Project Proposal for Health Care by yxa20767

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									                                            Washington State ARRA/HITECH Proposals
                                                                  As of: July 24, 2009

                                                         DRAFT - Proposal Summary
                                                              Totals by Funding Area

                                                         TOTAL                           STATE AGENCY              OTHER

                                                    Count           Dollars              Count        Dollars   Count      Dollars
EHR Adoption Loan Program (EHR)                        10        14,550,250                  3      2,400,000       7   12,150,250
HIE Planning and Development (HIE)                     36        68,773,063                 12     20,010,338      24   48,762,725
Regional Extension Centers (REC)                        3         1,400,000                  0              0       3    1,400,000
Telehealth/Telemedicine (TELE)                          9         1,568,850                  2        678,850       7      890,000
Workforce Training (WFTRAIN)                            6         4,343,890                  0              0       6    4,343,890

                                    TOTAL                64      90,636,053                  17    23,089,188      47   67,546,865


Seven HIE Proposals has TBD Funding or was left blank.
One major REC proposal (#30) has TBD funding.
One WFTRAIN proposal has TBD funding.
Five TeleHealth/TeleMed proposals has TBD funding.

One proposal (#19) appears to be for information only.

Several proposals span more than one funding area. In these cases, the primary funding area was used.
                                                                               Washington State ARRA/HITECH Proposals
                                                                                                  As of: August 19, 2009

             ORGANIZATION                           CONTACT                AREA    FUNDING              TITLE/NAME                                    OTHER                                        COMMENTS
1 Center for Public Health Informatics;      Sherrilynne Fuller, Ph.D.                         Northwest Public Health             CPHI: Promoting Health Information              Appears to be for informational use only.
  School of Public Health University of                                                        Information Exchange (NW-           Exchanges for Quality Individual and Population
  Washington                                                                                   PHIE)                               Health through Research, Technology
                                                                                                                                   Development, Training and Workforce
2 Behavioral Health Resources                John P. Masterson           EHR       2,849,250   Collaborative EHR Initiative (for   Partner Organization:                               Funding for EHR acquisition and
                                                                                               HIE)                                Valley Cities Counseling and Consultation           implementation. 300,000 matching funds
                                                                                                                                                                                       available. Proposer cites Section 3013 (REC).
                                                                                                                                                                                       Proposer could be a potential REC client.
                                                                                                                                                                                       Perhaps Section 3014 (EHR Adoption Loan
                                                                                                                                                                                       Program) should be considered.

3 Cascade Valley Hospital & Clinics          Ralph Hill                  EHR       3,000,000   Community EMR Program               Project is to implement EMR in Hospital             Cascade Valley Hospital is in the process of
  (Snohomish County Public Hospital                                                                                                District’s seven outpatient clinics; support EMR    selecting a consultant to help in selection EMR
  District #3)                                                                                                                     adoption in private clinics within parameters of    vendor. Plans are to begin implementation in
                                                                                                                                   Stark regulations; and provide connectivity         2010 and have the EMR in use by 2011.
                                                                                                                                   among clinics, the Hospital, and other health       CVHC will be providing ongoing funding for
                                                                                                                                   providers.                                          operations.
4 Christian Health Care Center (aging        J.D. Harrison               EHR       15,000      Wireless Health Record Project-                                                         Adds 8 wireless access points to existing
  Services of Washington)                                                                      CHCC                                                                                    network. Consider Section 3011 bucket as
5 Columbia County Health System              Justin Jorgensen            EHR       60,000      “E H R Project”                     Columbia County Health System is actively and       Critical Access Hospital. Funds are for
                                                                                                                                   aggressively pursuing the purchase of a certified   infrastructure to support an EHR for the
                                                                                                                                   EHR. This project is not part of a regional         hospital district. Estimated total cost is
                                                                                                                                   extension it is simply for this Hospital District   800,000 - considering special tax levy request.
                                                                                                                                   only.                                               Possible ARRA buckets in addition to EHR
                                                                                                                                                                                       loan program are HIT Infrastructure
                                                                                                                                                                                       Strengthening (Section 3011) and HRSA (Title
                                                                                                                                                                                       VIII). Proposer anticipates requesting REC

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                                                                                 Washington State ARRA/HITECH Proposals
                                                                                                  As of: August 19, 2009

            ORGANIZATION                           CONTACT                AREA   FUNDING           TITLE/NAME                                  OTHER                                      COMMENTS
6 North Central Washington Health            Barbara Engstrom          EHR      4,800,000 NCW FIT For Health (North        Partners:                                      Critical Access Hospitals. Funds are for full
  Collaborative                                                                           Central Washington Furthering    · Lake Chelan Community Hospital (Fiduciary EHR acquisition and implementation and HIE
                                                                                          Information Technology for       Party/Lead)                                    between themselves and associated clinics and
                                                                                          Health)                          · Okanogan Douglas District Hospital, Brewster FQHCs. Goal is to reach meaningful use level.
                                                                                                                           · North Valley Hospital, Tonasket              Also want patient access, upon request.
                                                                                                                           · Mid Valley Hospital, Omak                    Proposer specifies Section 3016 (Medical
                                                                                                                           · Ferry County Memorial Hospital, Republic     Health Informatics). May want to consider
                                                                                                                           · Cascade Medical Center, Leavenworth          Section 3014 (EHR Adoption Loan Program)
                                                                                                                                                                          and ARRA Title VIII (HRSA). Matching
                                                                                                                                                                          funds from hospital's capital budgets.
                                                                                                                                                                          Sustaining funds from hospital's operating

7 North Valley Hospital District             Ken Radford               EHR         1,300,000   EMR Implementation          3. Project Description
                                                                                                                           a. Continue to develop Electronic Clinical
                                                                                                                           Documentation, dictation and decision making
                                                                                                                           b. Continue to incorporate and develop ancillary
                                                                                                                           departments into our EMR
                                                                                                                           c. Add computerized physician order entry
                                                                                                                           d. Add medication verification administration
8 Washington State Consortium                Rains, Harold             EHR         1,994,000   Electronic Health Record    Participants:                                      WSC consists of 26 providers of behavioral
                                                                                               Implementation              · Clark County Regional Support Network            health care to Medicaid, underinsured, and
                                                                                                                           · Chelan/Douglas Regional Support Network          uninsured clients. Proposer indicates
                                                                                                                           · Grays Harbor Regional Support Network            requesting support under Section 3012 (REC).
                                                                                                                           · Southwest Regional Support Network               The proposer could be a client vs a provider of
                                                                                                                           · Timberlands Regional Support Network             REC services. Other buckets to consider are
                                                                                                                                                                              Sections 3014 (EHR Loan) program, and
                                                                                                                                                                              HRSA ARRA Title VIII funds. Sustaining
                                                                                                                                                                              support anticipated from provider operating

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                                                                                  Washington State ARRA/HITECH Proposals
                                                                                                    As of: August 19, 2009

           ORGANIZATION                        CONTACT                     AREA  FUNDING           TITLE/NAME                                 OTHER                                              COMMENTS
9 Benton-Franklin County Medical Society David Roach                   HIE      TBD      Tri-City - Local Information  In late 2007, a representative physician from the      A Committee was formed and the name Tri-
                                                                                         Network Cooperative (TC-LINC) Benton-Franklin County Medical Society                 City – Local Information Network Cooperative
                                                                                                                       (represents ~ 400 physicians) requested an             (TC-LINC) was selected as the "activity"
                                                                                                                       initiative in the Tri-Cities to improve the            reference, not a legal company name. The
                                                                                                                       physicians access to regional patient information.     Committee of IT Management & Compliance
                                                                                                                       In particular, this should include access to patient   Directors for the 3 hospitals, several physicians
                                                                                                                       information contained at the 3 area hospitals          & several volunteer community residents met
                                                                                                                       (Kadlec Regional Medical Society, Kennewick            monthly to define the goals, select a vendor, &
                                                                                                                       General Hospital, & Lourdes Medical Center),           begin contract negotiations. We selected the
                                                                                                                       and several of the large physician Clinics. It         Noteworthy (previous ChartConnect)
                                                                                                                       should aslo access the ChartConnect EMR                application for the EMR & IHE model for TC-
                                                                                                                       application (now Noteworthy) used at many of           LINC. Currently working through some
                                                                                                                       the smaller physician practices in the region.         Governance, Compliance, & Contractual
                                                                                                                                                                              issues. The arrival of the ARRA bill has slowed
                                                                                                                                                                              down the TC-LINC activity, as each hospital is
                                                                                                                                                                              performing their due dilegence and an
                                                                                                                                                                              assessment of the impact of this Act as it
                                                                                                                                                                              relates to this initiative.

10 Blood Bank Computer Systems, Inc.         Tom Metcalf               HIE           950,000     Patient data integration between   Collaborating Organizations               Stated as shovel ready with sustaining funds
                                                                                                 Hospitals and Non-Profit Blood     · Puget Sound Blood Center–Seattle        not applicable at this time.
                                                                                                 Banks/Centers                      · Inland Northwest Blood Center–Spokane
                                                                                                                                    · Cascade Regional Blood Center–Tacoma
11 Columbia Medical Associates               Brian Napora              HIE           850,000     ColumbiaCare Medical Home HIE                                                CMA is a group of 50 primary care providers
                                                                                                 Initiative                                                                   representing 300,000 patients in Eastern
                                                                                                                                                                              Washington. Funds are to expand the HIE
                                                                                                                                                                              infrastructure to more regional providers over a
                                                                                                                                                                              14-month period. Business model projects
                                                                                                                                                                              break-even point by middle of third year of
12 Community Choice                          Jesus Hernandez           HIE           800,000                                                                                  Anticipated 15% match plus in-kind.

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                                                                                 Washington State ARRA/HITECH Proposals
                                                                                                 As of: August 19, 2009

            ORGANIZATION                        CONTACT                     AREA  FUNDING           TITLE/NAME                                     OTHER                                               COMMENTS
13 Community Health Network of           Russell Sarbora                HIE      1,039,500 The Behavioral Health                Major Participants                                     259,875 match. Cost savings anticipated to
   Washington / Community Health Plan of                                                   Information Exchange                 · University of Washington Department of               provide sustaining funds.
   Washington                                                                                                                   Psychiatry
                                                                                                                                · Public Health Seattle & King County Comm.
                                                                                                                                Partnerships Prog.
                                                                                                                                · Community Health Network of Washington
14 Cooperative Consoritum of Several          Marc Stern MD, MPH        HIE        1,560,938   The WA Correctional Health                                                              Additional funding of 390,234 identified. Cost
   Organizations and the Jail, Community                                                       Information Exchange: -A HIE                                                            savings to connected entitites and county sales
   Health Center, and Community Mental                                                         Proposal for Washington State                                                           tax surcharges are potential sources of
   Health Centers in Several Counties.                                                         Correctional Facilities and                                                             sustaining funds.
                                                                                               Community Health Providers
15 Inland Northwest Health Services           Jac Davies                HIE        TBD         Creating Comprehensive
                                                                                               Electronic Health Information
                                                                                               Exchange in Eastern Washington

16 INHS/CHNW                                  Tom Fritz/Russel Sarbora HIE                     INHS-CHNW Health Information                                                            Goal
                                                                                               Exchange – An Inland Northwest                                                          Both INHS and CHNW see potential for
                                                                                               Health Services and Community                                                           collaboration as they continue to expand their
                                                                                               Health Network of Washington                                                            respective HIE’s and are interested in:
                                                                                               joint venture.                                                                          • Creating a bridge to their respective HIE’s
                                                                                                                                                                                       that will support bi-directional communication
                                                                                                                                                                                       between any end-node in one network to any
                                                                                                                                                                                       end-node in the other network.
                                                                                                                                                                                       • Building a new connector to personal health
                                                                                                                                                                                       record services such as Microsoft HealthVault
                                                                                                                                                                                       and GoogleHealth to explore the benefits of
                                                                                                                                                                                       sharing appropriate patient data with

17 King County Public Hospital District #4, Kim Witkop                  HIE        141,000     CLINIC EMR PROJECT               Project is HIE, to extend present hospital EMR to
   Snoqualmie Valley Hospital                                                                                                   Hospital District’s five outpatient clinics. It will
                                                                                                                                provide Medical Home connectivity by allowing
                                                                                                                                outpatient clinics to share EMR and patient
                                                                                                                                information with each other and with the hospital.

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                                                                                 Washington State ARRA/HITECH Proposals
                                                                                                   As of: August 19, 2009

            ORGANIZATION                            CONTACT                AREA  FUNDING          TITLE/NAME                               OTHER                                                     COMMENTS
18 Kitsap County EMS Consortium              Scott Isenman             HIE      975,440  Kitsap County ePCR Deployment Potential Participating Organizations:                       HIE for EMS providers. Proposer cites the
                                                                                                                       Fire Districts:                                              EHR Adoption Loan Program (Section 3014)
                                                                                                                       · Bremerton Fire Department                                  as an additional potential program funding
                                                                                                                       · Poulsbo Fire Department                                    source. Funding is for items such as licenses,
                                                                                                                       · Bainbridge Island Fire Department                          mobile devices, cell service, training, and
                                                                                                                       · North Kitsap Fire & Rescue                                 labor. Sustainment anticipated to come from
                                                                                                                       · Central Kitsap Fire & Rescue                               participant operating budgets and possible
                                                                                                                       · South Kitsap Fire & Rescue                                 offsets from ePCR automated billing.
                                                                                                                       Transport Agencies:
                                                                                                                       · Bainbridge Island Ambulance Association
                                                                                                                       · Olympic/Bremerton Ambulance
                                                                                                                       Health Information Exchange Sponsor:
                                                                                                                       · Harrison Medical Center
                                                                                                                       ePCR Vendor:
                                                                                                                       · ESO Solutions

19 Living Care Retirement Community          Dennis Malgesini          HIE          TBD         Rural Health Information          Major participants would be:                       Mentioned both Sections 3011 and 3013.
   (aging Services of Washington)                                                               Exchange                          · Hospitals                                        Anticipate sustaining funding from proprietary
                                                                                                                                  · Ancillary Providers                              software firms.
                                                                                                                                  · Long-term Care
                                                                                                                                  · EMS
                                                                                                                                  · Physicians in rural hospital districts (begining
                                                                                                                                  in the Yakima Valley & Whatcom County)

20 Madigan Army Medical Center               COL Keith Salzman M.D. HIE             1,038,000   PHR Phase II                      Federal (DoD) program. Specific HITECH
   (MAMC), Ft. Lewis, WA                     MPH                                                                                  funding program area not specified.
                                             Rick Barnhill

21 Medical Information Network-North         Mark Quenneville          HIE          5,000,000   HIE/EHR Introduction for Skagit   Collaborative Effort By:                          Project already started. Have WHIC grant.
   Sound (MIN-NS) - 501C3 Non-Profit                                                            County as part of a regional      · Skagit Valley Hospital                          Proposer also cites EHR Loan Program
   Corporation                                                                                  implementation coordinated with   · Island Hospital                                 (Section 3014), Workforce Training Grants
                                                                                                Whatcom, Snohomish, Island and    · United General Hospital                         (Sections 3015 and 3016) and REC (Section
                                                                                                San Juan Counties to serve the                                                      3012). Business model for sustainment under
                                                                                                communities of Northwest Puget                                                      development.

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                                                                                     Washington State ARRA/HITECH Proposals
                                                                                                   As of: August 19, 2009

              ORGANIZATION                           CONTACT              AREA  FUNDING             TITLE/NAME                                    OTHER                                       COMMENTS
22 Navos                                      Lisa Trigg, Ph.D., ARNP HIE      3,100,000  Community Collaborative Care       Proposer specifies funding under Section 3012
                                                                                          Plans for Persons with Serious and (REC). Recommend considering Section 3013
                                                                                          Persistent Mental Illness          (HIE Planning and Development) and ARRA
                                                                                                                             Title VIII (HRSA) funding programs.
23 Public Health-Seattle & King County        Dorothy Teeter          HIE      3,000,000- PHISI - Partnership for Health     Major Participants:                              Funds spread over 5 years are for a web-based
   (PHSKC)                                                                     4,000,000  Improvement Through Shared         · City of Seattle                                HIE targeting initially the King County safety
                                                                                          Information, a King County Safety · United Way of King County                       net population. Proposer also cites Section
                                                                                          Net Exchange                       · WA State Dept. of Social and Health Services   3011 (HIT Infrastructure Strengthening) as
                                                                                                                             · * King County Executive's Office               possible source of funds. Anticipate the patient
                                                                                                                             · Harborview Medical Center1U.W. School of       will be at the center of the project. Matching
                                                                                                                             Medicine                                         fund sources identified, amounts not specified.
                                                                                                                             · The Foundation for Health Care Quality         Possible sustaining fund source - AHRQ.
                                                                                                                                                                              Estimate total project cost will be $7 million;
                                                                                                                                                                              most of that will likely be in-kind. So, project
                                                                                                                                                                              funding will be $3-4 million over 3 years
                                                                                                                                                                              (approx $1.3 million per year).

24 Puget Sound Blood Center                   Peggy Dunn                HIE (3011)     600,000   Blood Center Regional Health                                                 The funds are to extend the interface to all of
                                                                                                 Network                                                                      the hospitals within Western Washington and
                                                                                                                                                                              to expand the project to include laboratory test
                                                                                                                                                                              results and billing information. Proposer
                                                                                                                                                                              requesting funds under Section 3011 (HIT
                                                                                                                                                                              Infrastructure Strengthening). Perhaps should
                                                                                                                                                                              consider Section 3013 (HIE Planning and
                                                                                                                                                                              Implementation) as well. Use same software as
                                                                                                                                                                              INHS, so potential expansion to Eastern
                                                                                                                                                                              Washington would be facilitated. Sustainment
                                                                                                                                                                              from PSBC funds.

25 University of Washington Division of       Neil F. Abernethy, Ph.D. HIE             351,000   Monitoring and Optimizing                                                    This project will develop a database and model
   Biomedical and Health Informatics                                                             Organizational Network Formation                                             of healthcare stakeholder interactions to
                                                                                                 in Health Information Exchanges                                              monitor and guide the extension of HIE
                                                                                                                                                                              membership throughout the state of
                                                                                                                                                                              Washington. Funding covers 27 months.
                                                                                                                                                                              Potential matching funding sources identified.

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                                                                                  Washington State ARRA/HITECH Proposals
                                                                                                    As of: August 19, 2009

                                                          ‐              PROGRAM
              ORGANIZATION                           CONTACT                AREA  FUNDING              TITLE/NAME                                         OTHER                                             COMMENTS
26 UW Medicine Information Technology         Peter Tarczy Hornoch      HIE      750,000-1,- Integration of UW Medicine                                                                    Some alignment with HRB pilots. Proposer
   Services (ITS)                             MD, FACMI                          000,000     Amalga Data Repository and                                                                    additionally cites HITECH Sections 3003 (HIT
                                                                                             Patient Portal with Microsoft                                                                 Standards Committee), 13201 (R&D) & 3011
                                                                                             HealthVault and                                                                               (HIT Infrastructure Strengthening). Sustaining
                                                                                             Google Health PHR Platforms                                                                   funds from UW Medical Center & Harborview.

27 University of Washington                   Peter Tarczy-Hornoch      HIE          2,000,000   i2b2 (Informatics for Integrating   UW Institute of Translational Health Sciences         Link the i2b2 grid technology to the HIE
                                              MD                                                 Biology and the Bedside)            (ITHS);                           Connect gateway. The i2b2 Center is
                                                                                                                                                                                           developing a scalable informatics framework
                                                                                                                                                                                           that will bridge clinical research data & the
                                                                                                                                                                                           vast data banks arising from basic science
                                                                                                                                                                                           research in order to better understand the
                                                                                                                                                                                           genetic bases of complex diseases. This
                                                                                                                                                                                           knowledge will facilitate the design of targeted
                                                                                                                                                                                           therapies for individual patients with diseases
                                                                                                                                                                                           having genetic origins.

28 University of Washington Division of       Jim Tufano, PhD, MHA, HIE              500,000 -   Sociotechnical research of          Dr. Tufano has discussed some preliminary ideas       Deliverables:
   Biomedical and Health Informatics          Acting Assistant Professor             1,500,000   meaningful use                      about a program of sociotechnical research aimed      1. Library of "meaningful HIE use" use case
   and Research Associate Group Health        (ef 10/1/09)                                                                           at identifying and modeling meaningful HIE-           models;
   Research Institute (formerly Center for    jtufano@u.washington.ed                                                                specific HICT use cases that have emerged in          2. Library of descriptive case studies that
   Health Studies)                            u                                                                                      participating medical practices and facilities        profile the use case model development and
                                                                                                                                     throughout the state. This work would build on        implementation histories at each of the relevant
                                                                                                                                     his continuing research that focuses on the role of   medical practice/facility "reference
                                                                                                                                     informatics and HICT in Group Health's                implementation sites"
                                                                                                                                     implementation of the Patient-Centered Medical        3. Implementation guidelines and workshop
                                                                                                                                     Home.                                                 collatoral/print materials intended to support
                                                                                                                                                                                           local implementation efforts (e.g., materials
                                                                                                                                                                                           used to support facilitation of clinical
                                                                                                                                                                                           QI/practice redesign workshops at the medical
                                                                                                                                                                                           practice/facility level using Lean, BPR, or
                                                                                                                                                                                           other more generic QI methodologies)

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                                                                                 Washington State ARRA/HITECH Proposals
                                                                                                   As of: August 19, 2009

            ORGANIZATION                            CONTACT                 AREA  FUNDING           TITLE/NAME                                        OTHER                                             COMMENTS
29 Washington Healthcare Forum and            Rick Rubin                HIE      3,000,000 Common Hub for Secure Health           The project has not yet begun to recruit outside 1-1 match. Two-year period. Anticipate self-
   OneHealthPort                                                                           Information Exchange                   the Forum constituents. It is our intent to do so in sustaining service model similar to existing
                                                                                                                                  the near future. Major participants currently        OneHealthPort's existing HIE services.
                                                                                                This project is designed to help  include:
                                                                                                achieve HIE objectives in SB 5501 · The Everett Clinic
                                                                                                and HITECH                        · Swedish Health Services
                                                                                                                                  · Providence Health SystemPremera Blue Cross
                                                                                                                                  · Regence Blue Shield
                                                                                                                                  · Group Health Cooperative
                                                                                                                                  · First Choice Health Network
                                                                                                                                  · Virginia Mason
                                                                                                                                  · INHS
                                                                                                                                  · WSMA
                                                                                                                                  · WSHA
                                                                                                                                  · MultiCare

30 Washington State University College of Patricia Butterfield          HIE         TBD         Clinical informatics support for     Collaborative partner:                          Section 3016 funds for Clinical Placement and
   Nursing                                                                                      registered nurses in the Pacific and · Inland Northwest Health Services              Support System.
                                                                                                Inland Northwest: Promoting
                                                                                                patient survival and quality care

31 Western Washington Rural Health Care Elizabeth Floersheim            HIE         6,000,000   Bridging the Information           Collaborative partners:                           Funds to expand HIE to six additional Critical
   Collaborative (WWRHCC)                                                                       Technology Gap: Expanding a        · University of Washington Medicine               Access Hospitals and urban providers. Some
                                                                                                Rural Health Information           · Harborview Medical Center                       sources of in-kind matching funds identified.
                                                                                                Exchange                           · Other Rural Providers and Urban Referral

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                                                                                    Washington State ARRA/HITECH Proposals
                                                                                                     As of: August 19, 2009

             ORGANIZATION                           CONTACT                 AREA  FUNDING            TITLE/NAME                                             OTHER                               COMMENTS
32 Whatcom County Health Record Bank          Marc Pierson              HIE      TBD      Critical Patient Information                Potential Participating Organizations:   This project was originally funded in 2006, and
   and the Critical Junctures Institute at                                                Initiative (CPII) for Emergency             EMS Agencies                             subsequently unfunded during the budget crisis
   WWU                                                                                    Responders                                  · Whatcom County EMS                     of 2007. The goal of this project is to provide
                                                                                                                                      · King County EMS                        each person’s health information in the field
                                                                                                                                      · San Juan County EMS                    when needed by emergency responders. This
                                                                                                                                      Police Agencies                          project is shovel-ready and is strategically
                                                                                                                                      · Washington State Patrol                aligned with HITSP’s IS-04 Emergency
                                                                                                                                      Health Information Exchange Sponsor:     Responder – Electronic Health Record (ER-
                                                                                                                                      · Whatcom County Health Record Bank      EHR) Use Case to address electronic health
                                                                                                                                      Collaborative Partners:                  record system interoperability requirements as
                                                                                                                                      · Roadside Telematics Corporation        required by ARRA/ HITECH.

33 Whidbey General Hospital                   Nancy Brady               HIE           3,600,000   Network Infrastructure Expansion                                             Four projects proposed under programs 3011
                                                                                                                                                                               and 3013. Matching funds from Whidbey
                                                                                                  Clinical Documentation Upgrade                                               General Foundation. Sustaining funds from
                                                                                                  and Inpatient CPOE                                                           Whidbey General budget.

                                                                                                  Electronic Exchange of Health

                                                                                                  Electronic Patient Identification

34 Community Choice                           Jesus Hernandez           REC plus?     1,000,000                                                                                Anticipated 15% match plus in-kind.

35 Critical Access Hospital Network           Sue Deitz                 REC           400,000     Medical Home Demonstration                                                   Health Professionals Shortage Area, Medically
   (CAHN)                                                                                         Project                                                                      Underserved Area.

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                                                                                 Washington State ARRA/HITECH Proposals
                                                                                                 As of: August 19, 2009
             ORGANIZATION                           CONTACT                AREA   FUNDING          TITLE/NAME                                          OTHER                                      COMMENTS
36 Qualis Health                              Peggy Evans               REC      TBD      Qualis Health - Regional                Coordinating Efforts with:                    WHIC could be considered source of matchig
                                                                                          Extension Centers                       · Western WA Area Health Education Center     funds. Qualis and partners anticipated to
                                                                                                                                  · Area Health Education Center of Eastern     provide initial in-kind matching funds. For
                                                                                                                                  Washington                                    sustainment, Qualis will seek to market REC
                                                                                                                                  · Bellevue College for IT Excellence          services to permissible providers who can be
                                                                                                                                  · Rural Quality Health Network (RQHN)         charged fees.
                                                                                                                                  · Washington Association of Public Hospital
                                                                                                                                  · Whatcom County/St. Joseph Hospital
                                                                                                                                  · PTSO of Washington
                                                                                                                                  · INHS
                                                                                                                                  · John Christiansen IT Law

37 Community Health Network of                Abie Castillo             TELE        TBD       Expanding Access to Care for      Collaborators:
   Washington/Community Health Plan of                                                        Community Health Center Patients · Inland Northwest Health
   Washington                                                                                 (Telehealth)                      · University of Washington,Services (INHS)
                                                                                                                                · Department of Psychiatry and Behavioral
38 Inland Northwest Health Services           Jac Davies                TELE        TBD       Facilitating Care Management with
                                                                                              Health Information Technology

39 Inland Northwest Health Services           Jac Davies                TELE        TBD       Using Telemedicine to Deliver
                                                                                              Rehabilitation and Mental Health
                                                                                              Services to Rural Residents
40 Memorial Home Care Services                Carolyn Neiswender        TELE        190,000   Telehealth Monitoring               A Division of Yakima Memorial Hospital        Funding for replacement monitors, additional
                                                                                                                                                                                monitors and software interface. In-kind match
41 Providence St. Peter Hospital              Pat Putnam                TELE        700,000   Southwest Washington TeleStroke                                                   Proposer specifies Section 3011 (HIT
                                                                                              Network                                                                           Infrastructure Strengthening). May want to
                                                                                                                                                                                also consider ARRA Distance Learning,
                                                                                                                                                                                Telemedicine and Broadband Program.
                                                                                                                                                                                Sustaining funds from subscription fees from
                                                                                                                                                                                spoke hospitals as well as PSPH commitments.

42 University of Washington Telehealth        Cara Towle                TELE        TBD       Expansion of the K-20 Education
   Program                                                                                    Network to a K-20 for Health Care
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                                                                                    Washington State ARRA/HITECH Proposals
                                                                                                        As of: August 19, 2009

             ORGANIZATION                           CONTACT                AREA   FUNDING           TITLE/NAME                                            OTHER                                         COMMENTS
43 University of Washington Telehealth        Cara Towle                TELE     TBD      Development of clinical telehealth
   Program                                                                                services such as telepsychiatry,
                                                                                          teledermatology, and tele-pain
                                                                                          management services

44 Bellevue College, IT Center of             Patricia Dombrowsky       WFTRAIN         973,170      Washington Community &            Collaborative Partner: (On behalf of the 34      Section 3016 (Medical Health Informatics)
   Excellence                                                                                        Technical College HITECH          Washington Community & Technical Colleges)       program. Matching funds 500,000.
                                                                                                     Statewide Plan Project Proposal   · Allied Health Center of Excellence             Sustainment through enrollment.

45 Eastern Washington University              Ruth Galm                 WFTRAIN         370,720      Eastern Washington University     Information Technology Professionals in Health   277,240 under Section 3016 (277,500 match),
                                                                                                     (EWU) Health Informatics          Care and Integrate Information into Clinical     and 93,480 under Section 3015 (93,400
                                                                                                     Technology Education Project      Education ARRA Initiatives.                      match). Sustained by tuition/fees and state
                                                                                                                                                                                        operating funds.
46 Pacific Northwest University of Health     Gretchen Eickmeyer        WFTRAN -      1,300,000 to Furthering Rural Health Care
   Sciences                                                             Clinical      1,500,000    Access through PNWU’s Clinical
                                                                        Demonstration              Education and Health
                                                                                                   Information Technology (PNWU-

47                                            Amy Wilcox                WFTRAIN -        1,000,000   Mobile Simulation Lab             Collaborating with Gonzaga University            Will provide education and training for
                                                                        Training and                                                                                                    students and health care providers in rural areas
                                                                        Education (falls                                                                                                of WA
                                                                        under all)

   Providence Holy Family Foundation
48 University of Washington Division of                                 WFTRAIN         TBD          EHR in Medical School Curricula                                                    Place holder for possible Section 3015
   Biomedical and Health Informatics                                                                                                                                                    proposal.

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                                                                                  Washington State ARRA/HITECH Proposals
                                                                                                    As of: August 19, 2009

            ORGANIZATION                            CONTACT                AREA   FUNDING            TITLE/NAME                                       OTHER                              COMMENTS
49 Washington State University                Dennis Dyck               WFTRAIN  2,000,000 Establishing a translational            Collaborative partner:                Section 3015 funds plus R&D. Open professor
                                                                                           research and graduate education         · Inland Northwest Health Services    position could be considered part of match.
                                                                                           program for health informatics

             State Agencies
63 Washington State Department of             Ken Taylor                EHR           15,000,000 Upgrade Network Infrastructure MRTG Study plus EMR                       Would seek matching and sustainment
   Corrections                                                                                   and Implement Electronic                                                funds via a Decision Package to the
                                                                                                 Medical Record System,                                                  legislature.
                                                                                                 Remotely Hosted Public
                                                                                                 Domain Product
64 Washington State Department of             Ken Taylor                EHR            9,000,000 Upgrade Network Infrastructure MRTG Study plus annual estimated lease    Would seek matching and sustainment
   Corrections                                                                                   and ImplementElectronic        price of 1,000,000 for EMR               funds via a Decision Package to the
                                                                                                 Medical Record , Remotely                                               legislature.
                                                                                                 Hosted Leased Web Based
51 Washington State Department of             Jeff Kiper                EHR          2,400,000   Upgrade Network Infrastructure    MRTG Study plus EHRs.                 State Agency proposal for infrastructure and
   Veterans Affairs                                                                              and Implement Electronic Health                                         EHR implementation. Proposer specifies
                                                                                                 Record System                                                           Sections 3012, 3013 and 3014. Recommend
                                                                                                                                                                         additionally Section 3011 and ARRA Title
                                                                                                                                                                         VIII (HRSA). Section 3012(REC) may not
                                                                                                                                                                         apply. Would seek matching and sustainment
                                                                                                                                                                         funds via a Decision Package to the legislature.

58 Washington State Department of Health Bryant Karras MD               HIE          550,000     2010 Olympic disease analysis .                                         International surveillance data visualization.
                                                                                                                                                                         Funding could be procured for expansion of
                                                                                                                                                                         Cross-border pandemic preparedness and
                                                                                                                                                                         public health disease surveillance systems that
                                                                                                                                                                         have been in the planning phase between DOH
                                                                                                                                                                         and Canada, British Columbia to help with the
                                                                                                                                                                         monitoring of the public health issues
                                                                                                                                                                         surrounding the upcoming Olympics.

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                                                                                 Washington State ARRA/HITECH Proposals
                                                                                                    As of: August 19, 2009

            ORGANIZATION                       CONTACT                      AREA  FUNDING          TITLE/NAME                                        OTHER                                           COMMENTS
59 Washington State Department of Health Bryant Karras MD               HIE      550,000  Pandemic Flu Regional Data               UW Clinical Informatics Research Group            Collaborate with UW to develop regional
                                                                                          Visualization                                             views of infuenza like illness in the various
                                                                                                                                                                                     geogaphic areas of WA… create a mapping as
                                                                                                                                                                                     well as graphical epi trend view that
                                                                                                                                                                                     incorporates positive flu labs retreaved via the
                                                                                                                                                                                     HIE and the syndromic surveillance data from
                                                                                                                                                                                     hospital admissions, Emergancy & Urgent Care
                                                                                                                                                                                     and Abulatory Clinics.
57 Washington State Department of Health Bryant Karras MD               HIE         799,785      Pandemic Flu Lab Regional                                                           Shovel ready [un-funded] Pandemic Flu grant
                                                                                                 Integration                                                                         to improve the linkage of (a) Public Health –
                                                                                                                                                                                     Seattle & King County’s Public Health Lab, (b)
                                                                                                                                                                                     University of Washington and Children’s
                                                                                                                                                                                     Clinical Lab, and (c) Spokane Regional Health
                                                                                                                                                                                     District’s Public Health Lab with the State’s
                                                                                                                                                                                     Laboratory Information Management System
                                                                                                                                                                                     (LIMS) via HIE to do remote assesioning, of
                                                                                                                                                                                     orders and results reporting.

60 Washington State Department of Health Bryant Karras MD               HIE         1,000,000    WATrac                            DOH Public Health Emergency Response and          WATrac is a web-based software system that
                                                                                                                                   Planning group headed by John Erickson            has two distinct functions: (1) ) Daily Tracking
                                                                                                                                                                                     of Emergency Department Status and Bed
                                                                                                                                                                                     Availability and (2) Incident Management for
                                                                                                                                                                                     Disaster Response.
61 Washington State Department of Health Bryant Karras MD               HIE         550,000      Statewide Health Allerts for WA   Spokane Regional Health District, DOH          Integrate Public Health messages into HIE and
                                                                                                                                   Informatics Office and Public Health Emergency get crittical information to clinician at the point
                                                                                                                                   Response and Planning group                    of care. Build off of the planning and needs
                                                                                                                                                                                  assessment done under a grant to Spokane
                                                                                                                                                                                  Regional Health District from the Robertwood
                                                                                                                                                                                  Johnson Foundation
52 Washington State Department of Social      Rich Campbell             HIE         550,000      DSHS is working on a system for
   and Health Services                                                                           provider access to Medicaid

53 Washington State Department of Social      Rob St. John              HIE         14,700,000   HIT Infrastructure for EMRs       MRTG Study                                        Additional Sections to consider are 3011 and
   and Health Services                                                                                                                                                               ARRA Title VIII (HRSA).

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                                                                                   Washington State ARRA/HITECH Proposals
                                                                                                     As of: August 19, 2009
               ORGANIZATION                           CONTACT                AREA  FUNDING           TITLE/NAME                         OTHER                   COMMENTS
54                                             ??                        HIE      680,000  DOH/DSHS collaborating to
                                                                                           create provider access to
                                                                                           controlled substance prescriptions.

62 Washington State Departments of Health Daniel Knutson-Bradac, HIE                  2,500,000   Prepare DSHS ADSA                             The DSHS/ADSA project would include 3
   and Social and Health Services: Aging Asst Director of                                         Infrastructure for EMR                        distinct elements:
   and Disability Services Administration Management Services;                                    collaboration of acute and chronic            1) Implementation of predictive modeling to
                                          Marietta Bobba, Strategic                               care systems                                  impact chronic care service delivery to
                                          Planning Program                                                                                      DSHS/ADSA clients.
                                          Manager                                                                                               2) Improved secure file transfer infrastructure
                                                                                                                                                to impact communication with network
                                                                                                                                                3) Readiness review/gap analysis of EMR in
                                                                                                                                                Long Term Care Service Delivery System.

50 Washington State Health Care Authority Juan Alaniz                    HIE          TBD         Health Record Banking Pilot

55 Washington State Department of Labor        Jason McGill and Karen    HIE          2,519,400   LNI is working on 1) exchange of
   and Industries                              Peterson                                           report of accident and chart notes,
                                                                                                  2) claim and account center
                                                                                                  improivements for enhanced
                                                                                                  ability to view claim images, 3)
                                                                                                  feasilibity study for ICD9 to
                                                                                                  ICD10 transition and 4) crime
                                                                                                  victims imaging. LNI is also
                                                                                                  working on telemedicine needs
                                                                                                  assessment and a pilot for injured
                                                                                                  worker access to mental health and
                                                                                                  specialist consultations.

65 Washington State Department of              Ken Taylor                TELE         TBD         Using Telemedicine to Deliver
     Corrections                                                                                  Pyschiatry and Mental Health
                                                                                                  Services to Rural Institutions
56 Washington State Department of Labor        David Overby              TELE         678,850     Pilot to test whether telemedicine
   and Industries                                                                                 can improve injured worker access
                                                                                                  to mental health and specialist
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Area Health Education     Gary J.
Center of Eastern         Smith, PhD,
Washington, Washington    FACHE
State University

Inland Northwest Health

Washington State

Department of Health:                              Lab data sharing project
                                                   with the Spokane
                                                   Regional Health District.
Spokane County Medical Society:                    Informatics workgroup
                                                   established to identify
                                                   what data providers
                                                   need/want to share.
Kadlec Regional Medical Center and Benton County   Data Exchange Initiative
                                                   between medical center
                                                   and county.
Community Health Network of Washington             Build an interface with
                                                   the Department of
                                                   Health’s Child Profile
Meditech Electronic Medical Record System          System.
                                                   For approximately 40
                                                   hospitals, 1,200
Connectivity with Eastern State Hospital
Health Record Banking Pilot project
Telepharmacy project
TeleED project
EMR At Night                                       Education provided at
                                                   multiple sites with first
                                                   responders throughout the
                                                   Pacific Northwest and
                                                   Working in Conjunction
                                                   with INHS:

                                                       Telepsychiatry in
                                                   rural areas (LSDF)
                                                    Development of a
                                                   COHE like electronic
                                                   tracking method for
                                                   mental health consumers
                                                    E-
                                                   strategies for nursing
                                                   (CON various sources)
Multiple Educational Programs for Health Care              Bi monthly meeting
Providers, Administrators, and Patients.               for the Washington State
                                                       Healthcare Executive
                                                       Forum (State chapter of
                                                       the American College of
                                                       Healthcare Executives).
                                                        Bi-monthly meetings
                                                       of the Northeast and
                                                       Columbia Basin Councils
                                                       of the Washington State
                                                       Hospital Association.
                                                        Patient education
                                                       programs for Parkinson
                                                       Association, educational
                                                       programs for healthcare
Connectivity with administrators of rural health and
urban hospitals
PAML- PACLAB                                           Laboratory data exchange
                                                       (internal effort from lab to
Inland Northwest Blood Center and Puget Sound          Information exchange
Blood Center                                           system.
Gonzaga University School of Nursing                   In the process of setting
                                                       up a high tech conference
                                                       room and plan to include
                                                       health related meetings:
                                                       Designed to bring the
                                                       scientific community and
                                                       other scholars together
                                                       with GU’s health related

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