The Process of Negotiation in the Implementation of HIT

1
The Process of Negotiation in the Implementation
of HIT

• Tim Cox and Laurie Peters
• Northland Healthcare Alliance
• October 2009
• Albuquerque, New Mexico

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What is Northland?
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Network HIT Initiative

• Challenges in Collaboration and Network
  Implementation

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Challenges

• Diverse Systems
• Lack of Digitization
• Referral Patterns to Non Network Members
• Physician Not on Board
• Who Owns the Record

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Some Solutions

• Forming New Non Competitive Entity
• Centralizing Resources
• Creating a Networked Based Model

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Another Challenge - Agreements
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Potential Agreements

• Server Hosting
• Hospital/Provider/Healthcare Facility Agreement
• Business Associate Agreement
• Data Use Agreement

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Policy Consideration
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• Authentication and Audit
• Authorization (consent)
• Disclosure Directives
• Communication Requirements
• Data Content/Quality Requirements
• Use of Information
• Response to Security Incidents
• Individual Access to PHI via the HIE