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Health Information Technology Update on the Texas Landscape Presentation to TASSCC

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Health Information Technology Update on the Texas Landscape Presentation to TASSCC s State of the State Conference Nora Belcher Texas e-Health Alliance – PowerPoint PPT presentation

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Title: Health Information Technology Update on the Texas Landscape Presentation to TASSCC


1
Health Information TechnologyUpdate on the Texas
LandscapePresentation to TASSCCs State of the
State Conference
  • Nora Belcher
  • Texas e-Health Alliance
  • December 10, 2010

2
Health Information TechnologyOverview
  • Background
  • Update on Texas Landscape
  • Legislative Preview

3
Background Planning and Policy Development
Federal
  • Initiated through April 2004 State of the Union
    address
  • Furthered through the creation of the Office of
    the National Coordinator for Health Information
    Technology
  • Ongoing federal health IT initiatives
  • Open, deliberative policy development process
    (Health IT Policy Committee)
  • Certification and standardization (Health IT
    Standards Committee)
  • Health information exchange pilots (Nationwide
    Health Information Network)
  • Privacy security (Health Information Security
    and Privacy Collaboration)
  • New health IT initiatives through the ARRA

4
Background Planning and Policy Development
Federal
  • Health IT initiatives created and funded through
    the American Recovery and Reinvestment Act of
    2009 (ARRA)
  • Electronic health record incentives (estimated
    36-46 billion)
  • Health information infrastructure (2 billion)
  • State grants for HIE planning and implementation
  • Health IT regional extension centers
  • Health IT workforce program

5
Texas Landscape State Funding and Projects
  • State HIE Cooperative Agreement Program 28.8
    million HHSC/ Office of e-Health Coordination
    (OeHC)
  • Medicaid Health IT Plan/EHR Incentive Payment
    Program 4.5 million planning HHSC/Medicaid
  • Health IT Regional Extension Centers (REC) 35.7
    million 4 awards
  • Strategic Health IT Advanced Research Projects
    (SHARP) 15 million UT Health Science Center,
    Houston
  • Beacon Community Program 8 Texas applicants, 0
    awards
  • Health IT Workforce Grants 5.4 million Texas
    State University, San Marcos

6
  • Develop implement a state plan for HIE
  • Support the development of local regional HIE
  • Foster the development of HIT policy for the
    state
  • 28.8m planning implementation funds through
    ONC via MOU with HHSC
  • Pass through Medicaid incentive funds up to 2b
    through 2019
  • Develop implement a Medicaid HIE (HB 1218)
  • Pass through planning and implementation funds to
    THSA
  • ONC award Strategic Health IT Advanced Research
    Projects (SHARP) for research on barriers to EHR
    adoption UTHSC- Houston, 15M
  • ONC award Program of Assistance for
    University-Based Training to increase
    availability of HIT professionals Texas State
    University, 5.4m
  • Funded by ONC to offer technical assistance,
    guidance information on best practices to
    support accelerate efforts to become meaningful
    users of EHRs
  • CentrEast REC (TAMU) 5.3m
  • North TX REC (DFW Hospital Council) 8.5m
  • West TX HIT REC (Texas Tech) 6.7m
  • Gulf Coast REC (UTHSC) 15.2m

7
Texas Health Services Authority
  • State plan approved in November 2010
  • Established a Collaboration Council and a number
    of working groups on specific topics
  • Moving into procurement phase
  • Local HIE RFA
  • White Space RFA
  • State Level Services
  • THSA undergoes Sunset in 2013

8
Texas Legislative Activity
  • Increasing interest in health IT in the Texas
    Legislature
  • Before 2005 0 health IT bills filed
  • 2005 1 health IT bill filed
  • 2007 6 health IT bills filed
  • 2009 30 health IT bills filed
  • 81st Regular Legislative Session (2009 )
  • Health passport expansion
  • Electronic prescribing (also LBB report)
  • Medicaid-based HIE

9
Texas Legislative Issues
  • Privacy and Security
  • Regulation
  • Telemedicine and Telehealth
  • Scope of Practice
  • Medicaid Managed Care Expansion
  • Federal Health Care Reform
  • Health Insurance Exchange

10
Future Activities
  • The Texas path forward
  • State HIE planning and implementation grant
  • THSA and workgroups
  • Clear role for local HIEs
  • State Medicaid Health IT Plan development and
    implementation
  • Other, Ongoing Texas state-level projects
  • Office of e-Health Coordination
  • Medicaid HIE Initiative
  • Private-sector developments
  • Regional initiatives
  • Stakeholders (employers, payers, etc.)

11
What Does It Mean For You?
  • Major open questions
  • Funding/sustainability
  • Achieving population and geographic coverage
    network topology
  • Patient involvement in HIE consent? How much?
  • Provider liability
  • Impact on state agencies
  • Direct impact
  • Indirect impact

12
Helpful Links

http//www.txrecs.org/ http//www.cms.gov/EHRInce
ntivePrograms/ http//www.thsa.org/ http//www.t
mhp.com/Pages/HealthIT/HIT_Home.aspx http//www.h
imss.org/
13
Questions?
  • Nora Belcher
  • Executive Director
  • Texas e-Health Alliance
  • nora_at_txeha.org
  • (512) 536-1340
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