U.S. Department of Health and Human ServicesU.S. Department of Health and Human Services

Health Resources and Services AdministrationHealth Resources and Services Administration

HRSA’s Office of HRSA’s Office of Health Information TechnologyHealth Information Technology

ORHP All Programs MeetingORHP All Programs Meeting

August 28, 2007August 28, 2007

Cheryl Austein Casnoff, MPHCheryl Austein Casnoff, MPHAssociate Administrator

US Department of Health and Human Services

Health Resources and Services Administration

Office of Health Information Technology

OutlineOutline

• About the Office of Health Information Technology About the Office of Health Information Technology (OHIT)(OHIT)

• HIT: What is Happening at the Federal & State LevelsHIT: What is Happening at the Federal & State Levels

• Advancing HIT through NetworksAdvancing HIT through Networks

• Using Telehealth to Improve Access and QualityUsing Telehealth to Improve Access and Quality

• OHIT ActivitiesOHIT Activities

• Additional ResourcesAdditional Resources

Health Resources and Services Health Resources and Services Administration (HRSA)Administration (HRSA)

• Programs reach into every corner of America, providing Programs reach into every corner of America, providing a safety net of direct health care services to 20 million a safety net of direct health care services to 20 million people each year (about 1 in every 15 Americans). people each year (about 1 in every 15 Americans).

• HRSA has made significant progress in meeting the needs of the HRSA has made significant progress in meeting the needs of the uninsured and underserved individuals, special needs uninsured and underserved individuals, special needs populations, and many others through its’ efforts to:populations, and many others through its’ efforts to:

• Improve health careImprove health care• Improve health outcomesImprove health outcomes• Improve quality of careImprove quality of care• Eliminate health disparitiesEliminate health disparities• Improve public health and health care systemsImprove public health and health care systems• Improve ability of the health care system to respond to public health Improve ability of the health care system to respond to public health

emergenciesemergencies

HIT Goals for the Safety Net ProvidersHIT Goals for the Safety Net Providers

Bring HIT to America’s safety net providers which will: Bring HIT to America’s safety net providers which will:

• Improve quality of careImprove quality of care

• Reduce health disparities Reduce health disparities

• Increase efficiency in care delivery systemsIncrease efficiency in care delivery systems

• Increase patient safetyIncrease patient safety

• Decrease medical errorsDecrease medical errors

• Prevent a digital dividePrevent a digital divide

Office of Health Office of Health Information TechnologyInformation Technology

• Formed in December 2005, as the principal advisor to the Formed in December 2005, as the principal advisor to the HRSA Administrator in developing an agency wide HIT HRSA Administrator in developing an agency wide HIT strategy.strategy.

Mission:Mission:

The Office of Health Information Technology (OHIT) The Office of Health Information Technology (OHIT) promotes the adoption and effective use of health promotes the adoption and effective use of health information technology (HIT) in the safety net community.information technology (HIT) in the safety net community.

HRSA HIT Quality StrategyHRSA HIT Quality Strategy

• In May 2006, HRSA reconfirmed its goal to improve the In May 2006, HRSA reconfirmed its goal to improve the quality of health service and outcomes for all patients quality of health service and outcomes for all patients served by HRSA grantees:served by HRSA grantees:

HITHIT

Data Data ReportingReporting

PerformancePerformanceMeasuresMeasures

Quality Quality MeasuresMeasures

HRSA HIT Quality StrategyHRSA HIT Quality Strategy

• HRSA's goal is not simply to collect data; it is also HRSA's goal is not simply to collect data; it is also important that the data be used to track individual and important that the data be used to track individual and population health outcomes and improve patient care. population health outcomes and improve patient care. The long-term vision of HRSA and OHIT is to transform The long-term vision of HRSA and OHIT is to transform systems of care for safety-net populations through the systems of care for safety-net populations through the effective use of HIT. effective use of HIT.

HITHIT

Data Data ReportingReporting

PerformancePerformanceMeasuresMeasures

Quality Quality MeasuresMeasures

Office of Health Office of Health Information Technology - GoalsInformation Technology - Goals

• Develop a strategy and supportive policy that leverages the power of Develop a strategy and supportive policy that leverages the power of health information technology and telehealth to meet the needs of health information technology and telehealth to meet the needs of people who are uninsured, underserved and/or have special needs. people who are uninsured, underserved and/or have special needs.

• Identify, disseminate and provide technical assistance to health Identify, disseminate and provide technical assistance to health centers and other HRSA grantees in adopting model practices and centers and other HRSA grantees in adopting model practices and technologies.technologies.

• Disseminate appropriate information technology advances, such as Disseminate appropriate information technology advances, such as electronic medical records systems or provider networks. electronic medical records systems or provider networks.

• Promote grantee health information technology advances and Promote grantee health information technology advances and innovations as models. innovations as models.

• Work collaboratively with foundations, national organizations, the Work collaboratively with foundations, national organizations, the private sector, and other Government agencies to help HRSA private sector, and other Government agencies to help HRSA grantees adopt health information technology. grantees adopt health information technology.

• Ensure that HRSA health information technology policy and Ensure that HRSA health information technology policy and programs are coordinated with those of other U.S. Department of programs are coordinated with those of other U.S. Department of Health and Human Services components. Health and Human Services components.

HHS HIT FundingHHS HIT Funding

• FY 2008 Federal budget proposes $165 million FY 2008 Federal budget proposes $165 million for HIT in the Department of Health and Human for HIT in the Department of Health and Human Services.Services.

• $118 million ONC $118 million ONC • $ 45 million AHRQ$ 45 million AHRQ• $ 2 million ASPE$ 2 million ASPE

• Agencies funding and implementing HIT initiatives:Agencies funding and implementing HIT initiatives:• HRSAHRSA• CMSCMS• NIHNIH• AHRQAHRQ

• FDAFDA• IHSIHS• CDCCDC

Office of the National Coordinator for Office of the National Coordinator for Health Information TechnologyHealth Information Technology

• The ONC advises the Secretary of HHS on health IT The ONC advises the Secretary of HHS on health IT policies and initiatives, and coordinates the policies and initiatives, and coordinates the Department’s efforts to meet the President’s goal of Department’s efforts to meet the President’s goal of making an electronic medical record available for most making an electronic medical record available for most Americans by 2014. Americans by 2014.

• Initiatives include:Initiatives include:• American Health Information Community (AHIC) American Health Information Community (AHIC) • Product CertificationProduct Certification• StandardsStandards• Nationwide Health Information NetworkNationwide Health Information Network• Activities with the National Governors Association Center Activities with the National Governors Association Center

for Best Practicesfor Best Practices

• MEDICAIDMEDICAID• Section 1115 Waiver (DRA)Section 1115 Waiver (DRA)

• States may apply for waiver to increase their flexibility to States may apply for waiver to increase their flexibility to develop Medicaid plans that may extend coverage to develop Medicaid plans that may extend coverage to additional populations, increase covered services and control additional populations, increase covered services and control costscosts

• Deficit Reduction Act of 2005 (DRA)Deficit Reduction Act of 2005 (DRA)• Grants states flexibility to design different coverage options Grants states flexibility to design different coverage options

for different populations without applying for a Section 1115 for different populations without applying for a Section 1115 WaiverWaiver

• Opportunity to incorporate HIT initiatives into state Medicaid Opportunity to incorporate HIT initiatives into state Medicaid reform plansreform plans

• Medicaid Transformation GrantsMedicaid Transformation Grants• DRA authorizes new grant funds to States for the adoption of DRA authorizes new grant funds to States for the adoption of

innovative methods to improve effectiveness and efficiency innovative methods to improve effectiveness and efficiency in providing medical assistance under Medicaid. in providing medical assistance under Medicaid.

• $103 million in awards announced on January 25, 2007 $103 million in awards announced on January 25, 2007

Centers for Medicare & Medicaid ServicesCenters for Medicare & Medicaid Services

Source: 2006 Medicaid Congress Conference Summary

State Support for HITState Support for HIT

• Over 240 health information Over 240 health information technology bills were introduced in technology bills were introduced in 2007 at the State level.  2007 at the State level. 

• A total of 45 bills passed in 28 states A total of 45 bills passed in 28 states and the District of Columbia with and the District of Columbia with funding for HITfunding for HIT

State HIT TopicsState HIT Topics

• Electronic Medical RecordsElectronic Medical Records• June 27, 2007 - Louisiana has allocated $30 million to Phase June 27, 2007 - Louisiana has allocated $30 million to Phase

1 of their statewide electronic medical records system for 1 of their statewide electronic medical records system for state public hospitals and medical centersstate public hospitals and medical centers

• Health Data ExchangeHealth Data Exchange• 4/24/07 – Maryland will devote $30 million over the next 3 4/24/07 – Maryland will devote $30 million over the next 3

years to establish a regional data exchangeyears to establish a regional data exchange

• Grant OpportunitiesGrant Opportunities• 3/27/07 – Idaho will offer $2.5 million in in competitive grants 3/27/07 – Idaho will offer $2.5 million in in competitive grants

to Community Health Centers for equipment, including HIT to Community Health Centers for equipment, including HIT equipment equipment

• School HITSchool HIT• 1/16/07 – District of Columbia will use $200,000 HIT in public 1/16/07 – District of Columbia will use $200,000 HIT in public

and charter school nurse suitesand charter school nurse suites

HRSA Health Center HRSA Health Center Controlled Networks (HCCN)Controlled Networks (HCCN)

• Led by HRSA-funded health centers.Led by HRSA-funded health centers.

• Supports the creation, development, and Supports the creation, development, and operation of networks of safety net operation of networks of safety net providers to ensure access to health care providers to ensure access to health care for the medically underserved populations for the medically underserved populations through the enhancement of health center through the enhancement of health center operations, including health information operations, including health information technology.technology.

Advancing HIT through NetworksAdvancing HIT through Networks

• Why Networks?Why Networks?

• Collaboration of health centers and other safety net Collaboration of health centers and other safety net providers.providers.

• Economies of scale/cost efficiencies/volume.Economies of scale/cost efficiencies/volume.

• Enhanced efficiencies in business and clinical core Enhanced efficiencies in business and clinical core areas.areas.

• Higher performance and value.Higher performance and value.

• Sharing of expertise and staff among collaborators.Sharing of expertise and staff among collaborators.

HRSA FY 2007 HRSA FY 2007 Network Grant OpportunitiesNetwork Grant Opportunities

• Planning GrantsPlanning Grants• Small amounts (less than $100,000 per year) to plan and start Small amounts (less than $100,000 per year) to plan and start

implementing HIT initiatives such as EHRs and e-prescribing.implementing HIT initiatives such as EHRs and e-prescribing.

• Electronic Health Record Implementation GrantsElectronic Health Record Implementation Grants• 3-year grants to purchase and implement EHRs.3-year grants to purchase and implement EHRs.

• HIT Innovation GrantsHIT Innovation Grants• 3-year grants to purchase and implement other HIT.3-year grants to purchase and implement other HIT.

• High Impact EHRs Implementation GrantsHigh Impact EHRs Implementation Grants• 1 year grant for high impact implementation of an EHR; 1 year grant for high impact implementation of an EHR;

implementation of new EHRs must be in at least 15 sites. implementation of new EHRs must be in at least 15 sites.

• Total funding: Approximately $20 millionTotal funding: Approximately $20 million

HRSA Telehealth Grant AwardsHRSA Telehealth Grant Awards

• First awards made by ORHP in 1989.First awards made by ORHP in 1989.• HRSA created Office for the Advancement HRSA created Office for the Advancement

of Telehealth as a focal point for of Telehealth as a focal point for Telehealth activities in 1998.Telehealth activities in 1998.

• Awarded over $250 million in grants since Awarded over $250 million in grants since 1989.1989.• Competitive and Congressionally-mandated Competitive and Congressionally-mandated

projects.projects.

FY 2006 Telehealth GrantsFY 2006 Telehealth Grants

• Telehealth Resource Center Grant Program• 6 awards6 awards

• Telehealth Network Grant Program (including home health)

• 16 awards16 awards

• Licensure Portability Grant Program• 2 awards2 awards

• Funding of approximately $6.8 million in FY Funding of approximately $6.8 million in FY 20072007

OHIT Grant ApplicantsOHIT Grant Applicants

• Over 721 Health Centers AppliedOver 721 Health Centers Applied

• Representing all Regions of the US and Representing all Regions of the US and over 25 Statesover 25 States

• 14 Primary Care Associations 14 Primary Care Associations • 52 Networks52 Networks• 26 Community Health Centers26 Community Health Centers

Telehealth Network GrantsTelehealth Network Grants

• To demonstrate how telehealth technologies can To demonstrate how telehealth technologies can be used through telehealth networks to:be used through telehealth networks to:

• Expand access, coordinate, and improve quality of Expand access, coordinate, and improve quality of health services.health services.

• Improve and expand the training of health care Improve and expand the training of health care providers.providers.

• Expand and improve the quality of health information Expand and improve the quality of health information available to health care providers, and to patients and available to health care providers, and to patients and their families.their families.

• Eligibility: Open to urban and rural networks, but Eligibility: Open to urban and rural networks, but limited funding resulted in only rural networks funded.limited funding resulted in only rural networks funded.

Telehealth Grants Allow Grantees to…Telehealth Grants Allow Grantees to…

• Purchase/lease equipment (up to 40% of grant).Purchase/lease equipment (up to 40% of grant).• Pay for organizational development and Pay for organizational development and

operations.operations.• Conduct internal evaluations on cost-Conduct internal evaluations on cost-

effectiveness of services.effectiveness of services.• Provide clinical services, develop distance Provide clinical services, develop distance

education programs, mentor/precept at a education programs, mentor/precept at a distance.distance.

• Promote collaboration in the region to Promote collaboration in the region to improve improve the quality of and access to health services.the quality of and access to health services.

Telehealth Network GrantsTelehealth Network Grants• University of Arkansas for Medical Sciences, ARUniversity of Arkansas for Medical Sciences, AR• Northern Sierra Rural Health Network, CANorthern Sierra Rural Health Network, CA• Ware County Board of Health, GAWare County Board of Health, GA• The Queen's Medical Center, HIThe Queen's Medical Center, HI• Public Hospital Cooperative SE Idaho Inc, IDPublic Hospital Cooperative SE Idaho Inc, ID• Illinois Department of Human Services, ILIllinois Department of Human Services, IL• University of Kansas Medical Center Research Institute, KSUniversity of Kansas Medical Center Research Institute, KS• Eastern Maine Healthcare Systems, MEEastern Maine Healthcare Systems, ME• Tri-County Hospital, MNTri-County Hospital, MN• Citizen's Memorial Hospital District, MOCitizen's Memorial Hospital District, MO• St. Patrick Hospital & Health Foundation, MTSt. Patrick Hospital & Health Foundation, MT• Duke University, NCDuke University, NC• Children's Hospital Medical Center of Akron, OHChildren's Hospital Medical Center of Akron, OH• Home Nursing Agency & Visiting Nurse Association, PAHome Nursing Agency & Visiting Nurse Association, PA• University of Washington, WAUniversity of Washington, WA• Marshfield Clinic Research Foundation, WIMarshfield Clinic Research Foundation, WI

Telehealth Resource CentersTelehealth Resource Centers

• Purpose: To promote the cost-effective use of Purpose: To promote the cost-effective use of Telehealth technologies through technical Telehealth technologies through technical assistance to grantees, potential grantees, assistance to grantees, potential grantees, health care providers, and communitieshealth care providers, and communities

• Technical AssistanceTechnical Assistance DisseminationDissemination

Website Website ConferencesConferences WebinarsWebinars

Peer-to Peer TAPeer-to Peer TA Individual TA Individual TA

FY 2006 Telehealth Resource Center FY 2006 Telehealth Resource Center Grantees/States CoveredGrantees/States Covered

• California Telemedicine and eHealth Center: California Telemedicine and eHealth Center: CACA• Northeast Telehealth Resource Center (Medical Northeast Telehealth Resource Center (Medical

Center at Lubec): Center at Lubec): ME, VT, NH, MAME, VT, NH, MA• Midwest Alliance for Telehealth and Technologies Midwest Alliance for Telehealth and Technologies

Resources (Marquette Hospital): Resources (Marquette Hospital): MI, KSMI, KS• Northwest Regional Telehealth Resource Center Northwest Regional Telehealth Resource Center

(St. Vincent Foundation): (St. Vincent Foundation): AK, HA, ID, MT, OR, UT, AK, HA, ID, MT, OR, UT, WA, WYWA, WY

• Great Plains Telehealth Resource and Assistance Great Plains Telehealth Resource and Assistance Center (Avera Rural Health Institute): Center (Avera Rural Health Institute): ND, SD, NE, ND, SD, NE, MNMN

• Center for Telehealth and E-Health Law: National Center for Telehealth and E-Health Law: National CenterCenter

Telehealth Resource Centers Contact Telehealth Resource Centers Contact InformationInformation

NATIONAL TELEHEALTH RESOURCE CENTERNATIONAL TELEHEALTH RESOURCE CENTER

• Center for Telehealth and e-Health LawCenter for Telehealth and e-Health Law• Phone: (202) 230-5090; Web: Phone: (202) 230-5090; Web: www.ctel.orgwww.ctel.org

REGIONAL RESOURCE CENTERSREGIONAL RESOURCE CENTERS

• California Telemedicine and eHealth CenterCalifornia Telemedicine and eHealth Center• Phone: (916) 552-7679; Web: Phone: (916) 552-7679; Web: www.cteconline.orgwww.cteconline.org

• Great Plains Telehealth Resource and Assistance CenterGreat Plains Telehealth Resource and Assistance Center• Phone: (888) 239-7092; Web: Phone: (888) 239-7092; Web: www.gptrac.orgwww.gptrac.org

• Midwest Alliance for Telehealth and Technology ResourcesMidwest Alliance for Telehealth and Technology Resources• Phone: (866) 603-4733; Web: Phone: (866) 603-4733; Web: www.midwesttrc.orgwww.midwesttrc.org

• Northeast Telehealth Resource CenterNortheast Telehealth Resource Center• Phone: (207) 287-4060; Web: Phone: (207) 287-4060; Web: www.northeasttrc.orgwww.northeasttrc.org

• Northwest Regional Telehealth Resource CenterNorthwest Regional Telehealth Resource Center• Phone: (509) 789-4976; Web: Phone: (509) 789-4976; Web: www.nrtrc.orgwww.nrtrc.org

Licensure Portability GrantsLicensure Portability GrantsNational Council of State Boards of Nursing GrantNational Council of State Boards of Nursing Grant

• Aassist states in adoption of the Nurse Licensure Compact (NLC).Aassist states in adoption of the Nurse Licensure Compact (NLC).

• Mutual recognition licensure model based on the U.S. Driver’s License Mutual recognition licensure model based on the U.S. Driver’s License Compact.Compact.

• Allows both RN and LP/VN nurses to hold one license to practice in their Allows both RN and LP/VN nurses to hold one license to practice in their home state while being permitted to practice in other participating NLC home state while being permitted to practice in other participating NLC states, both physically and electronically.states, both physically and electronically.

• Develop strategies to overcome barriers to implementation.Develop strategies to overcome barriers to implementation.

• Assess the costs and benefits of such strategies.Assess the costs and benefits of such strategies.

• Nurse Summit to increase knowledge about the NLC among states.Nurse Summit to increase knowledge about the NLC among states.

• Assist states in defraying costs of criminal background check (CBC) for Assist states in defraying costs of criminal background check (CBC) for licensees – a major barrier to adoption in some states.licensees – a major barrier to adoption in some states.

• Development of standardized financial impact tools to evaluate the cost of Development of standardized financial impact tools to evaluate the cost of implementing the NLC and CBCs.implementing the NLC and CBCs.

Licensure Portability GrantsLicensure Portability GrantsFederation of State Medical Boards of the United States, Inc. Federation of State Medical Boards of the United States, Inc.

• To create demonstrations of models that reduce licensure To create demonstrations of models that reduce licensure barriers to telehealth for physicians practicing across state lines.barriers to telehealth for physicians practicing across state lines.

• Implements 2 proposals developed by medical boards in the Implements 2 proposals developed by medical boards in the northeastern (ME, MA, VT, CT, RI and NH) and western regions northeastern (ME, MA, VT, CT, RI and NH) and western regions (ND, KS, CO, MN, IA, ID, OR, and WY) to share licensure (ND, KS, CO, MN, IA, ID, OR, and WY) to share licensure information across jurisdictions.information across jurisdictions.

• Development of a centralized data management system with Development of a centralized data management system with immediate access to credentials that confirm physicians’ immediate access to credentials that confirm physicians’ qualifications to practice – reducing the burden faced by qualifications to practice – reducing the burden faced by applicants seeking verification of their credentials in multiple applicants seeking verification of their credentials in multiple states.states.

• Expected Outcomes: Expected Outcomes: • Reduce amount of time and paperwork required to issue licenses, Reduce amount of time and paperwork required to issue licenses,

thereby encouraging more physicians to participate in electronic thereby encouraging more physicians to participate in electronic practice across state lines.practice across state lines.

• Facilitate mobilization of physicians in disasters when the need for Facilitate mobilization of physicians in disasters when the need for immediate and accurate physician information is essential.immediate and accurate physician information is essential.

A Strategy for Providing HIT A Strategy for Providing HIT Technical Assistance (TA)Technical Assistance (TA)

TA Tools TA Tools developed by developed by OHIT form a OHIT form a mechanism to mechanism to increase health IT increase health IT knowledge in the knowledge in the grantee grantee community. community. – – September 2007September 2007

TA – HRSA PortalTA – HRSA Portal

• In partnership with the Agency for Health Care In partnership with the Agency for Health Care Research and Quality (AHRQ) HRSA has established Research and Quality (AHRQ) HRSA has established a Health IT Community for HRSA grantees.a Health IT Community for HRSA grantees.

• Serves as a virtual community for health centers, Serves as a virtual community for health centers, networks and PCAs to collaborate around the networks and PCAs to collaborate around the adoption of technologies promoting patient safety and adoption of technologies promoting patient safety and higher quality of care. higher quality of care.

• Facilitates collaboration via discussion forums where Facilitates collaboration via discussion forums where health centers facing similar challenges can share health centers facing similar challenges can share thoughts and lessons from experiences with a variety thoughts and lessons from experiences with a variety of IT systems and scenarios.of IT systems and scenarios.

TA – HRSA PortalTA – HRSA Portal

• Will include tabs for maternal and child health, rural Will include tabs for maternal and child health, rural health, HIV/AIDS grantees, and telehealth grantees.health, HIV/AIDS grantees, and telehealth grantees.

• Creates a central hub for communication across Creates a central hub for communication across geographically disparate sites, allows team members to geographically disparate sites, allows team members to view important announcements, documents, tasks, view important announcements, documents, tasks, events, and discussions related to their initiative.events, and discussions related to their initiative.

• Private community capabilityPrivate community capability• A virtual place for grantees to have a place for project plan tasks A virtual place for grantees to have a place for project plan tasks

lists, upload documents, create calendars, and have discussion lists, upload documents, create calendars, and have discussion boards on the project. boards on the project.

• Grantee controls who has access to the community. Grantee controls who has access to the community. • Perfect for large health centers, networks, and people working Perfect for large health centers, networks, and people working

with other partners.with other partners.

TA – HRSA PortalTA – HRSA Portal

• Includes a repository of information on IT Includes a repository of information on IT targeted to the health center population targeted to the health center population members.members.

• For login name and password for the HRSA For login name and password for the HRSA Health IT Community, email Health IT Community, email HealthIT@hrsa.govHealthIT@hrsa.gov to obtain logins for you and your staff. to obtain logins for you and your staff.

• The HRSA Health IT Community news is The HRSA Health IT Community news is updated daily with articles and news releases updated daily with articles and news releases related to HIT.  Be sure to check it! related to HIT.  Be sure to check it!

TA - HIT ToolboxTA - HIT Toolbox

• An interactive Toolbox that will assist health centers, maternal and An interactive Toolbox that will assist health centers, maternal and child health, rural health, and HIV/AIDS grantees in HIT planning, child health, rural health, and HIV/AIDS grantees in HIT planning, implementation, and sustainability. implementation, and sustainability.

• Dissemination of the HIT Toolkit is for November 2007.Dissemination of the HIT Toolkit is for November 2007.

• Focus:Focus:• Collaborative solutionsCollaborative solutions• Module basedModule based• InteractiveInteractive• Questions and answersQuestions and answers

• We will be sharing the draft toolkit for feedback among a small set of We will be sharing the draft toolkit for feedback among a small set of stakeholders in September/October.  If you would like to be part of stakeholders in September/October.  If you would like to be part of this group, please email this group, please email HealthIT@hrsa.govHealthIT@hrsa.gov letting us know.letting us know.

TA - HIT ToolboxTA - HIT Toolbox

• The toolbox is organized by 9 topic-specific The toolbox is organized by 9 topic-specific modules:modules:

• Introduction to Health IT      Introduction to Health IT      • Getting Started        Getting Started        • Opportunities for Collaboration         Opportunities for Collaboration         • Project Management and Oversight  Project Management and Oversight  • Planning for Technology Implementation       Planning for Technology Implementation       • Organizational Change Management and TrainingOrganizational Change Management and Training• System Implementation        System Implementation        • Evaluating, Optimizing, and Sustaining           Evaluating, Optimizing, and Sustaining           • Advanced Topics    Advanced Topics   

TA - HIT TA CenterTA - HIT TA Center

• Provide consistent HIT TA to HRSA grantees.Provide consistent HIT TA to HRSA grantees.• TA “One to Many" Calls TA “One to Many" Calls

• HIT 101 HIT 101 • Workflow Analysis and HITWorkflow Analysis and HIT• Slides, transcripts and recordings of calls are on the Slides, transcripts and recordings of calls are on the

HRSA Health IT Community.HRSA Health IT Community.

• Peer-to-peer technical assistance to obtain TA Peer-to-peer technical assistance to obtain TA from an experienced peer in HIT.from an experienced peer in HIT.

• Consultant technical assistance to obtain TA Consultant technical assistance to obtain TA from an experienced consultant in HIT.from an experienced consultant in HIT.

OHIT Strategic PlanOHIT Strategic Plan

• A strategic plan that will define:A strategic plan that will define:• OHIT’s role in promoting HIT adoption across HRSAOHIT’s role in promoting HIT adoption across HRSA• OHIT’s relationships with HRSA offices and bureaus OHIT’s relationships with HRSA offices and bureaus • OHIT’s relationships with its grantees and other OHIT’s relationships with its grantees and other

constituentsconstituents• How OHIT addresses its mission to promote the How OHIT addresses its mission to promote the

adoption and effective use of HIT in the safety net adoption and effective use of HIT in the safety net communitycommunity

• Expected release – November 2007Expected release – November 2007

HRSA HIT Grantee MeetingsHRSA HIT Grantee Meetings

• Promote collaboration, knowledge sharing, Promote collaboration, knowledge sharing, and the leveraging of resources among and the leveraging of resources among HRSA grantees to promote HIT adoption by HRSA grantees to promote HIT adoption by safety net providers.safety net providers.

• Audience approximately 500 HRSA Audience approximately 500 HRSA granteesgrantees

• Meeting Date: November 5 – 7, 2007Meeting Date: November 5 – 7, 2007• Location: Crystal City, VALocation: Crystal City, VA• Website: Website: http://blsmeetings.net/OHIT/http://blsmeetings.net/OHIT/

Areas to WatchAreas to Watch

• Personal health recordsPersonal health records• Continuous records of one's diagnoses, medications, treatments Continuous records of one's diagnoses, medications, treatments

and outcomes--portable and interoperable with electronic health and outcomes--portable and interoperable with electronic health records, clinical decision support and clinical data repositories--records, clinical decision support and clinical data repositories--will dramatically improve continuity of care by 2014. will dramatically improve continuity of care by 2014.

• Access to health IT for disadvantaged, Access to health IT for disadvantaged, underserved and vulnerable patient populationsunderserved and vulnerable patient populations

• IT will help reduce disparities in healthcare distribution so that IT will help reduce disparities in healthcare distribution so that underserved populations are not left out. underserved populations are not left out.

• Role of the states Role of the states • States will become much more involved in health information States will become much more involved in health information

exchange initiatives and RHIOs, setting policies and monitoring exchange initiatives and RHIOs, setting policies and monitoring service delivery to improve accessibility to evidence-based service delivery to improve accessibility to evidence-based healthcare. healthcare.

Areas to WatchAreas to Watch

• Biosurveillance and Public HealthBiosurveillance and Public Health• Public and private healthcare providers will make extensive use Public and private healthcare providers will make extensive use

of biosurveillance when responding to natural disasters, of biosurveillance when responding to natural disasters, epidemics and terrorist attacks, including identification and epidemics and terrorist attacks, including identification and management of the psychological response to trauma. management of the psychological response to trauma.

• Continuity of care for military personnelContinuity of care for military personnel• Portable electronic health records will improve access to Portable electronic health records will improve access to

physical and mental health diagnostic and treatment services for physical and mental health diagnostic and treatment services for veterans with physical injuries, as well as post-traumatic stress veterans with physical injuries, as well as post-traumatic stress disorder and traumatic brain injury. disorder and traumatic brain injury.

• To improve continuity of care, these records should include To improve continuity of care, these records should include health information from all sources, from pre-deployment health information from all sources, from pre-deployment baselines to military hospitals to nursing homes and private baselines to military hospitals to nursing homes and private health care. health care.

QuoteQuote

““Remember, this isn’t about technology, it’s Remember, this isn’t about technology, it’s about transforming the health of the about transforming the health of the

nation. My role is to get IT out there to nation. My role is to get IT out there to improve the quality and efficiency of health improve the quality and efficiency of health

care and the ability of consumers to care and the ability of consumers to manage their own health.”*manage their own health.”*

- - Robert Kolodner,Robert Kolodner,

National Coordinator for Health IT National Coordinator for Health IT

* From iHealth Beat article, “Government Tapping IT To Boost Care, National Health IT Leader Says.” Issue May 18, 2007.

Contact InformationContact Information

Cheryl Austein Casnoff, MPHCheryl Austein Casnoff, MPH

Associate AdministratorAssociate Administrator

DHHS/HRSA/OHITDHHS/HRSA/OHIT

5600 Fishers Lane, 7C-225600 Fishers Lane, 7C-22

Rockville, MD 20857Rockville, MD 20857

Phone: 301-443-0210 Phone: 301-443-0210

Fax: 301-443-1330Fax: 301-443-1330

caustein-casnoff@hrsa.govcaustein-casnoff@hrsa.gov