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Charter - National Association of State Medicaid Directors

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Charter - National Association of State Medicaid Directors Powered By Docstoc
					           Multi State Collaboration for the Planning and Development
                    of State Medicaid Electronic Health Record
                   and Health Information Exchange Initiatives

May 21, 2007

This charter establishes a Multi State Collaboration of State Medicaid programs for the purpose of
advancing the successful development, implementation, and deployment of Electronic Health
Records and Health Information Exchange technology and to achieve the goals of Medicaid System
Transformation and Value-Driven Health Care Initiatives.

In January 2007, HHS Secretary Leavitt awarded grants totaling $103 million to State Medicaid
Programs to support Medicaid System Transformation projects. $61 million was awarded for
Electronic Health Record and/or Health Information Exchange Initiatives to 14 different state
Medicaid programs. To maximize the federal and state investment in EHR/HIE, the following states
have agreed to collaborate on EHR/HIE planning, development and implementation, share best
practices and lessons learned and where possible enter into joint ventures and partnerships that
maximize the financial and program leverage of the state Medicaid programs in implementing their
EHR/HIE initiatives.

       Alabama                        Washington D.C.                Hawaii
       Arizona                        Kentucky                       Michigan
       Connecticut                    Mississippi                    Texas
       Montana                        New Mexico                     West Virginia
       Wisconsin

Any other State Medicaid program paying the participation fee can join the Collaboration and
participate in the user groups, training, planning and development activities.

The National Association of State Medicaid Directors is proposing to host the Collaboration.
The Collaboration will serve as a focal point for Medicaid Directors and policy makers as they
develop their Transformation Grants. The Collaboration would not duplicate the services
currently provided eHi or other technology groups, but rather collaborate with them as they seek
to make improvements to the program.

A special project of the National Association of State Medicaid Directors, an affiliate of the
American Public Human Services Association, the Collaboration would benefit from the
resources of the Medicaid directors’ association as well as linkage with APHSA, the professional
organization of the chief state human services administrators. NAMSD provides staff leadership
to the Systems Technical Advisory Group between the Centers for Medicare and Medicaid

                          National Association of State Medicaid Directors
                             American Public Human Services Association
               810 First St. NE, Suite 500 ♦ Washington, DC 20002 ♦ (202) 682-0100
                                                                                          Page 1 of 4
Services and the states. In addition, APHSA also hosts the IT Solutions Management for Human
Services group and would facilitate sharing of information with that group.

The Collaboration will provide the following services to its members.

Information gathering and dissemination
The Collaboration would regularly report on important public policy developments that could
impact state programs. The Collaboration would provide to its members access to its existing
newsletter, Medicaid Monthly. A transformation grant web page would also be created with a
link off of both the NASMD webpage as well as the American Public Human Services page. In
addition, publications of interest to the Collaboration members would be routinely forwarded.

National Meetings
The Collaboration would have the opportunity to have sessions at a variety of meetings hosted
by the American Public Human Services Associations and the National Association of State
Medicaid Directors. Each of the groups has its own membership and audience and therefore the
Collaboration would be able to reach a large number of key decision makers at all points of state
and federal government.

Liaison with Federal Agencies and Partners
As part of NASMD, staff has frequent and on-going dialogue with the Centers for Medicare and
Medicaid Services. As the Collaboration develops, staff would help to facilitate dialogue
between CMS and the Collaboration members and would also alert Collaboration members of
changes that potentially could impact state efforts. NASMD staff will also provide Collaboration
members with updates on key federal initiatives that may impact their efforts. For example, as
consensus is developed on national quality standards that information would be shared with the
members of the Collaboration. Another example would be on NASMD’s efforts with respect to
Secretary Leavitt’s Four Cornerstones project. NASMD will continue to monitor the
administration’s efforts on the project and will help to provide the conduit for the exchange of
information between the administration and the Collaboration.

Liaison with Federal Lawmakers
A key role of the Collaboration is to ensure that to the extent possible, states will develop one
common approach to electronic records. Through the Collaboration, states will be able to share
best practices and lessons learned and where possible enter into joint ventures and partnerships that
maximize the financial and program leverage of the state Medicaid programs in implementing their
EHR/HIE initiatives. On behalf of the Collaboration, NASMD will educate federal policymakers
and partners of the Collaboration’s efforts.

The Collaboration members identified specific objectives during their first meeting.

Specific Objectives

Objective 1: To create a common set of Medicaid EHR/HIE specific functionality requirements that
can be used by states as specifications to build or buy electronic health record applications and/or
third party software.
                           National Association of State Medicaid Directors
                              American Public Human Services Association
                810 First St. NE, Suite 500 ♦ Washington, DC 20002 ♦ (202) 682-0100
                                                                                             Page 2 of 4
Objective 2: To create a common set of Medicaid specific EHR data standards and definitions for
master beneficiary index, master provider index, record locator, and Medicaid electronic health
record data architecture.

Objective 3: To jointly develop and/or share RFP documents, detailed data architecture
specifications and definitions, data maps, open source public domain software applications developed
for EHR/HIE, technical expertise, implementation plans, training materials, security and firewall
protection specifications.

Objective 4: To provide joint training and learning programs for management and technical staff
involved in EHR/HIE projects.

Objective 5: To foster opportunities for joint ventures, purchasing Collaborations and software
development initiatives between states to maximize the impact of federal grant awards.

Objective 6: Establish a Medicaid EHR/HIE steering group composed of state Medicaid Directors to
coordinate and encourage continuing development and deployment of EHR/HIE.

Objective 7: To meet with and advocate to CMS, ONCHIT, and other federal agencies involved in
EHR/HIE the needs of State Medicaid programs regarding funding, technical assistance, and
Medicaid policy guidance that would aid in the implementation of EHR/HIE in state Medicaid
programs.

Objective 9: To seek other grant and other funding sources to support this Collaboration and steering
and user group activities.

Collaboration Requirements

National Association of State Medicaid Directors (NASMD) will be the fiscal intermediary and
administrative support including web conferencing, document library, website, and meeting logistics
for this Collaboration and the steering and user groups that will be organized. NAMSD shall assign a
dedicated staff member to be the administrator for the Collaboration.

When necessary, NASMD would work to secure outside support for the project to provide technical
assistance, expert consultants, solicit grant and sponsorship funding, support user and work groups
with research information, arrange for speakers and presenters as requested, document lessons
learned and assist with communication between Collaboration members. One organization that has
already done work with the states and is recognized as a national leader is eHi. NASMD will work
to establish a relationship with eHi on behalf of the states.

Leadership of the Collaboration

The work of the Collaboration would be agreed upon by a Steering Committee. The Steering
Committee would be composed of one representative from each of the initial state invited to
participate in the start up Collaboration (up to 13 members). A member of the Steering

                         National Association of State Medicaid Directors
                            American Public Human Services Association
              810 First St. NE, Suite 500 ♦ Washington, DC 20002 ♦ (202) 682-0100
                                                                                           Page 3 of 4
Committee who serves on the NASMD Executive Committee will serve as a liaison between the
NASMD Executive Committee and the Collaboration board.

When additional states join the Collaboration, the Steering Committee would determine if they
should be offered a seat on the steering committee or just be allowed to participate in various
joint ventures sponsored by the Collaboration. The steering committee will be responsible for
achieving the objectives through creating the process for multi-state Collaboration and joint
actions. States that are a part of the Collaboration are encouraged, but not required to participate
in the steering committee.

State Medicaid Directors shall designate who shall participate on their behalf on the Collaboration
Steering Committee, user and work groups, joint planning and development activities, training
programs and seminars. The Steering Committee will be responsible for meeting and approving
Collaboration activities and assuring that objectives are met.

The initial founding members of the Collaboration shall be guaranteed a seat on the EHR/HIE
Steering Committee. The Steering Committee may add additional members to the committee by
agreement of two-thirds (2/3) of the steering committee members.

Any State Medicaid program may participate in user groups; joint planning and development
sessions, training, and seminars sponsored by the Collaboration. The Steering Committee may
establish event participation fees for non-members.

Resources
Each participating founding state Medicaid program shall contribute a minimum of $10,000 for
participation in the Collaboration to NASMD. States may contribute more at their discretion to
support the goals of the Collaboration. Any state that joins the Collaboration after the initial
convening of the Steering Committee may join for a membership fee of $25,000.

NASMD shall seek other grant funds and sponsorships as approved by the Collaboration Steering
Committee.

For further information and discussion on this project, please contact Martha Roherty, Director,
National Association of State Medicaid Directors, 810 First Street, N.E., Suite 500, Washington,
DC 20002, 202-682-0100, mroherty@aphsa.org.




                         National Association of State Medicaid Directors
                            American Public Human Services Association
              810 First St. NE, Suite 500 ♦ Washington, DC 20002 ♦ (202) 682-0100
                                                                                            Page 4 of 4

				
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