1. VERMONT INFORMATION TECHNOLOGY LEADERS
Updating the Vermont Health Information Plan (VHITP) Advisors Group - June 19, 2008
Paul Forlenza

2. Review original process to develop VHITP Review VHITP
Agenda
Review original process to develop VHITP
Review VHITP
Discuss legislative requirements for update
Decide what to update
Process for updating
Next steps
11/7/2018

3. Legislature directed development of VHITP
Process
Legislature directed development of VHITP
Advisors met for 10 months to review text developed by HLN based on advisors’ guidance
Consensus document
Controversy around applicability of national interoperability standards
Approved by VITL Board
Approved by Legislature with language calling attention to privacy and security (ACLU) and interoperability standards
11/7/2018

4. Health Care Environment Vision Key Stakeholder Groups
VHITP – July 2007 – 140 pages
Introduction
Health Care Environment
Vision
Key Stakeholder Groups
Strategy and Objectives
Standards
Technology
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5. Governance and Accountability Moving Forward Appendices A - K
VHITP
Privacy and Security
Education
Funding and Financing
Governance and Accountability
Moving Forward
Appendices A - K
11/7/2018

6. JRH 44
That VITL be directed to continue to update the health information technology plan to include state and national privacy and security policies and procedures as they become available to reflect industry best practices.
That VITL be directed to update by January 1, 2009 the interoperability standards in the health information technology plan to reflect nationally accepted industry best practices relating to the exchange of data.”
11/7/2018

7. Act 203 – Health Care Reform of 2008
VITL shall update the plan annually to reflect emerging technologies, the state’s changing needs, and such other areas as VITL deems appropriate
11/7/2018

8. Part I: Minimum is to address legislative requirements
What to update?
Part I: Minimum is to address legislative requirements
Privacy and Security
Interoperability Standards
Emerging technologies
States changing needs
Other areas VITL deems necessary
11/7/2018

9. Practice transformation: clinical & business
Part II: Other areas deemed necessary
Describe progress and plans for implementing each of the four core objectives
Clarify and/or elaborate on selective original legislative requirements
Avoid incompatible systems and duplicative efforts (#6)
Practice transformation: clinical & business
Recommendations for legislative action
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10. New document Structure of Update Use structure of original Plan? OR
At least one page per section OR
New format with items agreed to from prior 2 slides?
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11. HLN and VITL staff draft updates Advisors review on a monthly basis
Process
HLN and VITL staff draft updates
Advisors review on a monthly basis
July, August, September, October
Presented to VITL Board for approval
November
Final edits and production of document
December
Present to legislature for their approval
January
11/7/2018

12. Send advisors notes of this meeting
Next Steps
Send advisors notes of this meeting
Staff and HLN work to develop an outline and schedule
Send new material to advisors prior to next meeting – July 9
GoToMeeting or in person in Montpelier?
11/7/2018

13. Items for Parking Lot
11/7/2018

14. Next set of slides are linked from previous slides
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15. Vision
Our vision is for a healthier Vermont, where shared health information is a critical tool for improving the overall performance of the health care system. The health care community will work together to achieve new efficiencies through the use of information technology in order to deliver better overall value and care to our citizens.
11/7/2018

16. Core Objectives 1-2
Encourage and enable deployment and use of electronic health record systems within the state to increase the amount of health information that exists in electronic form
Establish and operate the infrastructure necessary to promote secure electronic health information exchange to achieve plan’s vision
Empower consumers to take an active role in electronic health information intimidates in Vermont
Enable public health agencies to leverage HIT/HIE investments to monitor and ensure the public’s health more transparently and quickly
11/7/2018

17. HIE Standards Core technical standards for HIE (required)
Messaging Standards for HIE (required as applicable)
Core Semantic Standards (should be used)
Recommendations
HIT Infrastructure and Applications (desirable)
Process Interoperability – (represent best practices)
Stakeholders are encouraged to conform
CON applicants will address standards
11/7/2018

18. Adopt Policies and Procedures Seek to be leader in VT
Privacy and Security
Framework
Privacy and Security Workgroup Principles
Markle Foundation Core principles
Adopt Policies and Procedures
Seek to be leader in VT
Create strategy to help providers meet legal obligations
Implement consumer education
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19. Evaluate likely outcomes Evaluate Infrastructure needs
Project Selection Strategy
Evaluate likely outcomes
Evaluate Infrastructure needs
Conduct business analysis
11/7/2018

20. Part I: Core Objective
“Encourage and enable deployment and use of electronic health record systems within the state to increase the amount of health information that exists in electronic form”
Describe EHR pilot and lessons learned
Challenges to expanding pilot with new funds
Re-evaluate targets for EHR deployment
11/7/2018

21. Part I: Core Objective
“Establish and operate the infrastructure necessary to promote secure electronic health information exchange to achieve plan’s vision”
Describe build out of the HIE
Describe services offered to stakeholders
Describe opportunities and challenges
Re-evaluate targets
11/7/2018

22. Part I: Core Objective
“Empower consumers to take an active role in electronic health information intimidates in Vermont”
Describe educational and outreach projects
Describe challenges and re-evaluate targets
“Enable public health agencies to leverage HIT/HIE investments to monitor and ensure the public’s health more transparently and quickly”
Describe future plans and challenges
Re-evaluate targets
11/7/2018

23. JRH 44
“That VITL be directed to continue to update the health information technology plan to include state and national privacy and security policies and procedures as they become available to reflect industry best practices.”
Document existing and developing state and national privacy and security policies and procedures to reflect best practices
Document their applicability to operating VT’s HEIN
Document specific privacy and security policies and procedures VITL will use to operate the HIEN
11/7/2018

24. JRH 44
“That VITL be directed to update by January 1, 2009 the interoperability standards in the health information technology plan to reflect nationally accepted industry best practices relating to the exchange of data.”
Document interoperability standards best practices
Document their applicability to operating VT’s HIEN
Document which standards are mandatory or optional as they relate to:
Interfacing with the statewide HIEN
Within a local HIE
Within an EHR system
11/7/2018

25. Act 203 – Health Care Reform of 2008
“VITL shall update the plan annually to reflect emerging technologies, the state’s changing needs, and such other areas as VITL deems appropriate.”
Document emerging technologies (applications?) like eRx, IBM “check out” and emergency responder authentication
Document state’s changing needs for HIT/HIE
Document cross cutting issues (legal, funding, governance)
11/7/2018

26. Act 70 – Health Care Reform of 2007
“Recommend funding mechanisms for the ongoing development and maintenance costs of a statewide health information system, including funding options and an implementation strategy for a loan and grant program;
Update contributions and production funding
Describe Health IT-Fund
Describe EHR Pilot Project
Describe statewide deployment of EHRs
11/7/2018

27. Act 70 – Health Care Reform of 2007
“Incorporate the existing health care information technology initiatives in order to avoid incompatible systems and duplicative efforts;”
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28. Act 70 – Health Care Reform of 2007
“The plan shall serve as the framework within which certificate of need applications for information technology are reviewed”
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