Minnesota eHealth Initiative: Update Progress and Opportunities

1
Minnesota e-Health InitiativeUpdate Progress
and Opportunities

• Marty LaVenture, PhD, MPH
• Director, Center for Health Informatics
• Minnesota Department of Health
• Minnesota HIMSS Annual Meeting
• May 17, 2006

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Topic for Discussion

• What is the Minnesota e-Health Initiative?
• Progress and Current Action
• Emerging Themes
• Summit and Legislative update
• Opportunities for Input and Staying Connected

3
Minnesota e-Health Initiative?

• Private-Public collaboration
• Guided by an Advisory Committee
• Comprehensive Vision
• Consumer and Community focus
• Inclusive scope healthcare, long term care,
  public health and other settings

4
Minnesota e-Health Initiative Vision
Multi-Dimensional Model

• accelerate the adoption and use of Health
  Information Technology to improve healthcare
  quality, increase patient safety, reduce
  healthcare costs and enable individuals and
  communities to make the best possible health
  decisions.

Source Committee Report to the Legislature,
January 2005
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2006-2007 Minnesota e-Health Initiative Advisory
Committee

• Co-Chairs Mary Brainerd, Mary Wellik
• Representing Members (26)
• Hospitals Mary Klimp, Kim Pederson
• Health plans Fred Dickson, Bobbie McAdam
• Physicians Dr Kristin Benson, Dr Ray Gensinger
  Jr.
• Primary Care Rhonda Degelau
• Nurses Dr Marcelline Harris
• Purchasers Carolyn Pare, Brian Osberg
• Long Term Care Deb Switzer
• Academic/Research Gregg Thomas, Dr Don Connelly
• Pharmacies Katie LeBeau
• Public health Rina McManus (local), Dr Marty
  LaVenture (MDH)
• Citizens Betsy Johnson
• Labs Cindy Nelson
• Other Experts Dr David Abelson, Dr Alan
  Abramson, Laurie Beyer- Kroupenske, John
  Gross, Andy Galbus, Jennifer Lundblad

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Progress Proposed Action 2004-2007 MN e-Health
Advisory Committee

• Progress
• Dec 04 Developed vision, roadmap
• Jan 05 Developed NHIN-RFI response
• Jun 05 Developed principles Priorities for
  Minnesota HIE
• Jun 05 Held Statewide Summit
• Nov 05 Focus on Consumers
• Feb 05 Submitted Privacy RFP
• Mar 05 Reviewed assessment
• Apr 06 Key input on goals
• May 06 MN e-project directory

2004-2005
2006
2007
7
Minnesota e-Health InitiativeRoadmap for
Strategic Action
Source Committee Report to the Legislature,
January 2005
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Minnesota e-Health Initiative
Commissioner of Health
Statewide Advisory Committee
Goal 2 Interconnect Clinicians
Goal 4 Improve Population /Public Health
Goal 1 Inform Clinical Practice
Goal 3 Personal Health Record

• Electronic Health Record Adoption
• Progress
• Clinics 2005 Survey (300/651) 17 have fully
  Implemented EHR
• Hospitals 2005 AHA survey 19 are fully
  Implemented
• DOQ-IT informatics project Resources for
  Clinics
• MDH Use of Rural Health Grants
• Collaboration on rules and implementation guides
• Continuing Need / Emerging Themes
• Informatics knowledge (tools) support to
  small/rural/underserved clinics and hospitals,
  long term care, local public health departments
• Variation on implementation and use
• Education/Communication with policymakers,
  consumers

5-11-06
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Stratis Health Primary Care Clinic Survey (2005)
Example
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Minnesota e-Health Initiative
Commissioner of Health
Statewide Advisory Committee
Goal 2 Interconnect Clinicians
Goal 4 Improve Population /Public Health
Goal 1 Inform Clinical Practice
Goal 3 Personal Health Record

• Minnesota Health Information Exchange
• Progress
• MN Health Care Connection (MHCC) Interim Board
  (Stratis Health as Incubator)
• Directory of 36 Projects. At least 6 HIE Projects
  underway examples
• CHIC NE MN exchange
• AHRQ Shared Abstract Allina, Fairview, Health
  Partners U of M
• MIIC Immunization Exchange
• Medications HIPPA collaborative
• Winona project
• Minnesota Privacy and Security Project
• Continuing Need / Emerging Themes
• Statewide coordination
• Initial funding and sustainable business model

5-11-06
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Minnesota Privacy and Security Project Starts
June 2006

• Purpose
• Identify variations in organization-level
  business policies and practices around exchange.
• Identify and propose practical solutions, while
  preserving the privacy and security protections.
• Process
• Work groups forming over the next month.

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Minnesota e-Health Initiative
Commissioner of Health
Statewide Advisory Committee
Goal 2 Interconnect Clinicians
Goal 4 Improve Population /Public Health
Goal 1 Inform Clinical Practice
Goal 3 Personal Health Record

• Personalize Care Personal Health Record
• Progress
• Initial projects for consumer access (Children's,
  Fairview, HealthPartners, others)
• Continuing Need / Emerging Themes
• Minnesota definition for PHR and integration
• Projects for My Medication History, My
  Registration Information
• Adopt consumer principles
• Consumer education and information resources

5-11-06
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Example Advertisement
Source David Lansky, Markle Foundation
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Minnesota e-Health Initiative
Commissioner of Health
Statewide Advisory Committee
Goal 2 Interconnect Clinicians
Goal 4 Improve Population /Public Health
Goal 1 Inform Clinical Practice
Goal 3 Personal Health Record

• Population Health / Public Health
• Progress
• MN-PHIN Population health knowledge,
  preparedness, response activity
• InformationLinks Project from the Robert Wood
  Johnson Foundation
• Initial assessment of informatics capacity
• Continuing Need / Emerging Themes
• Adopt common data exchange standards for disease
  reporting
• Interoperability across dozens of silo
  information systems used at state and local
  levels
• Roadmap for population health / prevention
  indicators e.g. Indian Health Service model.

5-11-06
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Emerging Themes, Consumer Focused Action - By
advancing the implementation and use of

• Empower Consumers
• My Personal Health Record, My Medication and
  Immunization History, My Registration
  Information- Replace the Clipboard
•  
• Inform and Connect Clinicians
• Electronic Health Record abstract in Emergency
  Departments
• Statewide use of e-Prescribing
• Chronic disease monitoring/management
• Statewide access to laboratory results
• Statewide immunization history decision support
•  
• Protect Communities
• Reliable and timely provider detection and
  reporting of diseases to MDH, with the timely
  return of information on community risks and
  threats
• An integrated Minnesota Public Health Information
  Network (MN-PHIN) for state-local emergency
  detection and response.

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Consumer Benefit Examples

• I save time and worry because there is no need to
  fill out lengthy forms or explain my health
  history (and possibly forget something important)
  when I go to the doctor.
• My electronic health records will not be lost,
  even in the event of a disaster.
• No matter where I go to the doctor, my providers
  have health information about me.

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Consumer Benefit Examples (continued)

• I get test results quickly and can understand
  them.
• I can securely communicate electronically with my
  health care provider if I chose to.
• I have greater confidence that public health
  agencies and healthcare providers are prepared to
  help in the event of a health emergency.

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2006 Minnesota Proposal for Public Funding

• The Governor recommends 12,000,000 in FY 2007 to
  invest in the use of Interoperable Electronic
  Health Record Systems and related Health
  Information Technology for
• Matching Grants to Communities for interoperable
  EHR
• Provide resources for technical support with the
  projects and statewide
• Status Pending legislative action/resolution

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Key Challenges and Opportunities for MN HIMSS

• Continuing communications and education
• Supporting collaboration / coordination statewide
  
• Meeting rural underserved needs
• Increasing informatics IT capacity
• Integrating population/public health
• Public funding

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Opportunities for Input and Staying Connected

• MN e-Health Summit - Thursday June 29
• Pre-Summit Workshop - Wed PM June 28
• MN Privacy and Security Project
• Volunteer / Review work
• Volunteer Advisory Committee work groups
• Share your project(s) in the Minnesota e-Health
  directory

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Contact Information

• www.health.state.mn.us/e-health
• Minnesota Department of Health
• Marty LaVenture
• Director, Center for Health Informatics
• 651 201-5950
• martin.laventure_at_health.state.mn.us
• Barb Wills
• Director, Center for Data Initiatives
• 651 282-6373
• barb.wills_at_health.state.mn.us