NATIONAL HEALTH INFORMATION TECHNOLOGY MOVEMENT

1
NATIONAL HEALTH INFORMATION TECHNOLOGY MOVEMENT

• AN OVERVIEW
• Presented by Christina L. Wildlake, MS
  Deputy Director of Programs
• California Primary Care Association

2
PRESIDENT BUSHS INITIATIVE

• April 2004 issued executive order
• National adoption of interoperable health records
  by 2014
• May 2004 Office of the National Coordinator for
  Health Information Technology (ONCHIT)
• July 2004 ONCHIT released strategy report

3
OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH
INFORMATION (ONCHIT)

• Purpose Provides leadership for the development
  and nationwide implementation of an interoperable
  health information technology infrastructure to
  improve the quality and efficiency of health care
  and the ability of consumers to manage their care
  and safety.
• Under HHS
• Dr. David Brailer first director, recently
  resigned

4
DEVELOPMENT OF A NATIONAL HEALTH INFORMATION
NETWORK (NHIN)
DEVELOPMENT OF A NATIONAL HEALTH INFORMATION
NETWORK (NHIN)
STANDARDS
ARCHITECTURE
CERTIFICATION
PRIVACY SECURITY

• HHS 4 Contracts to Consortia
• Accenture
• Computer Science Corporation (CSC)
• IBM
• Northrop Grumman

• HITSP/
• ONCHIT1
• ? Health Information Technology Standards Panel

CCHIT ? Certification Commission for Health
Information Technology
HISPC ? Health Information Security and Privacy
Collaboration
5
RELATED HHS ENTITIES

• American Health Information Community (AHIC/ The
  Community)
• Current focus/Workgroups
• Chronic Care
• Consumer Empowerment
• Electronic Health Record
• Biosurveillance
• ? Eventually transferred out of HHS into a
  public/private partnership (2-5yrs)
• ? Dr. Brailer moved to the Community

• Agency for Healthcare Research Quality (AHRQ)
• Current focus
• October 2005 - 22millionin to 16 grantees Eleven
  of 16 grants were to small and rural areas.
• Centers for Medicare and Medicaid Services (CMS)
• Current focus
• Doctor's Office Quality Information Technology
  Projects (DOQ-IT)
• October 2005, announced e-prescribing standards

6
(No Transcript)
7
HEALTH INFORMATION EXCHANGE INITIATIVES (HIE)

• HEALTH INFORMATION EXCHANGE INTITATIVES Ex.
  RHIOS
• RHIOs in California
• Approximately 15 existing or emerging
• Various stages of development
• CalRHIO
• Umbrella organization for all other CA RHIOs
• Bush administration promoting CalRHIO as a
  premier RHIO in the country
• Well funded
• Including 1million from Blue Shield, in part, to
  work with CCHCs
• No CCHC representation in CalRHIO leadership
• Limited CCHC representation on committees

8
CalRHIO CURRENT FOCUS

• Emergency Department Linking Project
• Personal Health Records
• Medication Management Capabilities
• Privacy and Security
• Business Cases
• Administrative Efficiencies

9
HIT IMPACT ON CCHCs

• Personal Health Records (PHR)
• EHR Adoption
• Health Information Exchange (HIE)
• National Health Information Network (NHIN)

10
WHERE DO WE GO FROM HERE?