Health Information TechnologyRequest for Grant Applications
Applicants Conference
November 21, 2006
10:00am - 1:00pm
Conference Panelists•Bill Schroth - Moderator
•Anna Colello - Evaluation Co-Chair
•Ellen Flink - Evaluation Co-Chair
•Marybeth Hefner-DOH - GrantsAdministrator
•Janice Dee – DOH – HEAL NY
•Bob Veino - DOH - Legal
•Tracy Raleigh - DASNY - Finance
•Sara Richards - DASNY - Legal
HEAL NY - Phase III
• Support Federal Strategic HIT Plan
• Broad definition of Clinical Data Information Sharing Projects
• Principle: Large public interest in building clinical data sharing infrastructure
• Majority of funds to existing stakeholders
• Show community benefit and support
Financial Issues•Funding for capital costs - Statutory
•60% match funds required
–Leverage grants
–“Skin in the game”
–Reduce to 50% in certain circumstances
•Financial viability
–Real implementation, not temporary
–Encourage payer involvement
Multi-stakeholders/Community Buy-in
•Across corporate/stakeholder boundaries
•Minimum requirements
•The more the merrier
•Openness to new stakeholders
•CAUTION: Make sure applicant is
“eligible”
Technology
•Interoperability
•Existing standards, certification for EHRs
•Choice of platforms/vendors
•Prescriptive standards for e-Imaging and eRx
•Requirements
•Recommendations
Three Project Categories
• e-Imaging $10MM
• Public Health $10MM
• Clinical data sharing $32.875+ Million
• Increase proportionally if total Phase 3 amount increased
1- e-Imaging: Interoperable Sharing of Imaging Data across a Community
•Imaging is the fastest growing medical expense•Digital imaging increases diagnostic capability: resolution,
contrast, historical images•Opportunity to avoid duplication & unnecessary images•Advanced technical standards
•Four (4) Requirements•Decision/Recommendations
•Financial support from payers, possibly vendors•Required: 20% funding from Payers•Higher scores for larger payer and/or vendor financing•Only 50% match required for projects utilizing existing
PACS
2 – Public Health
•Projects with specific public health functionality:
•Clinical laboratory data
•Medical records
•Connect with the clinical
•Detailed specifications and standards
3 – Clinical Data Sharing – Provider infrastructure & connecting software for various projects
•E H R, eRX, and other
•Connect others to existing projects
•Connect Existing projects
•Projects in Geographic Areas where none exist
•E H R Certification
•eRX standards
•3 Requirements
•Recommendations/Discussion
Regional Allocations
• Evaluation combines project quality and category with geographic distribution
• Right to alter grant/project size – hope not to use
• Three steps:
• Fill e-Imaging & public health categories
• Geographic distribution to specific 6 regions
• Remainder to highest scores statewide
0
2
4
6
8
10
12
14
16
18
20
Western Northern NY
Example: Step One - e-Imaging & Public Health
HudsonValley
LICentral
MILLIONS $5MM $5MM $5MM
$2MM
$0
$4MM
0
2
4
6
8
10
12
14
16
18
20
Western Northern NY
e-Imaging & PH Geographic Quotas
Example: Step Two – Geographic Quotas
MILLIONS
LIHudsonValley
Central
$5MM $5MM
$2MM
$4MM$3.1MM
$11MM
0
2
4
6
8
10
12
14
16
18
20
Western Northern NY
e-Imaging & PH Geographic Quotas
Example: Step Two – Geographic Quotas
MILLIONS
LIHudsonValley
Central
$5MM $5MM
$2MM
$4MM$3.1MM
$11MM
$0
$4
$8
$12
$16
$20
Western Northern NYC
e-Imaging & PH Geographic Highest Remaining Scores
Example: Step Three – Highest Remaining Scores
LIHudson Valley
Central
$5MM
$8MM
$4MM
$9MM
$20MM
$7MM
MILLIONS
Capital Costs and Matching Funds
• Project Phases
– Preliminary design phase
– Software development phase
– Post-implementation/operational phase
Preliminary Design Phase
• Costs apply only to matching costs
• Direct costs only
• Must be incurred 10/1/06 or later
Software Development Phase
• Costs can apply to match or be reimbursable
• Direct costs only
• If used for match, must be incurred 10/1/06 or later
• If used for reimbursement, must be incurred after contract start
Post-Implementation/Operational Phase
• Costs apply only to matching costs
• Direct costs only
• Must be incurred after contract start date
Examples of Allowed Costs
• Payroll for staff directly involved
• Payroll related costs (employee benefits)
• Travel for direct staff
• Hardware
• Software purchase - specific to project
• Software development by third party
Eligible Applicants
• Legally existing corporation licensed tooperate entity Section 3.2 in NYS of RGA
• May be an eligible applicant for only one application, but may be a stakeholder in one or more applications
• May be Clinical Information Data Exchangemade up of Section 3.2 entities and mustexchange data with stakeholder of adifferent category
Stakeholders
• Same entities as eligible applicants with theaddition of adult homes with assisted livingprograms, hospices, payers, pharmacies andlabs
• Must be medical entity to qualify and themore appropriate organizations that partnerthe better
• May be part of multiple applications
Requirement to Certify that: I will make every effort to ensure that the applicant will be consistent with the
goals and recommendations, when available, of the Commission on Health Care Facilities in the Twenty-First Century, as established pursuant to Section 31 of Part E of Chapter 63 of the Laws of 2005.
I will make every effort to ensure that the applicant will design a project which is interoperable and adheres to the national standards for their type of Project.
I certify that the work covered by the Grant Disbursement Agreements (“GDAs”) shall be deemed “public work” subject to and in accordance with Articles 8, 9 and 10 of the Labor Law, if applicable.
I certify that the applicant will collaborate with other grant recipients in their region and with the Department of Health on the development of statewide standards.
I certify that the information contained in this application and attached materials are accurate and true.
I certify that the funds received pursuant to subdivision 1 of section 2818 of the Public Health Law will be expended solely for the purposes for which the monies were awarded under the RGA for __________________________________.
• Attachment 6 (Name of Facility)
Evaluation Criteria• The Technical component is worth 70% and the
Financial component is worth 30%• Minimum score of 65 to be eligible for
consideration• Within the technical component, the areas of most
importance are: quality, technology and community buy-in/commitment
• The technical component and financial component will be reviewed by separate teams
• An awards committee will make the final award determinations
Evaluation Criteria
• Project Description- 40 points
• Technology - 20 points
• Project Evaluation / Monitoring - 10 points
• Financial - 30 points
• Cost effectiveness
• Financial viability
Review Teams
• Program Teams
• Technology Teams
• Financial Teams
Award Criteria Considerations
• Strength and scope of overall Project
• Availability of funds
• Responsiveness to the goals and objectives of HEAL NY and RGA
• Evidence of substantial applicant organizational capability, support, and
commitment
• Financial commitment and viability
Submitting the Application
• Applications must be prepared using the forms on the website, including the budget and certification.Attachments can be found at:
http://www.nyhealth.gov. /funding/rfa/0610100951/index.htm• Applications should be submitted to:
Robert SchmidtDirector, HEAL NY Implementation TeamNew York State Department of HealthHedley Building, 6th floorTroy, NY 12180
• Questions due by November 27, 2006
• Questions & Answers will be posted
December 1, 2006 at http://www.nyhealth.gov/funding/rfa/0610100951/index.htm
• Application due date - January 8, 2007
• Anticipated Award Date - Spring 2007
Key Dates
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