HIE

State HIE Program Webinar
January 5th, 2010

1

Agenda for State HIE Program Webinar

• State HIE Program Updates and Q&A
 20 min
• NHIN Update, IFR Update and Q&A
 40 min
• State HIE Program Technical Assistance: Resources for Grantees
Facilitated through the State HIE Leadership Forum
 45 min
o a. Overview
o b. State-HIE Toolkit Overview and Demonstration
o c. State HIE Planning – Using the Toolkit
• Next Steps
 15 min
o a. Feedback
o b. Release of Additional Modules
o c. Listserv – Ongoing Forum Communication 2

Grants Programs
High-Level Summary/Status

3

Agenda

• A. Overview of Funding Opportunities
 15 min
o 1. Regional Extension Centers
o 2. Beacon
o 3. SHARP
o 4. Workforce

• B. HIE Overview and Resources Providing
Guidance
 5 min

4

Currently Available Funding Opportunities

• Provide grants for the establishment of Health Information
Technology Regional Extension Centers that will offer technical
Health Information assistance, guidance and information on best practices to
support and accelerate health care providers’ efforts to become
Technology Extension meaningful users of Electronic Health Records (EHRs).
Program (Cycle 2) • Application Deadline: Cycle 1: Full Applications – Due on
November 3, 2009 Cycle 2: Preliminary Applications – Due on
December 22, 2009; Full Applications - January 29, 2010

• Provide funding to communities to build and strengthen their
Beacon Community health information technology (health IT) infrastructure and
exchange capabilities to demonstrate the vision of meaningful
Cooperative health IT.
Agreement Program • Application Deadline: February 1, 2010 (Letter of Intent due
January 8, 2010)

• Fund research focused on achieving breakthrough advances to
Strategic Health IT address well-documented problems that have impeded
adoption: 1) Security of Health Information Technology; 2)
Advanced Research Patient-Centered Cognitive Support; 3) Healthcare Application
and Network Platform Architectures; and, 4) Secondary Use of
Projects (SHARP) EHR Data.
Program • Application Deadline: January 25, 2010 (Letter of Intent due
January 8, 2010)
5


• This funding opportunity, one component of the Health IT
Workforce Program, will provide $10 million in grants to
institutions of higher education (or consortia thereof) to support
Curriculum health information technology (health IT) curriculum
Development Centers development.
• Application Deadline: January 14, 2010 (Letter of Intent due
January 4, 2010)

• This program, one component of the Health IT Workforce
Community College Program, seeks to rapidly create health IT education and
Consortia to Educate training programs at Community Colleges or expand existing
programs. Community Colleges funded under this initiative will
Health Information establish intensive, non-degree training programs that can be
Technology completed in six months or less.
• Application Deadline: January 22, 2010 (Letter of Intent due
Professionals January 6, 2010)

• The purpose of this program, one component of the Health IT
Workforce Program, is to rapidly increase the availability of
Program Assistance individuals qualified to serve in specific health information
for University-Based technology professional roles requiring university-level
training.
Training • Application Deadline: January 25, 2010 (Letter of Intent due
January 8, 2010)

6


Competency • This funding opportunity, one component of the Health IT
Workforce Program, will provide $6 million in grants to an
Examination for institution of higher education (or consortia thereof) to support
Individuals the development and initial administration of a set of health IT
competency examinations.
Completing Non- • Application Deadline: January 25, 2010 (Letter of Intent due
Degree Training January 8, 2010)

• These grant programs will support states and/or State
Designated Entities (SDEs) in establishing health information
*State Health exchange (HIE) capacity among health care providers and
hospitals in their jurisdictions. Such efforts at the state level will
Information establish and implement appropriate governance, policies, and
Cooperative network services within the broader national framework to
rapidly build capacity for connectivity between and among
Agreement Program health care providers. State programs to promote HIE will help
to realize the full potential of EHRs to improve the coordination,
*Pending Award efficiency, and quality of care.
• Awards expected in early 2010

7

REC – Application, Award Process, and
Timeline
2009 2010

NOV DEC JAN FEB MAR
Cycle One
11 Due Diligence 21
3

Full NGA
Apps Issuance
Objective
Due Review
Completion

Cycle Two

18 22 6 29 15 Due Diligence 31

FOA Prelim Full
Apps Apps Objective
Updated Preliminary
Due Review NGA
App Due
Completion Issuance
Review
Completion

8

REC Overview

• The purpose of the Regional Centers is to furnish assistance,
defined as education, outreach, and technical assistance, to help
providers in their geographic service areas select, successfully
implement and meaningfully use certified EHR technology to
improve the quality and value of health care.
• Priority shall be given to providers that are primary-care providers
(physicians and/or other health care professionals with prescriptive
privileges, such as physician assistants and nurse practitioners) in
any of the following settings:
 Individual and small group practices (ten or fewer professionals with
prescriptive privileges) primarily focused on primary care;
 Public and Critical Access Hospitals;
 Community Health Centers and Rural Health Clinics; and
 Other settings that predominantly serve uninsured, underinsured, and
medically underserved populations.

9

Beacon, Sharp, and Workforce Timeline

Key Steps and Anticipated Dates
Letter Execution of
FOA Full
of Cooperative
Released Application**
Intent Agreements

BEACON 12/02/2009 1/8/2010 1/1/2010 3/2010

SHARP 12/17/2009 1/8/2010 1/25/2010 3/2010

WORKFORCE
Community College 11/25/2009 1/6/2010 1/22/2010 3/2010

WORKFORCE 12/15/2009 1/4/2010 1/14/2010 3/2010
Curriculum Development

WORKFORCE 1/25/2010
University Training 12/17/2009 1/8/2010 3/2010

WORKFORCE 1/2010
Competency Examination 12/17/2009 1/2010 3/2010

**Applications which do not meet Completeness and Responsiveness criteria will not pass on to Objective Review.
10

Beacon Overview
• Will provide funding to communities to build and strengthen their health
IT infrastructure and exchange capabilities to demonstrate the vision of
the future where hospitals, clinicians and patients are meaningful users
of health IT, and together the community achieves measurable
improvements in health care quality, safety, efficiency, and population
health.
• Awards will be made in the form of cooperative agreements to 15
qualified non-profit organizations or government entities representing
geographic health care communities.
• Beacon Communities will generate and disseminate valuable lessons
learned that will be applicable to the rest of the nation’s communities as
they strive to build and leverage their health IT infrastructure for
healthcare improvement.
• Will include $220 million in grants to build and strengthen health IT
infrastructure and health information exchange capabilities, including
strong privacy and security measures for data exchange, within 15
communities. An additional $15 million will be provided for technical
assistance to the communities and to evaluate the success of the
11
program.

Beacon Overview (cont’d)

15 Communities
1. Extend existing (advanced) health IT and exchange infrastructure
2. Leverage this infrastructure to achieve specific and measurable
healthcare improvements

Demonstrate vision of the future where hospitals,
clinicians and patients are meaningful users of health IT, and
together the community achieves measurable
improvements in health care quality, safety,
efficiency, and population health

12

SHARP Overview

• The purpose of the Strategic Health IT Advanced Research
Projects (SHARP) Program is to fund research focused on
achieving breakthrough advances to address well-documented
problems that have impeded adoption of health IT and to
accelerate progress towards achieving nationwide meaningful
use of health IT in support of a high-performing, continuously-
learning health care system.
• ONC expects to award four cooperative agreements:
 Security of Health Information Technology
 Patient-Centered Cognitive Support
 Healthcare Application and Network Platform Architectures
 Secondary Use of EHR Data

13

Workforce Overview (cont’d)

Curriculum Community
Development College
Centers Consortia
Workforce
Program
Competency
University-Based
Development
Training
Testing

• The Curriculum Development Centers program will provide $10 million in grants to
institutions of higher education (or consortia thereof) to support health information
technology curriculum development.
• ONC plans to make up to 5 grant awards that will support curriculum development
to enhance programs of workforce training primarily at community college level.
• The materials developed under this program will be used by the member colleges
of the five regional consortia as well as be available to institutions of higher
education across the country.

14


Development College
Centers Consortia
Workforce
Program
Competency
University-Based
Development
Training
Testing

• The Community College Consortia to Educate Health Information Technology
Professionals in Health Care program seeks to rapidly create HIT academic programs at
Community Colleges or expand existing ones.
• Students will be able to complete training in one of six roles within six months or less.
• Academic programs may be offered through traditional on-campus instruction or distance
learning modalities, or combinations thereof.
• It is expected that by the end of the two-year project period, collectively all of the
Community Colleges participating in the program will have established training programs
with the capacity to train at least 10,500 students annually to be part of the HIT workforce.
 Anticipated training capacity of the consortium as a whole must average 150 students per member College.
 Training at all consortium member Colleges will be expected to begin by September 30, 2010
 Colleges should have a plan collaborate with regional extension centers and state health information
exchange programs 15


Development College
Centers Consortia
Workforce
Program
Competency
University-
Development
Based Training
Testing

• The purpose of the Information Technology Professionals in Health Care: Program
of Assistance for University-Based Training grants is to rapidly increase the
availability of individuals qualified to serve in specific health information technology
professional roles requiring university-level training. Four-year colleges or
universities are eligible to apply for funding under this program, which will
emphasize programs that can be completed by the trainee in one year or less.
• The six roles targeted by this funding opportunity are:
 Clinician/Public Health Leader
 Health Information Management and Exchange Specialist
 Health Information Privacy and Security Specialist
 Research and Development Scientist
 Programmers and Software Engineer 16
 Health IT Sub-specialist


Development College
Centers Consortia
Workforce
Program
Competency
University-Based
Development
Training
Testing

• The Competency Examination for Individuals Completing Non-Degree
Training program, one component of the workforce program, will provide $6 million
in grants to an institution of higher education (or consortia thereof) to support the
development and initial administration of a set of health IT competency
examinations.
• The examinations will assess basic competency for individuals trained through
short-duration, non-degree health IT programs, and for members of the workforce
with relevant experience or other types of training who are seeking to demonstrate
their competency in certain health IT workforce roles integral to achieving
meaningful use of electronic health information.
17

State HIE Program
• Cooperative agreements will be awarded through the State
Health Information Exchange Cooperative Agreement
Program to states and qualified State Designated Entities
(SDEs).
 Objective: To develop and advance mechanisms for information sharing
across the health care system.
 A cooperative agreement is a partnership between the grant recipient and the
Federal government.
 States and SDEs will be required to match grant awards beginning in 2011.
• Under these State cooperative agreements $564 million will
be awarded to support efforts to achieve widespread and
sustainable health information exchange (HIE) within and
among states through the meaningful use of certified
Electronic Health Records (EHRs).
 The goal of meaningful use of EHRs is for health care providers to use this
technology to improve the quality and efficiency of care.

18

State HIE Program (cont’d)
• The grant programs will support states and/or SDEs in
establishing in developing and implementing strategic and
operational plans which address and facilitate HIE capacity
among health care providers and hospitals in their
jurisdiction.
• Grant performance will be evaluated on a quarterly basis to
determine if there is improved capability for providers to
actively exchange healthcare data focusing specifically on
electronic order and receipt of labs and test results as well
as e-prescribing.
• The respective state governments, federal government
(complimentary grants programs) and private sector will all
play important roles in advancing HIE among health care
providers through the grant programs.

19

Aligning with Current & Future
State HIE Guidance
• Statewide Strategic and Operational Plans should be
developed and implemented based upon evolving
guidance. States will receive guidance from:
 ONC
 ONC – State HIE Team
 Technical Assistance Providers (State HIE Toolkit, etc.)
 CMS (Meaningful Use NPRM, etc.)
 ONC FACA Committees (HIT Policy – NHIN Workgroup)
 Other

20

Interim Final Rule and Notice of
Proposed Rulemaking of Meaningful Use
An Interim Final Rule (IFR) on an initial set of standards, implementation
specifications, and certification criteria was issued on December 30, 2009, with a
request for comments.

The Centers for Medicare & Medicaid Services (CMS) also issued a Notice of
Proposed Rulemaking (NPRM) on the definition of “meaningful use.”
• In order for professionals and hospitals to be eligible to receive payments under
the Medicare and Medicaid EHR incentive programs, provided through the
Recovery Act, they must be able to demonstrate meaningful use of a certified
EHR system.

The IFR will become effective 30 days after publication and will be open for public
comment for 60 days after publication. The final rule will be issued sometime in
2010.

More information on the IFR can be found at:
http://www.federalregister.gov/inspection.aspx#special
Public comments can be made at:
http://www.regulations.gov/search/Regs/home.html#home 21

Technical Architecture & the NHIN
In Support of the State HIE Program

22

Agenda

• A. Overview & Approach of the Nationwide Health Information Network (NHIN)
 10 min
o 1. Industry Engagement &The Evolution of the NHIN
o 2. Governance for the NHIN
o 3. Trust, the DURSA, & the NHIN
o 4. Standards, Specifications, and Meaningful Use

• B. Technical Architecture , NHIN, & State Health Information Exchange (HIE)
 20 min
o 1. Key Principles & Information Exchanges to be Considered by States
o 2. Stakeholders Participating in HIE
o 3. Services to be Provided by &/or Used by States
o 4. Sharing Information with Current & Future NHIN Participants
o 5. Alignment with Current & Future Technical Architecture & NHIN Guidance

23

Overview & Approach of the
Nationwide Health Information
Network (NHIN)

24

NHIN: An Overview

• The Nationwide Health Information Network (NHIN)
is a collection of standards, protocols, legal
agreements, specifications, and services that
enables the secure exchange of health information
over the internet.
 The NHIN provides a common platform for health information
exchange across diverse entities to achieve the goals of the
HITECH Act.
 This enables health information to follow the consumer, be
available for clinical decision making, and support use of
healthcare information beyond direct patient care to improve
public health.

25

NHIN: An Overview
• In its initial pilot implementations, the NHIN
provides a vehicle for large and/or technologically
sophisticated organizations to securely exchange
electronic health information on a common
platform for HIE across diverse entities to achieve
the goals of the HITECH Act.
 Moving forward, the NHIN will accommodate uses ranging
from simple local applications such as a healthcare provider
communicating a prescription to a pharmacy, to complex
interchanges involving nationwide participants and the
attendant network facilities and tools, and/or to consumers
seeking access to their health records from their local
caregivers.

26

NHIN: Industry Engagement & Evolution
• ONC will be engaged in diverse public discussions about
the various possibilities NHIN
 One important source of input is through Federal Advisory Committees,
public meetings, and comments during formal rulemaking processes.
 A NHIN Work Group (under the HIT Policy Committee) is being formed to
offer recommendations on creating a policy and technical framework that
allows the internet to be used for the secure and standards-based exchange
of health information, in a way that is open to all and fosters innovation.
 The new NHIN Work Group will hold discussions on how to use the internet
to transform healthcare, including network security and access to health
information.
 At the inaugural meeting on November 20, the work group was charged with
reviewing and refining the charge and initial activities, including:
o Establishing an incremental approach that will generate immediate value (e.g., enable providers
to achieve meaningful use) while creating the components that will be needed for more
advanced information exchange (e.g., broadcast query).
o Describing the governance mechanism required for above.
o Providing recommendations to the HIT Policy and HIT Standards Committees.

Activities of the HIT Policy Committee can be found at:
http://healthit.hhs.gov/policycommittee 27

NHIN: Current Governance
• As part of the 2009 NHIN limited production pilots, the
following interim governance structures were put in place
to support information exchange across the NHIN during
the formal rulemaking process:
 The NHIN Technical Committee focuses on architectural and technical
issues such as prioritization of new functionality and approval of new or
modified technical requirements and specifications.
 The NHIN Coordinating Committee has the authority to establish and
maintain the set of policies and legal agreements and accountability
measures for NHIN participants.

The current governance mechanisms may be enhanced or modified based on
recommendations from the HIT Policy Committee – NHIN Workgroup.

29

NHIN: Creating a “Fabric of Trust”
• Those who might want to use the NHIN for simple
exchanges of information may not require the rigorous
agreements that have been established for the exchange of
data during the limited production pilots. Therefore, even
simple exchanges require:
 The sender of information must be confident of the address of the recipient,
 The receiver of the data is the intended recipient
 The substance of the information has not been altered during transmission.
Other users may have more extensive requirements to establish trust.
• The NHIN will require a “fabric of trust” that can serve
multiple users and can provide multiple layers to establish
confidence.
 A “lightweight” layer
 Additional layers
• A wide range of key stakeholders will need to be involved in
drafting new, and revising existing, elements of the NHIN
trust fabric (e.g. trust agreements, operating policies and 30
procedures, and Coordinating Committee processes.)

NHIN: DURSA – “A Fabric of Trust”
• Data Use and Reciprocal Support Agreement (“DURSA”) – is a
comprehensive, multi-party trust agreement.
 The DURSA provides the legal framework governing participation in
nationwide information exchange by requiring the signatories to abide by a
common set of terms and conditions that establish the Participants’
obligations and the trust fabric to support the privacy, confidentiality and
security of the health data that is exchanged.
• Key terms and conditions of the DURSA are noted below:
 Multi-Party Agreement
 Participants in Production
 Privacy and Security Obligations
 Requests for Data Based on Permitted Purposes
 Duty to Respond
 Future Use of Data Received Through the NHIN
 Duties of Requesting and Responding Participants. Each Participant has
certain duties when acting as a requesting or responding Participant.
o Breach Notification
o Mandatory Non-Binding Dispute Resolution
o Allocation of Liability Risk 31
o Applicable Law

NHIN: The Use of Standards
• The NHIN references, leverages and utilizes approved
standards.
 The Health IT Standards Committee, a federal advisory committee is
responsible for making recommendations to the National Coordinator for
Health IT on standards, implementation specifications, and certification
criteria for the electronic exchange and use of health information.
 The Health IT Standards Committee may be informed by standards
harmonization entities, standards development organizations (SDOs), etc.

To date The Health Information Technology Standards Panel (HITSP) has played a
significant role in harmonizing standards. Their work can be referenced here:
http://www.hitsp.org/

32

NHIN: The Development & Utilization of
Specifications
• The NHIN specifications which must be implemented in an
NHIN Gateway vary with the functionality an NHIN
Participant wishes to support. NHIN Specification are
developed in alignment with approved standards.
• Entities are encouraged to implement the complete set, so
that they may offer the full suite of NHIN services to
members of its healthcare value chain.
• The NHIN Specifications include:
 Messaging, Security, and Privacy Foundation
 Discovery Information Services
 Information Services Profile

To date The Health Information Technology Standards Panel (HITSP) has played a
significant role in harmonizing standards. Their work can be referenced here:
http://www.hitsp.org/
33

NHIN: Aligning with Meaningful Use

2009 2011 2013 2015

HIT-Enabled Health Reform
Meaningful Use Criteria

HITECH
Policies
2011 Meaningful
Use Criteria
(Capture/share
data)
2013 Meaningful
Use Criteria
(Advanced care
processes with 2015 Meaningful
decision support) Use Criteria
(Improved
Outcomes)

34

Meaningful Use and Preliminary
Rulemaking Timeline
July August September Late 2010 and
2009 2009 2009 2009/Early Onward
2010

Rulemaking

Preliminary
Definition of MU Preliminary
(HIT Policy Standards
Committee) Identified to
Support MU Work Begun to
(HIT Standards Develop HHS
Committee) Certification ONC IFRs &
Criteria for MU CMS NPRMs
(HIT Standards Released
Committee) Regulations
Written into Law
and Executed

35

Status of Rulemaking

• An Interim Final Rule (IFR) on an initial set of standards, implementation
specifications, and certification criteria was issued on December 30, 2009, with a
request for comments.
• Represents the first step in an incremental approach to adopting standards,
implementation specifications, and certification criteria to enhance the
interoperability, functionality, utility, and security of health IT and to support its
meaningful use.
• The certification criteria adopted in this initial set establish the capabilities and
related standards that certified electronic health record (EHR) technology will
need to include in order to, at a minimum, support the achievement of the
proposed meaningful use Stage 1 (beginning in 2011) by eligible professionals
and eligible hospitals under the Medicare and Medicaid EHR incentive programs.
• In a related announcement, the Centers for Medicare & Medicaid Services (CMS)
also issued a Notice of Proposed Rulemaking (NPRM) on the definition of
“meaningful use.”
• In order for professionals and hospitals to be eligible to receive payments under
the Medicare and Medicaid EHR incentive programs, provided through the
Recovery Act, they must be able to demonstrate meaningful use of a certified
EHR system.
• The proposed standards and certification criteria in the IFR are fundamentally
linked to and specifically designed to support the 2011 meaningful use criteria.
36

Technical Architecture, NHIN, and
the State HIE Program

37

Technical Architecture: Key Principles

• Statewide Strategic an Operational Plans are expected to provide a
technical architecture that describes the interactions of
stakeholders and technologies to achieve the state’s strategic
health objectives.
• Architecture the components of a complex system and the
relationships and interactions among those components, whether
they be parts of a house, objects in a software application, or
elements of state health information exchanges. There are many
“moving parts” encompassed within state HIE initiatives:
• Exchanges of information among many different participants in
the healthcare value chain;
 Necessary technology infrastructure to facilitate these exchanges; and
 Alignment to the national health IT agenda to ensure that these exchanges of health information are
secure and interoperable.

ONC realizes that States/SDEs may be at different levels of maturity and therefore is
providing additional guidance in the State HIE Toolkit and other TA Initiatives.

38

Technical Architecture: Key Principles
& Health Information Exchange (HIE)
• The development of and evaluation of state technical architectures will be
driven by well-defined principles that clearly advance the national health IT
agenda, namely:
• States/SDEs should ultimately advance the key tenets of the health reform
agenda:
 Improving quality of care and patient outcomes
 Improving the cost-effectiveness of care
 Enhancing the capabilities of public health
• States/SDEs should advance key priority areas for the meaningful use of
electronic health records. These key priority areas were originally defined
by the HIT Policy Committee in July 2009 and it is anticipated that they will
undergo review and update and will be written into law.
 The priority areas which have been defined as short term (2011) include:
o Electronic eligibility and claims transactions
o Electronic prescribing and refill requests
o Electronic clinical laboratory ordering and results delivery
o Electronic public health reporting (i.e., immunizations, notifiable laboratory results)
o Quality reporting
o Prescription fill status and/or medication fill history
o Clinical summary exchange for care coordination and patient engagement

39

Technical Architecture: Stakeholders
Participating in HIE
• States/SDEs should incorporate all key stakeholders within the
state’s healthcare value chain, including non-governmental
entities such as providers, health plans, labs and pharmacies, as
well as agencies with health-related missions at all levels of
government.
 The architecture should also conform to national standards for health IT, and should
facilitate participation in the NHIN.
• The scope of health information exchange activities
includes exchanges between health enterprises, both within
a state (intra-state) and across states (inter-state).
 “Health Enterprise” refers to an organization that maintains a common index of patients
and their associated documents/data, encompasses participants that have established
trust and business relationships, and have agreed to adhere to common standards. The
scope of a health enterprise could be as small as a single practice, but it would also
include large chains or delivery networks, existing jurisdictional HIEs/RHIOs, and state
or county agencies.

40

Technical Architecture: Services to be
Provided by and/or used by States
• State technical architectures should describe what shared
or common infrastructure they intend to supply to facilitate
the information exchanges described above. At a minimum,
state technical architectures must describe mechanisms to:
 Provide or Participate in Location Services
 Ensure Entities (Patients, Providers, etc.) are Discoverable
 Provide services for trust, security and privacy
 Integrate Medicaid Services
 Integrate State-Level Registries

41

Sharing Information with Current and
Future NHIN Participants
• New users will soon be joining the existing NHIN
activities
 Includes states, SDEs or other recipients of Federal
contracts to build and begin exchanging health information.
 In addition, there are numerous Federal initiatives that will
depend upon information exchange via the NHIN, including
the CDC biosurveillance pilots, the Virtual Lifetime Electronic
Record implemented by the DoD and the VA, and the Social
Security Administration’s disability determination process.

42

Aligning with Current & Future
Guidance
• Grantees are highly encouraged to plan for and participate
in the NHIN.
• Grantees Statewide Strategic and Operational Plans are
highly encouraged to address options for future NHIN
participation.
 This may include planning for and implementation of
appropriate standards, specifications, technical architecture,
trust agreements, etc.
• Project Officers will evaluate Statewide Strategic and
Operational Plans based upon evolving NHIN guidance.
• States will receive guidance regarding the NHIN from:
 ONC
 ONC – State HIE Team
 Technical Assistance Providers (State HIE Toolkit, etc.)
 CMS (Regarding Meaningful Use)
 ONC FACA Committees (HIT Policy – NHIN Workgroup) 43

Questions & Answers
(If Time Permits)

44

Technical Assistance &
Toolkit Overview

45

State HIE Program
Technical Assistance Overview
TA Goal: Support states in their efforts to build HIE
capacity to support Meaningful Use
TA Objectives:
 Targeted to stages of development and responsive to
state identified needs
 Aligned to support HITECH - State HIE Program
o Program goals
o Milestones across states
 Leveraging collaborative expertise and resources
o ONC Program guidance, Project Officers, Regional
Consultants
o SLHIE Project T.A. Team (staff, consultants, other
collaborators)
o States and state-specific resources e.g. consultants

Organizing T.A. - Goals, Strategic Priorities

Distinctions about T.A. Services
Assumptions State HIE T.A. Services
• Most states will use hire • Targeting areas that states
consultants either to help otherwise can’t address via
develop Plans and/or to vendors, consultants
execute on Plans. • Providing program level
• States need additional guidance and direction
source of guidance • Helping states address
 Cross-cutting issues, barriers common issues
 Comparative information • Facilitating flexible state
about emerging best practices approaches, stages while
 Objective source of guidance also ensuring that states are
linked to State HIE Program “on the right road.”
expectations

State HIE Program TA Services and Resources
Will Address These Type Questions…

• How do I get started (I don’t know what I need or who to choose to
help)?
• How do I pick a consultant/vendor?
• What do I do to get ONC approval for my state plans?
• What are the best practices across the states for implementing
effective HIE across the domains, especially governance?
• What are the best practices across states for overcoming a
particular issue/barrier?
• What is ONC’s position on a variety of issues?
• What are the NHIN specs; what can we do with our architecture to
become compliant (and not rely on the vendor’s word)?
• Is the proposal received from this consultant/vendor in compliance
with ONC guidelines?

State HIE Technical Assistance Services
and Resources

Virtual Programs Communications
Toolkit
Webinars Listserv

Coaching Meetings
Leadership
Virtual/On-site Roundtable
Training
Consulting Discussions

Technical Assistance Consultations

Include Do Not Include
• Helping states identify • Directly meeting
strategies and address milestones for the
issues within and states
across the five domains • Developing states’
• Supporting states to deliverables
meet milestones and
deliverables as required
by cooperative
agreements with ONC

Technical Assistance Consulting Activities
Do Include….
• Provide recommended best practices as identified by SLHIE and other
ONC projects e.g. HISPC, State Alliance, NHIN. etc
• Assist to develop strategies to address issues, reach milestones or
deliverables by:
 Provide advice on direction or resolution of an issue
 Analyze specific issues, suggest potential solutions
 Synthesize different approaches and outline the alternatives
 Identify case studies or other states’ efforts to resolve similar issues and
bring these to attention where a state needs help

Technical Assistance Consulting Activities
Do Not Include….

• Developing systems
• Deploying technologies
• Giving legal advice
• Developing strategic and operational plans
• Completing audits
• Writing data sharing agreements
• Producing for states any State HIE Cooperative
Agreement Program deliverables or products

Anticipated Technical Assistance
Topics Evolving Across Stages

State HIE Toolkit
• Purpose
 Resource to support state grantees to plan and lead activities to
accomplish targeted milestones and expectations outlined in state
plans and cooperative agreements
• Design
 Aligns with State HIE Program guidance (domains, general areas)
 Modules offer education, decision-making support, practical tools
 States have ready access, ability to customize use
 Iterative, expanding content to provide access to emerging best
practices, lessons learned in the field
• Dissemination
 Released in versions with ongoing updates
 Available through Forum Web site and directly at
http://www.statehieresources.org

Toolkit Beta Release

• Toolkit Content
o Initial modules focus on planning fundamentals

• Next Version release
o Additional set of modules planned January 31, 2010

• Feedback on Beta version
o Enhancements, expanded resources will address feedback about
states’ needs, priorities

Using the Toolkit

• Tackling key fundamentals
 Establishing governance
 Organizing to address key planning priorities

Next Steps

• State HIE Forum Participants
 Sign up for Listserv through Toolkit or Forum Web site

• SLHIE Project –
 Will send Listserv request for feedback on the Toolkit
 States respond with suggestions, resource requests, etc
 Moderated communication will begin to circulate state
inquiries, requests, resource sharing

• Beginning in 2010
 T.A. assessments and planning
 Webinar series

HIE

Recomendados

Recomendados

Mais conteúdo relacionado

Mais procurados

Mais procurados (6)

Destaque

Destaque (18)

Semelhante a HIE

Semelhante a HIE (20)

Mais de Brian Ahier

Mais de Brian Ahier (20)

Último

Último (20)

HIE