Measured Progress, Great
 Possibilities, Many Challenges -
Telehealth and eHealth in Virginia




                        ...
The Information Technology Challenge
Information Technology
                                        Challenge


 IT is integral to organizational strategy - b...
The IT Challenge –
                                      Low Cost PCs




Source: OpenSourceCommunity.org
The IT Challenge –
                Mobile


The IT
Challenge –
     Social
      Media
Alcatel-Lucent Bell
Labs Announces
New Optical
Transmission
Record And Breaks
100 Petabit Per
Second Kilometer
Barrier
(Oc...
Albert Fert and Peter Grunberg ,
2007 Nobel Price for Physics (Giant
Magnetoresistance)
The IT Challenge – Providing
   Access and Empowering
                    Citizens
The IT Challenge –
Improving Service
  and Operations
Telehealth and eHealth in Virginia
From Virginia’s Initial 1995
                               Telehealth Study -

 Immunization Registry
 Initial Committe...
From Virginia’s Initial 1995
                               Telehealth Study -

 CommonwealthRx
 Virginia Health Exchang...
Virginia Health IT Innovation Grants
(from Chopra and Tavenner Town Hall
           Presentation, February 2009)
Source: Commonwealth of Virginia
But What Are the Possibilities
                           of eHealth (Streveler)?


 Clinical
   Patient Care Management...
We Need the Foundation of:


 Institutions
 Legal Structures
 Policies
 Standards
 People
 Finance and Business Mode...
In the Context of Service
Delivery and Value Chains
            (Luis Pareras)
And Building Upon a Strong
               Enterprise Architecture Foundation


 An organization’s enterprise architecture...
Enterprise Architecture
            Framework




                 Source:
                 Government
                 En...
But We Are Off to a Good Start

 Executive Order 95 – establishing Virginia
    Health IT Advisory Commission and the Off...
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  1. 1. Measured Progress, Great Possibilities, Many Challenges - Telehealth and eHealth in Virginia J.P. Auffret NOVA RHIO March 18th, 2010
  2. 2. The Information Technology Challenge
  3. 3. Information Technology Challenge  IT is integral to organizational strategy - but is also a key part of organizational day to day operations.  IT is specialized, but has broad impact.  IT is transformational – but also enables organizations to provide existing services better.  IT is rapidly evolving – but has much continuity in technology management best practices.
  4. 4. The IT Challenge – Low Cost PCs Source: OpenSourceCommunity.org
  5. 5. The IT Challenge – Mobile 
  6. 6. The IT Challenge – Social Media
  7. 7. Alcatel-Lucent Bell Labs Announces New Optical Transmission Record And Breaks 100 Petabit Per Second Kilometer Barrier (October 2, 2009) Intel Unveils All New 2010 Intel® Core™ Processor Family (CES 2010)
  8. 8. Albert Fert and Peter Grunberg , 2007 Nobel Price for Physics (Giant Magnetoresistance)
  9. 9. The IT Challenge – Providing Access and Empowering Citizens
  10. 10. The IT Challenge – Improving Service and Operations
  11. 11. Telehealth and eHealth in Virginia
  12. 12. From Virginia’s Initial 1995 Telehealth Study -  Immunization Registry  Initial Committee on Health Information Technology – Organized and Chaired by Secretary Jane Woods in 2005  Medicaid Eligibility System  Commonwealth of Virginia Health IT Innovation Grants as part of Secretary Chopra’s and Secretary Tavenner’s health IT program.  No Wrong Door
  13. 13. From Virginia’s Initial 1995 Telehealth Study -  CommonwealthRx  Virginia Health Exchange Network  Advance Healthcare Directive Directory  Many local and regional telehealth initiatives
  14. 14. Virginia Health IT Innovation Grants (from Chopra and Tavenner Town Hall Presentation, February 2009)
  15. 15. Source: Commonwealth of Virginia
  16. 16. But What Are the Possibilities of eHealth (Streveler)?  Clinical  Patient Care Management  Population Health Management  Disease State Management  Administrative  Resource Management  Utilization Management  Financial Management  Quality Management
  17. 17. We Need the Foundation of:  Institutions  Legal Structures  Policies  Standards  People  Finance and Business Models  Leadership  Metrics
  18. 18. In the Context of Service Delivery and Value Chains (Luis Pareras)
  19. 19. And Building Upon a Strong Enterprise Architecture Foundation  An organization’s enterprise architecture is the organizing logic for its core business processes and IT capabilities captured in a set of principles, policies and technical choices reflecting the standardization and integration needs of its operational model. Source: Enterprise Architecture as Strategy (Weil, Ross and Robertson 2006)
  20. 20. Enterprise Architecture Framework Source: Government Enterprise Architecture in Singapore (Saha 2008)
  21. 21. But We Are Off to a Good Start  Executive Order 95 – establishing Virginia Health IT Advisory Commission and the Office of Health IT  Establishment of Regional Extension Centers  Fostering of RHIOs / HIEs  HB 2198 – Electronic health records systems and standards (2009)  HB 2044 – Establish Health Information Standards Advisory Committee (2010)  SB 675 – Health insurance coverage and telehealth (2010)  Planning for COV - HIE

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