1 Washington State Health Care Authority Richard Onizuka, PhD, Executive Sponsor Health Record Bank Project Washington State Health Record Bank Pilot Project August 1, 2008 State Coverage Initiatives National Meeting
Jan 20, 2016
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Washington State Health Care Authority
Richard Onizuka, PhD, Executive SponsorHealth Record Bank Project
Washington StateHealth Record Bank
Pilot Project
August 1, 2008
State Coverage Initiatives National Meeting
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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
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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
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• 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
Washington State Vision
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• “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
Consumer-CentricHealth Record Banks
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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
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Consumer and Health Industry Information
Health Industry managed info
-EMR
-Claims data
-Meds
-Labs
-Other
Consumer requests COPY of info sent from industry source to HRB
HRB - Consumer managed info
- COPY of clinical health care data
- Edit capability with data copies
- Self-entered data
Consumer authorizes view by or COPY of info to health care
provider/industry
HIIAB* + AccessMyHealth.org – Our Roots
SSB 5064
2006 law led to series of recommendations for health IT in Evergreen State
*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
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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.
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• 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
Pilot Approach
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AccessMyHealth.org –Three Surveys / Future Vision
• Three online surveys: 1) Consumer focused. Started June 1st .2) Privacy and security focused. Starts in
July.3) Follow-up on previous surveys. Starts
August 1st.
• Future Vision:1) Help patients become knowledgeable
partners/advocates2) Ombudsman role: provide
unbiased/impartial information3) Education role: teach the benefits of
informed patients partnering with doctors
4) Be the magnet for and about online health records in WA
5) Provide voluntary certification/seal of approval
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Estimated TimeFrame Major Task
Status
2/08 –4/08 Finalize pilot specs Completed
5/08 –7/08 Solicit/evaluate pilotReleased
applications
7/08 – 8/08 Pilot selection Pending
8/08 – 12/08 Pilot buildPending
1/09 –6/09 Pilot implementation and assessment Pending
Questions? Contact Juan Alaniz, Project Manager [email protected], 360-923-2726
Next Steps for HRB Pilot