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					    Arizona Health Query

Health Information Technology in Rural Arizona
  HIT Resources for Rural Health Providers
             November 14, 2005

                Elizabeth McNamee
            St. Luke’s Health Initiatives
Overview

        National HIT Context

           Local HIT Context

        Arizona Health Query

      Alignments & Implications

     Challenges & Opportunities
             Discussion
   National HIT Context

    Local HIT Context

   Arizona Health Query

 Alignments & Implications   National

                               Local
Challenges & Opportunities    AzHQ
        Discussion           Alignment

                             Discuss
National HIT Context
ONCHIT Initiatives: Office of National Coordinator for
                    Health Information Technology
Inform & Interconnect clinicians
Personalize Care
Improve Population Health



RHIOs:         Regional Health Information Organizations
Support State & Regional Projects
Harmonize Business and Privacy Rules in HIT


                                                           National
                              Doctor’s Office Quality
CMS DOQ-IT:                   Information Technology         Local
Foster Adoption of
Electronic Health Records                                   AzHQ
Physician Offices & Clinics                                Alignment

                                                           Discuss
ONCHIT: Goals & Strategies
       Interconnect                          Inform
         Clinicians                         Clinicians
• Regional collaboration           • Share investment in EHRs
• Develop common standards         • Certify EHR
• Align public & private sectors   • Allow rural access to EHRs

        Personalize                       Improve
           Care                       Population Health
• Encourage use of EHRs            • Unify public health surveillance
                                                                        National
• Inform consumer choice           • Streamline health monitoring
                                                                          Local
• Promote Telehealth systems       • Faster Science to Practice
                                                                         AzHQ

                                                                        Alignment

                                                                        Discuss
Quality Initiatives
                          CMS
                   Health Care Quality
                     Demonstration

                                    National Quality
        Ambulatory Care
                                         Forum
        Quality Alliance
                                      Safe Practices

        Rewards for                   Institute for HC
          Quality                      Improvement
  Leapfrog, Bridges to Excellence   100,000 Lives Campaign   National

                                                               Local


 Health Information Technology                                AzHQ

                                                             Alignment

                                                             Discuss
Local HIT Context
AZ Health-E Connection
Governor’s Electronic
Healthcare Initiative



                                   RHIO
                        Local Organizations
                  Arizona Interest & Activity


                                                National
AzHQ                                              Local
Arizona Health Query, Formerly M-HIP
Since 2003                                       AzHQ

                                                Alignment

                                                Discuss
Arizona Health Query (AzHQ)
Develop and implement a
community health data system for
assessing the health status and
health care needs of the state and to
inform decisions regarding:

 Clinical Practice
                                        National
       Quality Initiatives
                                          Local
     Health Status and Access            AzHQ

                    Population Health   Alignment

                                        Discuss
AzHQ History
Foundation: Yuma Project
   • Rural Roots
   • Community of implicit trustproject thrived


  Phase 1 2002-2003
         • Feasibility at greater scale


      Phase 2 2003-2004
               • Design & Development of Data
               • Recruitment of Public Data Partners
                                                                   National

                                                                     Local
             Phase 3 2004-2005
                                                                    AzHQ
                       • Complete Data Warehouse Construction
                       • Recruitment of Additional Data Partners   Alignment
                       • Develop Standard Reports
                                                                   Discuss
AzHQ Data Partners
       Current              Under Discussion
• Public Organizations      •   Hospitals Systems
• Hospitals Systems (8)     •   Maricopa RBHA
• Yuma RBHA                 •   Labs
• Community Health          •   Health Insurance Plans
  Centers (23)              •   Employers
• Physician Groups (4)      •   CMS Regional
• Urgent Care Centers (3)                            National

                                                      Local

                                                      AzHQ

                                                    Alignment

                                                     Discuss
AzHQ Research

   In Progress           Complete
• Physician Workforce   • Urgent Matters
• Chronic Conditions    • Home Health
  Among Children          Discharge Feasibility
• Health Status &       • Agricultural Burning
  School Achievement      Health Impact to
• Health Disparities      Cross-Border          National

• Health Planning         Community              Local

• Safety Net Update     • Mental Health          AzHQ
                          Utilization Query
                                                 Alignment

                                                  Discuss
AzHQ Challenges

  Maintaining
      Focus
    Aligning
  Objectives
  Leveraging      National

   Statewide        Local

                   AzHQ
  Resources       Alignment

                  Discuss
AzHQ Alignment Nationally
National Effort         AzHQ Alignment

                          AZ-driven proposals
Strategic Framework      to develop prototypes
 For National Health       for HIN to expedite
  Info Infrastructure   provider interoperability

                           Statewide Efforts
       RHIOs                   Evolving

                                                    National
                          Same Goals: Inform &
      ONCHIT            Interconnect Physicians,      Local
                           Personalize Care, &
                                                     AzHQ
                             Improve Health
                                                    Alignment

                                                    Discuss
AzHQ Alignment Locally
Local Effort          AzHQ Alignment


 Regional Health          Opportunity:
Quality Improvement    Expand Utility of AzHQ
      Initiative


                            Potential Link:
                      Facilitate the Submission
Health-E Connection         of Clinical Data
                                in AzHQ           National

                                                    Local

                                                   AzHQ

                                                  Alignment

                                                  Discuss
Discussion


             additional
             Challenges
             and
             Opportunities   National

                               Local

                              AzHQ

                             Alignment

                             Discuss
Inquiries
            St. Luke’s Health Initiatives

            2929 North Central Avenue
            Suite 1550
            Phoenix, Arizona 85012

                              602.385.6500


                        Elizabeth McNamee
               elizabeth.mcnamee@slhi.org

				
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