Arizona Health-e Connection:
Health Information Technology &
Exchange in Arizona
September 17, 2009
Melissa Rutala
Associate Director
Advancing health and wellness through information technology
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Agenda
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The Problem & The Solution
AzHeC Overview & Arizona Initiatives
Federal Stimulus Basics
AzHeC’s HIT Stimulus Opportunities
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The Problem & The Solution
Advancing health and wellness through information technology
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Health Care Information
Infrastructure Today
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Solution: A Health Information
Infrastructure
Personal
Health
Health
Care
Delivery
Public
Health
Advancing health and wellnesshttp://aspe.hhs.gov/sp/NHII/FAQ.html
through information technology
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AzHeC Overview & Arizona
Initiatives
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Arizona Health-e Connection (AzHeC)
exists to
Convene, Coordinate and Communicate
for Health Information Infrastructure
improvements that affect every Arizonan
Advancing health and wellness through information technology
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Governor’s Office
AHCCCS
ADHS
AzHHA
ArMA
AOMA
GITA
Arizona Health-e
Connection Board
Health Plans/Insurers
Employers
Hospitals
Pharmacy
Clinical Labs
Higher Education
Medical Trading Areas
At-Large Seats
Additional
Permanent
AzHeC Governance Structure
and Strategic Direction
AzHeC Executive Director and Staff
Information
Clearinghouse
Policy
Development
Support for HII
Development
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AzHeC Vision & Mission
VISION
Arizona Health-e Connection is the international model for
facilitation of Health Information Infrastructure development
and Implementation.
MISSION
To facilitate the design and implementation of integrated
statewide Health Information Technology and Health
Information Exchange that supports the information needs
of all healthcare stakeholders to reduce healthcare costs,
improve patient safety, and improve the quality and
efficiency of healthcare and public health in Arizona.
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Arizona HIT/HIE Initiatives
Arizona
Medical
Information
Exchange /
EHR
(AHCCCS)
Medicare
PHR Choice
Pilot (e.g.,
Google)
GITA Rural
Grants for
EHRs and
HIE
AzHeC
Statewide
Electronic
Prescribing
Initiative
GITA Privacy
and Security
Projects
Southern
Arizona
Health
Information
Exchange
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Federal Stimulus Basics
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The Basics
• American Recovery and Reinvestment Act
(ARRA)
• Health Information Technology for Economic
and Clinical Health (HITECH)
– $19 billion for health information technology
• $2 billion to Office of the National Coordinator (ONC)
• $17B (net), $34B (gross) to clinicians for EHR
incentives ($44,000-$66,000 per provider for EHRs)
• Other HIT funds available outside of HITECH
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Three “Buckets” of HIT Funds
Medicare &
Medicaid
EHR Incentives
$34 Billion
Non-EHR Incentive
HIT Funds
$2 Billion
HITECH Funds
↓
Non-HITECH
(H)IT Funds
>$9.5 Billion
Non-HITECH Funds
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AzHeC’s HIT Stimulus
Opportunities
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AzHeC Coordinated Activities
• Health Information Exchange State
Planning & Implementation Grants
– AzHeC to coordinate activities
• HIT Regional Extension Centers
– AzHeC leading application for statewide
program
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HIE Planning & Implementation
• Arizona submitted letter of intent to Office of National
Coordinator (ONC) on September 11th
• Specified partnership with AzHeC
• State HIT Coordinator to be named
• ONC now to make allocations to states
– $564 million available for distribution ($4 and $40 per award)
• Full applications due October 16th
• Awards made mid-December
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HIT Regional Extension
Centers
• General program information
– Applicants must be US-based non-profit
– Provision of education, technical and change management
assistance to providers
– Prioritized assistance to 4 groups of primary care providers
• Funding announcement released August 20th
– 3 proposal/award cycles throughout FFY2010
– 1st cycle: preliminary application due September 8th, full
proposal (if requested) due November 3rd
– $598 million allocated, approximately 70 awards total
– Preference given to multi-stakeholder collaborations
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Regional HIT Extension
Centers- Az’s approach
• Submitted preliminary application on September 8th
– AHCCCS Director letter of support
– 32 additional letters of support
• Working with key stakeholders around the state to
develop business model and full application
– Technical assistance partners
– Education and workforce support partners
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Regional HIT Extension
Center- Az’s Approach
• Key Program Partners
– Purchasing & Assistance Collaborative for Electronic
Health Records (PACeHR)
– Health Services Advisory Group (HSAG)
– ASU Department of Biomedical Informatics
– Arizona Telemedicine Program
– University of Arizona College of Pharmacy
– Grand Canyon University
– Phoenix College
– And others…
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Get Involved!
• Visit website, blog or sign up to receive email
newsletters to stay informed
• Become an AzHeC Member
• Attend, sponsor or exhibit at Western States
Health-e Connection Summit & Trade Show
– April 12 & 13, 2009 at Phoenix Convention Center
• Keep in touch!
– Let us know what else we can do to assist the
community on these issues
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Arizona’s Point of Coordination
www.azhec.org
www.azhecblog.org
Melissa Rutala, MPH
Associate Director
602 288 5130 / melissa.rutala@azhec.org
Advancing health and wellness through information technology
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