The document is a presentation about the Beacon Communities Program, which provided funding to 17 communities to build capacity for meaningful use of health information technology and exchange. It discusses the goals of demonstrating better care through health IT, supporting lasting learning networks, and providing lessons. It then summarizes the aims, conceptual model, selected communities, and highlights some early successes and challenges around health information exchange in these communities.

1. NHIN 204 – Beacon Communities: Spotlight on HIE Success Stories FACULTY: Craig Brammer – Deputy Director, Beacon Communities Program, ONC MODERATOR: Aaron Seib Interim CEO National eHealth Collaborative

4. HITECH in Action: The Beacon Community Program Craig Brammer Office of the National Coordinator for Health Information Technology

7. HITECH Addresses Barriers to Adoption Obstacle Intervention Funds Allocated Market Failure, Need for Financial Resources Medicare and Medicaid EHR Incentive Programs for “Meaningful Use” $27.3 B* Addressing Adoption Difficulties Regional Extension Centers Health IT Research/Resource Center $643 M $50 M Workforce Training Workforce Training Programs $84 M Addressing Technology Challenges and Providing Breakthrough Examples Strategic Health Information Technology Advanced Research Projects Beacon Communities Programs $60 M $250 M Privacy and Security Policy Framework New Privacy and Security Policies Addressed across all Programs Need for Platform for Health Information Exchange NHIN, Standards and Certification State Cooperative Agreement Program $64.3 M $548 M *$27.3 B is high scenario

8. Beacon Community Conceptual Model Foundation of Health IT Electronic health records and information exchange Sustainable Quality & Efficiency Improvements Care Delivery Innovations Decision support Rx management Care coordination Discharge planning Measurement & Provider Feedback Quality Efficiency Population health Payment Reform Accountable care organizations Bundled payments Advanced medical homes

9. Beacon Communities

10. Beacon Communities Lead Organization Location Community Services Council of Tulsa Tulsa, Oklahoma Delta Health Alliance Stoneville, Mississippi Eastern Maine Healthcare System Brewer, Maine Geisinger Clinic Danville, Pennsylvania HealthInsight Salt Lake City, Utah Indiana Health Information Exchange Indianapolis, Indiana Inland Northwest Health Services Spokane, Washington Louisiana Public Health Institute New Orleans, Louisiana Mayo Clinic College of Medicine Rochester, Minnesota The Regents of the University of California, San Diego San Diego, California Rhode Island Quality Institute Providence, Rhode Island Rocky Mountain Health Maintenance Organization Grand Junction, Colorado Southern Piedmont Community Care Plan, Inc. Concord, North Carolina University of Hawaii at Hilo Hilo, Hawaii Western New York Clinical Information Exchange Buffalo, New York HealthBridge Greater Cincinnati, Ohio Southeast Michigan Health Information Exchange Greater Detroit

11. Beacon Community Workplan CO Community Objectives MO CO Activities Resources MO MO MO A A A A A A R R R R R R R R R R R Measured Outcomes R Sustainability plan outlining provider reimbursement, program revenue, and other strategies Outputs O O O O O O Well-defined measurable improvement goals Beacon “Community Objectives” encompassing cost, quality, and population health Operational and process results of core activities Defining risks and barriers and establishing plans to prevent or mitigate them Resources needed to support activities and meet stated outcome goals Tasks/interventions leading to outputs Program Goals

12. Indiana Health Information Exchange Service area Central Indiana Population 1,154,294 people in target population 2,700,000 people in geographic service area Summary of Action Plan HIE-based measurement and provider feedback P4P, accountable care organizations and payer engagement Remote telemonitoring Selected Performance Improvement Goals Quality Population Health Cost/Efficiency Increase by 10% the proportion of diabetic patients with controlled blood sugar levels (HbA1c<9.0%) Increase by 10% the proportion of diabetic patients whose cholesterol is controlled Increase by 5% the proportion of patients screened for colorectal and cervical cancer Increase by 5% the rate of adult immunizations, with an initial emphasis on the flu Reduce by 3% the number of ambulatory care sensitive (ACS) hospital admissions Reduce by 3% the number of ACS emergency visits Reduce by 10% the number of ACS readmissions Reduce by 10% the number of redundant radiologic studies

14. Communities of Practice and TA Domains Activities across the 5 domains will align to enable high quality, cost efficiencies, patient-focused health care, and population health through clinical transformation.

16. An HIE Study of 9 Beacons Beacon Name (Short Name) Icon Bangor Beacon Community (Bangor) Beacon Community of Inland Northwest (Inland NW) Central Indiana Beacon Community (Central Indiana) Greater Cincinnati Beacon Collaboration (Greater Cincinnati) Keystone Beacon Community (Keystone) Rhode Island Beacon Community (Rhode Island) Southeastern Michigan Beacon Community Collaborative (SEMBCC) Southeastern Minnesota Beacon Community (SE Minnesota) Western New York Beacon Community (Western NY)

17. Stakeholders Participating in HIE

18. Stakeholders Participating in HIE (cont)

19. Stakeholders Participating in HIE (cont)

20. Priority Stakeholders Please indicate the five most important stakeholder participants necessary to meet your Beacon Community’s target outcomes.

21. HIE Architectural Components Please indicate what architectural components are employed currently or will be in the future to support HIE in your Beacon Community. Please check only one box in each row and use the additional comments section to specify other components.

22. HIE Architectural Components (cont) Please indicate what architectural components are employed currently or will be in the future to support HIE in your Beacon Community. Please check only one box in each row and use the additional comments section to specify other components.

23. Priority for Meeting Beacon Aims Please indicate the top five most important HIE architectural components necessary to meet your Beacon Community’s target outcomes.

24. HIE Services

25. Data Types Exchanged

26. Data Types Exchanged (cont)

27. Data Types Exchanged (cont)

28. Data Messaging Standards

29. Data Vocabulary Standards

30. HIE Architectural Components (cont) Please specify your Beacon Community’s participation in federal HIT/HIE initiatives and the nature of the participation for each selected answer.

31. Privacy & Security Strategies

35. Questions? National eHealth Collaborative 818 Connecticut Avenue NW, Suite 500 Washington, DC 20006 (877) 835-6506 [email_address] www.NationaleHealth.org Register for NHIN University: www.NationaleHealth.org/NHIN-U