GMCF the Georgia QIO

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GMCF the Georgia QIO

• What is a QIO?
• President/ Governor Executive Order
• RHIO/HIE Summary
• Why Funding Support for GHIE?

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What is a QIO?

• Quality Improvement Organizations (QIOs) are
  professionals working to improve the quality of
  health care in communities across America.
• QIOs share best practices with physicians,
  hospitals, nursing homes and home health
  agencies.
• QIOs coordinate and facilitate submission of data
  for public reporting for quality measure
  performance information available on CMS websites
  such as "Nursing Home Compare" and "Hospital
  Compare".
• QIOs monitor the appropriateness, effectiveness,
  and quality of care provided to Medicare
  beneficiaries.
• QIOs are private contractor extensions of the
  federal government working for the U.S. Centers
  for Medicare and Medicaid Services (CMS).

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President / GovernorExecutive Order

• August 22 - President Bush Executive Order
• October 17 - Gov Perdue Executive Order
• Four Corner Stones of the Executive Order
• Increase Transparency in Pricing
• Increase Transparency in Quality
• Encourage Adoption of HIT
• Provide Options that promote Quality and
  Efficiency

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Presidents Executive Order(continued)

• E-HI Conf. September 26, 2006
• HHS Secretary Leavitt Support and Comments
• Craig Barrett, Chairman of Intels Board
• Linda Dillman, EVP WalMart
• Todays Debate is about Who Will Pay?

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Presidents Executive Order(continued)

• Healthcare is a 2 Trillion Sector
• Growing at 138 Billion per year
• Average Healthcare cost per US citizen gt 6,000
• Federal Government is responsible for 46
• Working with Top 100 Employers
• Base of Order is a Collaborative Effort of
  Physicians and Purchasers
• Tomorrows Debate is about How to achieve
  efficiency and value?

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"I believe this is a very important moment in
health care history... all of the components of
change are in place, and everyone feels a sense
of anxiety about this. The human body has a
warning system. It's called pain. It motivates us
to do things we otherwise might not be willing to
do. Every component of society is feeling anxiety
about health care right now... it is putting us
in a position where we prepare to do things that
in the past we haven't." -Secretary Mike Leavitt
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We have to basically say, "Hey we've had enough,
we're not going to spend our money with anybody
who does not do the following things does not get
fully digitized, does not have an electronic
health record, does not have open architecture
systems where we can communicate information back
and forth, doesn't provide better service at
lower cost, doesnt use all the best known
methods."    Craig Barrett, Chairman of Intel,
speaking on the role of employers at the
September 26, 2006 HIT Summit in Washington, DC
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RHIO/HIE Summary
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Development of State Level Health Information
Exchange Initiatives Prepared for Health Human
Services, Office of the National Coordinator for
HIT By the Foundation of Research and Education
AHIMA - September 2006
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RHIO / HIE Models

• Non-Technology
• Convener, Facilitator, Educator
• Technology Data Models
• Decentralized Model
• Central Data Storage (individual data source)
• Single Community EMR
• Pure Conduit Model
• Data Storage Model (by data type)

Development of State Level Health Information
Exchange Initiatives Prepared for Health Human
Services, Office of the National Coordinator for
HIT By the Foundation of Research and Education
AHIMA September 2006
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State-Level HIE Initiatives

• Most still in an early stage of development
• Differ in origins, drivers, and goals
• Uniqueness of their market characteristics
• Wide variety of approaches
• All rapidly evolving organizations
• Expect Change
• www.staterhio.org

Development of State Level Health Information
Exchange Initiatives Prepared for Health Human
Services, Office of the National Coordinator for
HIT By the Foundation of Research and Education
AHIMA September 2006
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Why Funding Support for GHIE?

• CMS QIO 8th Scope of Work
• Promote the use of EHR and HIE
• Demonstration projects through Medicare QIOs
• Improve the Quality of Healthcare
• Involvement as an Employer and a Consumer

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GMCF

• Making Health Care Better.

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