Federal-State Connections: Opportunities for Coordination and Collaboration

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1 Federal-State Connections: Opportunities for Coordination and Collaboration State Health Information Exchange Program October 23, 2012 Chris Muir Program Manager 1

2 ONC Overview Vision A health system that uses information to empower individuals and to improve the health of the population. Mission To improve health and health care for all Americans through use of information and technology. (ONC) strives to: Promote development of a nationwide Health IT infrastructure that allows for electronic use and exchange of information Provide leadership in the development, recognition, and implementation of standards and the certification of Health IT products Coordinate Health IT policy Provide programmatic direction for Health IT adoption and health information exchange 10/25/2012 2

3 ONC s Health Information Exchange Strategy Health Affairs - March 5 th, /25/2012 3

4 ONC s Goal - Information Securely Follows Patients Whenever and Wherever They Seek Care QUERY-BASED EXCHANGE MULTIPLE MODELS DIRECTED 10/25/2012 CONSUMER-MEDIATED EXCHANGE 4

5 What is the ONC Role? DECREASE COST & ENABLE INNOVATION Standards: identify and urge adoption of scalable, highly adoptable standards that solve core interoperability issues for full portfolio of exchange options Market: Encourage business practices & policies that allow information to follow patients to support patient care HIE Program: Jump start needed services and policies INCREASE VALUE Payment reforms! Professional & patient expectations! Meaningful Use! 10/25/2012 ASSURE TRUST Identify and advance use of policies and rules of the road needed for trusted information exchange 5

6 ONC s Approach Interoperability is a journey, not a destination Leverage government to enable innovation to create conditions of interoperability Health information exchange is not one-size-fits-all Multiple approaches will exist side-byside Build in incremental steps don t let the perfect be the enemy of the good 10/25/2012 6

7 Meaningful Use as a Building Block Use information to transform Improved population health Improve access to information Enhanced access and continuity Data used to improve delivery and outcomes Use technology to gather information Care coordination Patient informed Patient engaged, community resources Patient centered care coordination Team based care, case management Basic EHR functionality, structured data Structured data used Registries to manage patient populations Privacy & security protections Privacy & security protections Privacy & security protections 7 10/25/2012 Stage 1 MU Stage 2 MU Stage 3 MU Plus Payment Models

8 State HIE Program An unprecedented effort to modernize the way health care providers share important patient information The HITECH Act, in 2009, authorized the establishment of the State Health Information Exchange Cooperative Agreement Program All 56 states/territories were funded For planning and implementation A total of $548 million awarded Support providers in each state to achieve Health Information Exchange (HIE) Meaningful Use (MU) goals, objectives and measures Promotes innovative approaches to the secure exchange of health information within and across states 8

9 State HIE Program FOCUS Give providers viable options to meet MU exchange requirements E-prescribing Care summary exchange Lab results exchange Public health reporting Patient engagement APPROACH Make rapid progress Build on existing assets and private sector investments Every state different, cannot take a cookie cutter approach Leverage full portfolio of national standards 9

10 Related Program Activities Challenge Grants 360x Project Consumer Challenge Consumer Access to Immunizations Trailblazers Project 10/25/

11 State HIT Coordinator Develop and/or advocate for HIT policy to achieve statewide health goals Provide state leadership in establishing HIT strategies for reaching health care outcome goals. Ensure state policy and regulation protects patient privacy while enabling appropriate data exchange Coordinate across the all HIT programs Ensuring programs such as behavioral health and public health are participating in health information exchange Ensuring Medicaid, REC, Workforce, HIE and other HIT programs align

12 Program Progression 1 st Year Getting State Strategic and Operational Plans Approved 2 nd Year RFP development strategies and implementation 3 rd Year Implementation with focus on: HIE Adoption getting providers to sign-up for services HIE Use getting the providers to use the services 4th Year Operations and Sustainability How will the services continue; how will the HIE market place evolve within the state 12

13 Making Progress: Directed Exchange Implementation Status as of June 30, 2012 Summary Stats Number of Grantees States/territories with directed exchange options broadly available 36 States/territories piloting directed exchange solutions 10 States/territories with directed exchange options unavailable 10 10/29/

14 Making Progress: Organizations and Staff Enabled for Query-based Exchange as of June 30, 2012 Summary Stats Number Total number of organizations enabled for query-based exchange nationally 3,554 Total number of individuals enabled for query-based exchange nationally 56,496 10/29/

15 Exchange Priorities in Driving Forward on Multiple Fronts Directories standards and policies to make them consistent, reliable, findable and open to be queried Certificate management and discovery - common guidelines for establishing and managing digital certificates and making the public keys findable Enabling Trust - baseline set of standards and policies that will accelerate exchange by assuring trust and reducing the cost and burden of negotiations among exchange participants 10/25/

16 To Learn More State Plan and Summaries: Key State contacts: Bright Spots: 10/25/