Georgia Health Information eConnections

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Georgia Health Information eConnections

• American Recovery and Reinvestment Act HIT
  Provisions
• May 14, 2009

Dr. Rhonda M. Medows, Commissioner
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DCH Mission
RESPONSIBLE
HEALTHY
ACCESS
Access to affordable, quality health care in our
communities
Responsible health planning and use of health
care resources
Healthy behaviors and improved health outcomes
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Agenda

• DCH Timeline HIT Initiatives
• New Additions to DCH
• Public Health
• Healthcare Facility Regulation
• Georgia Health Information Technology
  eConnections
• ARRA HITECH Opportunities

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State preparations for Hitech

• Update the State Roadmap for Health IT
• (Re) Engage Stakeholders
• Establish a State Governance Structure
• Prepare other state agencies to participate in
  HIEs
• Implement privacy strategies and reforms
• Determine the HIE business model
• Create a communications strategy
• Establish opportunities for Health IT training
  and education

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DCH HITT Accomplishments
October 2006
November 2006
October 2007
November 2007
CMS awarded the DCH a 3,929,855 Medicaid
Transformation Grant to assist with the
implementation of georgiahealthinfo.gov Georgias
transparency web site for health care consumers
Governor Sonny Perdue issued an executive order
creating the Health Information Technology and
Transparency (HITT) Advisory Board
DCH issued 853,088 in HIE grants to four
organizations that will help foster the
development of HIE, electronic prescribing,
and/or adoption of electronic medical records
across Georgia
Commissioner Medows announces HITT Advisory Board
members
First meeting of the HITT Advisory Board
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Department of Community Health HITT
Accomplishments
December 2007
January 2008
February 2008
April 2008
DCH submitted a proposal to participate in the
Health Information Security and Privacy
Collaborative (HISPC) with 35 other states
Georgia selected to participate in Phase 3 of
the HISPC Consumer Education Collaborative
DCH announced creation of the Office of HITT
georgiahealthinfo.gov Request for Proposals due
from prospective vendors to the DCH
Presentation of the HITT Strategic Plan to the
HITT Advisory Board.
Georgiahealthinfo.gov Project Request for
Proposals released to the public
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DCH HITT Accomplishments
May 2008
June 2008
October 2008
December 2008
March 2009
DCH was designated by Governor Sonny Perdue as
the state agency to receive health information
technology (HIT) grants available through the
ARRA of 2009   
Public launch of Phase I of georgiahealthinfo.go
v Web site December 2008 Phase II launch
scheduled for summer of 2009
DCH awards the georgiahealthinfo.gov Web site
contract to IBM DCH announces the Georgia Rx
Exchange
Georgia was selected to be a pilot site for the
Medicare Demonstration Project Georgias EHR
Community Partnership Convenes
Prototype of the georgiahealthinfo.gov
Transparency Web site successfully launched for
the Governors review Second year of HIE grants
awarded
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Department of Community Health 7/1/09
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Georgia Health Information Technology
eConnections (HiTeC)
State Govt Plans Medicaid SCHIP SHP
RX Drug Exchange DCH, DHR, DJJ, DOC
Safety Net Providers FQHCs CHC Health Depts
Georgia Regional Expansion Center
Private Providers Doctors Hospital Dentists
Public Health Disease Reg Immunizatn Surveillance
Rural Health Broadband Telemedicine

• Research
• Clinical
• HIT Effect

Consumer Outreach Education
Medicare Medicaid Dual Eligibles Coordinate
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ARRA HIT Provisions HITECH

• DIVISION A--APPROPRIATIONS PROVISIONS
• TITLE XIII--DEPARTMENTS OF LABOR, HEALTH AND
  HUMAN SERVICES, AND EDUCATION, AND RELATED
  AGENCIES
• DIVISION B--TAX, UNEMPLOYMENT, HEALTH, STATE
  FISCAL RELIEF, AND OTHER PROVISIONS
• TITLE IV--MEDICARE AND MEDICAID HEALTH
  INFORMATION TECHNOLOGY MISCELLANEOUS MEDICARE
  PROVISIONS
• ADDITIONAL PROVISIONS
• TITLE XXX HEALTH INFORMATION TECHNOLOGY
  QUALITY (A)
• TITLE VlllDEPTS OF LABOR, HEALTH HUMAN
  SERVICES(A)
• TITLE VI--BROADBAND TECHNOLOGY OPPORTUNITIES
  PROGRAM (B)

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ARRA HIT PROVISIONS
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ARRA HIT State Grants
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ARRA HIT Medicaid Medicare
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ARRA HIT Research Workforce
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ARRA HIT Public Health Safety Nets
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ARRA HIT Interoperability Privacy
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ARRA Funding to Incent Provider Adoption of EHR
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ARRA HIT Provider Loans

• EHR Technology Loan funding can be utilized for
  the following activities
• HIT Architecture that will support the nationwide
  electronic exchange
• Integration of HIT into training of health
  professionals and others in the health care
  industry
• Training and dissemination of information on best
  practices to integrate HIT into a providers
  delivery of care.
• Regional and sub regional efforts towards health
  information exchange
• Infrastructure and tools to promote telemedicine
  and
• Promotion of the interoperability of clinical
  data repositories or registries
• Implementation of e-prescribing or electronic
  health records systems that will lead to HIE
  among several healthcare entities
• Expansion of current HIEs to include additional
  healthcare entities or enhanced capabilities,
  including the ability for quality reporting of
  clinical data
• Implementation of Personal Health Records by
  providers who have EHRs
• Development of an HIE to share data on patients
  served by state employees commercial health plans
  

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ARRA Meaningful User (Title IV, Division B)

• A meaningful user is an eligible professional
  (physician) that
• Demonstrates the use of certified EHR technology
  in a meaningful manner, which shall include the
  use of electronic prescribing as determined to be
  appropriate by the Secretary
• Demonstrates that certified EHR technology is
  connected in a manner that provides, in
  accordance with law and standards applicable to
  the exchange of information, for the electronic
  exchange of health information to improve the
  quality of health care, such as promoting care
  coordination
• Submits information on clinical quality measures

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ARRA Qualified EHR (Title XIII, Division A)

• EHR must include the following
• Patient demographic and clinical health
  information, such as medical history and problem
  lists,
• Capacity to provide clinical decision support to
  support physician order entry
• Ability to capture and query information relevant
  to health care quality
• Ability to exchange electronic health information
  with, and integrate such information from other
  sources

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Federal HIT Initiatives (www.healthit.hhs.gov)

• Goal 1 Patient-Focused Health Care.   Enable the
  transformation to higher quality, more
  cost-efficient, patient-focused health care
  through electronic health information access and
  use by care providers, and by patients and their
  designees.
• Goal 2 Population Health.  Enable the
  appropriate, authorized, and timely access and
  use of electronic health information to benefit
  public health, biomedical research, quality
  improvement, and emergency preparedness
• Four recurring themes
• Interoperability
• Adoption
• Privacy and Security
• Collaborative Governance

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Federal Health IT Initiatives http//healthit.h
hs.gov
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Childrens Health Insurance Program
Reauthorization Action of 2009 (CHIPRA)

• HHS will provide 20 million annually for a
  demonstration project during FY 09 to FY 13.
  Grants for up to 10 states and child health
  providers to promote the use of health
  information technology for
• Experiment with and evaluation of new measures of
  quality
• Promote the use of health information technology
  in care delivery for children
• Evaluate provider based models which improve the
  delivery of childrens health care services
  including chronic conditions
• Demonstrate the impact of the model electronic
  health record format for children
• Demonstration grants can be multistate projects.

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DCH ARRA Website
For More Information Call [phone] or
Email dchstimulus_at_dch.ga.gov Website
www.dch.georgia.gov/stimulus
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Federal Agencies HIT Initiatives
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Federal Agencies HIT Initiatives
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Federal Agencies HIT Initiatives
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Federal Agencies HIT Programs
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Parking Lot
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ARRA Hospital Incentives

• Incentive payments to eligible hospitals
• An eligible hospital will receive incentive
  payments for the first five years (fiscal year
  2011 fiscal year 2015), for demonstrating a
  meaningful use of EHR technology and demonstrated
  performance during the reporting period for each
  payment year
• If an eligible hospital does not demonstrate
  meaningful use by fiscal year 2015, its
  applicable Medicare percentage increase will
  begin to be reduced

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Transparency Website Data SourcesGeorgiahealthinf
o.gov

• Phase I Data Partners - Total of Partners 16
• The Department of Human Resources-Office of
  Regulatory Services (ORS),
• DCHs Office of Health Planning (DHP)
  Certificate of Need
• Georgia Hospital Association (GHA)
• Georgia Association of Health Plans (GAHP)
  including 7 major commercial health plans Aetna,
  Blue Cross Blue Shield of Georgia, Cigna,
  Coventry, Human, United Healthcare and Kaiser
• Thomson Reuters (TR) through DCHs Decision
  Support Systems Office for Medicaid Claims Data,
• Medicaid Care Management Organizations
• State Health Benefit Plan
• Mayo Clinic.com 
• DCH Office of Communication
• HISPC Collaborative
• For Phase II, - Total new partners 8
• We will continue to exchange data with the phase
  1 Data Partners and will add the partners below
  in phase 2.   
• Additional partners may be identified during the
  data analysis and requirements stages of
  development.
• The Department of Human Resources-Division of
  Public Health and the Division of Aging Services,
  
• Georgia Association of Primary Health Care
  (GAPHC)
• Composite State Board
• Georgia Healthcare Association (GHCA) for Nursing
  Home Quality Data
• Centers for Medicare and Medicaid (CMS)

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ARRA Provider Incentives through Medicaid

• Provides incentive payments for certified EHR
  technology (and support services including
  maintenance and training that is for, or is
  necessary for the adoption and operation of, such
  technology) by Medicaid providers
• Legislative language does not specify a start
  date

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Georgia Health Info eConnections
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DCH InitiativesFY 2008 and FY 2009
FY 2009
FY 2008
Medicaid Transformation Health Care
Consumerism Financial Program Integrity Health
Improvement Solutions for the Uninsured Workforce
Development PeachCare for KidsTM Program
Stability Customer Service
Medicaid Transformation Health Care
Consumerism Financial Integrity Health
Improvement Solutions for the Uninsured Medicaid
Program Integrity Workforce Development PeachCare
for KidsTM Program Stability SHBP Evolution
Customer Service and Communication