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2 nd HIT Summit

2 nd HIT Summit. José E Piovanetti, MD PR State HIT Coordinator. PR HITECH Progress. HIE Strategic and Operational Plans (SOP) Approved on May 10, 2011 PRHIN Legislation presented in PR Legislature on May 2011. PR HITECH Progress. E-Prescribing Law Rule Paper Copy of Prescription.

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2 nd HIT Summit

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  1. 2nd HIT Summit José E Piovanetti, MD PR State HIT Coordinator

  2. PR HITECH Progress • HIE Strategic and Operational Plans (SOP) • Approved on May 10, 2011 • PRHIN Legislation presented in PR Legislature on May 2011

  3. PR HITECH Progress • E-Prescribing • Law • Rule • Paper Copy of Prescription

  4. PR HITECH Progress • NHIN Direct Messaging • Infrastructure already in place • 1st HIE Mechanism • Awaiting MPI, ILPD, ELPD • Allow exchange via “push” • Patient-care summaries, Discharges, Lab Results, …

  5. PR HITECH Progress • E-Labs • NHIN Direct • Meetings with Lab Owners • Meetings with Medical Technologists • Meetings with LIS Vendors • Proficiency-Tests Reporting

  6. PR HITECH Progress • PRHIN Outpatient CPOE to have “pool” capabilities • First in the nation • Certification difficulties

  7. PR HITECH Progress • Next in Pipeline • Master Patient Index (MPI) • Individual-level Provider Directory (ILPD) • Entity-level Provider Directory (ELPD) • Record Locator Service (RLS)

  8. PR HITECH Progress • Next in Pipeline • Public Health • ELR Dengue and AH1N1 projects • CDC Funding • Future Epidemiology/Public Health Reporting to work as “by-product” of HIE

  9. PR HITECH Progress • Next in Pipeline • Digital Certificates • Private Key Infrastructure (PKI) • Controlled Substances e-Prescribing • NHIN Direct Messaging

  10. PR HITECH Progress • Communication Workers of America Broadband Capabilities Report • 2008 PR 52 of 53 • 2009 PR 53 of 53 • PRBI and other ARRA Broadband-projects Support • Low broadband-adoption in PR health sector • Need to support initiatives that improve broadband access and performance

  11. PR HITECH Progress • HIE Participation Costs • PRHIN Services $$$ TBD • All Inclusive pricing initially. • PRHIN services will reduce changes in “aggregator service provider” • PRHIN as SDE will require HIE across HIO’s

  12. PR HITECH Progress • Medicaid Incentives • Medicaid needs MMIS • PR needs SMHP

  13. PR HITECH Progress • Challenges • Language(s) for communicating with patients • HIT awareness and training • Misconception about HIT capabilities • Meaningful Use compliance information • PR fiscal realities • EHR “feeding frenzy”

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