The document discusses West Virginia's vision for transforming its Medicaid program and healthcare system through the use of health information technology and electronic health records by 2020. It outlines strategies around collaboration, open solutions, and innovation to achieve an integrated system with interconnected EHRs, personal health records, telehealth, and mobile access to patient information. Key goals include widespread adoption of EHRs, health information exchange networks, and use of open-source software by 2020.

1. Marsha Morris, Commissioner Designated Agents for today’s presentation: Peter Groen, Director, SURC Jack Shaffer, CIO, CHNWV West Virginia Medicaid Transformation Health IT Systems Collaboration, Open Solutions, and Innovation

2. A 20/20 Vision of the Future for West Virginia Imagine a future healthcare system that is customer-focused and patient-centered , one in which every citizen has health insurance and a secure, private Electronic Health Record (EHR) that is available whenever and wherever needed, enabling the highest degree of coordinated medical care based on the latest medical knowledge and evidence.

3. A 20/20 Vision of the Future for West Virginia Imagine a healthcare system in which digital and mobile technologies, medical knowledge at the point of need, and collaboration among providers deliver safe, high-quality care for everyone—a healthcare system that does not require the patient to complete the same forms at every access point.

4. A 20/20 Vision of the Future for West Virginia Imagine a healthcare system where primary care physicians have access to your specialty medical information and specialists have access to your primary care information via inter-connected “smart” EHRs that are integrated with personalized eHealth service providers and delivered directly to a multi-purpose, intelligent, mobile digital device that can be carried in one’s pocket.

5. Electronic Medical Records (EMR) - The State intends to support the acquisition and deployment of electronic medical record (EMR) systems to better manage costs, improve quality of care, and enhance patient safety. Medicaid providers will be able to access and record clinical and other data in these EMR systems for Medicaid members. e-Health Network - The proposed West Virginia Health Information Network (WVHIN) will provide an electronic network to share electronic medical records (EMR), personal health records (PHR), and other clinical data between health care providers and payers. West Virginia Medicaid Transformation Grant - Health IT Goals -

6. West Virginia HIT Strategies Collaboration, Open Solutions, and Innovation (COSI) * Collaboration – The State is collaborating with other HIT organizations and state on multiple eHealth initiatives within West Virginia and beyond, e.g. Veterans Affairs, State of Hawaii, Indian Health Service, WorldVistA. Etc. * Open Solutions – EMR Solutions for the state must be - CCHIT certified; standards based; public domain or open source; and interoperable * Innovation – Collaboration + Open Solutions = Innovation Collaborating with the large, open source HIT community on EMR, PHR, HIE, TeleHealth, ePrescribing, Standards and other HIT solutions has led us to a range of low cost, innovative alternatives

7. Developed by Douglas Goldstein and Peter Groen Source: Medical Informatics 20/20, Quality and EHR through Collaboration, Open Solutions and Innovation, Jones & Bartlett, 2007

8. COSI Strategies The COSI strategies of Collaboration, Open Solutions, and Innovation are the key to transforming the health and medical culture, the processes, the leadership and the technology necessary to support better, safer and higher quality care in our healthcare system and other healthcare systems across the globe. The application of these strategies is already evident throughout other major industries.

9. Collaboration “ We start with the premise that we should partner with everyone.” - Tim Armstrong, Vice President, Google “ It is a great thing to make scientific discoveries of rare value, but it is even greater to be willing to share those discoveries and to encourage other workers in the same field of scientific research.” - W.J. Mayo, January, 1928

10. Open Solutions “ Open Source Everywhere—Software is just the beginning . . . open source is doing for mass innovation what the assembly line did for mass production.” - Thomas Goetz, Editor, Wired Magazine But, we’re not just talking about Open Source, we’re talking about Open Solutions

11. Growth in Open Source Software In the last few years, the growth in OSS has accelerated significantly. Key contributing factors for this growth are: growing awareness of open source increased software functionality increasing adoption of OSS by many organizations many high quality OSS applications now operating at the enterprise level - Linux Apache OpenOffice Mozilla/FireFox MySQL VistA / RPMS

12. Health IT Software in the ‘Public Domain’ Electronic Health Record (EHR) Systems – VistA, RPMS, FreeMed, AMPATH, OpenEMR, OSCAR, etc. Personal Health Record (PHR) Systems – My HealtheVet, iHealth Record, myPHR, etc. Health Information Exchange (HIE) Systems – FHIE/BHIE, OpenHRE, HCUP, caBIG, etc. Disease Surveillanc Software – HealthMap, RODS, NEDSS, SatSCAN, etc. Public Health Software – PHIN, Epi Info, SETS, etc. Genomic Systems – HUGN, BLAST, GeMCRIS, LocusLink, etc. Clinical Imaging Software – myPACS, BLOX, ImageJ, etc. Specialty Software – PHLIS, VAERS, etc. * Over 1000 ‘open source’ or ‘public domain’ health IT software projects and/or products to choose from and the list is growing.

13. Innovation “ Always and everywhere, free resources have been crucial to innovation and creativity.” Lawrence Lessig, The Future of Ideas : The Fate of the Commons in a Connected World

14. Innovative Solutions to be Implemented by 2020 Electronic Health Record (EHR) with CPOE – widespread deployment and use by 2015 (>80%) Health Information Exchange (HIE) Networks - widespread deployment and use by 2020 Personal Health Record (PHR) Systems – widespread deployment and use by 2020 Clinical Imaging & EHR Systems – widespread deployment and use by 2015 ‘ Open Source’ HIT Software – widespread deployment and use by 2015 Wearable Health IT Systems – widespread deployment and use by 2020 Genomic Information Systems & EHRs – widespread deployment and use beyond 2020 Robotics & EHRs – widespread deployment and use of robotic devices interfaced to EHRs by 2020 Nanomedicine & EHRs – widespread use of nano-technologies and implantable devices interfaced to EHRs beyond 2020 Other technologies – VOIP, RFID, Encryption, …

15. Imagine the Future … Create the Future – Health@Anywhere

16. Deficit Reduction Act of 2005 The DRA changes the face of Medicaid. Rx LTC Transfer of Assets Fraud and Abuse Benefits and Cost Sharing Financing Grants West Virginia is poised to move Medicaid to a model that emphasizes preventive care, partnership, personal empowerment and responsibility. Medicaid Transformation Deficit Reduction Act of 2005

17. Electronic Health Systems need to: support enhanced access to preventive and disease management services, defined personal health management goals and responsibilities and rewards for healthy behavior; meet needs of “Advanced Medical Home”; provide integration with telehealth applications; and facilitate advanced planned care with strong self-management components. HIT and HIE to support West Virginia Medicaid Redesign

18. 52 acute care community hospitals, 18 critical access hospitals, 6 rehab, 4 VA, with a total of 70 hospitals; Seven state-operated facilities, 2 behavioral health facilities, four long-term care, one community hospital (all implementing a version of the VA’s Vista EHR); 14 behavioral health centers, and 65 certified intermediate care facilities; 34 nonprofit primary care centers, with 139 primary care service sites (including 41 school-based health centers), providing services in or to 47 counties; 54 local health departments, 73 home health agencies and 20 hospice organizations; 3,743 MDs and 507 DOs active and practicing in West Virginia according to the respective licensing boards. Approximately one-third of West Virginia’s physicians are self-employed in a solo practice. More than one-third of West Virginia’s physicians provide primary care. Coordinating health care delivery– the opportunity for health information exchange

19. Studies indicate that 20% to 40% of diagnostic tests are duplicated due to lack of results being readily available and the potential benefit of full HIT integration as producing a “reduction in laboratory and radiology test ordering by 9 to 14%, lowering ancillary test charges by up to 8%, reducing hospital admissions, costing an average of $17,000 each, by 2% to 3%, and reducing excess medication usage by 11%.” Studies predict a gain of as much as 30% in efficiency from EHR use and HIE, mostly through reducing unnecessary tests and prescriptions, paperwork and medical mistakes. In West Virginia, this amounts to a potential $3 billion savings of total health spending of $10 billion (the total state general revenue budget for 2007 was $3.629 billion) and nearly $1 billion for West Virginia Medicaid. Harnessing the Power of HIT for Health Improvement

20. Community health centers can be leaders in health improvement and EHR adoption; Leverage health improvement, EHR alone is not a “silver bullet” to improve outcomes and contain cost without system improvements; Data warehouse and HIE require ability to capture and report information electronically at the point of care (paper to bytes) Exploring ways to coordinate with MITA to build and finance infrastructure (90% match); Focus EHR acceleration and financing support at the primary care and community health level for greatest ROI. Lessons Learned - Early Stages

21. Advanced Medical Home Medicaid Transformation Grants Personal Responsibility Health System Improvement Applied Technology Stronger Medicaid Program Enhanced Medication Management

22. Advanced Medical Home Medicaid Transformation Grants Combined into (3) for implementation Pharmacy Improved Medicaid E-Health

23. Advanced Medical Home MTG – Improved Medicaid Project Management Advanced Medical Homes Health Improvement Institute Healthy Rewards Accounts Education and Outreach Clinical Data Warehouse

24. Goals of West Virginia Medicaid Redesign Goals of MHC Establishment of a Medical Home Tailor benefits to needs of a specific population Coordinate care, especially for members with chronic conditions Provide members with the opportunity and incentives to maintain and improve their health Hallmarks for Members Prevention Personal Responsibility Establishment of a Medical Home Care Management Mountain Health Choices An Overview

25. Advanced Medical Home WV Health Improvement Institute ADOPTION OF ELECTRONIC HEALTH RECORDS Develop proposed mechanisms to accelerate adoption of electronic health records in West Virginia MEASUREMENT Create a forum of alignment of measures across stakeholders to facilitate reporting SELF MANAGEMENT SUPPORT To align and improve access to resources and best practices to improve the self-activation capacity of all patients EDUCATION OF THE PROVIDER COMMUNITY To develop a system of provider engagement to accelerate Medicaid Transformation and assist physician practices with migration to AMH PAY FOR PERFORMANCE To provide guidance on the deployment of a P4P program as a model for the State QUALITY COLLABORATIONS To support a focused collaboration of key stakeholders on improving quality, building on past initiatives Member Education Healthy Rewards Advanced Medical Homes Advanced Medical Homes Pay 4 Performance Evidenced Based Medicine Health Information Systems Electronic Health Information Provider Technology Incentives OTHER RELEVANT INITIATIVES WV HIN – WVMI - OTHERS

26. Advanced Medical Home MTG - Pharmacy Automated Prior-Authorization System POS Enhanced Coordination of Care System Clinical Web Portal

27. Advanced Medical Home MTG - Pharmacy Automated Prior-Authorization System RFP bids received – in technical review Review completion by April 28 th . POS Enhanced Coordination of Care System Withdrawn at this time Clinical Web Portal Bids Opened April 2 nd Start technical review – Completed May 2 nd .

28. Advanced Medical Home MTG - E-Health Electronic Medical Records Personal Health Records Coordinate with healthy rewards e-Prescribing Provider Portals Benefit Management Care Coordination Access to Specialty Care - Telehealth

29. Advanced Medical Home MTG - E-Health Participating in NASMD Multi-State Collaboration Meetings Share information on EMR’s, PHR’s and HIE’s Researching Methods to Foster EMR Adoption Coordination with Major HIT Initiatives WVHIN, WVTA, e-Prescribing CMS EHR demonstration project

30. Advanced Medical Home MTG - E-Health Conduct an environmental scan of health information technology deployed within the State. Develop an “as-is” profile by June 2008 Coordinate survey with WVHIN and WVTA Evaluate and determine each system's functional capabilities based on the CCHIT Certification Standards regarding record content and interoperability. Also evaluate based on functionality required to perform quality improvement in conjunction with the advanced medical home concepts. Focus on the possibility of VistA and RPMS as a solution.

31. Advanced Medical Home MTG - E-Health Collaborate with federal agencies and other states on CMS transformation initiatives - e.g. EMR, HIE, PHR, ePrescribing, etc. Hawaii – Heavily invested in VistA – moving toward RPMS Ohio, Kentucky – regional HIE’s Initiate Pilot Implementations of “open” EMR systems at selected facilities – e.g. government hospitals, FQHC’s and rural clinics. Pilot test and evaluate a Personal Health Record (PHR) solution. Develop and pilot test data extraction tools and a public health clinical data warehouse solution.

32. Contact Marsha Morris, Commissioner West Virginia Department of Health and Human Resources Bureau for Medical Services (304) 558-1700