Environmental Scan Report and Initial Strategy Recommendations

1. Environmental Scan Report and Initial Strategy Recommendations

2. To presentthe Environmental Scan Findings. To discuss the findings and obtain input on the implications for HIE in North Dakota. To review the initial strategies for the Strategic and Operational Plan. PURPOSE

3. Environmental Scan FindingsProject Background Review of existing documents Interviews with Potential HIE Stakeholders Discussions with State Agencies Presentation to HITAC

4. Environmental Scan FindingsValue Proposition

5. Environmental Scan FindingsOrganic Ecosystems Bismarck Medcenter One Saint Alexius Fargo Innovis Sanford – Meritcare Grand Forks Altru Minot Trinity

6. Environmental Scan FindingsHIE Readiness TIER 1 – HIE Ready TIER 2 – Existing EMR, Moving to HIE Readiness TIER 3 – No EMR TIER 4 – Limited Technology

7. Environmental Scan FindingsBenefits of HIE Continuity of care Improved quality of care Decreased errors Reconciliation of Meds Reduce duplicate procedures and tests Lower costs Increased efficiencies

8. Environmental Scan FindingsExpectations of HIE Ease of use Protection of privacy and security Clarification of HIPAA Interstate exchange

9. Environmental Scan FindingsSuccess Measures of HIE Decreased length of hospital stay Reduction in duplicative tests Improved quality outcomes Patient satisfaction Staff satisfaction Better medication reconciliation

10. Environmental Scan FindingsIdentified concerns Trust National economic situation Conservative legislature Oil boom Costs Competitive advantage Financial needs of rural areas Input from Tribes Data ownership HIPAA security Interoperability Ease of use Implementation Staff training Redundancy Interstate care

11. Environmental Scan FindingsInitial Offerings Patient demographics Recent History Medications Allergies Latest lab/Images Immunizations

12. Environmental Scan FindingsGovernance Model / Vision Vision – Nearly unanimous support – Minor Modification Quality Healthcare for All North Dakotans – Anywhere, Anytime Governance – 3 Models Privately owned State owned Public – Private partnership

13. Environmental Scan FindingsFunding State support / grants Subscription or Transaction fees Taxation

14. Initial Strategic Recommendations Strategy I - Define a Clear Vision, Guiding Principles and Measurable Actions Strategy II - Build on the Existing Organic Ecosystems Strategy III – Demonstrate State Leadership Strategy IV - Confront the Major Obstacles Early Strategy V – Financial Sustainability Strategy VI – Build Trust Strategy VII – Start with the Highest Potential for a Positive Return Strategy VIII – Provide Support to Help Providers Meet Meaningful Use

15. Thank You!