HIT in the “New World” States, HITECH and Health Reform
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HIT in the “New World” States, HITECH and Health Reform
- 1. HIT in the “New World” States, HITECH and Health Reform Lynn Dierker NASHP Annual Meeting October 6, 2010
- 2. The Evolving HIT Context Dierker
- 4. HIE and Health Care Reform Perspectives - Priorities Adapted Health Affairs June 2010 Buntin, Jain, Blumenthal XX = primary driver X = secondary driver Improve Quality Reduce Costs Access/coverage Measure Reward Payment Reform Care coordination Admin Simplification Pt Engage Affordability Adoption/MU XX XX X XX X XX X REC X X HIEs X X XX X XX Workforce Beacon Communities X XX XX XX XX NHIN X X XX X XX Policy & Standards X XX XX X
- 8. From the “As Is” to the “To Be”? State-level Leadership & Organization to Make it Real Physicians Labs Health Plans ACOs Community Clinics LTC Hospitals Beacon Communities Regional Extension Centers Local HIEs Academia Telehealth Consortia ONC AHRQ CMS Medicare CMS Medicaid HRSA Dept of Commerce Dept of Agriculture Nat Science Foundation Ins. Ex State HIT Coordinator Stimulus - Reform Coordination S tat e Government Medicaid CHIP Public Health C orrection s Other Human Serv State Designated Entity Public Sector Private Sector EHR Loans
Notas do Editor
- Regional exchanges proliferate, a new challenge arises: How to cost effectively connect and integrate more and more complex data, systems.
- The federal health reform law contains many of the elements states need to achieve major improvements in their health care systems. While states will face significant challenges implementing the new law—in part due to the many tasks they must complete, and in part due to the extremely constrained financial and staff resources available to them—states that rise to the occasion will find that they are rewarded for their efforts. There is a natural tendency to focus the implementation discussion on the most immediate issues—for example the state’s choice regarding the high risk pool. Indeed, you must tackle these issues, but it is equally important that you begin thinking about and planning for the many aspects of implementation that occur in later years, particularly in 2014 when many of the law’s provisions take effect. In NASHP’s analysis of the health reform legislation and in conjunction with our executive committee – a group of state officials working across branches of government in many different states – we identified 10 critical components of successful state health reform implementation. Since my time is short, I will just give several brief examples linked to some of the bullets that seemed of most importance to those Kentucky policymakers and officials we spoke with: Expand provider and health system capacity; pursue population health goals; and engage the public in policy development and implementation.
- Three tracks... Must Have...plans.... Must Address...domains