Washington State Health Care Authority

1
Washington StateHealth Record Bank Pilot
ProjectAugust 1, 2008
State Coverage Initiatives National Meeting

• Washington State Health Care Authority
• Richard Onizuka, PhD, Executive Sponsor
• Health Record Bank Project

2
The Problem

• Scattered records
• Ineffective information sharing
• Cumbersome, expensive, and fallible
• No mechanism to collect and consolidate
  information
• No responsible institution or entity that
• Securely stores complete electronic health care
  records
• Provides personal health care information when
  and where needed
• Creates value through storage of electronic
  health care records for patients and providers

3
Health IT Efforts

• SSB 5064 Health Information Technology
• Health Record Banking
• Roadmap for State Action
• Senate Bill 5930 Section 10
• An act relating to providing high-quality,
  affordable health care to Washingtonians based on
  the recommendations of the Blue Ribbon Commission
  on Health Care Costs and Access.
• Health information infrastructure
• Consumer-centric health record banking
• Goal
• Deliver health information when and where needed

4
Washington State Vision

• Consumer engagement and activation
• Help patients
• Manage their health information
• Navigate the delivery system
• Prepare for office visits with their provider
• Become more knowledgeable health care partners
• A mechanism to facilitate health information
  sharing
• Health Record Bank (HRB) is health information
  sharing focused on consumer management of
  information
• HRB supports industry health information exchange

5
Consumer-CentricHealth Record Banks

• Proof of Concept Pilot
• Consumer managed
• Secure, private, and confidential
• High-value data set
• Repository for copies of clinic health care
  information
• Partnerships in use of innovate disruptive
  technology

6
Disruptive Technology Goal

• Shift from institution based (?) care to
  community based care
• Information empowers consumers
• Empowered consumers drive transformational change
• Transformational change improves safety,
  quality, efficiency

7
Consumer and Health Industry Information

• Health Industry managed info
• EMR
• Claims data
• Meds
• Labs
• Other

• HRB - Consumer managed info
• COPY of clinical health care data
• Edit capability with data copies
• - Self-entered data

Consumer requests COPY of info sent from industry
source to HRB
Consumer authorizes view by or COPY of info to
health care provider/industry
8
HIIAB AccessMyHealth.org Our Roots
Health Information Infrastructure Advisory Board
HCA responsible for subsequent state action.
July 2008 through June 2009 2 million in
grants for two to four regional pilot
projects. hac.wa.gov/hit
SSB 5064 2006 law led to series of
recommendations for health IT in Evergreen State
9
AccessMyHealth.org Our Elevator Speech

• AccessMyHealth.org is a partnership of
  Washingtonians patients, doctors, and others
  that will be exploring ways to improve patients
  access to their personal health information.
• AccessMyHealth.org is supporting the concept of
  secure online personalized health records to help
  you gather and store your health information to
  share with your doctors, family members, and
  others.

10
Pilot Approach

• Key policy objectives for pilots
• Operational by 1/09
• Pilot methods to drive adoption/usage of HRBs
• Use of information to activate consumers
• Consumer access to and management of clinical
  health information
• Heath information sharing between HRB and
  industry information sources
• State policy questions pertaining to HRBs
• Impact on health disparities, special
  populations, public health
• Optimal role of government
• Financial sustainability

11
AccessMyHealth.org Three Surveys / Future
Vision

• Three online surveys
• Consumer focused. Started June 1st .
• Privacy and security focused. Starts in July.
• Follow-up on previous surveys. Starts August
  1st.
• Future Vision
• Help patients become knowledgeable
  partners/advocates
• Ombudsman role provide unbiased/impartial
  information
• Education role teach the benefits of informed
  patients partnering with doctors
• Be the magnet for and about online health records
  in WA
• Provide voluntary certification/seal of approval

12
Next Steps for HRB Pilot

• Estimated Time
• Frame Major Task Status
• 2/08 4/08 Finalize pilot specs Completed
• 5/08 7/08 Solicit/evaluate
  pilot Released
• applications
• 7/08 8/08 Pilot selection Pending
• 8/08 12/08 Pilot build Pending
• 1/09 6/09 Pilot implementation
• and assessment Pending
• Questions? Contact Juan Alaniz, Project Manager
  juan.alaniz_at_hca.wa.gov, 360-923-2726