Developments in Health Information Exchange in Illinois
Pat Cunningham, UIC alum, and current Illinois Chief Technology Officer presents on the current developments in Health Information Exchange in Illinois.
Illinois Office of Health Information Technology
Health Information Exchange in Illinois
Presented by: Patricia Cunningham MS, RHIA, and Chief Technology Officer
[Video Coming Soon]
What is Health Information Exchange (HIE)
The capability to move clinical information electronically between disparate healthcare information systems while maintaining the accuracy of the information exchanged
American Recovery and Reinvestment Act (ARRA)
HITECH Programs in Illinois
- HIE Cooperative Agreement Program
- Regional Extension Centers
- Community College Consortia to Educate Health IT Professionals
- Strategic Health IT Advanced Research Project (SHARP)
- Medicare and Medicaid EHR Payment Incentive Programs
HIE Cooperative Agreement Program
- Purpose is to develop health IT infrastructure nationwide by 2014
- Illinois awarded $18.8 million
- $1 million released in February 2010 for planning
- Access to implementation funding contingent upon federal approval of State Plan
- Interstate and national exchange anticipated
- Executive Order 10-01 created Office of Health Information Technology (OHIT)
- Public Act 96-1331 – the Health Information Exchange and technology Act – establishes the Authority to operate the ILHIE
Illinois Office of Health Information Technology (OHIT)
- Created by Executive Order to direct and coordinate State Health IT and HIE initiatives
- Participate in HIE Cooperative Agreement Program, other HITECH programs
- Transition governance of the statewide HIE to the Illinois HIE Authority
- Enable the exchange of data in a secure environment, according to national standards and all applicable privacy laws
- Public-private entity
- Executive Director and Board of Directors, appointed by Governor; ex officio members from five state agencies
- Responsible for the long-term governance, operation and oversight of the statewide HIE
- Will ensure adherence to all applicable privacy and security laws and standards
- Will provide sustainability for the Illinois HIE
Goals & Objectives of Illinois’ HIE Initiative
- Goals of Illinois’ HIE Initiative
- Improved health outcomes
- Better care coordination among providers
- Reduced medical errors
- Reduced health disparities
- Controlled health care costs
Objectives of Illinois’ HIE Initiative
- Improved health outcomes
- Widespread adoption and Meaningful Use of electronic health records
- Secure exchange of clinical data among providers
- Electronic prescribing
- Reporting quality measures
- Public health reporting and disease surveillance
What is the “Illinois HIE” (ILHIE)
- Patients
- Providers
- Payers
- Pharmacy
- Public Health
- Labs & Diagnostic
Illinois HIE Architecture Model
- Three-tiered model that leverages existing capacity
*State level (ILHIE) single source of truth for core services
*Local HIEs facilitating clinical data exchange
*Enterprise HIEs facilitating clinical data exchange within privately controlled institutions
- Technical Infrastructure
- Core services and standards operated and governed by the Illinois HIE Authority
- Secure communications and message routing hub to ensure connectivity among local and enterprise HIEs
- Means of electronic exchange with State health IT systems
- Oversight, standards setting, organizing, convening
Planned Core Services - Master Patient Index
- Record Locator Service
- Provider Directory
- Payer Directory
- Public Health Entity Directory
- Authentication Services
- Consent Management
- Auditing Services
- Technical Considerations
- Interoperability
- Scalability
- Privacy and security
- Consumer Education and Public Awareness Work Group charged with creating messaging and working on coordinated outreach strategy.
- Develop and implement an institutional message delivery system through collaboration with stakeholder partners.
- Created one-page fact sheet on Local HIEs and developed one-page fact sheet on HER utilization – both to be hosted on ILHIE Website and disseminated statewide.
- Immediate future plans include marketing through online social networking, and beginning a series of informational webinars on different topics and domains of HIE.
- www.hie.illinois.gov
Strategy to Meet Meaningful Use
- In development
- Coordination with RECs
- Coordination with State Medicaid HIT Plan
- Coordination with provider organizations
- Leverage existing HIE stakeholders
- Leverage existing, planned HIE infrastructure
- Use of Statewide HIE governance structure
- Medicare & Medicaid EHR Payment Incentives
- 100% federally funded
- Hospitals and eligible professionals
- Eligible professionals must choose either Medicare or Medicaid
- Must meet Meaningful Use criteria
- Medicaid 30% patient volume; 20% for pediatricians; or clinicians in an FQHC or RHC
- Medicare penalties begin in 2015
Federal CMS Official Site
- www.cms.gov/EHRIncentivePrograms/
More information regarding Illinois participation in Medicaid incentives program
Statewide HIE High Level Timeline
- Convene Statewide HIE Governing Body 11/2010
- Adopt Business Plan for Sustainability 01/2011
- Begin Statewide HIE Build and Test 10/2011
- Begin Core Phase Implementation 04/2012
- Begin Peripheral Phase Implementation 07/2012
For More Information
- Illinois Health Information Exchange Web Page – www.hie.illinois.gov
- US HHS Health IT Page – www.healthit.hhs.go
