Page 1 Advancing health and wellness through information technology Arizona Health-e Connection: Health Information Technology & Exchange in Arizona September 17, 2009 Melissa Rutala Associate Director

Page 2 Advancing health and wellness through information technology Agenda The Problem & The Solution AzHeC Overview & Arizona Initiatives Federal Stimulus Basics AzHeC’s HIT Stimulus Opportunities

Page 3 Advancing health and wellness through information technology The Problem & The Solution

Page 4 Advancing health and wellness through information technology Health Care Information Infrastructure Today

Page 5 Advancing health and wellness through information technology Solution: A Health Information Infrastructure Personal Health Public Health Health Care Delivery

Page 6 Advancing health and wellness through information technology AzHeC Overview & Arizona Initiatives

Page 7 Advancing health and wellness through information technology Arizona Health-e Connection (AzHeC) exists to Convene, Coordinate and Communicate for Health Information Infrastructure improvements that affect every Arizonan

Page 8 Advancing health and wellness through information technology AzHeC Governance Structure and Strategic Direction Information Clearinghouse Arizona Health-e Connection Board AzHeC Executive Director and Staff Permanent Additional Governor’s Office AHCCCS ADHS AzHHA ArMA AOMA GITA Health Plans/Insurers Employers Hospitals Pharmacy Clinical Labs Higher Education Medical Trading Areas At-Large Seats Policy Development Support for HII Development

Page 9 Advancing health and wellness through information technology 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.

Page 10 Advancing health and wellness through information technology AzHeC Arizona Medical Information Exchange / EHR (AHCCCS) GITA Rural Grants for EHRs and HIE GITA Privacy and Security Projects Southern Arizona Health Information Exchange Statewide Electronic Prescribing Initiative Medicare PHR Choice Pilot (e.g., Google) Arizona HIT/HIE Initiatives

Page 11 Advancing health and wellness through information technology Federal Stimulus Basics

Page 12 Advancing health and wellness through information technology 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

Page 13 Advancing health and wellness through information technology Three “Buckets” of HIT Funds Medicare & Medicaid EHR Incentives $34 Billion Non-HITECH (H)IT Funds >$9.5 Billion HITECH FundsNon-HITECH Funds Non-EHR Incentive HIT Funds $2 Billion ↓

Page 14 Advancing health and wellness through information technology AzHeC’s HIT Stimulus Opportunities

Page 15 Advancing health and wellness through information technology AzHeC Coordinated Activities Health Information Exchange State Planning & Implementation Grants –AzHeC to coordinate activities HIT Regional Extension Centers –AzHeC leading application for statewide program

Page 16 Advancing health and wellness through information technology HIE Planning & Implementation Arizona submitted letter of intent to Office of National Coordinator (ONC) on September 11 th 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 16 th Awards made mid-December

Page 17 Advancing health and wellness through information technology 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 20 th –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

Page 18 Advancing health and wellness through information technology Submitted preliminary application on September 8 th –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 Regional HIT Extension Centers- Az’s approach

Page 19 Advancing health and wellness through information technology 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…

Page 20 Advancing health and wellness through information technology Get Involved! Visit website, blog or sign up to receive 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

Page 21 Advancing health and wellness through information technology Arizona’s Point of Coordination Melissa Rutala, MPH Associate Director /