2011 03 24 tag health public policy presentation - copy

Public Policy Health Information Exchange (HIE) and Innovative Projects in Georgia

Dennis L White

CEO – Alliant | GMCF

Chair – GA Health Information Exchange

March 24, 2011

Healthcare IT and ReformAmerican Recovery and Reinvestment Act (ARRA) – February 19, 2009

Health Information Technology for Economic and Clinical Health (HITECH) Act, from which the Meaningful Use program and its funding originates within the American Recovery and Reinvestment Act (ARRA)

Provides approximately $19 billion for Medicare and Medicaid Health IT incentives over five years.

Patient Protection and Affordable Care Act (PPACA) –March 23, 2010

Healthcare Reform provisions to prevent fraud in the health care industry, create transparency requirements, provide funding for medical research, transform employer-sponsored health coverage, and develop new types of care providers

Centers for Medicare and Medicaid Services (CMS)

“CMS is a major force and a trustworthy partner for the continual improvement of health and

healthcare for all Americans.”

ACCESS to affordable, quality health care in our communities

RESPONSIBLE health planning and use of health care resources

HEALTHY behaviors and improved health outcomes

CMS (continued)

Triple AimBetter Health, Better Care, Lower Costs

5 Quality Improvement Strategies-Increasing Prevention Services

Reducing Hospital Readmissions

Reducing Healthcare Acquired Conditions

Standing up Accountable Care Organizations (ACOs)

Value Based Purchasing

CMS (continued)

New “Bold Goals” for Improvement

According to Dr. Berwick we are not talking about 1 or 5 or even 10% improvement, but

40% reduction in Healthcare Acquired Conditions (HACs)20% reduction in Hospital readmits1 million hearts protected using ABCS (Aspirin, Blood pressure control, Cholesterol control, Smoking cessation)

Georgia HIT Initiatives

• Georgia Cancer Coalition• Central Georgia Health Exchange• Georgia Association for Primary Health Care• Health Information Technology Regional

Extension Center (HITREC)• GA Partnership for TeleHealth

Georgia Cancer Coalition

• $1.7 Million HIE Challenge Grant– Consumer-Mediated HIE (CMHIE)

• Initial Response to IOM Report– 52 Quality Measures for Cancer

• Prevention, Screening, Diagnosis, Treatment

– Engaging 6 Regional Cancer Centers• Macon, Athens, Rome, Savannah, Albany,

Columbus

Central Georgia Health Exchange

• 349 Physicians Directly Linked

• 123 Physicians Linked Via Portal

• MCCG Linked - HL7 O/P Visits, Labs, Radiology

• 11 Different EMR Vendors Being Linked

• Over 175,000 Patients

• Over 14,000 Pt. Records Posting a Month

• Over 1,400 Pt. Records Downloaded a Month

• Over 1,800 Labs a Month

• Almost 10,000 Electronic Prescriptions a Month

Georgia Association for Primary Health Care

• GAs Network of Federally Qualified Health Centers (FQHCs)

• 22 GAPHC FQHCs with 72 sites are currently live on EMRs– 13 are using eClinicalWorks– HIE Interoperability among all 22 Centers

achieved through eClinicalWorks “EHX”– All 26 Centers to be on EMR end of 2010– Creating a state wide HIE of FQHCs

Health Information Technology Regional Extension Center (HITREC)

• Morehouse National Center for Primary Care– Providing Education, Training, Technical

Assistance, and Group Purchasing– Assisting Providers to “Meaningful Use”– Small Rural Primary Care Provider Focus

Georgia Partnership for TeleHealth (GPT)

• 200+ rural and specialty sites within the GPT network.

• Over 175 specialists, representing 40 specialties.• 8 encounters in January 2006 • 9,973 encounters in 2008 • 31,040 encounters in 2010.

When fully realized, the program will enable all rural Georgians to access healthcare within

short distances of their homes!

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Atlanta The Nation’s Health IT Capital

Atlanta is often referred to as the healthcare information technology (HIT) capital of the U.S., and is at the forefront of consumer digital health.

More than 135 healthcare IT companies in Georgia

Healthcare Informatics reportsAtlanta HIT companies have the highest cumulative revenues of any state in the nation, totaling more than $4 billion

Georgia Health Information Exchange

business, government and healthcare working together for better health outcomes and value

• Governance Structure– State-wide Stakeholder Representation– Independent Non-Profit– February 2010 $13 Million ARRA Grant– August 2010 DCH Submitted Strategic and

Operational Plan– November 2010 Announced GHIE

Georgia Health Information Exchange

business, government and healthcare working together for better health outcomes and value

Urban HospitalsRural HospitalsTeaching HospitalsPhysiciansNursing HomesHome Health AgenciesMental HealthPharmacy

Health Insurance CompaniesLarge Employers (>500)Small Employers (<500)Consumers

Public HealthQuality Improvement OrganizationMedically Underserved

Service Area HIEsClinicalSecondary Use

TechnologyLegal and PrivacyFinancial

Health Reform and HIE Market

• eHealth Initiative Webinar– March 30, 2011 3:00 – 4:00 PM– Panel discussion on how

Health Reform has boost the HIE Market– Benefits and challenges of the

consolidation of the HIE Market– Panel includes David Merritt of CHT

http://ehealthinitiative.org/ehi-hie-webinar-consolidation-hie-market.html