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 Observations 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. DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 Development 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 well. 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 funds. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 2 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 budgets. 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 modules 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 budgets. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 3 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 operation. 12 Community Choice Jesus Hernandez HIE 800,000 Anticipated 15% match plus in-kind. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 4 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 (CHNW) 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 consumers. 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. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 5 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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. Sound. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 6 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 7 DRAFT 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); http://www.iths.org 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 email@example.com 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) C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 8 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 Centers C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 9 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 Information Electronic Patient Identification Standard 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. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 10 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 Districts · 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 Sciences 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 126,343. 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 Network C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 11 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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- CEHIT) 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. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 12 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 Product 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. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 13 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 www.cirg.washington.edu 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 claims 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). C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 14 DRAFT Washington State ARRA/HITECH Proposals As of: August 19, 2009 PROGRAM 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 providers. 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 project 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 consultations. C:\Docstoc\Working\pdf\f875d650-1247-4b0c-8653-e417dfd86034.xls 15 Area Health Education Gary J. Center of Eastern Smith, PhD, Washington, Washington FACHE State University Inland Northwest Health Systems- Washington State University. REPORTED THE FOLLOWING INFORMATION: 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 physicians. 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 Alaska. Working in Conjunction with INHS: Telepsychiatry in rural areas (LSDF) Development of a COHE like electronic tracking method for mental health consumers (LSDF). E- mentoring/retention 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 providers. Connectivity with administrators of rural health and urban hospitals PAML- PACLAB Laboratory data exchange (internal effort from lab to lab). 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 programs.