Transforming Health Care Delivery with HIT: Arizona

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Presented at the National Academy for State Health Policy's 20th Annual State Health Policy Conference in Denver, Colorado. Author: Tony Rodgers

Business Gesundheit & Medizin

Transforming Health Care Delivery with HIT: Arizona Anthony Rodgers, Director Arizona Health Care Cost Containment System

Critical Drivers for Health System Transformation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Historic Barriers to System Transformation Lack HIT Enabler Technologies Lack of Public Private Synergy Lack Financial Investment Misaligned Incentives

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Arizona’s Sense of Urgency to Achieve Statewide Adoptions of HIT that Support Exchange of Electronic Records ,[object Object],[object Object],[object Object],[object Object]

Arizona’s Vision of a Transformed Healthcare System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vision of an Integrated Health System Public Health Primary Care Physicians Hospitals and Healthcare Facilities Specialists Subspecialists

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AHCCCS Health System Transformation Initiative

AHCCCS EHR Repository & Web Portal EHR Repository AHCCCS Web Portal ePrescribing Lab Order and Results Delivery Referrals Prior Authorization Access Hospital Discharge Info Claims and Eligibility Management Clinical Info Management RLS NPI DHS Imaging Health Plans AHCCCS Labs Provider EMRs Hospitals Pharms/PBMs IHS HIEs/SAHIE

Value Driven Decision Support Population Survey Encounter Medical Data Population Prescription Drug Premiums / Cap Evidence-Based Medicine Public & Specialized Data Sets Beneficiary Data External Data / Profiles Program Segmentation Analysis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Data Warehouse Medical Management Fraud Detection Drug U/R & Cost Performance Analysis Eligibility Analysis Chronic Illness Sub-databases Registries Decision Support Reporting Applications Eligibility Data

Managing Health System Transformation in Arizona Managed Care 1980’s-1990’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1960’s-1970’s Integrated Health 2000+ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Fee for Service

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