateHRB Summit
    Juan Alaniz
    Deputy, State eHealth Coordinator
    February 5, 2010
  • Agenda
    ARRA/HITECH Funding Opportunities
    A Lot of Work To Do!
    HITECH Program Status
    Other ARRA Programs
    Next Steps
  • 3
    ARRA/HITECH Funding
    Sources:Manatt Health Solutions and Washington State Health Care Authority
    View slide
  • 4
    Funding Flow - Appropriated
    Health Care Providers
    Least-advantaged Providers
    View slide
  • 5
    ARRA/HITECH Timeline
    State HIE Grant Application
    ONC releases State HIE Procurement
    Anticipated Project Start Date
    • ONC to release Meaningful Use definition and CMS to issue proposed rule by end of December 2009
    • 60 day public comment period
    • First round of administrative HIT payments could be released in Q1 2010
    Final Rule issued on Meaningful Use
    Letter of Intent due 5pm EST on Sept 11th
    Anticipated Award Announcements
    Earliest Meaningful Use payments by CMS
    Application due by 5pm EST on October 16th
    ONC to issue guidance on EHR loan program and craft Meaningful Use definition
    Community College Consortia to Educate Health Information Technology Professionals
    ONC releases Health Education Procurement
    Application due on January 22nd
    Anticipated Award Announcements
    Consortia begins program instruction
    Regional Extension Center Applications
    Medicaid Agency
    Implementation of State Medicaid HIT Plans
    Incentive payments begin 2011
    Preliminary applications under 1st cycle due by Sept 8th
    Full applications due by Nov 3rd
    Full applications due by January 29th
    Preliminary applications under 2nd cycle due by Dec 22nd
    Awardee Selection
    ONC releases REC Procurement
    Awardee Selection
    Sources: Manatt Health Solutions and Washington State Health Care Authority
  • A Lot of Work To Do!
    The Health Care Authority (HCA) appointed by Governor Gregoire to coordinate HITECH Act funding activities
    State Health IT Coordinator appointed
    Legislation - SSB 5501
    HCA formed eHealth Collaborative Enterprise work group within the HCA
    Fulfill requirements of ARRA/HITECH Act
    Fulfill requirements of SSB 5501
    Get $$$ into the state
    Monitor grants and report out to ONC
  • Roles
    Health Care Authority – sponsor
    eHealth Collaborative Enterprise – state coordinator for HITECH activity
    Lead Organizations
    SSB 5501 – designates HCA to select lead organizations and form public/private partnerships to lead development of processes, guidelines, and standards of HITECH grant programs
  • HITECH Program Status
  • Health Information Exchange
    Lead Organization – OneHealthPort
    Held statewide public meetings to gauge interest in statewide HIE
    Second round of public meetings via webinar in February
    HCA submitted application for HIE Cooperative Agreement with ONC
    Award announcement expected 1/15  
  • Electronic Health Records
    State loan funding for providers who adopt Electronic Health Records
    No Status – waiting for funding opportunity announcement from ONC
  • Workforce Training & Development
    Lead Organization – Bellevue College
    Seeking $6.2M in funding for health IT training.
    WA community colleges will participate by launching newly developed classes to ready health care workforce for rollout of electronic medical records.
    If funded in March, 2010, Bellevue College will lead both the state and regional consortium in two years of rapid response training.
  • Regional Extension Centers
    Lead Organization – Qualis Health
    Applied for REC funding
    First cycle selection announcements expected in February
  • Research and Development
    Lead Organization - The University of Washington
    Looking for applied research grant opportunities
    Not applying for the Strategic Health IT Advanced Research Projects (SHARP) grant opportunity
    Hosting the 2010 International Partnership in Health Informatics Education (IPHIE) Master Class sessions at UW in late June, 2010  
  • Telehealth/Telemed/Broadband
    Lead Organization - Washington TeleHealth Consortium (WTC)
    Reviewed the TeleHealth lead org roles and responsibilities at their regular meeting on 1/12/10.
    Watching for the USDA to announce ARRA funded grants for TeleHealth and TeleMedicine as part of their regular annual granting cycle 1st quarter of 2010. 
    Waiting for broadband award announcement.
    Met with DIS re: broadband activity.
  • Medicare/Medicaid
    Entitlement funds
    Collaborating with HRSA and DOH on environmental scan
  • Track Funding Opportunities
  • 17
  • Next Steps
    Patiently awaiting award notifications for HIE and REC
    Working with OHP on shared technical infrastructure and statewide HIE governance models
    Working with DIS, HRSA, DOH on Environmental Scan
    Working with HRSA/Medicaid on “meaningful use”
  • Communications/Contact Info
    Web Site
    E-mailing list
    LO contacts