Colorado’s Health IT

RoadmapCOVID-19 Strategy

eHealth Commission Role

● Advisory board to OeHI and State of Colorado on health

information technology, health information exchange, and

data sharing strategy, policy, and approaches

● Steering committee for Colorado’s Health IT Roadmap

planning and implement efforts-led by OeHI

Questions raised in executive session

● How can OeHI and eHealth Commission best

support COVID-19 efforts from a policy and

funding/contracting perspective?

Priority

Initiatives

COVID-19

Roadmap

Focus

Telemedicine

HIE

Infrastructure

(consent/si,

identity)

Public

Health

Surveillance

& Reporting

Care

Coordination

(social, physical,

BH)

Data Governance

Populations of Focus

Safety Net Populations

High Acuity

Rural Communities

Mental Health

Deprioritized Initiatives

Consumer Engagement & Empowerment

Provider Reporting Burden (eCQM)

Immediate Response

OeHI Immediate COVID-Response Efforts

Health IT Policy

OeHI is leading efforts through the

Governor's Office, Innovation Response

Team Task Force, and eHealth

Commission to guide timely and aligned

policy to support COVID response.

Lead

● Executive Order for Telehealth

● OeHI Director leading IRT Telemedicine

Task Force

● Lab Data Letters

● ONC Comments for 5 yr Strategy

● Hire State HIT Coordinator

Health IT Infrastructure and Innovation

OeHI has release x$ of Roadmap funds to

date. Will continue to invest funds to

support COVID response in alignment with

Health IT Roadmap and state priority areas.

Fund

● HITECH x$ funds released

● HITECH x$ funds to be released

● HITECH fund transition to MMIS

● Yr3 Capital IT- ON HOLD by JBC

● SUPPORT ACT- $5million to be

invested by Sept 2021, $2.5 for Rx

Tool

● FCC Funding for Telemedicine TBD

● Public Health Infrastructure Funds TBD

Project Management Office

Project Management Office expediting the

scoping, contracting, launching, and

completion of inflight and new prioritized

Roadmap projects.

● 3 New Project Managers to Join

● Brad Barfield new Program Manager

● Ryan Law new Contract Manager

● Changes to PMO process, structure

and governance

Expedite

New Proposal Criteria

Funding Priorities

Priority 3- Advance HIE & Public Health Infrastructure

Longer term advancements

are needed to HIE/HIT

infrastructure that include

expanding connectivity and

availability of HIE data,

refining infrastructure

established through the

emergency response for

ongoing use, and providing

ongoing technical assistance

to adopt these advancements.

Priority 1-Financial Sustainabilityof HIE Infrastructure

Health information exchange

infrastructure is essential to

supporting the health of

Coloradans. During the

pandemic, health providers

and health systems may not

be able to afford fees or may

not be connected. Supporting

providers (financially in need)

to access and technical

assistance w/ the HIE

infrastructure is #1 priority.

Priority 2- Emergency Response Innovations

To quickly respond to

emergent needs, the Governor

launched the innovation

response team task force to

accelerate screening, care

coordination, telemedicine,

and public health surveillance

and reporting. New pilots and

innovations are to be funded

that support and align with

this effort in the short term.

Start ASAP In Progress Start within 4-6 months

New COVID-19 Response Proposal Criteria Requirements for Funding

Consideration

OeHI and/or eHealth Commission workgroup informally

discussed proposed concept prior to March 01, 2020.

OR after March 01, 2020 proposed concept

was vetted by Innovation Response Team

Task Force- Project Leads.

Proposal immediately supports state COVID-19 priorities

through telemedicine, Care Coordination, HIE Infrastructure or

Public Health Surveillance or Reporting.

Required

Proposal meets the immediate needs of COVID emergency

response efforts and aligns with HIT Roadmap strategies and

efforts: telemedicine, care coordination, HIE infrastructure,

data governance and public health surveillance and reporting

Required

Proposal does not duplicate and adds value to the Innovation

Response Team (IRT) Task Force efforts (near and longer

term).

Required

eHealth Commission approves the funding approach and

priorities

Required

ScreeningHotline: Tim

App: Ian

Architecture/Infrastru

cture: Lucy

Resource

Human &

Digital

(Hana)

Joyful (ancillary)

( Hana & Michelle)

High Acuity

(Gretchen)

Healthcare Worker

Supports

(Sarah A.)

MicroVolunteering

(Sarah T.)

OK

Not Ok

Someday:

Test referral

Someone in

need of info

or help

*Is telemed,

telepsych,

telehealth

needed?

If yes, refer to

next slide.

Info

IRT COVID

eHealth Commission Vote

Does the eHealth Commission approve the funding priorities and criteria for

the COVID-19 response?

Funding Reprioritization

Recommended Projects to Support Immediate and Longer term COVID efforts

Roadmap Initiative

Funds

Total

FY19/FY20

Proposed High Level Projects

Reduce Provider Reporting Burden

(eCQM)

$5,300,000 Rural Connectivity $3,000,000 Project

HIE COVID support

$2,300,000 (onboarding, fees, COVID projects)

OeHI Operations Funds (General and

Projects) to be spent by June 30, 2020

$800,000 New COVID Priority Projects.

Consumer Engagement (requesting NEW

90/10 match) 6-12 months

$1,200,000 New funding for plan & DDI of telehealth and public health

surveillance and reporting. Current funds 100% state

appropriation.

Recommended Funding to Support Immediate and Longer term COVID efforts

Roadmap Initiative Total FY19/FY20 FY20/FY21 FY 21/22 ALL Years

Reduce Provider

Reporting Burden

(eCQM)

$5,300,000 Able to carry forward

in 2021

Able to carry forward

in 2022

$5,300,000

Consumer

Engagement

($1,200,000)

(requesting 90/10

match for new

telemed/ PH projects)

Able to carry forward

in 2021

Able to carry forward

in 2022

OeHI General

Operations Funds

300K TBD TBD TBD

FY20 OeHI Project

Operation Funds

$1,000,000-$500,000

(Unobligated

Operations Project

Funds)

$2,599,930

(Unobligated

Operations Project

Funds)

$4,464,126

(Unobligated

Operations Project

Funds)

$8,064,056

Total $6,600,00

(does not include

consumer funds)

$2,599,930 *Pending JBC Approval

Yr 3 Capital and may be

impacted by COVID state

fund needs

$4,464,126*Pending JBC Approval

GF Appropriation may

be impacted by COVID

state fund needs

$14,564,065

COVID-19

Roadmap

Focus

Telemedicine

HIE

Infrastructure

(consent/si,

identity)

Public

Health

Surveillance

& Reporting

Care Cord

(social,

physical,

BH)

Data Governance

Roadmap Projects In Flight

No Funding Prioritization

Recommended

eHealth Commission Vote

Does the eHealth Commission approve the reprioritization approach for

policy and Funding?

Appendix

OEHI COVID Strategy Timeline- 6 Months

08W1 W2 W3 W4

07W1 W2 W3 W4

06W1 W2 W3 W4

05W1 W2 W3 W4

04W1 W2 W3 W4W1 W2 W3 W4

03

OeHI funds COVID Projects to Support State Emergency Response

Expedite Prioritized Health IT Roadmap projects through Project Management Office

OeHI Director Lead IRT Telemedicine Task Force. New State HIT Coordinator to join in April. And Program Manager Barfield leading PMO.

OeHI Coordinate, secures, and implements NEW state and federal funds for Roadmap efforts that include PDMP, (SUPPORT ACT), Public Health Infrastructure and Telemedicine (CARES ACT)

Request enhanced Federal Match for Roadmap projects not matched by HITECH Funds (consumer engagement, general fund)

LOREM

OeHI General Fund and Capital IT YR 3 Appropriation

eHealth Commission Report Continued prioritized implementation with Commission approval

***OeHI FY 21 Capital IT Yr 3 and General Fund subject to additional JBC review/approval due to COVID emergency response efforts ***

Also note OeHI is partnering with Prime Health for the Annual Summit in July as a virtual conference. Operation funds will be used toward this event.

OEHI Strategy Timeline- 12 Months

02W1 W2 W3 W4

01W1 W2 W3 W4

12W1 W2 W3 W4

11W1 W2 W3 W4

10W1 W2 W3 W4W1 W2 W3 W4

09

Develop Health IT Roadmap 3.0 with eHealth Commission as steering committeeSUPPORT ACT Projects Completed

LOREM

Expedite Prioritized Health IT Roadmap projects through Project Management Office eHealth Commission Report Continued prioritized implementation with Commission approval

OeHI Coordinate, secures, and implements NEW state and federal funds for Roadmap efforts that include but are not limited to Public Health Infrastructure and Telemedicine (CARES ACT)

OEHI COVID Strategy Timeline- 18 Months

08W1 W2 W3 W4

07W1 W2 W3 W4

06W1 W2 W3 W4

05W1 W2 W3 W4

04W1 W2 W3 W4W1 W2 W3 W4

03

Launch Health IT Roadmap 3.0

HITECH Transition to MMIS and Blended Funding

LOREM

eHealth Commission Report Continued prioritized implementation with Commission approvalExpedite Prioritized Health IT Roadmap projects through Project Management Office

OeHI Coordinate, secures, and implements NEW state and federal funds for Roadmap efforts that include but are not limited to Public Health Infrastructure and Telemedicine (CARES ACT)