1. Measured Progress, Great
Possibilities, Many Challenges -
Telehealth and eHealth in Virginia
J.P. Auffret
NOVA RHIO
March 18th, 2010

2. The Information Technology Challenge

3. Information Technology
Challenge
 IT is integral to organizational strategy - but is
also a key part of organizational day to day
operations.
 IT is specialized, but has broad impact.
 IT is transformational – but also enables
organizations to provide existing services
better.
 IT is rapidly evolving – but has much continuity
in technology management best practices.

4. The IT Challenge –
Low Cost PCs
Source: OpenSourceCommunity.org

5. The IT Challenge –
Mobile


6. The IT
Challenge –
Social
Media

8. Alcatel-Lucent Bell
Labs Announces
New Optical
Transmission
Record And Breaks
100 Petabit Per
Second Kilometer
Barrier
(October 2, 2009)
Intel Unveils All New
2010 Intel® Core™
Processor Family
(CES 2010)

9. Albert Fert and Peter Grunberg ,
2007 Nobel Price for Physics (Giant
Magnetoresistance)

10. The IT Challenge – Providing
Access and Empowering
Citizens

11. The IT Challenge –
Improving Service
and Operations

12. Telehealth and eHealth in Virginia

13. From Virginia’s Initial 1995
Telehealth Study -
 Immunization Registry
 Initial Committee on Health Information
Technology – Organized and Chaired by
Secretary Jane Woods in 2005
 Medicaid Eligibility System
 Commonwealth of Virginia Health IT
Innovation Grants as part of Secretary
Chopra’s and Secretary Tavenner’s health IT
program.
 No Wrong Door

14. From Virginia’s Initial 1995
Telehealth Study -
 CommonwealthRx
 Virginia Health Exchange Network
 Advance Healthcare Directive Directory
 Many local and regional telehealth initiatives

15. Virginia Health IT Innovation Grants
(from Chopra and Tavenner Town Hall
Presentation, February 2009)

20. Source: Commonwealth of Virginia

22. But What Are the Possibilities
of eHealth (Streveler)?
 Clinical
 Patient Care Management
 Population Health Management
 Disease State Management
 Administrative
 Resource Management
 Utilization Management
 Financial Management
 Quality Management

23. We Need the Foundation of:
 Institutions
 Legal Structures
 Policies
 Standards
 People
 Finance and Business Models
 Leadership
 Metrics

24. In the Context of Service
Delivery and Value Chains
(Luis Pareras)

25. And Building Upon a Strong
Enterprise Architecture Foundation
 An organization’s enterprise architecture is the
organizing logic for its core business
processes and IT capabilities captured in a set
of principles, policies and technical choices
reflecting the standardization and integration
needs of its operational model.
Source: Enterprise Architecture as Strategy
(Weil, Ross and Robertson 2006)

26. Enterprise Architecture
Framework
Source:
Government
Enterprise
Architecture
in Singapore
(Saha 2008)

27. But We Are Off to a Good Start
 Executive Order 95 – establishing Virginia
Health IT Advisory Commission and the Office
of Health IT
 Establishment of Regional Extension Centers
 Fostering of RHIOs / HIEs
 HB 2198 – Electronic health records systems
and standards (2009)
 HB 2044 – Establish Health Information
Standards Advisory Committee (2010)
 SB 675 – Health insurance coverage and
telehealth (2010)
 Planning for COV - HIE