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MO-HITECH Presentation
1. Missouri Statewide Health Information Organization MO-HITECH http://dss.missouri.gov/hie/
2. Missouri’s Health Information Exchange: Missouri has an unprecedented opportunity to access federal funds to plan, design, implement and support the statewide exchange of electronic health information. 2
3. Current state vs. future vision Pharmacies Pharmacies Labs Hospitals Labs Hospitals Health Info Exchange Physicians Clinics Physicians Clinics Consumers Government Payers Government Payers Consumers Current Confusion Evolving and Competing Landscape Future Vision Improved Access and Use of Health Information 3
4. 4 ARRA and HITECH Act:Opportunity for Missouri’s Health Care Providers and Consumers
5. ARRA & HITECH Funding ARRA American Recovery & Reinvestment Act $787 Billion federal stimulus package passed by Congress and signed by President Obama in February 2009. HITECH Act Health Information Technology for Economic & Clinical Health Act $50 billion section of the stimulus package focused on funding and supporting widespread adoption of health information technology. MO-HITECH Missouri Office of Health Information Technology $1 billion funding opportunity for Missouri over the next five years. 5
6. Above $1 Billion $500 Million - $1 Billion $100-500 Million Below $100 Million Estimated Meaningful Use Funding by State Missouri: Projected funds from State HIE Program: $13.8 M Projected funds from Medicare Meaningful Use: $442 M Projected funds from Medicaid Meaningful Use: $404 M 6
9. 9 Development of Missouri’s Health Information Exchange:Goals, Planning and Timelines
10. 10 State Goals Improve the quality of medical decision-making and the coordination of care; Provide accountability in safeguarding the privacy and security of medical information; Reduce preventable medical errors and avoid duplication of treatment; Improve the public health; Enhance the affordability and value of health care; and Empower Missourians to take a more active role in their own health care.
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12. Advisory Board and Workgroups formed
13. Public invited to review, comment and offer feedback
14. More than 200 stakeholders engaged across the state11
15. MO-HITECH MO-HITECH Framework Advisory Board Manatt & State Employees to Staff & Facilitate Workgroups Governance Workgroup Technical Infrastructure Workgroup Finance Workgroup Business & Technical Operations Workgroup Consumer Engagement Workgroup Legal/ Policy Workgroup Draft Strategic and Operational Plans Draft Sections of Strategic and Operational Plans Strategic and Operational Plans 12
16. MO-HITECH Advisory Board Barrett A. Toan Private Sector Co-Chair Ronald J. Levy, Director, DSS and MO-HITECH Coordinator Donald Babb CEO, Citizens Memorial Hospital, Bolivar Steve Calloway Pharmacy Representative Shalonn Curls Margaret T. Donnelly Director DHSS Karen Edison, MD Missouri Center for Health Policy Tracy Godfrey, MD Family Physician, Joplin Tom Hale, MD, PhD Sisters of Mercy Health System Sandra Johnson, JD, LL.M Emerita Professor of Law and Health Care Ethics, St. Louis University School of Law Herb B. Kuhn President & CEO, Missouri Hospital Association Ian McCaslin, MD Director, MO HealthNet Division Joe Pierle, CEO Missouri Primary Care Association Verneda Robinson CEO, Swope Health Systems Andrea Routh Health Advocacy Alliance Senator Eric Schmitt MahreeSkala Missouri Association of Local Public Health Agencies Steven C. Walli President & CEO, United Healthcare MO David Weiss, CIO BJC Healthcare Karl Wilson President & CEO, Crider Health Center 13
72. MO HIOs focus on local governance, adoptionGiven the relatively nascent HIE market in Missouri and the desire to pursue an effective public-private governance model, Missouri intends to develop a “Statewide Network Comprised of Diverse Qualified Organizations.” 18
73. Governance: Board of Directors Statewide HIE in Missouri will be governed by a collaborative multi-stakeholder organization – the Missouri Statewide Health Information Organization (MSHIO). Not-for-profit – 501c3 – public/private partnership 15-member MSHIO Board appointed by MO-HITECH Advisory Board June 30 13 private sector representatives 2 state representatives Consumer advocates and providers must be represented on the Board at all times Draft articles of incorporation and bylaws completed 19
84. Technical Infrastructure: Principles MSHIO will support the development of regional HIE (qualified organizations) efforts while linking those networks together to enable statewide exchange of health information. Principles No provider left behind Alignment with meaningful use Interoperability and accessibility Leverage resources – public and private Consistency with national standards 24
95. Legal/Policy: Patient Consent Model Evaluation and final decision related to an opt-in versus opt-out model is complex and must consider the following: Consumer and provider trust State and federal requirements Clinical value of the information Technical feasibility and cost Administrative burden and implementation cost Preliminary recommendation is that MSHIO utilize an opt-in patient consent framework. 26
