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Regional Health Information Organizations RHIOs

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... Improve healthcare in NC by accelerating the adoption of information technology ... to work in good faith to integrate existing healthcare information systems ... – PowerPoint PPT presentation

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Title: Regional Health Information Organizations RHIOs


1
  • Regional Health Information Organizations (RHIOs)
  • The Primary Vehicle for Achieving the National
    Health Information Network (NHIN)
  • Presented by Holt Anderson
  • Executive Director, NCHICA

2
Disclaimer
  • The NHIN and RHIOs are a new but important
    concepts
  • Definitions are not firm at this time
  • Public input is being sought by the Office of the
    National Coordinator for Health Information
    Technology (ONCHIT)

3
NHIN
  • National Health Information Network (NHIN)
  • A supportive, nation-wide, interoperable system
    with the capacity to exchange conveniently and
    securely healthcare information culminating in
    the improvement of consumer health and the
    reduction in healthcare costs.

4
RHIO
  • Regional Healthcare Information Organizations
    (RHIOs)
  • A collaborative, consumer-centric organization
    focused on facilitating the coordination of
    existing and proposed e-health initiatives within
    a region, state, or other designated local area.

5
Types of RHIOs
  • Federations
  • Includes large, self-sufficient enterprises
  • Agreement to network, share, allow access to
    information they maintain on peer to peer basis
  • May develop system of indexing and/or locating
    data (e.g., state or region-wide MPI)

6
Types of RHIOs (cont.)
  • Co-ops
  • Includes mostly smaller enterprises
  • Agreement to pool resources and create a
    combined, common data repository
  • May share technology and administrative overhead

7
Types of RHIOs (cont.)
  • Hybrids
  • Includes combinations of Federations and Co-ops
  • Agreement to network, share, allow access to
    information they maintain on peer to peer basis
  • Allows aggregation across large areas (statewide
    or regional)

8
RHIO Structure
  • 501(c)(3) Nonprofit
  • Eligible for Federal and State Grants
  • Contributions may be tax deductible as charitable
  • Issues
  • Limit of 20 on income from unrelated business
    activities (i.e. not charitable and educational)
  • May need to subcontract or otherwise handoff
    operational aspects of activities

9
Key Allies for a RHIO Include
  • Covered Entities (Providers, Health Plans,
    Clearinghouses)
  • Medical Society
  • Hospital Association
  • Nurses Association
  • Health Information Management Assn.
  • Medical Group Managers Association
  • Healthcare Financial Management Association
  • Association of Local Health Directors
  • Association of Pharmacists
  • Long-term Care Association
  • Association of Health Plans
  • QIOs
  • Vendors
  • Etc., Etc.

10
  • NCHICA as One Possible RHIO Model

11
NCHICA Background
  • Established in 1994 by Executive Order of
    Governor
  • 501(c)(3) nonprofit - research education
  • 250 members including
  • Providers
  • Health Plans
  • Clearinghouses
  • State Federal Government Agencies
  • Professional Associations and Societies
  • Research Organizations
  • Vendors and Consultants
  • Mission Improve healthcare in NC by
    accelerating the adoption of information
    technology

12
Terms of Membership
  • A fundamental purpose of NCHICA is to
  • facilitate the development of a statewide
    healthcare information network incorporating
  • open architecture
  • interoperable systems, and
  • reconfigured information systems.

13
Terms of Membership (cont.)
  • Applicant agrees to support the following
    principles
  • to foster interoperability and open-systems
    architecture
  • to work in good faith to integrate existing
    healthcare information systems
  • to provide expert personnel to support the
    activities of NCHICA in the spirit of
    collaboration
  • to support policies adopted by NCHICA to protect
    intellectual property
  • to encourage a competitive environment for the
    development of the information,
    telecommunications, and telemedicine industries
    in North Carolina consistent with NCHICA's
    purposes.

14
Values for the Transition
  • Keep the health and safety of the individual as
    the core objective.
  • Use RHIOs as an opportunity and vehicle to
    transform healthcare into a more effective and
    efficient system.
  • Promote clinical and business benefits of
    information technology and secure communications .

15
Thank You
  • Holt Anderson, Executive Director
  • Holt_at_nchica.org (919) 558-9258 ext. 27
  • North Carolina Healthcare Information and
    Communications Alliance, Inc. www.nchica.org
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