Minnesota e-Wellbeing Activity Advance and Plans 2005 – 2006 A Redesign.

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Minnesota e-Wellbeing Activity Advance and Plans 2005 – 2006 A Redesign Moderators Marty LaVenture, Chief, Community for Wellbeing Informatics, MDH Greg Linden, CIO Stratis Wellbeing Subjects for Dialog Upgrade on Advancement
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Minnesota e-Health Initiative Progress and Plans 2005 – 2006 An Update Presenters Marty LaVenture, Director, Center for Health Informatics, MDH Greg Linden, CIO Stratis Health Topics for Discussion Update on Progress Role of Stratis Health for propelling Goal #2 suggestions for MN-HIE

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Motivation: Preparedness, Response and Electronic Health Records HHS Secretary Leavitt …. " There might not have been an affair that illustrates, for me or the nation, all the more capably the requirement for electronic wellbeing records ... than Katrina." …. (HHS - 9/13/2005). Typhoon Katrina Many paper wellbeing and medicinal services records lost for all time Many computerized records accessible in days

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Motivation: “Storm” of Problems Error rates are too high 20 passings because of slips in MN Hospitals in 2004 Quality is conflicting ~50% of grown-ups don’t get offered prescribed consideration Costs are heightening 11% normal yearly cost development over recent years. Exploration results are not quickly utilized ~ 17 years until new advancements are generally utilized. Limit for ahead of schedule discovery & reaction to dangers and fiascos is negligible Katrina reaction Limited Public Health Capacity

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Motivation: Un-Linked Systems Are Resource Expensive “we normally need to enter the same youngster\'s name over and over in 6 or more information frameworks and after that attempt and keep the location and related data up to date”. It can be a bad dream and it is lavish. Nearby Public Health Department Director

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Motivation: Information Technology Can Help Solve Real Problems Today 40% of outpatient remedies superfluous 20% of lab & x-beam tests requested in light of the fact that firsts can not be discovered 18% therapeutic blunders from lacking patient data. Patients get just 54.9% of suggested consideration 49% of notifiable illnesses reported - Dr. Blackford Middleton, PHIN 2005 Meeting

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Motivation: Minnesota Gaps* * Preliminary information – Based on restricted studies

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2004 Goals Inform Clinical Practice Interconnect Clinicians Personalize Care Improve Population Health 2005 Action American Health Information Community (AHIC) 4 - RFPs: Pilots NHIN Harmonize Health IT Standards Assess Privacy & Security Develop Certification Process for Health IT Opportunity: National Framework for Strategic Action*

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What is the Minnesota e-Health Initiative? Private-Public coordinated effort Guided by a consultative advisory group Born of need and enactment: 2004/05 “Dedicated to quicken the utilization of Health Information Technology (HIT) in every aspect of the state…” For the reason for: Improving wellbeing and human services quality Increasing patient security Reducing medicinal services expenses Improving general wellbeing

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Next Action Steps MN Health Information Exchange Seek further data/duty Establish Board Business making arrangements for trade: e.g. Research center, Pharmacy, Disease Surveillance Advisory Committee Assure wide HIT evaluation Advance the guide: Goal 1: Goal 3: and Goal 4: MN e-Health Steering Committee Progress – Proposed Actions 2004-2006 Progress To date Delivered report to Legislature (vision, guide, proposals) Developed standards for MN Health data trade (MH-HIE) (Goal 2: Interconnect) Collaborated on reaction to NHIN-RFI Identified needs for MN-HIE Held statewide summit 2004 2005 2006

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Vision for Minnesota e-Health “… quicken the reception and utilization of Health Information Technology to enhance human services quality, expand quiet security, diminish social insurance costs and empower people and groups to make the best conceivable wellbeing decisions.” Source: Committee Report to the Legislature, January 2005

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Statewide Build on National work In advancement Workgroups Minnesota e-wellbeing Initiative Roadmap for Strategic Action Source: Committee Report to the Legislature, January 2005

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Strengths of Minnesota Approach Statewide methodology Private-Public activity Broad cooperation and solid coordinated effort Build on existing activities Comprehensive vision-e.g. incorporates numerous settings and controls Global vision, incremental – supportable usage

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Minnesota e-Health Initiative A private-open joint effort to quicken utilization of Health Information Technology keeping in mind the end goal to enhance social insurance quality, Increase quiet security, lessening human services costs, and enhance general wellbeing Statewide Advisory Committee Example Statewide Activities by Goal # 1 Inform Clinical Practice Goal # 2 Interconnect Clinicians Goal # 3 Personal Health Record Goal # 4 Improve Population/Public Health MDH: Rural Health Grants Stratis Health:/QIO: DOQ-IT program Assessment (Stratis Health, MDH/U of M) Stratis Health: MN Health Information Exchange (MN-HIE) – Establish Board, Business case HIPAA Collaborative: Medication history trade CHIC – NE MN getting ready for trade AHRQ – Shared Abstract: Allina, Fairview, Health Partners, U of M Access for people and guardians MDH/LPHA: MN-PHIN – Governance, Population Indicators RWJF Funding Application Rev. 9-25-05

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Minnesota e-Health Initiative MN Health Information Exchange Update from Stratis Health 10/21/05 Topics for Discussion MN-HIE Update from Stratis Health Greg Linden, CIO Stratis Health

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Recommendation: Form a Minnesota Health Information Exchange MN-HIE will interconnect clinicians and be the association point for: National Health Information Network (NHIN) Community-Based Initiatives

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Recommendation: Form a Minnesota Health Information Exchange The MN-HIE administration structure will be created using a staged in methodology. Stage I MN-HIE Initialization Phase II MN-HIE Implementation Phase III MN-HIE Development & Maintenance

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Minnesota Health Information Exchange Role of Stratis Health Build on Year 1 proposals Gather partner data for move stage Update HIT Assessment system Recommend Board of Directors Establish lawful structure for MN-HIE Develop strategy for success for three distinguished business zones Develop structure for subsidizing

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Stakeholder Input to date We (MDH and Stratis Health) have begun to meet with key partner bunches (e.g. Purchasers, Health Plans, Hospitals) General agreement: Keep imparting Move forward! More gatherings to come!

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HIT Assessment Objectives Inventory the real appraisals and related information accumulation devices for measuring the status of HIT reception in Minnesota Identify crevices in current appropriation of HIT Identify holes in evaluations of HIT Present the discoveries to the MN e-Health Advisory Committee Establish a progressing evaluation structure

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Hospitals Clinics Long Term Care Facilities Emergency depts Local Pub Health depts Pharmacies Clinical Laboratories Home Care and Home Health Agencies Health frameworks Health Plans Tele-solution Sites Persons/Consumers Physicians Registered Nurses Stand-Alone Radiology Practices State offices spoke to by the Health Care Cabinet MN Dept of Health MN Dept of Human Services HIT Assessment Domains

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Ongoing Assessment Collaboration Working with MDH and the U of MN Health Informatics division to build up an exhaustive informatics structure for continuous evaluation on Minnesota It will incorporate evaluation requirements for each of the 4 Minnesota vital objectives, over every one of the spaces

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MN-HIE Interim Board Recommendation: The MN e-Health Steering Committee prescribed (June 23, 2005) setting up an Interim Board for the MN-HIE Key standard for the MN-HIE Board: MN-HIE will be worked with a multi-partner Board of Directors

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Community Hospital Consumer Health Plan Hospital System Insurance Company Pharmacy Physician Public Health Purchaser Quality Improvement Organization State Government Interim Board Composition Recommendation: The workgroup suggests that the Interim Board speaks to hobbies in the accompanying ranges:

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Phased Approach Recommendation: Once MN-HIE is set up, piece of the Board will advance after some time as the association travels through three periods of advancement Phase I: Initialization Establish an administration structure that will be utilized to characterize, plan, and outline the MN-HIE

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Interim Board Next Steps Identify contender to speak to the hobbies distinguished by the Governance Workgroup A report on this procedure will be exhibited to the Advisory Committee as a major aspect of the November redesign The goal is to settle choice of the Interim Board and gather its initially meeting in 1Q06

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Next Steps and Challenges Priority for the work arrangement Advance vital points for the 4 Goals Encourage state wide coordination Assure underserved needs are met Address populace wellbeing issues Include preparation for readiness and reaction Effective interchanges and training

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Thank You! - Questions Key Contacts for More Information: www.health.state.mn.us/e-wellbeing Stratis Health (Minn. Trade Planning) Greg Linden - VP/Chief Information Officer (952) 853-8514 glinden@mnqio.sdps.org Minnesota Department of Health Marty LaVenture, PhD – Director of Health Informatics 612 676-5017 martin.laventure@health.state.mn.us Barb Wills – 651

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