Health Information Technology Statewide Plan December 2012

Jim Leonard, Deputy Director MaineCare,

Director, Office of the State Coordinator for Health Information Technology

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Dawn R. Gallagher, Esq.

Program Director HIT

Office of the State Coordinator HIT

Maine’s Collaborative Approach for HIT

2009 Health Information Technology for Economic and Clinical Health Act (HITECH)

Allowed states to establish an Office of the State Coordinator (OSC)o Maine’s OSC coordinates Health Information Technology including health care data

systems o Maine’s framework is HealthInfoNet company operating Health Information Exchange

(HIE) of Provider clinical information.

Established a federally administered payment program run by CMS for Medicare providers and hospitals

Established a state-administered Medicaid Health Information Technology Program o MaineCare’s program, under the OSC, provides incentive payments for Medicaid

providers and hospitals under the Meaningful Use Programo Promotes national and state vision and goals

Provider Type No. Year 1 No. Year 2 Totals

Hospital 36 $18,682,523 12 $5,264,132 $23,946,655

Professionals 1,690 $35,855,836 654 $5,559,000 $41,414,836

      Total $65,361,491

Meaningful Use Incentive Payments October 1, 2011 – December 15, 2012

HiTech Strategy in Maine

1. Office of the State Coordinator for HIT 2. Functional HIE Private-Public Partnership3. State Medicaid HIT Plan Leveraging Federal Resources to Improve Quality

through Meaningful use.4. CHIPRA Grant – Improve Reporting and Quality of care for Children (IHOC)5. Bangor Beacon Program –Demonstration Using Care Management and HIT

leading to Pioneer Project6. Regional Extension Center – Provide Technical Support and help Providers Reach

Meaningful Use.7. HIT Workforce Development – KVCC8. Telehealth9. Broadband

Our Vision: A Statewide Coordinated and Connected Healthcare Community

The “H” in HIT • Patient-centric design

• Disparate IT systems are unified through a shared information architecture

• Collaborative Care Model

• All providers have access to complete, up-to-date patient information with patient consent

Physicians Physicians

& Staff& Staff

HospitalsHospitals

PharmaciesPharmacies

Diagnostic Diagnostic LabsLabs

PatientsPatients

Public Public HealthHealth

Immediate priorities1. Increase Providers in the HIE 2. Increase Usage of the HIE data 3. Expand Access to health care data for cost, quality and

improved health outcomes

Conceptual Approach to Meaningful Use and HIE

2011

2013

2015

 

VISION

A Nation in which the health and well-being of individuals and communities are improved by health information technology.

GOALS

· Ensure that appropriate information to guide medical decisions is available at the time and place of care; · Improve health care quality, reduce medical errors, and advance the delivery of appropriate, evidence-based medical care;  • Reduce health care costs resulting from inefficiency, medical errors, inappropriate care, and incomplete information; · Promote a more effective marketplace, greater competition, and increased choice through the wider availability of accurate information on health care costs, quality, and outcomes; · Improve the coordination of care and information among hospitals, laboratories, physician offices, and other ambulatory care providers through an effective architecture for the secure and authorized exchange of health care information; · Ensure that patients' individually identifiable health information is secure, protected, and available to the patient to be used for non-medical purposes, as directed by the patient.  

OFFICE OF THE NATIONAL COORDINATOR

VISION

 Preserving and improving the health of Maine people requires a transformed patient centered health system that uses highly secure, integrated electronic health information systems

to advance access, safety, quality, and cost efficiency in the care of individual patients and populations.

2015 GOALS   

Goal 1: All people in Maine will be cared for by health care providers who share electronic health and health-related information securely within a connected health care system using standards-based technologies that promote high quality individual and population health. Goal 2: All people in Maine will have access to a flexible comprehensive consumer centric lifelong health record- “One Person One Record.” Goal 3: Electronic health information will be used by the State Coordinator for Health Information Technology to develop appropriate public and private policies throughout the health care system to promote evidenced based, clinically effective, and efficient care for all people.

MAINECARE HIT VISION

A Medicaid program that employs secure electronic health information technology to provide truly integrated, efficient, and high quality health care to MaineCare Members, and to improve health outcomes . 

MAINE OFFICE OF STATE COORDINATOR 

DISCUSSION

ACCOMPLISHMENTS 2010 – 2012

FILLING THE GAPS TO GET TO THE END GAME 2013 – 2014

Web Resources for Additional Program Information

Information about the Incentive Programs, including Registration and Meaningful Use

http://www.cms.gov/EHRIncentivePrograms/

CMS EHR Incentive Program Website

Information specific to Maine’s EHR Incentive Program

http://www.maine.gov/dhhs/oms/HIT/index.html

MaineCare HIT Webpage

Information about Statewide HIT Initiatives

http://www.maine.gov/hit/

State HIT Webpage