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Mark Schoenbaum, Office of Rural Health


Research results are not rapidly used ... Diagnostic applications for Laboratory, Radiology. Secure e-mail communication. Telehealth & Imaging Technology ... – PowerPoint PPT presentation

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Title: Mark Schoenbaum, Office of Rural Health

The Minnesota e-Health Initiative
Smart Health for Rural communities July 19, 2005
  • Mark Schoenbaum, Office of Rural Health Primary

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

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

Minnesota e-Health Initiative What is it?
  • Based on
  • National Framework for Strategic Action 2004
  • State legislation 2004, 2005

Minnesota e-Health Initiative What 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

Minnesota Roadmap
Minnesota Challenges and Gaps
Type of Facility/ Provider Number Estimated use of HIT Gap/ Comment
Clinics / Primary Care 700 Est. 5-15 Small rural clinics
Long Term care-Nursing Homes 402 2 - 4 Clinical support, Inter-connectivity
Hospital Emergency Departments 129 10 - 12 Rural smaller, Connect across systems
Local Public Health Departments 91 Varies Limited access to community data No Interoperability
Preliminary data Based limited surveys
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

Framework for HIT Financing in Minnesota
MN National Goals Goal 1 Inform Clinical Practice Goal 2 Interconnect Physicians Goal 3 Personalize Care Goal 4 Improve Population and Public Health
System Technology (Initial Focus) Electronic Health Record RHIO Infrastructure/Hub Personal Health Record (PHR) Disease Surveillance MN-PHIN
Startup Phase
Ongoing Operations Phase
Natl 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

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

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

Financing Principles
  • Investments need to
  • Advance interoperability
  • Improve quality
  • Be consistent with national standards
  • Align the cost of HIT investment with benefits

Doctors Office Quality Information Technology
  • Stratis - Medicare QIO
  • Will help small/med clinics implement EHR systems
  • readiness assessment
  • vendor selection
  • practice redesign
  • implementation and change management

Grants/Loans for HIT
  • MN Rural Hospital Capital Improvement Grant
  • 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

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

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
  • Critical need readiness for change leadership
  • Rural issues on the radar, we need to keep them
  • Call us!
  • Mark Schoenbaum
  • 651.282.3859
  • Thanks!

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