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Georgia Health Information Exchange Update


... for the secure and efficient exchange of healthcare information within Georgia. Represent the cumulative interests of the State's healthcare market participants ... – PowerPoint PPT presentation

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Title: Georgia Health Information Exchange Update

Georgia Health Information Exchange Update
  • Glenn E. Pearson, FACHE
  • Executive Vice President, Georgia Hospital
  • TAG Health Care Society
  • October 11, 2007

  • GHIE
  • HITT Board
  • Lessons Learned from Other Efforts

Georgia Health Information Exchange History
  • Roots trace back to late 1990s payer/provider
  • Evolved into Georgia Strategic Local
    Implementation Process (GSLIP)
  • After HIPAA, evolved into e-health issues
  • Sponsored Georgia e-Health Summit (June 15, 2005)
  • Sponsored Georgia RHIO Development Summit
    (October 7, 2005)
  • Inaugural event (March 1, 2006)

  • Establish collaborative, stakeholder-driven
    strategies and priorities to create a win/win
    approach to electronic communications
  • Inventory present Georgia-based efforts to
    identify opportunities while building on existing
  • Build on recognized or emerging best practices

Approach (continued)
  • Increase stakeholder value incrementally
  • Support maturing national standards and
  • Develop operation using sound, ROI-driven
    business formation principles

Milestone Meetings
  • Georgia eHealth Summit June 2005
  • Georgia RHIO Development Summit October 2005
  • Inaugural Meeting March 2006
  • Diabetes Summit November 2006

Organizational Milestones
  • February 24, 2006 Incorporated as Georgia
    Health Information Exchange
  • March 31 Ratified bylaws
  • May 26 Position Paper completed
  • May 23 First donation (from Georgia Medical
    Care Foundation) received
  • June 9 Formal statements of support distributed
    and new committees announced
  • September 26 Donation from Blue Cross/Blue
  • October 22 Notification of 501 (c) (3) status

Organizational Milestones (continued)
  • March 2007 Hired Assistant Director
  • June 19 First official board meeting
  • October Nominating committee meets to consider
    candidates for Executive Director

Draft Mission Statement
  • The mission of the GHIE is to facilitate a
    health information exchange to improve public
    health, quality of care, and the efficiency of
    health services through the more effective use of
    automated personal health information. Projects
    undertaken by the GHIE will be geared to
    fostering enhanced and mutually beneficial
    relationships between healthcare stakeholders.

  • Establish a forum for the secure and efficient
    exchange of healthcare information within Georgia
  • Represent the cumulative interests of the States
    healthcare market participants
  • Act as a conduit between Georgia and the national

Organizational Approach
  • Umbrella organization with various initiatives
    around the state
  • Operating Committee and Advisory Board

Focus Areas
  • Education
  • ePrescribing
  • EHR Dynamics
  • Statewide Inventory of IT Capabilities
  • Pilot Project Discussions
  • Advance Directives
  • Medication Reconciliation
  • Cancer
  • Coordination of Statewide Standards and Practices
  • Patient Identification
  • Privacy
  • Security

GHIE Board
  • Hospital Alan Kent, Meadows Regional Medical
  • Physician Jim Morrow, MD, North Fulton Family
  • Nursing Home Fred Watson, GHCA
  • Mental Health Tod Citron, Cobb CSB
  • Pharmaceutical Industry Jim Bracewell, Georgia
    Pharmacy Association
  • Quality Improvement Dennis White, gmcf
  • Payer Dieter Freer , CIGNA HC of Georgia
  • Consumer (Vacant)
  • Chamber of Commerce George Israel, GCOC
  • Employer (Vacant)

GHIE Board (continued)
  • Chair, Operations Committee Glenn Pearson, GHA
  • Chair, Regional Coordination Committee (Vacant)
  • Chair, IT Committee (Vacant)
  • DCH (Vacant)
  • DPH (Vacant)
  • CMS (Vacant)
  • Chair, Communications and Events Committee

Signed Letters of Support
  • Bacon County Hospital Barrow Regional
    Medical Center Bluegate Corporation
    Cartersville Medical Center Central Georgia
    Medical Center Cobb County Community Service
    Board Coffee Regional Medical Center Columbus
    Regional Healthcare System Compuware
    Corporation Coventry Healthcare of Georgia
    Crisp Regional Hospital Donalsonville Hospital
    ECT Global Emanuel Medical Center eSimplify,
    Inc. Georgia Chamber of Commerce Georgia
    Health Care Association Georgia Healthcare
    Leadership Council Georgia Hospital Association
    Georgia Medical Care Foundation Georgia
    Pharmacy Association Hamilton Medical Center
    Hughston Orthopedic Hospital Inner Harbor for
    Children and Families Intel Americas
    Jefferson Hospital Kaiser Permanente of Georgia
    McDuffie Regional Medical Center Meadows
    Regional Medical Center Medical Systems
    Development Corporation Mitchell McCormick
    Inc. Noble Associates Consulting, Inc.
    Oconee Regional Medical Center Patient
    Placement Systems Piedmont Healthcare
    Pineland Community Service Board Smart Document
    Solutions Three Bridges Consulting Tift
    Regional Medical Center UHS-Pruitt Corporation
    VHA of Georgia Walton Rehabilitation Health
    System WellStar Health System Wills Memorial

Financing Model
  • Umbrella Organization
  • Corporate support
  • Grant funding
  • Member assessment
  • Each Stand-alone Project
  • Defensible business model that recognizes
    different circumstances of
  • Large hospitals
  • Small hospitals
  • Large physician groups
  • Smaller groups/solo practitioners
  • Other providers

Potential Sources of Funding for Stand-Alone
  • Grants/business partnerships for start-up capital
  • Precedent 2004 11.5M WellPoint funding for 36
    rural hospital telemedicine clinics
  • Redeployment of capital and operating funds spent
    on non-interoperable systems
  • Credible demonstration of cost-effectiveness from
    process improvement (ROI) ongoing operations
  • Economies of scale

Health Information Technology and Transparency
History and Purposes
  • Created by Executive Order of Governor Sonny
    Purdue, signed October, 2006
  • Consistent with President Bushs Executive Order
    four cornerstones
  • Health IT
  • Quality Information
  • Pricing Information
  • Quality and Efficiency

  • Organized into two functional areas
  • Transparency for pricing and quality
  • Health Information Exchange
  • 12-person Advisory Council
  • Subcommittees for each functional area
  • Also board of expert advisors
  • Monthly meetings

Transparency Activities
  • Focus is creating online access to pricing and
    quality data
  • Comprehensive in scope
  • Hospitals
  • Physicians
  • Pharmacies
  • Other providers
  • Vendor RFPs issued in early summer
  • Received 3.9M CMS for transparency efforts

Health Information Exchange
  • Awarding up to three grants totaling 900k
  • August 1 Grant notices posted
  • August 31 19 Letters of Intent submitted
  • September 28 Grant applications due
  • October 5-16 Grant evaluation period
  • October 17 Evaluation consensus meeting
  • October 23-30 Letters sent to awardees
  • November 1 Official announcements

HIE Lessons Learned from Other Efforts
  • Progress is slower than anticipated
  • Greatest challenge is organizational/ relational,
    not technical
  • Coordination is required to avoid nearby RHIO
    efforts from becoming silos
  • Clinical value alone is not enough to sustain HIE

Lessons Learned (continued)
  • Grant funding alone is not a sustainable
    financing model
  • Being first out of the chute is not necessarily
    advantageous conflicting technology models