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Minnesota e-Health Initiative Progress and Plans 2005


Harmonize Health IT Standards. Assess Privacy & Security ... 'Dedicated to accelerate the use of Health Information Technology (HIT) in all areas of the ... – PowerPoint PPT presentation

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Title: Minnesota e-Health Initiative Progress and Plans 2005

Minnesota e-Health InitiativeProgress and Plans
2005 2006 An Update
  • Topics for Discussion
  • Update on Progress
  • Role of Stratis Health for advancing Goal 2
    recommendations for MN-HIE
  • Presenters
  • Marty LaVenture, Director, Center for Health
    Informatics, MDH
  • Greg Linden, CIO
  • Stratis Health

Motivation Preparedness, Response and Electronic
Health Records
  • HHS Secretary Leavitt .
  • "There may not have been an experience that
    demonstrates, for me or the country, more
    powerfully the need for electronic health records
    ... than Katrina." .
  • (HHS - 9/13/2005).
  • Hurricane Katrina
  • Many paper health and health care records
  • lost permanently
  • Many digital records available in days

Motivation Storm of Problems
  • Error rates are too high
  • 20 deaths due to errors in MN Hospitals in 2004
  • Quality is inconsistent
  • 50 of adults dont get offered recommended care
  • Costs are escalating
  • 11 average yearly cost growth over past 5 years.
  • Research results are not rapidly used
  • 17 years until new innovations are widely used.
  • Capacity for early detection response to
    threats and disasters is minimal
  • Katrina response
  • Limited Public Health Capacity

Motivation Un-Linked Systems Are Resource
  • we typically have to enter the same child's name
    again and again in 6 or more data systems and
    then try and keep the address and related
    information up to date. It can be a nightmare
    and it is expensive.
  • Local Public Health Department Director

Motivation Information Technology Can Help Solve
Real Problems Today
  • 40 of outpatient prescriptions unnecessary
  • 20 of lab x-ray tests ordered because
    originals can not be found
  • 18 medical errors from inadequate patient
  • Patients get only 54.9 of recommended care
  • 49 of notifiable diseases reported
  • - Dr. Blackford Middleton, PHIN 2005 Meeting

Motivation Minnesota Gaps Preliminary data
Based on limited surveys
Type of Facility/ Provider Number Estimated use of HIT Gap/ Comment
Clinics / Primary Care 700 Est. 5-15 Small rural clinics
Long Term care-Nursing Homes 402 2 - 4 Clinical support, Inter-connectivity
Emergency Departments 129 10 - 12 Core data access, Connect across systems
Local Public Health Departments 91 Varies Limited access to community data No Interoperability
Opportunity National Framework for Strategic
  • 2004 Goals
  • Inform Clinical Practice
  • Interconnect Clinicians
  • Personalize Care
  • Improve Population Health
  • 2005 Action
  • American Health Information Community (AHIC)
  • 4 - RFPs
  • Pilots NHIN
  • Harmonize Health IT Standards
  • Assess Privacy Security
  • Develop Certification Process for Health IT

What is the Minnesota e-Health Initiative?
  • Private-Public collaboration
  • Guided by an advisory committee
  • Born of need and legislation 2004/05
  • Dedicated to accelerate the use of Health
    Information Technology (HIT) in all areas of the
  • For the purpose of
  • Improving health and health care quality
  • Increasing patient safety
  • Reducing health care costs
  • Improving public health

MN e-Health Steering Committee Progress
Proposed Actions 2004-2006
  • Progress To date
  • Delivered report to Legislature (vision, roadmap,
  • Developed principles for MN Health information
    exchange (MH-HIE) (Goal 2 Interconnect)
  • Collaborated on response to NHIN-RFI
  • Identified priorities for MN-HIE
  • Held statewide summit

Vision for Minnesota e-Health
  • accelerate the adoption and use of Health
    Information Technology to improve healthcare
    quality, increase patient safety, reduce
    healthcare costs and enable individuals and
    communities to make the best possible health

Source Committee Report to the Legislature,
January 2005
Minnesota e-health InitiativeRoadmap for
Strategic Action
Source Committee Report to the Legislature,
January 2005
Strengths of Minnesota Approach
  • Statewide approach
  • Private-Public initiative
  • Broad participation and strong collaboration
  • Build on existing initiatives
  • Comprehensive vision- e.g. includes many settings
    and disciplines
  • Global vision, incremental sustainable

Minnesota e-Health Initiative A private-public
collaboration to accelerate use of Health
Information Technology in order to improve health
care quality, Increase patient safety, reducing
health care costs, and improve public health
Statewide Advisory Committee
Example Statewide Activities by Goal
Goal 2 Interconnect Clinicians
Goal 4 Improve Population /Public Health
Goal 1 Inform Clinical Practice
Goal 3 Personal Health Record
  • Stratis Health MN Health Information Exchange
    (MN-HIE) Establish Board, Business case
  • HIPAA Collaborative Medication history exchange
  • CHIC NE MN planning for exchange
  • AHRQ Shared Abstract Allina, Fairview, Health
    Partners, U of M
  • Access for individuals and care givers
  • MDH Rural Health Grants
  • Stratis Health/QIO DOQ-IT program
  • Assessment (Stratis Health, MDH/U of M)
  • MDH/LPHA MN-PHIN Governance, Population
  • RWJF Funding Application

Rev. 9-25-05
Minnesota e-Health InitiativeMN Health
Information Exchange Update from Stratis
  • Topics for Discussion
  • MN-HIE Update from Stratis Health
  • Greg Linden, CIO
  • Stratis Health

Recommendation Form a Minnesota Health
Information Exchange
  • MN-HIE will interconnect clinicians and be the
    connection point for
  • National Health Information Network (NHIN)
  • Community-Based Initiatives

Recommendation Form a Minnesota Health
Information Exchange
Phase I MN-HIE Initialization
  • The MN-HIE governance structure will be developed
    utilizing a phased-in approach.

Phase II MN-HIE Implementation
Phase III MN-HIE Development Maintenance
Minnesota Health Information ExchangeRole of
Stratis Health
  • Build on Year 1 recommendations
  • Gather stakeholder input for transition phase
  • Update HIT Assessment framework
  • Recommend Board of Directors
  • Establish legal structure for MN-HIE
  • Develop business plan for three identified
    business areas
  • Develop framework for funding

Stakeholder Input to date
  • We (MDH and Stratis Health) have started to meet
    with key stakeholder groups (e.g. Buyers, Health
    Plans, Hospitals)
  • General consensus
  • Keep communicating
  • Move forward!
  • More meetings to come!

HIT Assessment Objectives
  • Inventory the major assessments and related data
    collection tools for measuring the status of HIT
    adoption in Minnesota
  • Identify gaps in current adoption of HIT
  • Identify gaps in assessments of HIT
  • Present the findings to the MN e-Health Advisory
  • Establish an ongoing assessment framework

HIT Assessment Domains
  • Hospitals
  • Clinics
  • Long Term Care Facilities
  • Emergency depts
  • Local Pub Health depts
  • Pharmacies
  • Clinical Laboratories
  • Home Care and Home Health Agencies
  • Health systems
  • Health Plans
  • Tele-medicine Sites
  • Persons/Consumers
  • Physicians
  • Registered Nurses
  • Stand-Alone Radiology Practices
  • State agencies represented by the Health Care
  • MN Dept of Health
  • MN Dept of Human Services

Ongoing Assessment Collaboration
  • Working with MDH and the U of MN Health
    Informatics division to develop a comprehensive
    informatics framework for ongoing assessment on
  • It will include assessment needs for all 4
    Minnesota strategic goals, across all the domains

MN-HIE Interim Board
  • Recommendation The MN e-Health Steering
    Committee recommended (June 23, 2005)
    establishing an Interim Board for the MN-HIE
  • Key principle for the MN-HIE Board
  • MN-HIE will be operated with a multi-stakeholder
    Board of Directors

Interim Board Composition
  • Recommendation The workgroup recommends that
    the Interim Board represents interests in the
    following areas
  • Community Hospital
  • Consumer
  • Health Plan
  • Hospital System
  • Insurance Company
  • Pharmacy
  • Physician
  • Public Health
  • Purchaser
  • Quality Improvement Organization
  • State Government

Phased Approach
  • Recommendation Once MN-HIE is established,
    composition of the Board will evolve over time as
    the organization moves through three phases of
  • Phase I Initialization
  • Establish a governance structure that will be
    used to define, plan, and design the MN-HIE

Interim Board Next Steps
  • Identify candidates to represent the interests
    identified by the Governance Workgroup
  • An update on this process will be presented to
    the Advisory Committee as part of the November
  • The objective is to finalize selection of the
    Interim Board and convene its first meeting in

Next Steps and Challenges
  • Priority for the work plan
  • Advance strategic topics for the 4 Goals
  • Encourage state wide coordination
  • Assure underserved needs are met
  • Address population health issues
  • Include readiness for preparedness and response
  • Effective communications and education

Thank You! - Questions
  • Key Contacts for More Information
  • www.health.state.mn.us/e-health
  • Stratis Health (Minn. Exchange Planning)
  • Greg Linden - VP/Chief Information Officer
  • (952) 853-8514 glinden_at_mnqio.sdps.org
  • Minnesota Department of Health
  • Marty LaVenture, PhD Director of Health
  • 612 676-5017 martin.laventure_at_health.state.mn.us
  • Barb Wills 651 282-6373 - Barb.wills_at_health.sta
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