November 2006

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

TOP RHIO NEWS

Overcoming Ten Non-Technical Challenges of RHIOs

Overcoming Ten Non-Technical Challenges of RHIOs is a new report that discusses the challenges of RHIOs and provides insights on how to address them. The top five challenges include a common vision and purpose, leadership, effective governance, inclusion of all stakeholders, and collaboration and competition. Some of the stakeholders may be competitors so these issues must be dealt with at the outset.  Other significant challenges are a commitment to focus and priorities, explicit benefits and value for stakeholders, financial feasibility, agreements on data sharing, and privacy and security.

Tennessee HIE Paving the Way for CHRs

One-third of Tennessee's residents now have a Shared Health Clinical Health Record after Nissan North America's Tennessee-based employees and BlueCross BlueShield of Tennessee employees and members recently joined Shared Health, the country's largest public-private health information exchange (HIE).

Shared Health was developed through a statewide collaboration by Tennessee Gov. Phil Bredesen (D) and the eHealth Council. The HIE has two million members, including beneficiaries of the state's Medicaid program, TennCare. The exchange has adopted the Markle Foundation's Connecting for Health's privacy and security policies.

NGA to Help Lead Health IT Transformation

The National Governors Association (NGA) and the Health and Human Services Department’s (HHS) Office of the National Coordinator for Health IT recently announced they were rolling out the State Alliance for e-Health initiative. The initiative allows governors, elected officials and other policymakers to work together in seeking interstate- and intrastate-based health IT policies and practices. The alliance also gives state officials the opportunity to discuss solutions to programmatic and legal challenges surrounding the exchange of health information.

The NGA plans to involve other associations that represent state interests in the development, establishment and management of the alliance.    The alliance will be a consensus-based, state-level advisory and coordinating body. Through the group, states will be able to identify, assess and map ways to resolve state-level issues, such as the interoperability of electronic health information exchanges.  States will work through the alliance to improve collaboration and boost the efficiency and effectiveness of health IT, the NGA said. The alliance also will give states a chance to resolve privacy and security issues on the use and disclosure of electronic health information.   Through the alliance, officials will get a chance to learn from and leverage national efforts and resources in building an interoperable health information exchange.

Northeast Pennsylvania RHIO Gaining Momentum

The Northeast Pennsylvania RHIO is establishing working committees and beginning the design of its electronic records system.  Earlier this month, the state Senate approved legislation providing up to $1 million in matching funds to groups planning to purchase health information technology. The funding would also assist with other expenses associated with the implementation of a new system.

The Northeast Pennsylvania RHIO system will be a patient-centered and community-based network serving the region extending to Scranton, Tunkhannock, Pottsville and Sunbury, with a central office, possibly in Wilkes-Barre.

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ADVOCACY AND PUBLIC POLICY

AHIC Approves Interoperability Standards and Work Group on Genetic Testing

The American Health Information Community (AHIC) on Tuesday approved Healthcare Information Technology Standards Panel (HITSP) interoperability standards and created a seventh work group on genetic testing.  HITSP Chairman John Halamka, the chief information officer at Harvard Medical School and CareGroup Health Systems, Boston, and John Loonsk, director of the Office of Interoperability and Standards with the Office of the National Coordinator for Health Information Technology at HHS, made the presentation of a work product, including 820 pages of implementation guides, which they said is now ready for field testing.

HHS Secretary Mike Leavitt, who created AHIC last year to advise him on healthcare IT policy, praised HITSP, noting that more than 260 healthcare organizations devoted more than 12,000 hours of volunteer labor to sift through more than 700 potential candidate standards to come up with those in the final report.

NAHIT Releases Progress Report on HHS’ NHIN

A progress report issued by the National Alliance for Health IT (NAHIT) examines action taken on the 14 recommendations set last year by the Commission on Systemic Interoperability to establish a national health information network.  The report states HHS has "acted to some degree" on eight of the recommendations, but Congress has not acted on any.  HHS this summer issued final rules on the commission's recommendation to amend current law to allow hospitals and others to donate IT and related services to physicians. Congress, however, did not pass legislation that contained more comprehensive revisions.

The commission urged HHS to implement or seek Congressional authorization to implement financial incentives for adopting "standards-based IT," which currently is in the stalled legislation. The group also called for encouraging private-sector health care payers and employers to provide similar incentives.  Moreover, Congress has not authorized HHS to develop national standards for determining patient authentication and identity via a national patient identifier or other method as recommended by the commission.

HIMSS Director of Business Information Systems Presents at NHIN Forum

HIMSS Director of Business Information Systems Pam Matthews presented on a panel during the second Nationwide Health Information Network (NHIN) Forum on October 17 in Washington, DC.  The panel discussion focused on proposed processes for Auditing Data Access to EHRs and PHRs at the local, regional, and national levels.  Matthews reflected her experiences as a clinician and former CIO in recommending to attendees that addressing security, access, and auditing must be an organizational solution, not just something left to the IT team.  She recommended that certain issues need to be addressed regardless of whether the effort is local or part of the NHIN. 

In fact, data auditing must be performed in an efficient and cost effective manner that produces a high level of data quality.  In turn, all players must be:
1.) cognizant of the criticality of the data;
2.) willing to develop trust relationships to ensure confidence and reliability once the data is distributed; and  
3.) able to address consumer education.

As a final note, Matthews reminded the attendees that they will not go wrong if they establish a process where “The right person accesses the right software and views the right data on the right patient.”

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RHIO SPOTLIGHT

UPMC Announce $84 Million Initiative to Share Seamless Data

The University of Pittsburgh Medical Center (UPMC) reports that the medical center and dbMotion are working together on an $84 million initiative to create one of the largest models of interoperability in healthcare. Both UPMC and dbMotion anticipate that this initiative will be an interoperability model for regional and national health information networks. dbMotion will receive at least $35 million of this amount to provide a flexible platform so that UPMC clinicians will be able to securely access integrated patient information across its 19 hospitals and 400 outpatient sites and doctors offices without needing to replace existing systems. According to UPMC Chief Information Officer Dan Drawbaugh “This initiative will allow physicians to have current, relevant patient information and advanced decision support tools at the point-of-care. Many healthcare organizations have been promised advance interoperability but in reality, few solutions are available today.”

dbMotion’s web-based technology is widely used in Israel’s health system, and has been deployed throughout Clalit Health Services, one of the largest HMO with 14 hospitals, 1,300 primary and specialized clinics, 400 pharmacies, and includes two of Israel’s largest independent medical centers. Recognized as one of the most promising startups, dbMotion has won technology awards for the past two years from MS-HUG.

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TECHNOLOGY CORNER

Communities and IT Driving Massachusetts RHIO

Building a RHIO can give the appearance of one community or block at a time.  For example, the Brockton and Newburyport, Massachusetts are participating in a pilot program to implement electronic medical records (EMRs) software in physician offices.  The communities will use the interoperability hub software of Wellogic Inc. of Cambridge.  One-third of North Adams, Brockton and Newburyport are using a $50 million commitment from Blue Cross and Blue Shield of Massachusetts to fund EMRs for physician practices, and then link the practices with hospitals, laboratories and other providers in each community. The eventual goal is to link these communities--and others--to Massachusetts’ emerging regional health information organization, called MA-SHARE.

Four EMR vendors are implementing their products in physician offices in Brockton and Newburyport. Physicians in North Adams selected a single vendor, eClinicalWorks Inc. of Westborough, Mass., which also will supply that town’s interoperability hub.

Two years after the initiative to wire up doctors at the community level began, about 35% of practices in the three communities have implemented and are using EMRs, says Micky Tripathi, president and CEO at the Massachusetts eHealth Collaborative, which is administering the initiative.  The pilot programs run through July 2008. Tripathi is confident that the Blues plan’s funding commitment will provide sufficient resources through the period. Massachusetts BCBS is the only source of money for the collaborative, but it has received in-kind support, such as staff and office space, from the Massachusetts Medical Society, Partners HealthCare System and other stakeholders.

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CALENDAR OF EVENTS

Register Now For
Connecting Communities Regional Forums...
And Save

Don't delay – Connecting Communities Regional Forums are coming to a city near you! As regional health information organizations (RHIOs) and Health Information Exchange (HIE) initiatives ramp up for dynamic growth, plan to attend a CME-accredited, one-day educational forum to gain key insights and practical advice on these state, regional and community-based efforts.
If you reserve your spot by Monday, Nov. 13 for the Dec. 12 or 14 sessions, you can save up to $50 on your registration fee! As a HIMSS or eHealth Initiative member, you will only pay $185 advance (vs. $235) for admission. Non-members pay only $225 advance (vs. $265), for a $40 savings. And if you register for more than one forum, you receive a 10 percent discount on your registration fee.

Reserve your spot by Nov. 13 and save up to $50 on December forums!
Register now.


 

Complimentary Nov. 17 Webinar on Elections & Healthcare

HIMSS Office of Advocacy & Public Policy is offering a complimentary webinar for all members to analyze the major election results and assess their affect on the 110th Congress and the on-going healthcare transformation. 

How Will November Elections Affect Healthcare and You? is scheduled forFriday, Nov. 17, from noon – 1 p.m. EST. You and your colleagues are invited to join in to hear from national leaders, including U.S. Representative Alan Wheat (retired), who will share their key insights on what these results might mean to you.
 
Why should you attend? The upcoming Nov. 7 election could have a major effect on the nation and the transformation of healthcare using information technology.  The entire U.S. House, one-third of the U.S. Senate, 36 Governorships, and more than 7,800 state legislators are up for election.  Political analysts believe that this election could provide a major shift in the country’s elected leaders. 

For webinar details, please contact Arnol Simmons, government relations coordinator.

 

Register Now for HIMSS07 and…
Track Your Personal EHR at the Interoperability Showcase

The 2007 HIMSS Interoperability Showcase features cutting-edge technology and standards that create an interactive environment where attendees experience interoperability and see how they can participate in the management of their own healthcare. Attendees will be able to create their electronic health record and access it across multiple healthcare settings within the Showcase, which will be structured as a HIMSS Regional Health Information Infrastructure Organization (RHIO). Clinical scenarios will be enabled by the standards-based Integrating the Healthcare Enterprise (IHE) framework. Last year, more than 3,000 of HIMSS' annual conference attendees visited the Interoperability Showcase and more than 700 attendees created and tracked their own health record. During the process, they interacted with 48 different vendor applications from 37 individual vendors who have adopted IHE as part of their interoperability strategy. 

Online registration is available.

 


 

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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
Luke Middleton, Coordinator of Business Information Systems, 703-837-9824
Sharolyn Rosier Hyson, Editor of the RHIO Connection and Manager of Public Policy Communications, 703-837-9819
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