1. ONCHIT – 3 NHIN Prototype and other Initiatives for Kentucky Kentucky e-Health Network Claudine Beron February 21, 2006

2. 1 © 2006 Accenture. All rights reserved. State and Federal Initiatives State –Kentucky eHealth Network Board (KeHN) –Kentucky Healthcare Infrastructure Authority –Louisville Health Information Exchange Federal –RTI International Supports National Health Information Security and Privacy Collaboration (HISPC) –Office of the National Coordinator for Health IT (ONCHIT), Nationwide Health Information Network (NHIN) prototype

3. 2 © 2006 Accenture. All rights reserved. The ONCHIT-3 Award – High Level Overview Develop and evaluate a prototype for a National Health Information Network (NHIN) architecture to achieve widespread interoperability among health care software applications, particularly Electronic Health Records Provide a live demonstration of the solution at the end of the first year and develop additional functionality in the option year Our contract runs for twelve months with one option year Our location includes: CareSpark from the tri-cities region of northeastern Tennessee and southwestern Virginia; West Virginia eHealth Initiative; Appalachian Regional Healthcare, University of Kentucky and Cabinet for Health and Family Services - State of Kentucky Tennessee Kentucky Virginia West Virginia Appalachian Region

4. 3 © 2006 Accenture. All rights reserved. Provider Organizations within our RHIOs/RHCs Eastern Kentucky –ARH-Hazard Regional Medical Center and Family Health Services –UK Family Practice Center - Hazard –University of Kentucky HealthCare Chandler Medical Center and Kentucky Clinic –Kentucky Public Health Laboratory - Sate Laboratory of Kentucky –Perry County Department of Health WVA eHealth Initiative –New River Health Association - Beckley –Community Health System Rural Acres Clinic - Beckley –ARH-Beckley –AMFM-Beckley –West VA University Physicians of Charleston CareSpark –Holston Medical Group –Mountain States Health Alliance –Johnston Memorial Hospital –Sullivan County Regional Health Dept. –Highland Wellmont Health Network

5. 4 © 2006 Accenture. All rights reserved. ONCHIT-3 Deliverables in next 14 months Task 1 – Develop & Maintain Work Plan Task 2 – Conduct Project Start Up Task 3 – Develop Use Cases Task 4 – Participation in Meetings/Activities –Task 4(a) – Proposed Functional Requirements –Task 4(b) – Proposed Implementation Guide/Integration Profiles –Task 4(c) – Privacy and Security –Task 4(d) – Proposed Revenue and Cost Task 5 – Monthly Status and Financial Reports Task 6 – Develop Technical Design of NHIN –Task 6(a) – Proposed Functional and Performance Requirements –Task 6(b) Request Integration and Implementation Profiles Task 7 – Recommended Set of Required Data, Standards, Interfaces, etc. –Task 7(a) Proposed High level standards – Public stakeholder meeting –Task 7(b) Proposed Security Models – Public stakeholder meeting Task 8 – Draft Develop, Test & Evaluate Deployment Plan Task 9 – Draft Develop, Test & Evaluate Operational Plan Task 10 – Develop & Evaluate Cost & Revenue Model Task 11 – Develop, Test and Evaluate Functional Prototype Task 12 – Demonstrate Functional Prototype Task 13 – Obtain & Deliver Commercial Software Task 14 – Option Period Task 15 – Final Deployment Plan Task 16 – Final Operational Plan

6. 5 © 2006 Accenture. All rights reserved. Why Participate as a State? Participating in the ONCHIT-3 Prototype: –Short Term Benefits: Shows commitment by policy and legislative leadership –Short/Medium Term Benefits: Allows the State to gain first hand understanding and provides voice for State perspectives on issues related to Federal healthcare including security and privacy policies, standards, and architecture diagrams and build documentation before HHS releases via FOIA. –Long Term Benefits: Improves care through State and reduces cost

7. 6 © 2006 Accenture. All rights reserved. Why Participate as a RHIO/RHC? Participating in the ONCHIT-3 Prototype: –Short Term Benefits: helps leverage other funding from other organizations to support the RHIO/RHC –Short/Medium Term Benefits: Allows the RHIO/RHC to gain first hand understanding of how the system can be built and the lessons learned through the project –Short Term Benefits: Allows the RHIO/RHC to participate in discussion around Privacy, Security and Functionality for the national standard –Long Term Benefits: Improves care through region and reduces cost

8. 7 © 2006 Accenture. All rights reserved. Why Participate as a Provider Organization? Participating in the ONCHIT-3 Prototype: –Short Term Benefit - allows the provider organization to participate in discussion around business impact, Privacy, Security and Functionality for the national standard –Short Term Benefit - Allows the PO to gain first hand understanding of how the system can be built for their internal disparate systems –Long term benefit - improves care and reduces cost

9. 8 © 2006 Accenture. All rights reserved. Why Participate as a Patient/Consumer? Participating in the ONCHIT-3 Prototype: –Limits the amount of paperwork you have to complete each time you visit the doctor –Enables health care providers to understand history in a clear format rather than illegible handwriting, incomplete records or records that are in a multitude of different systems that don’t talk to each other –Provides you and your physician with the tools to help improve your health and reduce your health care cost

10. Contact Information Claudine Beron Project Director, Accenture ONCHIT-3 Team claudine.d.beron@accenture.com 703-599-1203 cell (primary) 703-947-3610 office 703-527-2528 home claudine.d.beron@accenture.com