NASCIO Perspective on Key Issues in Healthcare Information Technology

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NASCIO Perspective on Key Issues in Healthcare
Information Technology

• For the National Association of Public Health
  Information Technology
• Larry Biggio, CIO
• State of Wyoming
• September 24, 2006

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About NASCIO

• Represents CIOs and IT executives from the
  states, territories, and Washington D.C.
• Federal, municipal, and international governments
  participate as associate members
• Private-sector firms and non-profit organizations
  may join as corporate members.

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Topics

• About NASCIO
• CIO Interest in HIT
• CIO Perspectives on HIT
• Implications for Agency CIOs
• State CIOs and RHIOs
• State CIO IT Initiatives

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NASCIO Mission/Vision

• NASCIO's mission is to foster government
  excellence through quality business practices,
  information management, and technology policy.
• NASCIO's vision is government in which the public
  trust is fully served through the efficient and
  effective use of technology.

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State CIO Priorities 2006

• Infrastructure/Services Consolidation
• IT Security threats and vulnerabilities
• Enterprise Architecture Standards
• Disaster Recovery/Business Continuity
• IT Governance
• ERP Implementation
• Strategic IT Planning
• Health Information Technology
• Infrastructure modernization
• Interoperability infrastructure and data

NASCIO CIO Survey, October 2005
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What government capabilities or services do you
believe have the most potential to be improved
through better application of information
technology?

• Education
• Health and Human Services
• Public Safety
• Revenue
• Administration
• Transportation

NASCIO Midyear Conference, June 2006
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Why is NASCIO Interested in HIT

• Significant role of state in healthcare as
• Payer Medicaid, SCHIPs, other programs
• Provider increased emphasis on quality of
  service
• Purchaser over 5 million employees nationwide

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CIO Perspective on State Issues in HIT

• States are key stakeholders in the policy and
  funding discussions related to HIE
• States must promote collaboration around a shared
  vision, strategy and roadmap for HIT and HIE
• Adoption of proven IT strategies can drive
  improvement and efficiency in the health system

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CIO Perspective on State Issues in HIT (contd)

• Ability to quickly exchange data from providers
  to the public health agencies is crucial for
  effective public health response
• Federal government must drive adoption of
  standards and vocabularies to promote an
  interoperable, interconnected healthcare system

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CIO Perspective on State Issues in HIT (contd)

• Need to extend relationships with various
  federal, state and non-profit entities
• eHealth Initiative
• National Governors Association
• HHS Office of the National Coordinator
• Many existing health IT systems are pre-legacy

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CIO Perspective on State Issues in HIT (contd)

• Need for consensus-based, productive, governance
  structures
• Need to raise awareness with state and
  legislative leadership

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Implications for Agency and Local CIOs

• Provide an inventory and update of statewide HIT
  efforts
• View healthcare as set of integrated services for
  state citizens
• Provide unified case views across state
  applications

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Implications for Agency and Local CIOs (contd)

• Provide for multi-channel citizen and provider
  interaction
• Plan for patient control of and access to
  individual information in HIE
• Meet regulatory requirements
• Protect citizen information

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Implications for Agency and Local CIOs (contd)

• Expect incremental changes over the next 10 12
  years
• Tomorrows healthcare worker will readily adopt
  new applications of technology
• Todays healthcare workers will require
  basic/intermediate skills in technology
• Educate healthcare workers on benefits and use of
  HIE

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Implications for Agency and Local CIOs (contd)

• Long term, anticipate a healthcare system where
  the patient has almost instant access to the same
  information as the healthcare providers

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NASCIO Suggestions for State CIO Action in the
Near Term

• Follow HIT discussion in their state
• Evaluate the FHA and MITA against their states
  enterprise architecture (EA) and health domain
• Participate in RHIO development activities

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State CIO's and RHIOs

• Pending national consensus, state level
  activities will likely be driven by RHIOs.
• CIOs provide citizen centric perspective
• CIOs ensure states HIT concerns are represented
  in RHIO
• Avoid infrastructure duplication
• Take maximum advantage of existing information
  and linkages with medical community

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State CIOs and RHIOs (contd)

• 40 million served by Medicaid
• Medicaid data holdings
• Potential matching funds for related activities
• Ensure RHIO has considered impacts for all
  relevant stakeholders
• State and local health/human service agencies
• Corrections
• Education
• Public sector payers

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State IT Management Trends

• More consolidation and shared services, but
  fluctuations
• Focus on IT spending control and business process
  improvements
• Increased resources devoted to enterprise IT
  security
• Strategic sourcing IT procurement
• Outsourcing portals and business services
• ERPs and focus on legacy replacement

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Trend More Business Disciplines in IT

• Enterprise architecture
• Project and portfolio management PM framework,
  methodology, education, training, tools and
  oversight
• Service Level Management ITIL
• Business case and risk assessment
• Procurement reform strategic sourcing, leverage
  buying power and rationalization

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The State CIOs A View Forward

• Impact of healthcare costs and health IT
• Critical infrastructure protection - disaster
  recovery business continuity
• Continued intense focus on privacy
• Strategic sourcing and alliances
• More cross-boundary collaboration
• Demands for mobility and wireless apps
• Legislating and regulating threats spam, spyware

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Best Practices in Aligning IT Initiatives

• From Personal Experience
• Clear enterprise-wide business goals
• IT commitment to support business needs
• A strong and effective governance process
• Active participation by all levels
• Enterprise rather than agency-specific view
• Enterprise Architecture
• Portfolio management

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Visit NASCIO www.nascio.org Doug
Robinson NASCIO Executive Director 201 East Main,
Suite 1405 Lexington, KY 40507 859-514-9153 drobi
nson_at_amrms.com