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ARRA/HITECH Update

HRB Summit

Juan Alaniz

Deputy, State eHealth Coordinator

February 5, 2010

Agenda

• ARRA/HITECH Funding Opportunities• Timeline• A Lot of Work To Do!• Roles• HITECH Program Status• Other ARRA Programs• Next Steps• Communications

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HITECH Appropriations$2 billion for loans, grants, and technical assistance:

HITECH EntitlementNew Medicare and Medicaid incentives for providers

who adopt HIT

Health Information Exchange (HIE)• $564 million total funding through the Office of the

National Coordinator for HIE planning and/or implementation

• Funneled through States or qualified State-designated entities

• $11.3M set aside for Washington State

Medicare • ~$34 billion expected outlays, 2011-2016• $20 billion in expected payments through Medicare to

hospitals & physiciansMedicaid• $14 billion in expected payments through Medicaid

Electronic Health Records (EHR) State Loan Fund for providers

Workforce Training and Development• $80M to train over 10,000 new workers over the next

two years through “Community College Consortiums”• US Department of Labor:  $4 billion for training and

employment services, including $750 million for “emerging and growth industries”, specifically including health care.

Other ARRA Provisions (not in the HITECH Act, but related to the HCA’s

Health Information Infrastructure work)

Regional Extension Centers (REC)• $350M for Cycle 1• $290M for Cycle 2

Broadband and Telehealth• $4.3 billion for broadband and $2.5 billion for distance

learning/ telehealth grantsCommunity Health Centers• $1.5 billion in grants through HRSA for construction,

renovation and equipment, including acquisition of HIT systems.

Research and Development• R&D of (1) computer infrastructure; (2) data security;

and (3) development of large scale, distributed, reliable computing systems.

Sources: Manatt Health Solutions and Washington State Health Care Authority

ARRA/HITECH Funding

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Program

HIE Planning & Development

HER Adoption Loan Program

Workforce Training & Development

Health IT Extension Programs

New Technology Research & Development

Use of Funds

Planning and Implementation Grants

Loan Funds

Health IT Research Center and RECs

Medical Health Informatices / EHR in Med

School Curricula

Health Care Information Enterprise Integration

Research Centers

Recipients

State Designated Entity

States

Indian Tribes

Non-Profits

Higher Education

Federal Government Labs

End User

Funding Flow - Appropriated

Health Care Providers

Least-advantaged

Providers

ONC to issue guidance on EHR loan program and craft Meaningful Use

definition

State HIE Grant Application

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Regional Extension Center Applications

Full application

s due by Nov 3rd

Awardee Selection

Preliminary applications under 2nd cycle due by Dec 22nd

Full applications

due by January 29th

Awardee Selection

ONC releases State HIE

Procurement

•ONC to release Meaningful Use definition and CMS to issue proposed rule by end of December 2009

•60 day public comment period

•First round of administrative HIT payments could be released in Q1 2010

Final Rule issued on Meaningful Use

Earliest Meaningful Use payments by

CMS

Aug2009

Sept Oct Nov Dec Jan 2010

Feb Mar April May Jun July Aug Sept Oct 2010

Letter of Intent due 5pm EST on Sept 11th

Application due by 5pm EST on October 16th

Anticipated Award Announcements

Anticipated Project Start

Date

ONC releases REC Procurement

Preliminary applications under 1st cycle due by Sept 8th

Community College Consortia to Educate Health Information Technology Professionals

Sources: Manatt Health Solutions and Washington State Health Care Authority

ONC releases Health Education

Procurement

Application due on January 22nd

Anticipated Award Announcements

Medicaid Agency Implementation of State Medicaid HIT

PlansIncentive payments begin 2011

ARRA/HITECH Timeline

Consortia begins program instruction

A Lot of Work To Do!

• The Health Care Authority (HCA) appointed by Governor Gregoire to coordinate HITECH Act funding activities

• State Health IT Coordinator appointed• Legislation - SSB 5501• HCA formed eHealth Collaborative Enterprise work

group within the HCA– Fulfill requirements of ARRA/HITECH Act– Fulfill requirements of SSB 5501– Get $$$ into the state– Monitor grants and report out to ONC

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Roles

• Health Care Authority – sponsor• eHealth Collaborative Enterprise – state

coordinator for HITECH activity• Lead Organizations

– SSB 5501 – designates HCA to select lead organizations and form public/private partnerships to lead development of processes, guidelines, and standards of HITECH grant programs

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HITECH Program Status

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Health Information Exchange

• Lead Organization – OneHealthPort– Held statewide public meetings to gauge

interest in statewide HIE– Second round of public meetings via

webinar in February

• HCA submitted application for HIE Cooperative Agreement with ONC

• Award announcement expected 1/15  

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Electronic Health Records

• State loan funding for providers who adopt Electronic Health Records

• No Status – waiting for funding opportunity announcement from ONC

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Workforce Training & Development

• Lead Organization – Bellevue College– Seeking $6.2M in funding for health IT training. – WA community colleges will participate by

launching newly developed classes to ready health care workforce for rollout of electronic medical records.

– If funded in March, 2010, Bellevue College will lead both the state and regional consortium in two years of rapid response training.

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Regional Extension Centers

• Lead Organization – Qualis Health– Applied for REC funding – First cycle selection announcements

expected in February

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Research and Development

• Lead Organization - The University of Washington– Looking for applied research grant

opportunities– Not applying for the Strategic Health IT

Advanced Research Projects (SHARP) grant opportunity

– Hosting the 2010 International Partnership in Health Informatics Education (IPHIE) Master Class sessions at UW in late June, 2010  

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Telehealth/Telemed/Broadband

• Lead Organization - Washington TeleHealth Consortium (WTC) – Reviewed the TeleHealth lead org roles and

responsibilities at their regular meeting on 1/12/10.

– Watching for the USDA to announce ARRA funded grants for TeleHealth and TeleMedicine as part of their regular annual granting cycle 1st quarter of 2010. 

– Waiting for broadband award announcement.– Met with DIS re: broadband activity.

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Medicare/Medicaid

• Entitlement funds• Collaborating with HRSA and DOH on

environmental scan

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Track Funding Opportunities

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http://www07.grants.gov/search/search.do;jsessionid=hG2TLrsP6RDnCnbDQqpGyVH0hPP4hn1Jhscjhh38lL6DJW7Tmd4l!-1299818899

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Next Steps

• Patiently awaiting award notifications for HIE and REC

• Working with OHP on shared technical infrastructure and statewide HIE governance models

• Working with DIS, HRSA, DOH on Environmental Scan

• Working with HRSA/Medicaid on “meaningful use”

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Communications/Contact Info

• Web Site– Newsletter– E-mailing list

• Contact:– juan.alaniz@hca.

wa.gov– LO contacts

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http://www.hca.wa.gov/arra/ehealth.html