eHealth Network State of Tennessee ePrescribing Grantee Training Program

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eHealth NetworkState of TennesseeePrescribing
Grantee Training Program
WELCOME

• January 2009

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Our Focus

• To convene, facilitate and incubate regional
  stakeholders to use health information technology
  to improve the quality of care delivered by
  providing necessary information at the point of
  care.
• Patient data will be used for treatment and other
  uses as permitted by HIPAA
• Focus on Tennessees 95 counties - Urban and
  Rural
• Secondary focus on contiguous states, especially
  contiguous counties

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Goal Broadband Connectivity in 95 Counties

• URBAN
• Practices 1,415
• Licensed M.D.s 7,302
• Primary Care/Pediatrics 3,019
• Licensed D.O.s 134
• Licensed A.P.N.s (w/CFP) 1,787
• Licensed P.A.s 353

• Hospitals 160
• Physician Practices 3,779
• Licensed M.D.s 15,387
• Primary Care/Pediatrics 6,992
• Licensed D.O.s 828
• Licensed A.P.N.s (w/CFP) 5,137
• Licensed P.A.s 1,032

• SEMI-RURAL
• Practices 1,448
• Licensed M.D.s 6,695
• Primary Care/Pediatrics 3,085
• Licensed D.O.s 89
• Licensed A.P.N.s (w/CFP) 2,065
• Licensed P.A.s 383

• RURAL
• Practices 916
• Licensed M.D.s 1,390
• Primary Care/Pediatrics 888
• Licensed D.O.s 100
• Licensed A.P.N.s (w/CFP) 757
• Licensed P.A.s 156

Sources Federal Communications Commission,
http//www.universalservice.org/rhc/tools/rhcdb/Ru
ral/2005/result.asp or at http//www.tennesseeany
time.org/ehealth/documents/FCCdesigs.pdf 2007
Tennessee Healthcare Technology Readiness
Assessment, TNHIMSS, www.TennesseeAnytime.org/eHea
lth Tennessee Dept. of Health 2007. Note
Mathematical differences between totals and
breakouts are due to professionals licensed in TN
but located out-of-state, and those who declined
to indicate their county.
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TN eHealth NetworkPowered by NetTN

• Built on the NetTN (State) infrastructure
• Now exists in each 95 Tennessee counties
• Proactively managed network with high security
  protections
• Includes HIPAA-compliant authentication

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TN eHealth NetworkPowered by NetTN

• Offers single sign-on to integrated health
  information resources
• Offers an opportunity for providers to enter into
  a Data Sharing Agreement with any other health
  data source on the network in order to share
  clinical information
• Allows providers to do secure messaging and file
  sharing with any other authenticated provider on
  the network
• Connecting to the Regional Health Information
  Organizations RHIOs and Health Information
  Exchanges HIE
• Department of Health Registries
• Immunization Registry
• Domestic Violence Registry
• Controlled Substances Database
• License Renewal
• Disease Registries

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Tennessee Physician Connectivity Grants 2008

• Grants to TN licensed Practitioners who are
  licensed to prescribe
• Free connectivity and authentication to the
  eHealth Network
• Up to 3,500 per eligible Prescriber
• Up to 2,500 per Physician Assistance and
  Advanced Practice Nurses with Certificate to
  Prescribe medication
• Funds to cover PCs, equipment, peripherals,
  software and services related to health
  information technology
• Education opportunities to aid in the adoption of
  the new technology into daily workflow
• Disbursed as reimbursement for actual costs
• Grants to TN Independent Pharmacies
• Funds to purchase or turn on ePrescribing
  software
• Education opportunities to aid in the adoption of
  the new technology into daily workflow
• Disbursed as reimbursement for actual costs

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Grant Requirements

• Requirements for Prescribers
• Connect to eHealth Network and use
  HIPAA-compliant authentication
• ePrescribe for 2 years
• Participate in educational seminars about
  ePrescribing and eHealth Network
• Look up TennCare patients for Wellness and EPSDT
  compliance
• ePrescribing application must be
  SureScripts/RxHub certified
• Any EMR applications purchased with grant funds
  must be CCHIT certified
• Requirements for Pharmacies
• Defined as Independent Pharmacy by TN Board of
  Pharmacy
• Unable to receive ePrescriptions from prescribers
• Participate in educational seminars about
  ePrescribing and eHealth Network

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Growth of ePrescribers
As of December 31, 2008 there are
1,950ePrescribers! 149 growth
Source SureScripts
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Growth of ePrescriptions
As of 12/31/08 the total number of new
eprescriptions is 1,975,690 (249 growth)
Source SureScripts
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How Can I Learn More?

• www.TennesseeAnytime.org/eHealth