Minnesota HIMSS Advocacy Event

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Minnesota HIMSS Advocacy Event

• The 110th Congress Its Effect on HIT and You
• by
• Thomas Leary, FHIMSSDirector, Federal Affairs
• February 1, 2007

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Overview

• HIMSS Update
• Results of 2006 Elections
• HIT Outlook for 2007
• Executive Branch Update
• Congressional Update
• State Updates
• State Alliance for e-Health
• Upcoming Events
• Questions

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• HIMSS UPDATE

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OUR Society Today

• 300 Corporate Members
• 20,000 Individual Members
• 47 Chapters
• 3 organizational entities HIMSS, HIMSS
  Analytics, HIMSS Foundation
• Locations
• Chicago, IL Ann Arbor, MI Washington, DC
  Brussels
• 37 million annual budget

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HIMSS Davies Award

• Organizational Award
• Generations/Northern Manhattan Health Network,
  Bronx
• Center for Behavioral Health, Bloomington IN
• Ambulatory Award
• Cardiology of Tulsa
• Piedmont Physicians Group, Atlanta
• Alpenglow Medical, Ft Collins, CO
• Public Health Award
• New York State Environmental Public Health
  Tracking Network (NYS EPHTN) Data Exchange
  System, Albany
• Behavioral Health Integrated Provider System
  (BHIPS), Austin TX
• Book containing an executive summary of 15 years
  of Davies Recipients to be distributed at HIMSS07

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HIT Dashboard Snapshot
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HIMSS Activities Events on Your Radar Screen

• Annual Conference 2007
• February 25 - March 1 in New Orleans
• Keynotes Secretary Mike Leavitt, Steven
  Ballmer, General Colin Powell, and Dr. Stephen R.
  Covey
• Connecting Communities Regional Forum
• In collaboration with eHealth Initiative Flyers
  available
• World of Health IT 2007
• Year 2 In Geneva -- Fall 2007
• AsiaPAC Conference 2007
• Year 1 In Singapore -- May 2007

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Annual U.S. Conference 07

• Congressional Staff Trip Project HITCh
• Congressional Staff and State Elected Officials
  Forum (Session 55)
• Site Visit to Katrina Phoenix practice
• Advocacy Breakfast co-sponsored by Blank Rome
• New CDC Track
• Views from the Top Congressman Bobby Jindal
  (R-LA) (Session 22)
• Keynote with HHS Secretary Mike Leavitt
• Special Networking Dinner

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Federal Election Update

• U.S. Senate Current Change Total
• Democrats 49 4 49
• Republicans 49 -6 49
• Ind. Dem 1(Lieberman Ct.)
• Ind. 1(Sanders Vt.)
• U.S. House Current Change Total
• Democrats 233 29 233
• Republicans 202 -27 202
• 218 is a majority

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New Congressional Leaders

• The following Democrats became Committee Chairmen
  in January 2007 when their party took control of
  the House and Senate. These chairmen include
• Senate Appropriations Robert Byrd of West
  Virginia Tom Harkin of Iowa chairing the Health
  Subcommittee
• Senate Finance Max Baucus of Montana Jay
  Rockefeller of West Virginia chairing the Health
  Subcommittee
• Senate Health, Education, Labor and Pensions
  Edward Kennedy of Massachusetts
• House Appropriations David Obey of Wisconsin
  Obey also chairing the Health Subcommittee
• House Energy  Commerce John Dingell of
  Michigan Henry Waxman of California chairing the
  Health Subcommittee
• House Ways Means  Charles Rangel of New York
  Pete Stark of California chairing the Health
  Subcommittee

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State Update

• Governor Races
• Democrats gain 6
• MA, NY, MD, OH, AR, CO
• Mirror image shift
• 28R-22D to 28D-22R
• One incumbent loss - Maryland
• Republicans retain
• CA,TX, FL, GA, MN
• Democrats retain
• PA, IL, MI, WI, OR, KS

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State Update

• State Legislatures
• For the first time since 1994, the Democrats took
  control of the majority of the nations
  legislatures.
• Democrats control both legislative chambers in 23
  states, Republicans in 15. In 11 states, control
  is split.
• Nebraskas unicameral legislature is nonpartisan.
• Going into the election, Democrats controlled
  both chambers in 19 states, Republicans in 20 and
  10 states were split.
• Democrats went from 47 chambers to 54 the GOP
  went from 49 to 42.

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Seat Changes By Region2004-2006

• East 148 Democrat
• Midwest 107 Democrat
• South 24 Democrat
• West 70 Democrat

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Summary of 2006 Elections

• Democrats control the U.S. House of
  Representatives, the U.S. Senate and majority of
  Governorships
• Documented scrutiny of Bush Administration
• HIT will still be key topic
• HIMSS members need to educate new leaders on
  potential for HIT to transform healthcare

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• HIT Outlook
• Policy Landscape

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Shortcut of U.S. Legislation Bill Process
The Speaker of The House says, this goes to Ways
and Means Committee.
Rep. Jones agrees and will introduce legislation
in Congress
We need legislative change on HIT!
Oh No! Rep. Smith doesnt like the bill. It is
stuck!
Bill passes the House and heads to the Senate!
Voters tell Rep. Smith Pass the Bill!
Senate approves, Conference complete President
signs law!!
I alert other HIT Advocates
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Whats Driving Action?

• Quality
• Patient Safety
• Excess Costs
• Public Health/Disaster Management

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The Value of Interoperability and Electronic
Health Records

• January 2005 C!TL Study1 Standardized, encoded,
  electronic healthcare information exchange would
  
• Save the US healthcare system 337B over a
  10-year implementation period, and 78B in each
  year thereafter
• September 2005 RAND Study2 Widespread adoption
  and effective use of electronic medical record
  systems (EMRs) and other health information
  technology (HIT) improvements would
• Save the US healthcare system 162B annually
• Potential health and safety benefits could double
  savings
• Improve quality and efficiency of the healthcare
  system.

• J Walker et. al. Health Affairs, January 2005.
• R Hillestad, et. Al. Health Affairs,
  September/October 2005

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Executive Branch Update

• President Bushs State of the Union address
  specifically mentioned health information
  technology. we need to reduce costs and medical
  errors with better information technology
• Department of Health and Human Services
• Secretary Leavitt confirmed for 2007 HIMSS
  Conference Exhibition
• Thursday, March 1st Morning Keynote Address
• Vocal supporter of HIT as part of 3-pronged
  effort to improve healthcare delivery
• Sponsors federal Personalized Health Care effort
• Centers for Disease Control and Prevention
• Interested in making connections between Public
  Health and HIMSS
• Near term Designated program bringing 20
  executives to New Orleans
• Long term Public Health and IT Sessions at HIMSS
  U.S. Conferences

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Executive Branch Update

• Office of the National Coordinator for Health IT
• Interim National Coordinator, Dr. Robert Kolodner
• Seasoned federal executive experienced EHR
  champion
• 4 month assignment ends January 31, 2007-- will
  be asked to extend his assignment -- full time
  National Coordinator pending
• Near term actions
• HIT Roadmap Updates
• NHIN Prototype Connectathon January 25-26, 2007
• HISPC and NHIN Prototype reports due in Spring
  2007
• NHIN Trial Implementation RFPs Pending

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Executive Branch Update

• Executive Order 13410 (01/01/07)
• Promoting Quality and Efficient Health Care in
  Federal Government Administered or Sponsored
  Health Care Programs
• Released in August 2006 Compliance starting
  January 2007
• OMB and Agencies
• Big themes Pricing Quality Health Data
  Standards Certification and Systems Development
• OMB and agencies (DoD, VA, OPM, and HHS) working
  out specific metrics
• Near term Internal Reporting
• Long term Will be available on www.results.gov

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Executive Branch Update

• Personalized Health Care RFI
• HHS Asst Sec. Plans Evaluation (ASPE)
  requesting Industry Input
• Asking the Question What are/should be the
  connections between HIT and Genomic Information
  in Population and Community-based health care
  delivery systems?
• HIMSS Response being co-led by Enterprise IS
  Steering Committee and Government Relations Team
• Engaging the newly formed HIMSS Life Sciences
  Roundtable
• Response due February 5, 2007

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2007 Legislative Expectations

• When does CR get relieved?
• HIT may still be one area where Democrats and
  Republicans can work together.
• Long term fix for Physician Reimbursement
• Pay for Reporting AND Pay for Performance (?)

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Congressional Update

• Funding
• Budget Resolutions (HIT Fund) No action
• Appropriations Little action
• Continuing Resolutions Foreseeable future
• HIMSS-tracked Legislation for 110th Congress
• HR 676 Introduced on 1/24 by John
  Conyers-Sections 302 304 focus on quality,
  privacy and EHRs
• S 325 Health Partnership Act of 2007 Similar
  legislation introduced in the House. H.R.
  506-Creates a partnership between the Federal,
  State and local governments and others to seek
  innovations in the health care systems

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Congressional Hearing

• Committee on Homeland Security and Government
  Affairs-February 1, 2007
• Subcommittee on Oversight of Government
  Management, the Federal Workforce and the
  District of Columbia
• Hearing to examine privacy implications of the
  Federal governments health information
  technology initiatives relating to private health
  records,
• Focusing on efforts of HHS to integrate privacy
  into HIT national infrastructure and OPMs
  efforts to expand the use of HIT through the
  Federal Employees Health Benefits Program
• And the impact such actions have on Federal
  employees health information privacy

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Pending State HIT Legislation 2007

• 2007 Session States prefiling or drafting
  legislation AR, CO, FL, GA, KY, MT, ND, NH, NV,
  TN, TX, VA
• Example TEXAS SB 40
• Prefiled for 2007 session on 11/13/2006
• Establishes a Electronic Health Information
  Coordinating Committee

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Washington

• Governor signed EXECUTIVE ORDER 07-01 on
• January 3, 2007
• State is purchaser of health care services for
  1.3 million Washingtonians
• Order focuses on
• Evidence-based health care
• Better manage chronic diseases
• Make better use of information technology
• Legislation passed in 2005 sets a statewide goal
  to have all hospitals, integrated delivery
  systems, and providers adopt health information
  technologies by 2012.
• Builds on the recommendations of the Health
  Information Infrastructure Advisory Board to meet
  this goal.
• Promote prevention, healthy lifestyles, and
  healthy choices
• Create more transparency in the health care
  system.

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Oregon

• Gov. Ted Kulongoski said We want to ensure that
  all of our citizens health records are available
  to them and their healthcare provider anytime,
  anywhere they are needed, and that those health
  records are confidential and secure at all
  times.         Oregons Health Information
  Security and Privacy Collaborative
• HISPC is a national project to assess privacy and
  security laws and business practices with regard
  to the exchange of electronic health information.
  Oregon is one of 34 states participating in this
  collaborative with National Governors Association
• Examining privacy and security policies and
  business practices regarding electronic health
  information exchange and the current legal
  requirements in the state that may be driving
  those policies
• Identifying challenges that privacy and security
  policies might pose to interoperable health
  information exchange

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• Identifying best practices and solutions for
  maintaining privacy and security protections
  while enabling operation of a health information
  network
• Developing an implementation plan to address
  organization-level business practices and state
  laws that affect privacy and security practices
  in order to permit interoperable health
  information exchange
• Convening and working closely with a wide range
  of stakeholders in the state, including
  clinicians, physician groups, health facilities
  and hospitals, payers, public health agencies,
  government health agencies, pharmacies, long-term
  care facilities and nursing homes, consumer
  organizations and others
• Identifying and organizing a steering committee
  to lead the effort within each state
• Participating in regional and national meetings
  with other states to share knowledge and
  collaborate on health information exchange
  privacy and security issues and related issues
•  Key Project PersonnelJody Pettit, MD Health
  Information Technology Coordinator, Office for
  Oregon Health Policy and Research, HIMSS member

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Rhode Island

• Rhode Island Governor Donald L. Carcieri
  announced an Anywhere, Anytime Health
  Information Health Care IT Agenda
• Last year, the Governor proposed and the General
  Assembly approved as part of the state budget--a
  20 million revenue bond to fund a Health
  Information Exchange to allow providers with
  electronic health records to share the
  information safely and securely
• There is a growing concern regarding the possible
  theft of an individual's identity and a resulting
  need for measures to protect the privacy of
  personal health information

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State Alliance for e-Health

• Inaugural Meeting January 26, 2007
• Co-chaired by Gov.Bredesen (TN) and Gov. Douglas
  (VT)
• The State Alliance for e-Health is a consensus
  based, executive-level body of state elected and
  appointed officials formed to address the unique
  role sates can play to facilitate the adoption of
  interoperable electronic, health information
  exchange (HIE)

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State e-Health Taskforces

• Health Information Protection
• Supports the State Alliance on issues regarding
  the protection of consumer health information
  that ensures appropriate interoperable,
  electronic health HIE within states and across
  states.
• Health Care Practice
• Supports the State Alliance on issues regarding
  the regulatory, legal, and professional standards
  that have an impact on the practice of medicine
  and create barriers to interoperable electronic
  HIE.
• 3. Health Information Communication and Data
  Exchange
• Supports the State Alliance on issues regarding
  the appropriate roles for states participation in
  interoperable, electronic HIE.

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Noteworthy Events

• Move to new HIMSS Arlington Office 4300 Wilson
  Boulevard, Suite 250, Arlington, Virginia
  (February 2, 2007)
• Welcome to 110th Congress Packets
• Publish 2007 Congress At Your Fingertips
• January 18 Successful HIMSS Day at the Virginia
  General Assembly
• January 18 Successful HIMSS Day at the Oregon
  General Assembly
• February 3 HIMSS co-sponsored Winston Ball
• February 26 March 1 HIMSS Annual Conference
  07
• May 14 18 2007 National Health IT Week
• May 15 2007 HIMSS Day on Capitol Hill

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HIMSS Day at the Virginia General Assembly

• First prototype of HIMSS State Government
  Advocacy Day in a Box which will be available
  for all HIMSS Chapters.
• January 18, 2007
• Speakers included
• Delegate John OBannon
• VA. Secretary of Technology Aneesh Chopra
• HIMSS EVP Carla Smith

Sponsored by the HIMSS Virginia and National
Capitol Area (NCA) Chapters
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Annual U.S. Conference 07

• Congressional Staff Trip Project HITCh
• Congressional Staff and State Elected Officials
  Forum (Session 55)
• Site Visit to Katrina Phoenix practice
• Advocacy Breakfast co-sponsored by Blank Rome
• Session-55 State Legislators and Congressional
  staff
• Views from the Top Keynote with HHS Secretary
  Mike Leavitt
• Special Networking Dinner

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2007 HIMSS Day on Capitol Hill

• Tuesday, May 15, 2007
• Washington Court Hotel
• Member of Congress Keynote on 110th Congress HIT
  priorities
• Congressional Staff Panel focused on barriers
• Capitol Hill Training for all attendees
• Reception at the private Capitol Hill Club with
  2007 HIMSS Advocacy Award presentation by HIMSS
  Board Chair-Elect

In 2006, more than 250 advocates from 48 states
turned out for HIMSS 5th Annual Advocacy Day on
June 6 in Washington, D.C. Here HIMSS members
meet with Senator Jack Reed (D-Rhode Island)
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Questions?

• Your HIMSS Government Relations Team
• David W. Roberts, FHIMSS, Vice President,
  Government Relations, 703-837-9811
• Blair Hedgepeth, Manager, Government Relations,
  703-837-9810
• Mari Franks, Coordinator, Government Relations,
  703-837-9827
• Tom Leary, Director, Federal Relations,
  703-837-9814Jonathan French, Coordinator,
  Federal Relations, 703-837-9823
• Tom Keefe, Director, State Government Relations,
  703-837-9813
• Arnol Simmons, Coordinator, State Government
  Relations, 703-837-9826
• Tom Leary, Director, Federal Relations,
  703-837-9814Jonathan French, Coordinator,
  Federal Relations, 703-837-9823 Sharolyn Rosier
  Hyson, Manager, Public Policy Communications,
  703-837-9819
• Now As of February 1, 2007
• 901 King Street, Suite 200 4300 Wilson
  Boulevard, Suite 250
• Alexandria, VA 22314 Arlington, VA 22203
• advocacy_at_himss.org