Assisting NCHICA members in transforming the US healthcare
system through the effective use of information technology,
informatics and analytics. Transitions in Healthcare: Transitions
in Healthcare: Migration from Paper to Digital and Managing Legacy
Data ARMA International: Charlotte-Piedmont Chapter March 20, 2014
Presentation by: Holt Anderson, Executive Director NCHICA (NC
Healthcare Information & Communications Alliance, Inc.) Slide 2
Assisting NCHICA members in transforming the US healthcare system
through the effective use of information technology, informatics
and analytics. Agenda About NCHICA Accelerants Challenges at the
State Level One States Landscape and Activities Health Systems
Applications HIEs Legacy Data Task Force Vision of a Future
Healthcare System HIPAA - Business Associates and their
subcontractors now covered by HIPAA Slide 3 Assisting NCHICA
members in transforming the US healthcare system through the
effective use of information technology, informatics and analytics.
About NCHICA Established in 1994 as 501(c)(3) Nonprofit ~300
organizations across healthcare spectrum Serves as neutral,
collaboration hub for developing consensus-based approaches to
policy compliance and technology implementation Slide 4 Assisting
NCHICA members in transforming the US healthcare system through the
effective use of information technology, informatics and analytics.
Transition of Mission 1994 Improving health and healthcare in NC by
accelerating the adoption of information technology and enabling
policies. 2011 Assisting NCHICA members in accelerating the
transformation of the US healthcare system through the effective
use of information technology, informatics and analytics. Slide 5
Assisting NCHICA members in transforming the US healthcare system
through the effective use of information technology, informatics
and analytics. NCHICA Collaboration Activities CIO-CMIO Roundtable
Informatics & Analytics Roundtable Legacy Data Task Force
Privacy & Security Officials Workgroup Legal Workgroup
Transactions, Code Sets & Identifiers Workgroup ICD-10 Task
Force & Focus Groups Enterprise Integration Workgroup HIE Task
Force Technology Resources Workgroup Telehealth Task Force NC
Consumer Advisory Council on Health Information Educational
Conferences and Workshops Slide 6 Assisting NCHICA members in
transforming the US healthcare system through the effective use of
information technology, informatics and analytics. Transition
Accelerants 1996 Health Information Portability and Accountability
Act (HIPAA) 1999 - To Err is Human 2001 - Crossing the Quality
Chasm 2004 HHS Office of the National Coordinator for Health
Information Technology (ONC) established 2005 ONC initiation of
eHealth Exchange (ne NHIN or Nationwide Health Information Network)
efforts 2009 American Recovery and Reinvestment Act (ARRA) &
Health Information Technology for Economic and Clinical Health Act
(HITECH) & Meaningful Use (MU = $) MU = EHR + HIE + Reporting
(Quality & Public Health) 2010 - Patient Protection and
Affordable Care Act (PPACA) or Affordable Care Act (ACA) Slide 7
Assisting NCHICA members in transforming the US healthcare system
through the effective use of information technology, informatics
and analytics. Transition Challenges Standards Policy (Federal,
State, Local & Enterprise) Privacy & Security -
Accountability Data elements Technology (applications, systems,
networks) Transition from Fee-for-Service (transactions) to Payment
for Outcomes Emphasis on Wellness (Accountable Care Organizations -
ACOs) Business Models Reimbursements Legacy Systems: Data &
Policies Slide 8 Assisting NCHICA members in transforming the US
healthcare system through the effective use of information
technology, informatics and analytics. Transitions in the Business
Model Fee for Service Payment for Outcomes TransactionsWellness
Slide 9 Assisting NCHICA members in transforming the US healthcare
system through the effective use of information technology,
informatics and analytics. Challenges for North Carolina: Multiple,
Strong IDNsMultiple, Strong IDNs EHR LandscapeEHR Landscape Slide
10 Assisting NCHICA members in transforming the US healthcare
system through the effective use of information technology,
informatics and analytics. Major IDNs - Statewide Landscape Slide
11 Assisting NCHICA members in transforming the US healthcare
system through the effective use of information technology,
informatics and analytics. in North Carolina in North Carolina
Indicates primary service area Slide 12 Assisting NCHICA members in
transforming the US healthcare system through the effective use of
information technology, informatics and analytics. Slide 13 Other
EHR Vendors Include: RPMS VistA Slide 14 Assisting NCHICA members
in transforming the US healthcare system through the effective use
of information technology, informatics and analytics. Ambulatory
Systems Include: Chart courtesy of NC HIE Slide 15 Assisting NCHICA
members in transforming the US healthcare system through the
effective use of information technology, informatics and analytics.
Transitions Create Legacy Data Anticipating future needs and uses:
Clinical care of patients Business requirements Billing Auditing
Legal (eDiscovery) Research Slide 16 Assisting NCHICA members in
transforming the US healthcare system through the effective use of
information technology, informatics and analytics. NCHICA Legacy
Data Task Force Established in May 2013 Goal: Develop consensus
approach to handling legacy data during and after system transition
Organizations involved in discussions include: Carolinas HealthCare
System Novant UNC Health Care Legacy Data Access Allscripts Duke
Health Others ??? Slide 17 Assisting NCHICA members in transforming
the US healthcare system through the effective use of information
technology, informatics and analytics. Slide 18 Slide 19 Vision of
a Future Healthcare System Making appropriate clinical decisions at
the point of care informed by a Learning Health System Consolidates
and updates the Patients health history from all sites across the
continuum of care create a profile Profile includes the Patients
family heath history and DNA Develop search criteria based on
Patients profile including complaint, current tests, and
preliminary diagnosis Initiate search in millions+ of records to
match profile Return results from treatments and outcomes for 1,000
profile matches A decision support system organizes, prioritizes
and presents best treatment options at point of clinical decision.
Now we have 1,001 profiles for future reference Slide 20 Assisting
NCHICA members in transforming the US healthcare system through the
effective use of information technology, informatics and analytics.
HIPAA (not HIPPA ) Health Insurance Portability and Accountability
Act HIPAA contains a set of federal standards to protect the
privacy and security of patients' medical records and other health
information maintained by Covered Entities and now Business
Associates and their subcontractors. Enforcement activities as of
January 31, 2014 Since compliance date of April 2003: 91,721 HIPAA
complaints 85,612 resolved 21,148 through investigation and
enforcement 9,948 through investigation and finding no violation
53,516 closure of cases not eligible for enforcement Compliance
issues in order of frequency Impermissible uses and disclosures of
protected health information; Lack of safeguards of protected
health information; Lack of patient access to their protected
health information; Uses or disclosures of more than the minimum
necessary protected health information; and Lack of administrative
safeguards of electronic protected health information. Slide 21
Assisting NCHICA members in transforming the US healthcare system
through the effective use of information technology, informatics
and analytics. Business Associates [45 CFR 160.103] A business
associate is a person or entity that performs certain functions or
activities that involve the use or disclosure of protected health
information on behalf of, or provides services to, a covered
entity. Business associate services are: legal; actuarial;
accounting; consulting; data aggregation; management;
administrative; accreditation; and financial.
http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/businessassociates.html
Slide 22 Assisting NCHICA members in transforming the US healthcare
system through the effective use of information technology,
informatics and analytics. Business Associates Workshop Tentative
Agenda - June 5, 2014 at UNC-C Center City TIME TRACK 1TRACK 2
7:30-8:30 AM REGISTRATION AND CONTINENTAL BREAKFAST 8:30-9:30 AM
OPENING PLENARY: HIPAA Omnibus Obligations for BAs and Other
Subcontractors 9:30-9:45 AM BREAK 9:45-10:45 AM Vendor Management
Strategies What Does Satisfactory Assurances Really Mean? Beyond
SureCrypt Implementation of Safe Harbor Encryption Program
10:45-11:00 AM BREAK 11:00 AM-noon Compliance Strategies for Cloud
Providers in the Healthcare Space How to Link Risk Assessments to
Technology Investments 12:00-1:00 PM LUNCH 1:00-2:00 PM Using
Outside Counsel for HIPAA Compliance Providing Satisfactory
Assurances for External Audits: Understanding SSAE 16, FEDRAMP
& ISO 2:00-2:15 PM BREAK 2:15-3:15 PM Breach Response for BAs
Vendor Management Program (Policy) Pushing Requirements Down to the
Subcontract Level 3:15-3:30 PM BREAK 3:30-4:30 PM CLOSING PLENARY:
Compliance Management Process: What Does it Mean? 4:30 PM ADJOURN
Slide 23 Assisting NCHICA members in transforming the US healthcare
system through the effective use of information technology,
informatics and analytics. Questions ??? Contact: [email protected]
www.nchica.org
