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Georgia Health Information Exchange Update

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... 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


1
Georgia Health Information Exchange Update
  • Glenn E. Pearson, FACHE
  • Executive Vice President, Georgia Hospital
    Association
  • TAG Health Care Society
  • October 11, 2007

2
Outline
  • GHIE
  • HITT Board
  • Lessons Learned from Other Efforts

3
Georgia Health Information Exchange History
  • Roots trace back to late 1990s payer/provider
    initiatives
  • 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)

4
Approach
  • 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
    foundation
  • Build on recognized or emerging best practices

5
Approach (continued)
  • Increase stakeholder value incrementally
  • Support maturing national standards and
    guidelines
  • Develop operation using sound, ROI-driven
    business formation principles

6
Milestone Meetings
  • Georgia eHealth Summit June 2005
  • Georgia RHIO Development Summit October 2005
  • Inaugural Meeting March 2006
  • Diabetes Summit November 2006

7
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
    Shield
  • October 22 Notification of 501 (c) (3) status

8
Organizational Milestones (continued)
  • March 2007 Hired Assistant Director
  • June 19 First official board meeting
  • October Nominating committee meets to consider
    candidates for Executive Director

9
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.

10
Objectives
  • 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
    efforts

11
Organizational Approach
  • Umbrella organization with various initiatives
    around the state
  • Operating Committee and Advisory Board

12
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

13
GHIE Board
  • Hospital Alan Kent, Meadows Regional Medical
    Center
  • Physician Jim Morrow, MD, North Fulton Family
    Medicine
  • 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)

14
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
    (Vacant)

15
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
    Hospital

16
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

17
Potential Sources of Funding for Stand-Alone
Projects
  • 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

18
Health Information Technology and Transparency
Board
19
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

20
Structure
  • 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

21
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

22
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

23
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
    projects

24
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
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