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Mark Schoenbaum, Office of Rural Health & Primary Care

The Minnesota e-Health Initiative. Smart Health for Rural communities July 19, 2005. Mark Schoenbaum, Office of Rural Health & Primary Care. Health & Health Care System Challenges. Error rates are too high Quality is inconsistent Costs are escalating

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Mark Schoenbaum, Office of Rural Health & Primary Care

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  1. The Minnesota e-Health Initiative Smart Health for Rural communities July 19, 2005 Mark Schoenbaum, Office of Rural Health & Primary Care www.Health.state.mn.us/e-health/

  2. Health & Health Care System Challenges • Error rates are too high • Quality is inconsistent • Costs are escalating • Research results are not rapidly used • Demographics of baby boomers increasing demand • Capacity for early detection & response to threats is minimal www.Health.state.mn.us/e-health/

  3. Health Information Technology: What is it? • Electronic Health Records (EHR), but also: • Computerized provider order entry (CPOE), Including applications like: • E-Pharmacy (Formulary, History and Prescribing) • Diagnostic applications for Laboratory, Radiology • Secure e-mail communication • Telehealth & Imaging Technology • Public Health monitoring and disease surveillance, and prevention • Communicable Disease Reporting • Immunization Registries • Computerized decision support systems • Personal health records www.Health.state.mn.us/e-health/

  4. Minnesota e-Health InitiativeWhat is it? • Based on: • National Framework for Strategic Action 2004 • State legislation 2004, 2005 www.Health.state.mn.us/e-health/

  5. Minnesota e-Health InitiativeWhat is it? • Public - Private collaboration • 2004,2005 Advisory Committees • Designed to accelerate the use of Health Information Technology in all areas of the state • Purpose is to: • Improve health and health care quality, • Increase patient safety, • Reduce health care costs, and • Improve public health www.Health.state.mn.us/e-health/

  6. Minnesota Roadmap

  7. Minnesota Challenges and Gaps* * Preliminary data – Based limited surveys www.Health.state.mn.us/e-health/

  8. Vision: A Minnesota Health Information Exchange MN-HIE will interconnect clinicians and be the connection point for: • National Health Information Network (NHIN) • Community-Based Initiatives www.Health.state.mn.us/e-health/

  9. Framework for HIT Financing in Minnesota www.Health.state.mn.us/e-health/

  10. Nat’l Critical Access Hospital HIT Survey (May 05, n = 361) • Conducted by Rural Health Resource Center, Duluth • Biggest Barriers to Initiating HIT: • Capital Needs – 81% of respondents noted • Staff Time - 50% • Biggest Barriers to Continuing HIT: • Acquiring hardware/software – 50% • Staff time – 50% • Most Helpful Resources? • Grants/loans – 92% • Access to best practices – 46% www.Health.state.mn.us/e-health/

  11. Financing Needs & Sources Finance Needs - Who,What, Where: • Locations and Institutions: Clinics, Clinic Systems, Nursing Homes, Hospitals, Pharmacies, Home Health Care Systems, Local Health Departments, etc. • Persons: Physicians, Nurses, other providers • What: Infrastructure, hardware, software, education, conversion initiatives Potential Funding Sources: • Employers, Purchasers/Insurers, Private Financing, Self-funded, State Loans/Grants, Federal Grants, Non-profit Grants www.Health.state.mn.us/e-health/

  12. Financing Principles • Financially “able” entities are expected to make investments as part of their regular budget and IT planning • State financing will complement, not displace, private or federal investments • Public financing will: • Support small, rural, or underserved communities • Require resource commitments from recipients • Require interoperable system investment www.Health.state.mn.us/e-health/

  13. Financing Principles • Investments need to: • Advance interoperability • Improve quality • Be consistent with national standards & certifications • Align the cost of HIT investment with benefits received www.Health.state.mn.us/e-health/

  14. Doctor’s Office Quality Information Technology (DOQ-IT) • Stratis - Medicare QIO • Will help small/med clinics implement EHR systems • readiness assessment • vendor selection • practice redesign • implementation and change management www.Health.state.mn.us/e-health/

  15. Grants/Loans for HIT • MN Rural Hospital Capital Improvement Grant Program • MN Rural Hospital Planning/Transition Grants • MN Community Clinics Grant Program • Healthier MN Community Clinic Fund • USDA RUS Telemedicine Grant Program • US Office for Advancement of Telehealth • US Agency for Healthcare Research & Quality • Loans – various sources • Iron Range Resources www.Health.state.mn.us/e-health/

  16. Opportunities for Action/Support • Conduct readiness assessment for HIT • Participate in community/regional collaboration • Increase health informatics knowledge & education • Educate your elected representatives on your needs on this issues • Help shape Minnesota directions www.Health.state.mn.us/e-health/

  17. Critical need & readiness for change leadership & innovation Rural issues on the radar, we need to keep them there! Call us! Mark Schoenbaum 651.282.3859 mark.schoenbaum@state.mn.us Thanks! Summary “…Doctors deserve to focus on the quality of their care, not the quantity of their paperwork. And both patients and doctors deserve systems that will prevent medical errors before they become medical and legal problems.” Secretary Thompson – July 2004 www.Health.state.mn.us/e-health/

  18. For More Information • www.health.state.mn.us/e-health www.Health.state.mn.us/e-health/

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