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StateNet Meeting at CHIME11 October 26, 2011

StateNet Meeting at CHIME11 October 26, 2011. Overview of Meeting . Welcome StateNet: Then and Now CHIME10 Stakeholder Engagement Platform Texas HIE and the role of the CIO Ed Marx, CIO Texas Health Resources & Texas StateNet CIO Coordinator,

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StateNet Meeting at CHIME11 October 26, 2011

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  1. StateNet Meeting at CHIME11 October 26, 2011

  2. Overview of Meeting • Welcome • StateNet: Then and Now • CHIME10 • Stakeholder Engagement Platform • Texas HIE and the role of the CIO • Ed Marx, CIO Texas Health Resources & Texas StateNet CIO Coordinator, • Tony Gilman, CEO, Texas Health Services Authority • Bob Collier, CIO, Healthcare Access San Antonio HIE • StateNet: Looking Forward • CIO Coordinators as Conveners

  3. CHIME StateNet

  4. CHIME StateNet 2010 • Online tools: • Information repository regarding HIEs, RECs, Grants, etc. • Meant to be a resource for StateNet members to gain access to source documents and summaries about complex programs and regulations surrounding HITECH / ARRA • Listserves • A dedicated listserv for every state so that members could communicate via email

  5. CHIME StateNet 2010

  6. CHIME StateNet 2010 • In late 2010 StateNet organized two working groups: an HIE Workgroup and REC Workgroup • Produced “guiding principles” to address challenges associated with HIE sustainability, governance, and technical implementation • Produced “guiding principles” to address challenges associated with REC enrollment, funding and workforce

  7. CHIME StateNet 2010 • Early investments in technology and resource gathering were important but under-used • Lack of value proposition • Lack of fresh content or reasons to revisit site • Lack of stakeholders involved with or aware of StateNet

  8. CIO Coordinator Goals & Objectives • Identify all the hospital CIOs in your state, developing a contact list to discuss statewide health IT initiatives, plans, concerns, ideas, rumors, etc • Establish regular contact with a representative from your state hospital association (SHA) and identify committee(s) involvement. • Forge relationships with your state HIT Coordinator to introduce StateNet. • Establish a mutually agreed upon Timeline for accomplishment of the above goals. CHIME StateNet 2011 StateNet Mission: Foster statewide coalitions charged with advancing and standardizing the adoption of health information technology and health information exchange.

  9. CHIME StateNet 2011 New Online Engagement Platform • Will allow StateNet members to • Facilitate information sharing among state health IT stakeholders; • Enable cross-state communications where regional or national collaboration is needed; • Provide an environment of easy-to-use, actionable resources to address important health IT issues

  10. TX HIE & The Role of the CIO • Edward Marx, CIO, Texas Health Resources & TX StateNet CIO Coordinator • Tony Gilman, CEO, Texas Health Services Authority • Bob Collier, CIO, Healthcare Access San Antonio HIE

  11. Texas Approach to Statewide Health Information Exchange CHIME 11 Fall CIO Forum San Antonio, Texas October 26, 2011

  12. Presentation Overview • Texas Health Services Authority (THSA) • Texas Vision and Approach to Statewide HIE • Question and Answers

  13. THSA Organizational Background Created in 2007 by the Texas Legislature through House Bill 1066 Public-private partnership, legally structured as a nonprofit corporation, to promote and coordinate the development of HIE in Texas Governed by a 13-member Board of Directors appointed by the Governor with advice and consent of the Texas Senate

  14. Approach to Statewide HIE GOAL Enable improvements in the quality and efficiency of the Texas health care sector by enabling HIE infrastructure for the state. OBJECTIVE Deliver private, secure, and reliable HIE services to all Texas patients and providers through local HIE networks where the capacity exists and through Health Information Service Providers (HISPs) where it does not. STRATEGIES • Local HIE Grant Program • White Space Coverage • General State-Level Operations

  15. Local HIE Grant Program $19.5 million Local HIE Grant Program to support new or expanding HIE initiatives by partially funding planning, development, and operations of local HIE networks Administered by HHSC 16 HIEs funded through this program HIEs committed to connect 80-90% of all hospitals and physicians in Texas Significant local accountability

  16. White Space Strategy Qualify HISPs to support hospitals and physicians located in areas without a local HIE or the “White Space” in Texas. HISPs will provide lite HIE connectivity services, including clinical summary exchange and electronic lab results delivery. $2 million in total funds is available to support the White Space strategy. All HISPs will be eligible to receive a subsidized payment from Texas hospitals and eligible physicians located in the identified White Space counties.

  17. General State-Level Operations Administered jointly by THSA and HHSC Planning and Governance Structure THSA Board of Directors Collaboration Council (Steering Committee) Subject-matter Task Force State-Level Technical Services Planning (Texas HIE Interoperability Guidance) Inter-HIE/HISP Connectivity (e.g., Record Locator Services) Other State-Level Shared Services (e.g., Gateway Services to NwHIN and State-Level Data Sources) Policy Development (e.g., privacy and security)

  18. CHIME StateNet Brief October 2011 Bob Collier

  19. HASA’s 501 (C)(3) PHARMACY Guadalupe Health Foundation

  20. HASA History and Background • Non-profit Community Collaborative • Initial focus on uninsured • Open Source application • Data repository and analytics functionality • Opt-in through electronic consent • Non- standard data feeds

  21. HASA Connectivity Hospital Your Clinic /EMR use Hospital HASA Hospital Your Clinic /No EMR use Lab Referrals Rx

  22. State driven changes • Expand data exchange to all patient types • Expand service area to 22 counties in South Central Texas • Expand HASA Board to reflect community presence

  23. HASA Service Area – Fit With Other HIE Initiatives South/Central Texas HIE collaborative coverage Covered vs. white space- source: THSA

  24. Service Lines • HASA Provider Assist - linking provider EMRs to Community portal for bi-directional exchange • HASALite-Web based exchange for providers without EMR capabilities • HASAFacts-Analytics services to support community needs for disease and population health management, surveillance, and disaster response • MyHASA-Consumer portal to engage and inform consumers about personal health opportunities/ responsibilities

  25. High-Level Platform THSA STATE LEVEL SERVICES National Cloud Services HASA Cloud Services Hosted Local Services Provider Site

  26. Managing the Health of a Population Self care Preventive care Ambua Primary / Secondary care Hospitals- critical care Tertiary care

  27. HASA PROGRAM MATURATION Phase 1 Phase 2 Phase 3

  28. Bob Collier, MS, PMPChief Information Officer (CIO) • Healthcare Access San AntonioDr. Frank Bryant Health Center3066 East Commerce StreetSan Antonio, Texas 78220(210) 233-7052- Office, • (210) 381-3025 - Mobile Tony Gilman Chief Executive Officer Texas Health Services Authority (512) 814-0321 tony.gilman@thsa.org www.thsa.org

  29. CHIME StateNet 2012 and beyond… • How to keep content fresh, information up-to-date? • How to drive meaningful conversation and engage important stakeholders? • How to translate online membership into offline action? A number of organizational issues will accompany the new platform, however, this audience is in a unique position to understand those issues. Additionally, CHIME has committed to further staff StateNet in order to help CIO Coordinators and StateNet members with informational needs and engagement resources.

  30. CHIME StateNet 2012 and beyond… • How to keep content fresh, information up-to-date? • CHIME Will: • Provide bi-weekly Tip Sheets with adaptable discussion points • Write a weekly blog on StateWatch about a timely topic • Seed discussions and provide other information through the StateNet forum

  31. CHIME StateNet 2012 and beyond… • How to keep content fresh, information up-to-date? • CIO Coordinators Objectives: • Make platform primary means of “news sharing” and “commenting” to HIT colleagues • Listserves will no longer be supported • Produce 2 articles per year based on timely and relevant events in your state; • Articles can be reproduced from other articles written • CHIME will support CIO Coordinators to develop ideas • Help CIO Coordinators identify other StateNet stakeholders to write one or both of the yearly articles

  32. CHIME StateNet 2012 and beyond… • How do you currently answer questions encountered on the job – be they about regulations, operations, legislation? • In a world where time constraints limit your news/info intake, how would you prefer to be informed on policy / regulations, pilots and other initiatives? • CIO Dialogue

  33. CHIME StateNet 2012 and beyond… • How to drive meaningful conversation and engage important stakeholders? • CHIME Will: • CHIME provide CIO Coordinators with current member lists in their states as well as outreach templates to initiate contact. • Provide “What is StateNet” handouts and starter PowerPoints • Work with CIO Coordinators (or their designees) one-on-one to identify online community building strategies

  34. CHIME StateNet 2012 and beyond… • How to drive meaningful conversation and engage important stakeholders? • CIO Coordinator Objectives: • Make platform primary means of “news sharing” and “commenting” to HIT colleagues • Listserves will no longer be supported • Produce 2 articles per year based on timely and relevant events in your state; • Articles can be reproduced from other articles written • CHIME will support CIO Coordinators to develop ideas • Help CIO Coordinators identify other StateNet stakeholders to write one or both of the yearly articles

  35. CHIME StateNet 2012 and beyond… • Which outside groups are you regularly involved with on issues related to advocacy or policy? • Are there stakeholders you think would be important to engage, collaborate, understand? • CIO Dialogue

  36. CHIME StateNet 2012 and beyond… • How to translate online membership into offline action? StateNet Mission: Foster statewide coalitions charged with advancing and standardizing the adoption of health information technology and health information exchange. Coordinators As Conveners • Translating online activity to offline activity will need: • A defined and agreed upon mission • Goals that garner consensus among a majority of stakeholders • Regular offline meetings that can be supplemented by 24/7 online conversation; conversation that is actionable

  37. CHIME StateNet Chair: Russ Branzell, Poudre Valley Health System CHIME StateNet Vice Chairs: Neal Ganguly, CentraState / Randy McCleese, St. Claire Regional CHIME Staff Sharon Canner, Senior Director of Advocacy Programs scanner@cio-chime.org Jeff Smith, Assistant Director of Advocacy Programs jsmith@cio-chime.org

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