8-26 HIE Workgroup Meeting


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8-26 HIE Workgroup Meeting

  1. 1. HIT Policy Committee Information Exchange Workgroup Meeting August 26, 2010
  2. 2. Agenda • Review of presentation to Policy Committee • Workgroup priorities and activities for remainder of 2010 2
  3. 3. HIT Policy Committee Information Exchange Workgroup Proposed Next Steps Micky Tripathi, Chair David Lansky, Co-Chair August 19, 2010
  4. 4. Information Exchange Workgroup Chairs: • Micky Tripathi MA eHealth Collaborative Co-Chair: • David Lansky Pacific Business Group on Health Members: • Judy Faulkner Epic • Jonah Frohlich California Health & Human Services • Connie W. Delaney University of Minnesota, Nursing • Steven Stack AMA • Gayle Harrell • George Hripcsak Columbia University • Michael Klag Johns Hopkins School of Public Health • Seth Foldy DHS, Wisconsin • Deven McGraw Center for Democracy & Technology • Jim Buehl CDC • Latanya Sweeney Carnegie Mellon University • Jessica Kahn CMS • Charles Kennedy WellPoint, Inc. • Walter Suarez Kaiser Permanente • Paul Egerman • David A. Ross PHII • James Golden Minnesota Department of Health • Hunt Blair Vermont Medicaid • Dave Goetz Dept. of Finance and Administration, TN • George Oestreich Missouri Medicaid • Dianne Hasselman Center for Health Care Strategies • Donna Frescatore NY State Health 4
  5. 5. Charge to the IE Workgroup • Breakthrough areas where policy barriers prevent providers and/or states from being effective enablers of broader and deeper health exchange – Specific clinical transactions already identified as important to meaningful use – Critical issues that get unearthed by the over $1.5 billion programs in state- level HIE, RECs, Beacons, and NHIN Direct • IE WG will also act as conduit for state-level policy issues that need HITPC attention – For issues in IE WG charter, Identify and recommend solutions to such issues to HITPC – For issues outside of IE WG charter, navigate to most appropriate HITPC WG(s) and facilitate/coordinate as necessary
  6. 6. Scope and Approach Focus areas Evaluative framework Policy levers MU transactions 1. Is the transaction or service • Labs (Round 2) universally and affordably available in the market today? • eRX (Round 2) 2. If not, where are the gaps and • Public health what market and/or policy • Administrative transactions barriers have created and are perpetuating these gaps? • Summary exchange 3. What market correcting or • Quality measurement and reinforcing actions could be reporting taken to eliminate identified • Patient-facing applications service gaps? 4. Which transactions might Emerging issues require more assertive role for government, and how might • Barriers to directed exchange: state and federal policies be Provider directories orchestrated to complement • Coordination with state public market solutions and catalyze health agencies removal of service gaps? • Coordination with Medicaid programs
  7. 7. Proposed Task Forces 1. Provider Directories • How can we work to ensure interoperability and access across provider directories being created under the State HIE Cooperative Agreement Program? • How can we leverage existing directories (i.e. immunization registries, SureScripts, Federation of State Medical Boards etc) in the creation of an authoritative directory? • How can we promote economies in directory development across states/regions? • Who has responsibility for directory maintenance and data management? • What entity will have governance (ownership) of statewide directories? • What policies are needed for different directory models: central repositories and federated record locators • What business models will support authoritative directories? How will sustainability be achieved? • How do you maintain up-to-date information on providers? What will incentivize providers to update their information whenever it changes? • How do public health and Medicaid uses affect directory design? 7
  8. 8. Proposed Task Forces 2. Public Health • How to leverage provider directories for public health communications and alerts? • How to leverage public health provider directories for HIE? • How can we promote economies in public health interoperability development across states/regions? • What are best ways to manage tension between declining budgets in state public agencies and increasing demand for public health capabilities driven by MU requirements? • Implementation of public health MU reporting and data exchange requirements. • Harmonization of state and federal public health reporting requirements. • Need to ensure we harmonize the standards used in NHIN Direct and public health reporting systems (e.g., PHIN). • Public health agencies have limited capability and funding to update their data collection systems. Can we establish a universal HIE migration path for public health so every state and local agency does not have to reinvent the wheel? • Can we utilize ONC adopted standards for EHRs to facilitate this evolution? • What policies and resources can be employed to enable increased uniformity in public health data platforms (health care providers have EHR certification, what can be done for public health)? 8
  9. 9. Next Steps • For Sep 14 HITPC meeting – Work plan and deliverables for each task force – Identification of next set of focus areas • For Oct 20 HITPC meeting – Provider directories recommendations – Perspectives on key public health issues (align with MU Workgroup) – Identification of emerging state-level implementation issues 9
  10. 10. Agenda • Review of presentation to Policy Committee • Workgroup priorities and activities for remainder of 2010 10
  11. 11. Task force membership (volunteers to date) Provider directories Public health • Paul Egerman • Jim Buehler • Seth Foldy • Seth Foldy • Jonah Frolich • Jonah Frolich • James Golden • George Hripcsak • Dave Goetz • Deven McGraw • Blair Hunt • David Ross • Steve Stack • Steve Stack • Walter Suarez • Walter Suarez
  12. 12. High-level timeline Sep Oct Nov Provider directories • Work plan completion • Environmental scan • Requirements assessment • Identification of barriers • Potential solutions Public health transactions • Work plan completion • Environmental scan • Requirements assessment • Identification of barriers • Potential solutions IE Workgroup meetings HITPC meetings 14 20 19
  13. 13. Next steps – for discussion • Task forces – Leadership and membership – Work plan development – Long-lead and ONC staff support items • Long-lead items include hearings, surveys, joint meetings with other WGs, etc • Beyond the task forces – Issues in coordinating state-level activities • Alignment of state laws with each other and with federal • Barriers to aligning funding across states and across programs (eg, ONC, Medicaid, public health, etc) • What are possible approaches to better enable state coordination to drive market behavior? – Initial assessment of emerging State-Level HIE issues – PIN priorities: Labs, eRX, and Patient Care Summary exchange • eRX – is the current eRX infrastructure prepared to support medication management requirements of MU? • Labs – does lack of required standard for lab transactions pose barriers to MU achievement? • Patient care summary exchange – alignment of NHIN Direct availability and state- level HIE requirements 13 – Alignment with MU Workgroup, NHIN governance process, NHIN Direct, other?
  14. 14. Draft IE WG meeting agendas – for discussion Meeting Focus Early September • Review task force and IE WG work plans for September HITPC meeting • Prep for State-Level HIE Status meeting Late September • Task force reports • State-level HIE Status meeting • NHIN Direct update Early October • Review Provider Directory Task Force status and recommendations • Review status of Public Health Task Force findings • Prep for October HITPC meeting Late October • Discussion of Coordinating State-Level Initiatives • PIN priorities Early November • PIN priorities • Other emergent issues