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1
Washington State Health Care Authority
Richard Onizuka, PhD, Executive SponsorHealth Record Bank Project
Washington StateHealth Record Bank
Pilot Project
August 1, 2008
State Coverage Initiatives National Meeting
2
The Problem
• Scattered records:
– Ineffective information sharing– Cumbersome, expensive, and fallible– No mechanism to collect and
consolidate information
• No responsible institution or entity that:
– Securely stores complete electronic health care records
– Provides personal health care information when and where needed
– Creates value through storage of electronic health care records for patients and providers
3
Health IT Efforts
• SSB 5064: Health Information Technology
– Health Record Banking– Roadmap for State Action
• Senate Bill 5930: Section 10
“An act relating to providing high-quality, affordable health care to Washingtonians based on the recommendations of the Blue Ribbon Commission on Health Care Costs and Access.”
Health information infrastructure Consumer-centric health record banking
• Goal:
– Deliver health information – when and where needed
4
• Consumer engagement and activation– Help patients
• Manage their health information• Navigate the delivery system• Prepare for office visits with their
provider• Become more knowledgeable health
care partners
• A mechanism to facilitate health information sharing– Health Record Bank (HRB) is health
information sharing focused on consumer management of information
– HRB supports industry health information exchange
Washington State Vision
5
• “Proof of Concept” Pilot
– Consumer managed
– Secure, private, and confidential
– High-value data set
– Repository for “copies” of clinic health care information
– Partnerships in use of innovate disruptive technology
Consumer-CentricHealth Record Banks
6
Disruptive Technology Goal
• Shift from institution based ($) care to community based care
• Information empowers consumers
• Empowered consumers drive transformational change
• Transformational change improves: safety, quality, efficiency
7
Consumer and Health Industry Information
Health Industry managed info
-EMR
-Claims data
-Meds
-Labs
-Other
Consumer requests COPY of info sent from industry source to HRB
HRB - Consumer managed info
- COPY of clinical health care data
- Edit capability with data copies
- Self-entered data
Consumer authorizes view by or COPY of info to health care
provider/industry
HIIAB* + AccessMyHealth.org – Our Roots
SSB 5064
2006 law led to series of recommendations for health IT in Evergreen State
*Health Information Infrastructure Advisory Board + HCA responsible for subsequent state action.
July 2008 through June 2009:$2 million in grants* for two to four regional pilot projects.
hac.wa.gov/hit
9
AccessMyHealth.org –Our Elevator Speech
• AccessMyHealth.org is a partnership of Washingtonians – patients, doctors, and others – that will be exploring ways to improve patients’ access to their personal health information.
• AccessMyHealth.org is supporting the concept of secure online personalized health records to help you gather and store your health information to share with your doctors, family members, and others.
10
• Key policy objectives for pilots:– Operational by 1/09– Pilot methods to drive adoption/usage of
HRBs– Use of information to “activate”
consumers– Consumer access to and management of
clinical health information– Heath information sharing between HRB
and industry information sources
• State policy questions pertaining to HRBs: – Impact on health disparities, special
populations, public health– Optimal role of government– Financial sustainability
Pilot Approach
11
AccessMyHealth.org –Three Surveys / Future Vision
• Three online surveys: 1) Consumer focused. Started June 1st .2) Privacy and security focused. Starts in
July.3) Follow-up on previous surveys. Starts
August 1st.
• Future Vision:1) Help patients become knowledgeable
partners/advocates2) Ombudsman role: provide
unbiased/impartial information3) Education role: teach the benefits of
informed patients partnering with doctors
4) Be the magnet for and about online health records in WA
5) Provide voluntary certification/seal of approval
12
Estimated TimeFrame Major Task
Status
2/08 –4/08 Finalize pilot specs Completed
5/08 –7/08 Solicit/evaluate pilotReleased
applications
7/08 – 8/08 Pilot selection Pending
8/08 – 12/08 Pilot buildPending
1/09 –6/09 Pilot implementation and assessment Pending
Questions? Contact Juan Alaniz, Project Manager [email protected], 360-923-2726
Next Steps for HRB Pilot