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5th Meeting Date : August 6, 2010 Time : 11:30 am – 2:00 pm Location : WebEx

5th Meeting Date : August 6, 2010 Time : 11:30 am – 2:00 pm Location : WebEx Dial-in : 1-866-699-3239 Code: 667 874 651. WebEx Link and Log-on Information. Topic: NC HIE Finance Workgroup Webinar – August 6, 2010  Date and Time: August 6, 2010 11:30 AM, Eastern Daylight Time

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5th Meeting Date : August 6, 2010 Time : 11:30 am – 2:00 pm Location : WebEx

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  1. 5th Meeting Date: August 6, 2010 Time: 11:30 am – 2:00 pm Location: WebEx Dial-in: 1-866-699-3239 Code:667 874 651

  2. WebEx Link and Log-on Information Topic: NC HIE Finance Workgroup Webinar – August 6, 2010  Date and Time:August 6, 2010 11:30 AM, Eastern Daylight Time Event password: NCHIE For teleconference audio portion: 1-866-699-3239Access code: 667 874 651-------------------------------------------------------To join the online event-------------------------------------------------------1. Click here to join the online event.Or copy and paste the following link to a browser: https://manattevents.webex.com/manattevents/onstage/g.php?d=667874651&t=a&EA =bpawlak%40manatt.com&ET=9636741214b395f6c581709ec5d4c158&ETR=622f4d5446 ce0500900d055ff0ec513c&SourceId=8cdc162d813e7eeee040fc0a5d04719e&RT=MiMx MQ==&p 2. Click "Join Now".

  3. Agenda

  4. Meeting Objectives – Key Decisions Review updates from other workgroups Review Statewide Operational Plan outline, schedule and status Review 2 sustainable model scenarios and recommend update assumptions Review gap between cost and funding; Determine next steps for pursuing ongoing revenue to close the gap Determine modifications for alternate versions of models

  5. NC Statewide HIE Cooperative Agreement Timeline Strategic Plan Operational Plan Stakeholder Outreach Biweekly+ Workgroup Meetings with Monthly Board Meetings Strategic Plan Submitted to HHS LaunchPhase 2 Publish Draft Operational Plan for Review/ Comment NC HIE Formed Workgroups Formed & Begin Meeting Submit Operational Plan to HHS State HIE Grant App. • Convene Advisory Board & Workgroups • Draft Operational Plan • Publish Draft Operational Plan for Review • Engage and educate stakeholders Funding Announcement Letter of Intent Submitted 5

  6. Updates from Technical/Clinical Operations Workgroup

  7. Candidates for Statewide Hosted, Shared Services 1. Incorporate essential data from external systems

  8. Candidates for Statewide Hosted, Shared Services 2. Facilitate effective coordination of care

  9. Candidates for Statewide Hosted, Shared Services 3. Submit info for public health & quality improvement

  10. Candidates for Hosted, Shared Services 4. Aggregate data for research purposes

  11. Candidates for Hosted, Shared Services 5. Provide tools to enhance delivery of care

  12. Statewide HIE Operational Plan

  13. Proposed Operational Plan Drafting Schedule • August 2 – August 9 • Core project team and co-chair review of working draft • August 6 Workgroup final meetings prior to Operational Plan • August 9 – August 12 • Updates and revisions to Operational Plan draft to include August 6 • August 17 • Board meeting to review July and August recommendations and preliminary Operational Plan draft • August 19– August 25 • Board and public review of revised Operational Plan draft (revisions based on direction in August 17 board meeting) • August 27 • Board conference call • August 27 – August 30 • Prepare final draft for submission to ONC by August 31

  14. Model ReviewCommon Assumptions

  15. North Carolina Provider Landscape Summary of provider landscape: 15

  16. Qualified Organization Assumptions Based on their being an estimated 20 QO: 16

  17. Cost Assumptions

  18. Model #1 ReviewHigh-level of HIE Adoption25% to 65%

  19. Model #1: Assumptions Summary of EHR Adoption The table below shows HIE Connectivity reaching a peak of 65% by 2014: 19

  20. Model #1: Provider Adoption of EHRs Summary of cumulative Provider Adoption: 20

  21. Model #1: HIE Connectivity 21

  22. Model #1: QO Connections Summary of cumulative QO Connections: 22

  23. Model #1: Graph of HIE Connectivity 23

  24. Model #1: Cost and Revenue Based on Average Cost: 24

  25. Model #2 ReviewLower Level of HIE Adoption10% to 25%

  26. Workgroup Suggested Reviewing HIE Adoption Scenario In Line with eRx Adoption in the State • As of 2009, in North Carolina, 20% of all prescriptions are routed electronically. Source: Surescripts 26

  27. Model #2: Assumptions Summary of EHR Adoption The table below show HIE Connectivity reaching a peak of 25% by 2014: 27

  28. Model #2: Graph of HIE Connectivity 28

  29. Model #2: Cost and Revenue Based on Average Costs 29

  30. Data CollectionLabs

  31. Labs • Initial data collection of independent labs showed that North Carolina has 33 independent labs • According to CMS CLIA, North Carolina has: • 72 independent labs, at 154 sites • Below is a table of the top 10 labs with more than 1 site • Lab Corp, Spectrum Lab and Carilion Lab make up 71% of all independent lab sites in the top 10 labs Source: CMS CLIA Demographics 31

  32. Labs • North Carolina has: • 6,859 lab sites in total Source: CMS CLIA Demographics 32

  33. Next Steps

  34. Next Steps • Operational Draft Review • August 19 – August 25th • Questions or Comments? • Contact nc.hie@healthwellnc.com.

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