2008_SCI_Summer_Meeting_HIT-Onizuka.ppt - State Coverage by qingyunliuliu

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									      Washington State
     Health Record Bank
        Pilot Project

           August 1, 2008


     State Coverage Initiatives
          National Meeting



Washington State Health Care Authority
          Richard Onizuka, PhD, Executive Sponsor
                       Health Record Bank Project
                                               1
                 The Problem

• Scattered records:
   – Ineffective information sharing
   – Cumbersome, expensive, and fallible
   – No mechanism to collect and consolidate
     information

• No responsible institution or entity that:
   – Securely stores complete electronic health
     care records
   – Provides personal health care information
     when and where needed
   – Creates value through storage of electronic
     health care records for patients and providers
                                                  2
              Health IT Efforts

• SSB 5064: Health Information
  Technology
  – Health Record Banking
  – Roadmap for State Action
• Senate Bill 5930: Section 10
  “An act relating to providing high-quality,
  affordable health care to Washingtonians based
  on the recommendations of the Blue Ribbon
  Commission on Health Care Costs and Access.”
  - Health information infrastructure
  - Consumer-centric health record banking
• Goal:
                                                   3
  – Deliver health information – when and
        Washington State Vision

• Consumer engagement and activation
  – Help patients
     • Manage their health information
     • Navigate the delivery system
     • Prepare for office visits with their
       provider
     • Become more knowledgeable health care
       partners
• A mechanism to facilitate health
  information sharing
  – Health Record Bank (HRB) is health
    information sharing focused on consumer
    management of information
  – HRB supports industry health information
                                               4
    exchange
            Consumer-Centric
           Health Record Banks
• “Proof of Concept” Pilot
  – Consumer managed
  – Secure, private, and confidential
  – High-value data set
  – Repository for “copies” of clinic health care
    information
  – Partnerships in use of innovate disruptive
    technology



                                                    5
   Disruptive Technology Goal
• Shift from institution based ( Û$) care to
  community based care

• Information empowers consumers

• Empowered consumers drive transformational
  change

• Transformational change improves: safety,
  quality, efficiency


                                               6
        Consumer and Health Industry
                Information

HRB - Consumer                                           Health Industry
 managed info                                             managed info
                      Consumer requests COPY of info
                      sent from industry source to HRB
- COPY of                                                -EMR
  clinical health
  care data                                              -Claims data
                                                         -Meds
- Edit capability
                     Consumer authorizes view by or
  with data copies                                       -Labs
                       COPY of info to health care
                           provider/industry
- Self-entered                                           -Other
  data




                                                                        7
              HIIAB* + AccessMyHealth.org –
                        Our Roots




            *Health
            Information
            Infrastructure
            Advisory Board +
                               July 2008
            HCA responsible
            for subsequent     through June
            state action.      2009:
                               $2 million in
SSB 5064                       grants* for two to
2006 law led to                four regional pilot
series of                      projects.
recommendations
for health IT in               hac.wa.gov/hit
Evergreen State
          Access MyHealth.org –
           Our Elevator Speech
• AccessMyHealth.org is a partnership of
  Washingtonians – patients, doctors, and others
  – that will be exploring ways to improve
  patients’ access to their personal health
  information.


• AccessMyHealth.org is supporting the
  concept of secure online personalized health
  records to help you gather and store your
  health information to share with your doctors,
  family members, and others.


                                                   9
                Pilot Approach


• Key policy objectives for pilots:
   – Operational by 1/09
   – Pilot methods to drive adoption/usage of
     HRBs
   – Use of information to “activate” consumers
   – Consumer access to and management of
     clinical health information
   – Heath information sharing between HRB and
     industry information sources

• State policy questions pertaining to
  HRBs:
   – Impact on health disparities, special
     populations, public health              10
          Access MyHealth.org –
       Three Surveys / Future Vision
• Three online surveys:
  1) Consumer focused. Started June 1st .
  2) Privacy and security focused. Starts in July.
  3) Follow-up on previous surveys. Starts
     August 1 st.
• Future Vision:
  1)    Help patients become knowledgeable
        partners/advocates
  2)    Ombudsman role: provide
        unbiased/impartial information
  3)    Education role: teach the benefits of
        informed patients partnering with doctors
  4)    Be the magnet for and about online health
        records in WA
  5)    Provide voluntary certification/seal of      11
        approval
          Next Steps for HRB Pilot

Estimated Time
Frame          Major Task                 Status
2/08 –4/08       Finalize pilot specs     Completed
5/08 –7/08       Solicit/evaluate pilot   Released
                 applications
7/08 – 8/08     Pilot selection
          Pending
8/08 – 12/08    Pilot build
          Pending
1/09 –6/09       Pilot implementation
                 and assessment           Pending

   Questions? Contact Juan Alaniz, Project Manager
                                                12

								
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