1. 1 Washington State Health Care Authority Richard Onizuka, PhD, Executive Sponsor Health Record Bank Project Washington State Health Record Bank Pilot Project August 1, 2008 State Coverage Initiatives National Meeting

2. 2 The Problem Scattered records: –Ineffective information sharing –Cumbersome, expensive, and fallible –No mechanism to collect and consolidate information No responsible institution or entity that: –Securely stores complete electronic health care records –Provides personal health care information when and where needed –Creates value through storage of electronic health care records for patients and providers

3. 3 Health IT Efforts SSB 5064: Health Information Technology –Health Record Banking –Roadmap for State Action Senate Bill 5930: Section 10 “An act relating to providing high-quality, affordable health care to Washingtonians based on the recommendations of the Blue Ribbon Commission on Health Care Costs and Access.”  Health information infrastructure  Consumer-centric health record banking Goal: –Deliver health information – when and where needed

4. 4 Consumer engagement and activation –Help patients Manage their health information Navigate the delivery system Prepare for office visits with their provider Become more knowledgeable health care partners A mechanism to facilitate health information sharing –Health Record Bank (HRB) is health information sharing focused on consumer management of information –HRB supports industry health information exchange Washington State Vision

5. 5 “Proof of Concept” Pilot –Consumer managed –Secure, private, and confidential –High-value data set –Repository for “copies” of clinic health care information –Partnerships in use of innovate disruptive technology Consumer-Centric Health Record Banks

6. 6 Disruptive Technology Goal Shift from institution based (  $) care to community based care Information empowers consumers Empowered consumers drive transformational change Transformational change improves: safety, quality, efficiency

7. 7 Consumer and Health Industry Information Health Industry managed info -EMR -Claims data -Meds -Labs -Other Consumer requests COPY of info sent from industry source to HRB HRB - Consumer managed info -COPY of clinical health care data -Edit capability with data copies - Self-entered data Consumer authorizes view by or COPY of info to health care provider/industry

8. HIIAB* + AccessMyHealth.org – Our Roots SSB 5064 2006 law led to series of recommendations for health IT in Evergreen State *Health Information Infrastructure Advisory Board + HCA responsible for subsequent state action. July 2008 through June 2009: $2 million in grants* for two to four regional pilot projects. hac.wa.gov/hit

9. 9 AccessMyHealth.org – Our Elevator Speech AccessMyHealth.org is a partnership of Washingtonians – patients, doctors, and others – that will be exploring ways to improve patients’ access to their personal health information. AccessMyHealth.org is supporting the concept of secure online personalized health records to help you gather and store your health information to share with your doctors, family members, and others.

10. 10 Key policy objectives for pilots: –Operational by 1/09 –Pilot methods to drive adoption/usage of HRBs –Use of information to “activate” consumers –Consumer access to and management of clinical health information –Heath information sharing between HRB and industry information sources State policy questions pertaining to HRBs: –Impact on health disparities, special populations, public health –Optimal role of government –Financial sustainability Pilot Approach

11. 11 AccessMyHealth.org – Three Surveys / Future Vision Three online surveys: 1)Consumer focused. Started June 1st. 2)Privacy and security focused. Starts in July. 3)Follow-up on previous surveys. Starts August 1 st. Future Vision: 1)Help patients become knowledgeable partners/advocates 2)Ombudsman role: provide unbiased/impartial information 3)Education role: teach the benefits of informed patients partnering with doctors 4)Be the magnet for and about online health records in WA 5)Provide voluntary certification/seal of approval

12. 12 Estimated Time FrameMajor TaskStatus 2/08 –4/08Finalize pilot specsCompleted 5/08 –7/08 Solicit/evaluate pilotReleased applications 7/08 – 8/08Pilot selection Pending 8/08 – 12/08Pilot buildPending 1/09 –6/09Pilot implementation and assessmentPending Questions? Contact Juan Alaniz, Project Manager juan.alaniz@hca.wa.gov, 360-923-2726 juan.alaniz@hca.wa.gov Next Steps for HRB Pilot