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Published byAmos Jackson Modified over 8 years ago
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Steering Committee on Telehealth and Healthcare Informatics Since 1993 Honorary Co-Chairs Senator Kent Conrad ● Senator Mike Crapo Senator John Thune ● Senator Sheldon Whitehouse Rep. Rick Boucher ● Rep. Eric Cantor Rep. Phil English ● Rep. Bart Gordon ● Rep. Allyson Schwartz Rep. David Wu In Coordination With The “House 21 st Century Healthcare Caucus” Reps. Patrick Kennedy & Tim Murphy Co-Chairs In Collaboration with The Healthcare Leadership Council “Protecting Electronic Healthcare Information” November 18th, 2008 Reserve Officers Association
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Some Policy Considerations The More Things Change – The More They Stay the Same Reimbursement & Capital Costs –Aligning Financial Incentives –Driving Cost-Effectiveness (i.e. Chronic Care & Disease Mgmt) –Start-up Costs Capital Investment Standards (Clinical & Communications) –Quality & Safety Infrastructure Issues –Network Infrastructure / Broadband Access / Interoperability Human Dimension Issues - Arrangements to Practice in an e-enabled Environment - Practitioner and Patient Acceptance - Licensure, Accreditation, Certification - Legal (Stark Law, Liability, FDA, HIPAA) - Training an HIT Workforce
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Capitol Hill HIT Series “If we run out of lunch…...know that we’ll still quench your thirst for knowledge, and provide significant food for thought” –Neal Neuberger
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2008 Proposed Budget HIT Related $118 M. - ONCHIT ($90 M. Infrastructure Grants) ($28 M. HIT Network Development) $ 45 M - AHRQ HIT $ 5 M - Federal Health Architecture $ 2 M. - Department Management (HIT) $ 4.3B - Bio-Preparedness, DHHS ($1.1 B) states, locals, hospitals for Emg. response $ 322 M - Pandemic Flu, CDC, NIH, FDA, OS $ 7 M - OAT, HRSA (Same as 2007 CR). $ 25 M - RUS, DoA, DLT Grants, (Same as 2007 CR) Army TATRC ~$280 M in 07 versus ~$400 M in 06 Under CR & DoD Regular Approps. (2008 Request Not Clear Yet) © 2007 Health Tech Strategies, LLC All Rights Reserved
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Numerous Players Federal Government –Congress –Agencies (DHHS, DoC, Ag, DoD, VA, IHS, NASA) States –Statewide Initiatives, Regional Networks Private Sector –Coalitions / Consortia (ATA, HIMSS, eHI, AHIMA) –Standards Groups –Foundations (Markle, RWJ, Commonwealth, eHI Fndt)
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What Everyone is Going Thru: Some Planning Considerations Governance Principles & Key Objectives Stakeholder Perspectives Establishing a Business Case Needs Assessment Legal & Regulatory Challenges Defining Interoperable Architectures Evaluation Methodologies
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Some Additional Rural & Practice Challenges Small Rurals may have no IT support let alone an IT Department Hard to find M.D. or Adm leaders / change agents Other business priorities i.e. “surviving” No business case for connectivity / linkages to other institutions (stand-alone EHRs ?) No aggregate buying power (hence pooled vendor selection processes) Need to address critical referral pattern issues, disruptions, patient flows etc.
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Some Additional Rural & Practice Challenges Patients are isolated, must travel long distances Rural residents older, often with chronic conditions Low patient volume Lower income, and less private insurance Bottom Line - Rural Healthcare Organizations will need special legislative consideration
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Rural HIT Coalition RHRC & HTS Linking groups thru Web Portal & list serve Network to highlight issues and opportunities Review and disseminate literature Identify funding and resources Models and case studies useful to others Create fellowship and educational exchanges
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Rural Underserved HIT Coalition Rural Health Coalition –Clinics –HIT Networks / Infrastructure –State Offices Minority Health Coalition Behavioral Health Coalition Health Education / Workforce Training Coalition
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Policy Considerations Reimbursement & Capital Costs –Aligning Financial Incentives –Driving Cost-Effectiveness (i.e. Chronic Care & Disease Mgmt) –Start-up Costs Capital Investment Standards (Clinical & Communications) –Quality & Safety Infrastructure Issues –Network Infrastructure / Access / Interoperability Human Dimension Issues - Practitioner and Patient Acceptance - Licensure, Accreditation, Certification - Legal (Stark Law, Liability, FDA, HIPAA)
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Put Positively “ There are no problems….. just insurmountable opportunities ”
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