October 2006

Top RHIO News | Advocacy and Public Policy | Technology Corner | Calendar of Events

TOP RHIO NEWS

Quality First Program Gives Doctors Critical Data

The Indiana Health Information Exchange has launched a program, Quality Health First of Indiana, designed to help Indianapolis-area physicians improve the quality and consistency of patient care.

By combining medical and drug claims data from participating health plans with patient prescription drug data, lab and test results from the Indiana Network for Patient Care database, Quality Health First aims to create reports to help physicians better treat patients.  A $2 million gift came from the Richard M. Fairbanks Foundation for clinical quality support services. Anthem Blue Cross and Blue Shield also provided funding.  Other participating health plans include M-Plan, MDwise and Medicare.

HIE of New York to Benefit from $1.5B in Federal Funding

Earlier this week, Gov. George Pataki announced that the Centers for Medicare and Medicaid Services has approved the state's request for a waiver, which will provide up to $1.5 billion in federal funding to be invested in the state's healthcare reform initiatives. A state panel, dubbed the Commission on Health Care Facilities for the 21st Century, has been meeting for more than a year to discuss ways to improve the system, including the possible closing of some hospitals and nursing homes. The federal funding will allow for the implementation of the groups recommendations, which are due at the end of the year, as well as the proposals of an earlier body called the Governor's Health Care Reform Workgroup.

Included in the state's program will be the increased use of e-prescribing, electronic medical records and regional health information organizations like the Health Information Exchange of New York, a network formed by Iroquois Healthcare Alliance, a Clifton Park group of 59 upstate hospitals, and the New York Health Plan Association, the Albany group representing the state's health insurers. The state's plan also calls for the expanded use of ambulatory and primary care services.   The waiver, which went into effect Oct. 1, makes the state eligible for 50 percent federal matching funds for programs that are not Medicaid programs and therefore do not normally qualify for the federal match. The state may receive up to $300 million a year for five years.

CareEvolution and AccessNET to Create Statewide Health Information Exchange in South Carolina

AccessNET Consortium of South Carolina and CareEvolution, Inc. announced that they have achieved critical milestones in their partnership to erect a statewide health information exchange for over 4 million consumers in South Carolina. AccessNET Consortium received one year of funding from HRSA through the Healthy Communities Access Program (HCAP) in 2005 that has provided resources to develop a system of care for uninsured and underinsured families in a 3- county area in South Carolina. During this work, AccessNET recognized early on that secure exchange of health information would be central to improving the quantity and quality of care for its target population. To this end, AccessNET began a partnership with CareEvolution to leverage administrative claims data to establish the infrastructure for a health information exchange for the region.

The project is on track to deploy a working pilot of a federated health information exchange encompassing 4 million patients to a limited set of providers by December 2006. "Our relationship with CareEvolution is different because it is a true partnership with a shared vision to vastly improve health outcomes for disenfranchised populations that don't have anyone looking after their continuity of care," said Laura Morris, Director, AccessNET. "As a caregiver, you just cannot do a great job for these folks if you don't know what their health history is," continued Morris.

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ADVOCACY AND PUBLIC POLICY

GAO Report Finds Weaknesses in CMS Computer Billing System

A Government Accountability Office report released on Tuesday details 47 weaknesses in the computer system CMS uses to transmit bills and communicate with health care providers.  CMS Administrator Mark McClellan said that the agency is working to fix the weaknesses but noted that the report "found no evidence that confidential or sensitive information had actually been compromised."

The report focused only on data transmission and did not evaluate the security of the servers used to store patient data. However, GAO auditors earlier this year reported that HHS had "significant weaknesses" when it came to computer system security.   Other weaknesses identified in the GAO audit of CMS' computer system include:

  • Inadequate ability to identify and verify users managing the network;
  • Insufficient control of network access and privileges;
  • Inadequate controls to guard the network from outside attacks; and
  • Inadequate audit trails to identify the source of transactions within the network.

Rep. Adam Smith Leads NDC Letter to Urge Bipartisan Health IT Conference

On September 28, a group of Democrats wrote to congressional leaders in both chambers to urge the passage of health information technology legislation before their targeted adjournment. In the letter, the New Democrat Coalition said conference negotiations on proposals to modernize America's health system need to be completed without delay. "Our healthcare system is plagued by rising costs and declining quality of care," the coalition said. "In spite of providing the most advanced medical care in the world, America's healthcare system is overly reliant on paper-based prescription and record-keeping techniques that are expensive, inefficient and even fatal." According to the group, a compromise between the House and Senate bills, H.R. 2157 and S. 1418 would help alleviate the financial burden on taxpayers and employers by, among other things, facilitating the adoption of IT networks and electronic health records.

New Online Database to Track All Government Contract Spending

President Bush signed into law today a measure that will create an online database for tracking government spending on contracts, billing the legislation as a way to hold government more accountable. "This bill will increase accountability and reduce incentives for wasteful spending. I am proud to sign it into law and I am proud to be with members of both political parties who worked hard to get this bill to my desk," Bush said at the signing ceremony in the Old Executive Office Building. The measure was sponsored by Sens. Tom Coburn (R-OK) and Barack Obama (D-IL) and in the House by Majority Whip Roy Blunt (R-MO) and Government Reform Chairman Tom Davis (R-VA). The Web site is to go online by Jan. 1, 2008.  It will list all grants and contracts of more than $25,000, except for those classified for national security reasons.

HHS Releases Work Plan for Fiscal Year 2007

HHS has released its Work Plan for Fiscal Year 2007.  This document is divided into four sections. The first three consist of the ongoing and proposed work related to each of the major program operating divisions of HHS: (1) CMS; (2) the seven major public health agencies: Agency for Health Care Research & Quality, Centers for Disease Control and Prevention, Food and Drug Administration, Health Resources and Services Administration, Indian Health Service, National Institutes of Health, and Substance Abuse and Mental Health Services Administration; and (3) Administration for Children & Families and Administration on Aging. The fourth section contains projects that cut across department programs, including state and local government use of federal funds, and the functional areas of the Office of the Secretary.

Supreme Court Rejects Privacy Lawsuit

The Supreme Court on Monday rejected a lawsuit by privacy advocates who say the Bush administration's rules for disclosing medical records are too lax.  Ten groups representing 750,000 consumers, medical practitioners and their patients challenged a federal rule that encourages development of an information system for electronic transfer of health data.
An initial proposal would have required healthcare providers to obtain patients' consent before disclosing health information. That approach prompted complaints from professionals in the health care sector, who said it would significantly impair the industry's ability to provide timely and efficient medical services.  The final rule put in place in 2003 leaves it up to health-care providers whether to seek patients' consent to use or disclose information for routine uses. The rule requires that disclosure must be limited to the "minimum necessary" information to accomplish the intended purpose. It also allows states to have more stringent standards if they wish.
In a decision the privacy advocates had sought to reverse, the 3rd U.S. Circuit Court of Appeals said that any privacy violations could not properly be blamed on the government. The federal rule did not "compel" or "command" any privacy violations, said the Philadelphia-based appeals court.

HIMSS Chapter Advocacy Certification Program Announces First Quarter Awards

Over 35 HIMSS Chapters are currently working together to advance federal, state, and local HIT-related legislation through the Chapter Advocacy Certification Program.  The Program identifies, trains, and mobilizes a Chapter Advocacy Liaison Representatives (CALR) at participating chapters to help coordinate effective, sophisticated grassroots advocacy across the country.

CALRs and their chapters receive special advocacy certifications as part of the Program, depending on their level of activity (Advocate Level, Ambassador Level, and Presidential Level).  The Program, which was launched in July, 2006, announced its first quarter certifications on Friday, September 29.  Eleven HIMSS Chapters and 14 CALRs were awarded Advocate Level Certification:

Arizona -- Lesley Boreham-King and Marilyn Teplitz
California (Northern) -- Martha Dameron
Colorado -- Mary Lee Newman
DC (National Capitol) -- Emma Cartmell and Daniel Blum
Georgia -- Connie Allen
Maryland -- James Harris
Michigan -- Helen Hill and Donna Roach
Minnesota -- Shawana Schueller
Missouri (Heart of America) -- David Raffel
Ohio (Central and Southern) -- Stephen Wood
Virginia -- Cathryn Stam

Advocate Level status is given to chapters that demonstrate an entry-level commitment to HIMSS-related advocacy activities.  In addition, HIMSS Minnesota Chapter and its CALR, Shawana Schueller, received Ambassador Level Certification.  Ambassador Level status requires chapters to demonstrate a more significant commitment to advocacy activity.  As part of the certification, Ms. Schueller will be invited to travel to Washington, DC, in 2007, to represent her chapter at HIMSS Advocacy Day. For more information about the Chapter Advocacy Certification Program, please contact Arnol Simmons at asimmons@himss.org.

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TECHNOLOGY CORNER

MHIN Physicians to Benefit from New Technology

Michiana Health Information Network (MHIN) has selected Axolotl's e2 technology to securely deliver information to physicians in MHINs' network. Founded in 1998, MHIN encompasses northern Indiana and southwestern Michigan.  Physicians in MHIN's service area will receive laboratory, radiology, ADT, and transcription data from multiple hospitals, reference laboratories and imaging centers, along with secure messaging across the community. Data will be delivered to physicians in ways that align with their current workflow, whether that means sending the data to their existing fax and line printers, to the Axolotl - MHIN application or to their electronic medical record.

"MHIN wants to assure the highest quality of healthcare for the people in our community," stated Alan Snell, MD, MMM, president, MHIN Board and chief medical information officer, Saint Joseph Regional Medical Center. "We envision a dependable integrated electronic health system -- by adding Axolotl's proven technology we have a great opportunity to rapidly deploy a secure messaging and results distribution platform.

Jay McCutcheon, a founding member of MHIN, added, "Adoption by service providers and physicians is a key ingredient in realizing the benefits of health information networks. Result delivery, physician to physician referrals and inter-organizational orders provide the essential prerequisite building blocks to long term success of regional exchanges."

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CALENDAR OF EVENTS

HIMSS RHIO Webinar

Accurate Patient Identification:
Your Passport to Successful Health Information


 October 18, 2006

12-1 p.m. EST
1-2 p.m. CDT 
9-10 a.m. PST
Register Online
Cost:
HIMSS Members: $75
Non-members: $145

Speakers:
LeRoy E. Jones, Principal & Chief Executive, GSI, LLC
Lorraine Fernandes, RHIA, Senior Vice President, Healthcare Practice, Initiate Systems

Accurate patient identification is the starting point on the road to successful health information exchange, providing the foundation for reduced costs, regulatory compliance, and enhanced patient safety. Discover the paths many of the RHIOs are utilizing to accurately identify patients as well as industry trends and standards advances. Best practices, including the Common Framework, that explore different architecture, threshold setting, data presentation and protecting confidentiality will be included.

• Understand the basic challenge and solutions for patient matching in health information exchange
• Explore the common approaches to matching patients with examples
• Determine standards that may apply to patient matching
• Review business practices and operational components of patient matching
• Outline relevant components of the Common Framework applied to patient matching


w-e-s

 

3rd Annual Nursing
Informatics Symposium

RHIOS AND NURSING: INFORMATION AT THE CENTER OF CARE

Join the AMIA Nursing Informatics Working Group and HIMSS for the 3rd Annual Nursing Informatics Symposium at AMIA 2006 on Saturday, November 11, 2006, 8 a.m. to 5 p.m. at the Hilton Washington and Towers in Washington, DC. National initiatives are prompting the development of RHIOs. In order for these RHIOs to support the practice and delivery of nursing care by the 2.8 million nurses in multiple care settings in the US, nurses must be more involved in the development, governance and technology management related to these RHIOs. HIMSS Vice President of Informatics Joyce Sensmeier, CPHIMS, FHIMSS, RN is a keynote speaker.

 

Don't Miss… HIMSS and eHI's Regional Forums

CONNECTING COMMUNITIES REGIONAL FORUMS

Creating the Vision…Living the Reality

Salt Lake City, Utah
December 12, 2006

Chicago, Illinois
December 14, 2006
Orlando, Florida
May 3, 2007
Boston, Mass.
May 10, 2007

Be among the leaders in your region who are working to develop sustainable funding, establish good governance and lay the groundwork for data sharing.  Turn collaboration into action. Join forces with key regional healthcare executives, government officials, clinicians and IT decision-makers.  These one-day Forums are designed to:

  • Share breakthroughs and how-tos,
  • Promote best practices and success stories with other RHIO and HIE initiatives,
  • Learn the rules of survival and sustainability,
  • Provide practical, technical educational sessions taught by leaders on the front lines in your state or region.

Visit the Web site for more information and to register.  Those who attend the Connecting Communities Regional Forum can also earn a maximum of 7 AMA PRA Category 1 Credits™ and up to 8.7 contact hours of continuing education credits toward renewal of the CPHIMS credential. Physicians should only claim credit commensurate with the extent of their participation in the activity.  This activity also meets the Massachusetts Board of Registration in Medicine’s criteria for risk management study.

register

 

Complimentary HIMSS Webinar

2006 Election Results and Its Effect on HIT and You!
Friday, November 17, 2006

Noon – 1:00 P.M. Eastern
11:00 A.M. - Noon Central
10:00 – 11:00 A.M. Mountain
9:00 – 10:00 A.M. Pacific

 

Alternate Microsoft Live Meeting
Join Instructions

Meeting URL:
https://www.livemeeting.com/cc/vcc-ic03/join
Meeting ID: ic03-P343HC
Meeting Key: m2z2r+N
Audio Conferencing (Toll-free): +1 (866) 867-4054

KEYNOTE SPEAKER: U.S. CONGRESSMAN ALAN WHEAT (D-MO), Retired

Alan WheatMany predict that the November 7th elections will have a tremendous impact on federal and state policy the healthcare information technology industry, and you.  Learn from our keynote speaker and HIMSS members and staff who are on the frontlines about:

  1. How can you prepare for the upcoming 110th Congress (Fred Hannett, Chair, HIMSS Government Relations Roundtable)
  2. What can you do to prepare for upcoming state legislative sessions (Tom Keefe, HIMSS Director of State Government Relations)
  3. What is forthcoming in the 109th Congress’ lame-duck session in November and December (Ned McCulloch, Chair, HIMSS Advocacy & Public Policy Steering Committee

Visit HIMSS Advocacy and Public Policy web site, www.himss.org/advocacy, or contact HIMSS Director of State Government Relations Tom Keefe at tkeefe@himss.org for more detailed information.

 

Register Now for HIMSS07
Visit www.himss07.org

Get ready for HIMSS07 in New Orleans on February 25-March 1. Online registration is available and hotel reservations are now open at http://himss07.org/travel/travel.aspx. Take a look at the confirmed keynote speakers and visit the web site for information on the conference and New Orleans.

 Keynote Speaker: Steven A. Ballmer is Chief Executive Officer of Microsoft Corporation, the world's leading manufacturer of software for personal and business computing. Ballmer joined Microsoft in 1980 and was the first business manager hired by Bill Gates. Since then, Ballmer's leadership and passion have become hallmarks of his tenure at the company.

 Keynote Speaker: General Colin L. Powell, USA (Ret.) became the 65th Secretary of State on Jan. 20, 2001. Before becoming Secretary of State, Colin Powell served as a key aide to the Secretary of Defense and as National Security Advisor to President Reagan. He also served 35 years in the United States Army, rising to the rank of Four-Star General and serving as Chairman of the Joint Chiefs of Staff (1989 – 1993).

 Keynote Speaker: Dr. Stephen R. Covey is co-founder/vice-chairman of Franklin Covey Company, a leading global professional services firm. Franklin Covey offers learning and performance solutions to assist professionals and organizations in significantly increasing their effectiveness in productivity, leadership, communications and sales.

 


 

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HIMSS Business Information Systems Team
Pat Wise, Vice President of Health Information Systems, 706-650-1482
Pam Matthews, Director of Business Information Systems, 706-838-4917
Sharolyn Rosier Hyson, Editor of the RHIO Connection and Manager of Public Policy Communications, 703-837-9819
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