Wiscosnin’s eHealth InitiativeWiscosnin’s eHealth InitiativeSeptember 21, 2007September 21, 2007

Department of Health and Department of Health and Family ServicesFamily Services

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Transforming Health Care in the US: medical perspective

IOM - 6 Characteristics of Quality IOM - 6 Characteristics of Quality Care:Care:

Patient-CenteredPatient-Centered SafeSafe Equitable Equitable TimelyTimely Effective Effective EfficientEfficient

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Transforming Health Care in the US: Why Health Information Technology? Need easily accessible data/information in order to:

Improve QualityImprove Quality Reduce Errors (Improve Safety)Reduce Errors (Improve Safety) Reduce CostReduce Cost Increase Administrative EfficienciesIncrease Administrative Efficiencies Reduce Paperwork Reduce Paperwork Expand access to affordable health Expand access to affordable health

carecare

Robert M. Kolodner, MDRobert M. Kolodner, MDNational CoordinatorNational CoordinatorONCHITONCHIT

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Transforming Health Care in the US: Why Interoperable HIT?

In addition to improved individual patient In addition to improved individual patient care, it will also bring many public health care, it will also bring many public health benefits including: benefits including:

Early detection of infectious disease Early detection of infectious disease outbreaks around the country; outbreaks around the country;

Improved tracking of chronic disease Improved tracking of chronic disease management; and management; and

Evaluation of health care based on value Evaluation of health care based on value enabled by the collection of de-identified enabled by the collection of de-identified price and quality information that can be price and quality information that can be compared. compared.

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Transforming Health Care in the US: the market-driven perspective – Value-Driven Health Care Initiative of the Bush Administration

Consumers deserve to know the quality and cost Consumers deserve to know the quality and cost of their health care. Health care transparency of their health care. Health care transparency provides consumers with the information provides consumers with the information necessary, and the incentive, to choose health necessary, and the incentive, to choose health care providers based on value.care providers based on value.

Providing reliable cost and quality information Providing reliable cost and quality information empowers consumer choice. Consumer choice empowers consumer choice. Consumer choice creates incentives at all levels, and motivates the creates incentives at all levels, and motivates the entire system to provide better care for less entire system to provide better care for less money. Improvements will come as providers can money. Improvements will come as providers can see how their practice compares to others.see how their practice compares to others.

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Four Cornerstones of Value-driven Health Care:

Interoperable Health Information Interoperable Health Information TechnologyTechnology

Measure and Publish Quality Measure and Publish Quality InformationInformation

Measure and Publish Price Measure and Publish Price InformationInformation

Promote Quality and Efficiency of Promote Quality and Efficiency of Care (pay for performance)Care (pay for performance)

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National HIT Agenda:

……foster widely available services foster widely available services that facilitate the accurate, that facilitate the accurate, appropriate, timely, and secure appropriate, timely, and secure exchange of health informationexchange of health information

……information that follows the information that follows the consumer and supports clinical consumer and supports clinical decision-makingdecision-making

John LoonskJohn Loonsk

Office of the National Coordinator for HITOffice of the National Coordinator for HIT

DHHSDHHS

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State Activities:

Health Information Security and Health Information Security and Privacy Collaboration (HISPC)Privacy Collaboration (HISPC)

State Level HIEState Level HIE

Jodi Daniel ONCHIT/DHHSJodi Daniel ONCHIT/DHHS

Thomasian and Nolan NGA Center for Best PracticesThomasian and Nolan NGA Center for Best Practices

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WI’s eHealth Action Plan

Where is Wisconsin going with Where is Wisconsin going with eHealth? eHealth?

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The WI Health Care Environment

eHealth Care Quality and Patient Safety eHealth Care Quality and Patient Safety BoardBoard

Wisconsin Collaborative for Healthcare Wisconsin Collaborative for Healthcare Quality (WCHQ)Quality (WCHQ)

Wisconsin Health Information Organization Wisconsin Health Information Organization (WHIO)(WHIO)

Wisconsin Hospital Association (WHA)Wisconsin Hospital Association (WHA) Provider HIT adoption Provider HIT adoption

DOQ-ITDOQ-IT Rural Health CooperativeRural Health Cooperative

Wisconsin Health Information Exchange Wisconsin Health Information Exchange (WHIE)(WHIE)

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eHealth Care Quality and Patient Safety Board 2007

eHealth BoardChair: Kevin Hayden

Patient Care Advisory Group

Chair: Ed Barthell

Consumer Interests and Privacy

Advisory GroupChair: Cathy

Hansen

Public Health Advisory Group

Chair: Bevan Baker

Statewide Health Information

Exchange Advisory Group

Chair: Hugh Zettel

Operations

Executive CommitteeChairs of the Board and advisory group

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eHealth Board MembersChair:Chair:    Kevin HaydenKevin Hayden, Secretary, Department of Health and Family Services, Secretary, Department of Health and Family ServicesBetsy AbramsonBetsy Abramson, Elder Law Attorney and Consultant , Elder Law Attorney and Consultant Christopher Alban, MDChristopher Alban, MD, Clinical Informaticist, Epic Systems Corporation, Clinical Informaticist, Epic Systems CorporationBevan BakerBevan Baker, Commissioner of Health, City of Milwaukee Health Department, Commissioner of Health, City of Milwaukee Health DepartmentEdward Barthell, MDEdward Barthell, MD, Executive Vice President, CIO, Infinity Healthcare, Executive Vice President, CIO, Infinity HealthcareGary BezuchaGary Bezucha, Administrator, Boscobel Area Health Care  , Administrator, Boscobel Area Health Care  Patricia Flatley BrennanPatricia Flatley Brennan, Professor of Nursing and Industrial Engineering  , Professor of Nursing and Industrial Engineering  Catherine HansenCatherine Hansen, Director, Health Information Services, St. Croix Regional , Director, Health Information Services, St. Croix Regional

Medical CenterMedical CenterRavi KallaRavi Kalla, CEO and President, Symphony Corporation, CEO and President, Symphony CorporationDon LaydenDon Layden, Executive Vice President, Corporate Development, Metavante , Executive Vice President, Corporate Development, Metavante

Corporation Corporation Dan SchoofDan Schoof, Deputy Secretary, Department of Administration, Deputy Secretary, Department of AdministrationLois MurphyLois Murphy, IT Specialist, Veterans Administration, IT Specialist, Veterans AdministrationCandice OwleyCandice Owley, RN, President, Wisconsin Federation of Nurses and Health , RN, President, Wisconsin Federation of Nurses and Health

ProfessionalsProfessionalsDebra RislowDebra Rislow, CIO and Director of Information Systems, Gundersen Lutheran, CIO and Director of Information Systems, Gundersen LutheranPeg SmelserPeg Smelser, Chief Operating Officer, Wisconsin Education Association Trust, Chief Operating Officer, Wisconsin Education Association TrustLon Sprecher, Lon Sprecher, Sr. VP and COO, Deant Health InsuranceSr. VP and COO, Deant Health InsuranceEric StanchfieldEric Stanchfield, Secretary, Employee Trust Funds, Secretary, Employee Trust FundsJohn Toussaint, MDJohn Toussaint, MD, President and CEO, ThedaCare, President and CEO, ThedaCareJustin Starren, MDJustin Starren, MD, PhD, Marshfield Clinic Research Foundation , PhD, Marshfield Clinic Research Foundation Hugh ZettelHugh Zettel, Director, Government and Industry Relations, GE Healthcare, Director, Government and Industry Relations, GE Healthcare

Technologies Technologies

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Wisconsin eHealth Initiative Public-private collaboration for Public-private collaboration for

widespread adoption of HIT/HIEwidespread adoption of HIT/HIE Wisconsin’s eHealth Action Plan includes:Wisconsin’s eHealth Action Plan includes:

Create a technical infrastructureCreate a technical infrastructure Establish a governance structure for health Establish a governance structure for health

information exchangeinformation exchange Develop options for addressing privacy and Develop options for addressing privacy and

security issuessecurity issues Support the acquisition of EHR systems by Support the acquisition of EHR systems by

small provider groups and safety-net small provider groups and safety-net providersproviders

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eHealth Technology Platform—Current Focus

HIT adoptionHIT adoption Encourage adoption and investment in Encourage adoption and investment in

electronic health record systemselectronic health record systems Regularly monitor adoption progressRegularly monitor adoption progress

Health information exchangeHealth information exchange Foster creation of regional health Foster creation of regional health

information exchangesinformation exchanges Simultaneously focus on state-level Simultaneously focus on state-level

health information exchange serviceshealth information exchange services Focus early on providing patient Focus early on providing patient

information timely and at point of careinformation timely and at point of care

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eHealth Action Plan—Current Activities

Transition from planning to Transition from planning to implementationimplementation

eHealth Board advisory groups eHealth Board advisory groups Implementing Medicaid Implementing Medicaid

Transformation Grant projectTransformation Grant project Addressing privacy concernsAddressing privacy concerns Governor’s 2007-09 Biennial Governor’s 2007-09 Biennial

Budget and Health ProvisionsBudget and Health Provisions

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Wisconsin Privacy Project: Phase 1(July 2006 - March 2007)

33 states and Puerto Rico funded through DHHS 33 states and Puerto Rico funded through DHHS Office of the National Coordinator via Research Office of the National Coordinator via Research Triangle Institute (RTI) to:Triangle Institute (RTI) to:

Assess variations in organization-level business policies and Assess variations in organization-level business policies and state laws that affect health information exchangestate laws that affect health information exchange

Propose practical solutions that protect privacy and security Propose practical solutions that protect privacy and security of health information and permit interoperable exchangeof health information and permit interoperable exchange

Develop plans to implement solutions Develop plans to implement solutions

State-level data combined by the grantor to help State-level data combined by the grantor to help support the business case for a national health support the business case for a national health information infrastructureinformation infrastructure

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Wisconsin Privacy Project: Phase 1(July 2006 - March 2007)

Thank You!Thank You!

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Privacy Project Phase 1: Recommendations

1.1. Standardize patient identifiersStandardize patient identifiers Create model policies and procedures re: capture, verification, & Create model policies and procedures re: capture, verification, &

match of patient identifiers with patient information in a health care match of patient identifiers with patient information in a health care systemsystem

Adopt national standards once defined and acceptedAdopt national standards once defined and accepted

2.2. Propose changes to the HIPAA Privacy RulePropose changes to the HIPAA Privacy Rule Clarify minimum necessary standardClarify minimum necessary standard Alter requirements re: research and Business Associate AgreementsAlter requirements re: research and Business Associate Agreements

3.3. Amend Wisconsin Statute 51.30 (sensitive Amend Wisconsin Statute 51.30 (sensitive information)information)

Allow exchange of specific information among providers for treatment Allow exchange of specific information among providers for treatment pur-pur-poses without consentposes without consent

Convene a representative workgroup to identify specific elementsConvene a representative workgroup to identify specific elements

4.4. Amend Wisconsin Statute 146 (general information)Amend Wisconsin Statute 146 (general information) Treat re-disclosure like primary disclosureTreat re-disclosure like primary disclosure Remove documentation requirements beyond HIPAARemove documentation requirements beyond HIPAA Allow disclosure to family and individuals involved with care andAllow disclosure to family and individuals involved with care and

treatment with agreement vs. consent per HIPAAtreatment with agreement vs. consent per HIPAA

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Modifying Wis. Stat. 51.30:Modifying Wis. Stat. 51.30:Mental Health, AODA, Developmental DisabilitiesMental Health, AODA, Developmental Disabilities

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Wisconsin Statute Chapter 51.30 Today Informed Consent RequirementInformed Consent Requirement

Treatment recordsTreatment records created in the course of providing services to created in the course of providing services to individuals for mental illness, developmental disabilities, or alcohol or drug individuals for mental illness, developmental disabilities, or alcohol or drug dependence at a dependence at a treatment facilitytreatment facility require consent before disclosing in require consent before disclosing in most situationsmost situations

What are some exceptions to s. 51.30’s consent What are some exceptions to s. 51.30’s consent requirement?requirement?

In a medical emergency (undefined)In a medical emergency (undefined)

The following elements in a related health care entity:The following elements in a related health care entity:

Patient’s namePatient’s name MedicationsMedications

AddressAddress AllergiesAllergies

Date of birthDate of birth Other relevant demographic informationOther relevant demographic information

Date of service (s)Date of service (s) Name of mental health provider (s)Name of mental health provider (s)

DiagnosisDiagnosis

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When Does s. 51.30 Apply Today? Registration/treatment records which are maintained Registration/treatment records which are maintained

by departments, boards and staffs, and treatment by departments, boards and staffs, and treatment facilities that provide services for mental health, facilities that provide services for mental health, AODA, and developmental disabilities.AODA, and developmental disabilities. Generally Generally notnot to mental health, alcohol and drug abuse and to mental health, alcohol and drug abuse and

developmentally disabled treatment records that originate developmentally disabled treatment records that originate outsideoutside of a treatment facilityof a treatment facility

GenerallyGenerally not not to treatment by solo practitioners to treatment by solo practitioners

Reasonable minds may disagree on application…Reasonable minds may disagree on application… Example: patient presents to family practitioner with complaints of Example: patient presents to family practitioner with complaints of

severe depression requesting an anti-depressantsevere depression requesting an anti-depressant

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Premise for Proposing Modifications to 51.30 Broadening exchange without consent can:Broadening exchange without consent can:

Improve the safety and quality of patient careImprove the safety and quality of patient care Increase providers’ ability to give patients optimal careIncrease providers’ ability to give patients optimal care Reduce the cost of careReduce the cost of care

Reduce variation in law Reduce variation in law Reduce variation in Reduce variation in interpretationinterpretation of law of law Facilitate increased enforcement of lawFacilitate increased enforcement of law

Increase Wisconsin’s potential to participate in multi-Increase Wisconsin’s potential to participate in multi-state exchangesstate exchanges

Safeguards can continue to protect patient Safeguards can continue to protect patient privacyprivacy

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Recommendation 1 (11/06): Consumer Interests Advisory Group

Amend Wisconsin law governing disclosure of health Amend Wisconsin law governing disclosure of health information to providers to be consistent with HIPAA, which information to providers to be consistent with HIPAA, which does not require patient consent to disclose information to does not require patient consent to disclose information to providers about mental health and developmental providers about mental health and developmental disabilities for treatment purposes. disabilities for treatment purposes.

Note: Note: This recommendation was not unanimously supported.This recommendation was not unanimously supported.

eHealth Board ResponseeHealth Board Response Strong support for recommendation as submitted Strong support for recommendation as submitted Noting potential controversy and dissatisfaction of some Noting potential controversy and dissatisfaction of some

stakeholders, recommended holding for further consideration in the stakeholders, recommended holding for further consideration in the Privacy Project (first phase)Privacy Project (first phase)

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Recc. 2: Privacy Project Implementation Workgroup

Form a representative workgroup charged with identifying specific Form a representative workgroup charged with identifying specific elements that can be exchanged among providers for treatment elements that can be exchanged among providers for treatment purposes without patient consent. purposes without patient consent.

Use the work of phase one as a starting point. Options include:Use the work of phase one as a starting point. Options include:

Proposed ChangeProposed Change Shared without consentShared without consent

1-1-ExpandExpand

8g 8g

Expand sharing of specific elements permitted under Wis. Stat. Expand sharing of specific elements permitted under Wis. Stat. 51.30(4)(b)8g* from 51.30(4)(b)8g* from within within a related health care entity to a related health care entity to providers providers within and outsidewithin and outside such an entity. such an entity.

Specific elements permitted Specific elements permitted under Wis. Stat. 51.30(4)(b)8g*under Wis. Stat. 51.30(4)(b)8g*

2-Clarify 2-Clarify lawlaw

Redefine elements protected by 51.30 to meet provider and Redefine elements protected by 51.30 to meet provider and consumer expectations in a more consistent manner. consumer expectations in a more consistent manner.

Specific content and/or Specific content and/or elements TBD.elements TBD.

3-Mirror 3-Mirror 146.82146.82

Mirror 146.82 such that treatment records can be exchanged Mirror 146.82 such that treatment records can be exchanged for treatment purposes without consent. for treatment purposes without consent.

Contents of treatment records Contents of treatment records for treatment purposes. **for treatment purposes. **

4-Match 4-Match HIPAAHIPAA

Modify 51.30 to comport with HIPAA such that treatment Modify 51.30 to comport with HIPAA such that treatment records can be exchanged for purposes of treatment. records can be exchanged for purposes of treatment.

Contents of treatment records Contents of treatment records for treatment, except for treatment, except psychotherapy notes per psychotherapy notes per HIPAA. **HIPAA. **

* Name, Address, Birth date, Name of mental health provider (s), Date of service (s), Diagnosis, Medications, * Name, Address, Birth date, Name of mental health provider (s), Date of service (s), Diagnosis, Medications, Allergies, Other relevant demographic information Allergies, Other relevant demographic information

** “Minimum necessary” may still apply if HFS 92.03(n) is retained** “Minimum necessary” may still apply if HFS 92.03(n) is retained

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51.30 Workgroup Invited Invited StakeholdersStakeholders

Mental Health AdvocatesMental Health Advocates Mendota Mental Health InstituteMendota Mental Health Institute Waukesha County Department of Health and Human ServicesWaukesha County Department of Health and Human Services AODA Advocates and AdministratorsAODA Advocates and Administrators Developmental Disability AdvocatesDevelopmental Disability Advocates Central Wisconsin Center for the Developmentally DisabledCentral Wisconsin Center for the Developmentally Disabled Physicians (General Practitioner and Psychiatrists)Physicians (General Practitioner and Psychiatrists) Privacy Officers/Legal Experts Privacy Officers/Legal Experts Information Technology Experts (Vendors and Providers)Information Technology Experts (Vendors and Providers) Consumer Consumer Data Use OrganizationData Use Organization PayerPayer Large Provider SystemsLarge Provider Systems Wisconsin Hospital Association (WHA)Wisconsin Hospital Association (WHA) Wisconsin Medical Society (WMS)Wisconsin Medical Society (WMS)

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51.30 Summary Key ActivitiesKey Activities

Four workgroup meetings in August and SeptemberFour workgroup meetings in August and September Workgroup member discussions with colleagues and Workgroup member discussions with colleagues and

constituencies for consideration by the groupconstituencies for consideration by the group

Anticipated OutcomesAnticipated Outcomes Recommended modification of s. 51.30 that allows easier Recommended modification of s. 51.30 that allows easier

sharing of necessary health information among providers for sharing of necessary health information among providers for treatment purposes for consideration by the eHealth Boardtreatment purposes for consideration by the eHealth Board

Elements that can be exchanged among providers for treatment Elements that can be exchanged among providers for treatment purposes without patient consentpurposes without patient consent

Other key areas for considerationOther key areas for consideration

Timeline for completionTimeline for completion Final 51.30 Workgroup meeting September 28Final 51.30 Workgroup meeting September 28thth Staff follow-up October and beyondStaff follow-up October and beyond

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Clarifying 42 CFR Part 2:Clarifying 42 CFR Part 2:Drug and Alcohol TreatmentDrug and Alcohol Treatment

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42 C.F.R. Part 2 Federal law that requires consent for the release of Federal law that requires consent for the release of

records related to drug and alcohol treatment, except records related to drug and alcohol treatment, except to to medical personnel in a medical emergencymedical personnel in a medical emergency

Protections apply to records created in the course of Protections apply to records created in the course of providing drug and/or alcohol treatment conducted in a providing drug and/or alcohol treatment conducted in a program that is regulated or receives assistance program that is regulated or receives assistance (directly or indirectly) from any department or agency (directly or indirectly) from any department or agency of the United Statesof the United States

As the more protective law, 42 CFR Part 2 would still As the more protective law, 42 CFR Part 2 would still control release of AODA information if there were a control release of AODA information if there were a change to Wis. Stat. 51.30. Thus, WI is supporting IN’s change to Wis. Stat. 51.30. Thus, WI is supporting IN’s efforts to clarify application of 42 CFR Part 2.efforts to clarify application of 42 CFR Part 2.

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42 CFR Part 2 Summary Key ActivitiesKey Activities

Privacy project staff serving on Indiana HISPC’s Multi-State Privacy project staff serving on Indiana HISPC’s Multi-State Steering Committee (Sept – Dec)Steering Committee (Sept – Dec)

Anticipated Outcomes Anticipated Outcomes Clarification of 42 CFR Part 2Clarification of 42 CFR Part 2 Deepened partnership with Indiana and other states serving Deepened partnership with Indiana and other states serving

on the multi-state steering committeeon the multi-state steering committee

Timeline for Completion Timeline for Completion IN to schedule meeting with Substance Abuse and Mental IN to schedule meeting with Substance Abuse and Mental

Health Services Administration (SAMHSA) by Dec. 2007Health Services Administration (SAMHSA) by Dec. 2007

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Modifying Wis. Stat. 146:Modifying Wis. Stat. 146:General Healthcare InformationGeneral Healthcare Information

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Privacy Project Implementation Workgroup Recommended Modifications to s. 146.82

AreaArea. . Current LawCurrent Law Proposed ChangeProposed Change

DocumentatioDocumentationn

Document all disclosures (written, Document all disclosures (written, oral, etc.) with or without consent. oral, etc.) with or without consent. documentation becomes a legal part documentation becomes a legal part of the patient’s record. *of the patient’s record. *

Require limited documentation of disclosures Require limited documentation of disclosures that enable the patient to determine who has that enable the patient to determine who has accessed his/her health information and accessed his/her health information and when. when. (per 45 CFR 164.528) (per 45 CFR 164.528)

Re-disclosureRe-disclosure When information is disclosed When information is disclosed without patient consent, the without patient consent, the recipient must keep the information recipient must keep the information confidential and may not re-disclose confidential and may not re-disclose it. **it. **

Add language that allows re-disclosure with Add language that allows re-disclosure with patient consent or otherwise allowed by law.patient consent or otherwise allowed by law.(per HIPAA)(per HIPAA)

Disclosure to Disclosure to individuals individuals involved in involved in the care or the care or treatment of treatment of the patientthe patient

Patient consent is required to Patient consent is required to disclose health information to disclose health information to individuals involved in the care or individuals involved in the care or treatment of the patient in writing treatment of the patient in writing or verbally. or verbally.

Rewrite to allow oral disclosure to individuals Rewrite to allow oral disclosure to individuals involved in the care or treatment of the involved in the care or treatment of the patient with patient agreement. Retain patient with patient agreement. Retain requirements for patient consent to disclose requirements for patient consent to disclose any copy of a patient’s medical record. any copy of a patient’s medical record.

* Wis. Stats. 146.82(2)(d), 146.83(3) ** Wis. Stat. 146.82(2)(b) *** Wis. Stats. 146.82 and 146.83 * Wis. Stats. 146.82(2)(d), 146.83(3) ** Wis. Stat. 146.82(2)(b) *** Wis. Stats. 146.82 and 146.83

Intent of proposed changes:Intent of proposed changes: Eliminate barriers to exchangeEliminate barriers to exchange Bring Wisconsin law more in line with current practice Bring Wisconsin law more in line with current practice Increase consistency with HIPAAIncrease consistency with HIPAA

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146.82 Summary Key ActivitiesKey Activities

Discuss proposed changes with selected stakeholder groups, such Discuss proposed changes with selected stakeholder groups, such as:as:

Care Everywhere Working GroupCare Everywhere Working Group Consumer advocacy organizations Consumer advocacy organizations WHIEWHIE HIPAA-COWHIPAA-COW WHAWHA WMSWMS

Anticipated OutcomesAnticipated Outcomes Policy language amending Wisconsin Statute Chapter 146 for Policy language amending Wisconsin Statute Chapter 146 for

consideration by the eHealth Boardconsideration by the eHealth Board Stakeholder position summary regarding proposed policy languageStakeholder position summary regarding proposed policy language

Timeline for Completion Timeline for Completion Stakeholder meetings held through mid-OctoberStakeholder meetings held through mid-October Statutory language to followStatutory language to follow

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Consumer Outreach and EducationConsumer Outreach and Education

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Consumer Education and Outreach Summary Key ActivitiesKey Activities

Town hall meetings focused on increasing consumer comfort with, and Town hall meetings focused on increasing consumer comfort with, and understanding of, electronic health records and health information understanding of, electronic health records and health information exchangeexchange

Emphasis on privacy and security capabilitiesEmphasis on privacy and security capabilities Three geographic locationsThree geographic locations Promoted through strategic placement of eHealth Initiative (eHI) materialsPromoted through strategic placement of eHealth Initiative (eHI) materials

Increased presence of eHealth staff and volunteers at local and Increased presence of eHealth staff and volunteers at local and national meetingsnational meetings

Anticipated OutcomesAnticipated Outcomes Increased public awareness of eHealth and privacy and security Increased public awareness of eHealth and privacy and security

capabilitiescapabilities Comments for consideration by eHealth Board and its Advisory groupsComments for consideration by eHealth Board and its Advisory groups

Timeline for CompletionTimeline for Completion Town hall meetings held by December, 2007Town hall meetings held by December, 2007

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Privacy Project CollaborativePrivacy Project CollaborativeInterstate Data Exchange PolicyInterstate Data Exchange Policy

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Collaborative: Key Activities RTI (Grantor) requires participation multi-state RTI (Grantor) requires participation multi-state

collaborative(s)collaborative(s) Planning phase, future ONC funding will support state collaborative Planning phase, future ONC funding will support state collaborative

implementationimplementation

Participation includes:Participation includes: Monthly callsMonthly calls Attendance at September in-person meetingAttendance at September in-person meeting Contributions to Collaborative productsContributions to Collaborative products

Collaborative: Interstate Data Exchange PolicyCollaborative: Interstate Data Exchange Policy Consent/authorization from Consent/authorization from patients patients for use & disclosure of his/her datafor use & disclosure of his/her data Consent/authorization from Consent/authorization from data sourcesdata sources for use and disclosure of for use and disclosure of

information provided by the data sourceinformation provided by the data source Development of standard consent language and/or consent formDevelopment of standard consent language and/or consent form Development of guidelines for opt-in/opt-out decisions that would allow Development of guidelines for opt-in/opt-out decisions that would allow

for exchange between states and/or othersfor exchange between states and/or others

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Transforming Medicaid

Advance regional health information Advance regional health information exchange for the Medicaid populationexchange for the Medicaid population

Bring benefits of electronic health Bring benefits of electronic health records to our Medicaid populationrecords to our Medicaid population

Reform Medicaid reimbursement Reform Medicaid reimbursement systemsystem

Design programs to improve the Design programs to improve the health care delivery system and health care delivery system and engage consumers in managing their engage consumers in managing their own health careown health care

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Governor’s 2007-09 Budget Health Provisions

Electronic Medical Records Tax Credit Electronic Medical Records Tax Credit (Paper 324):(Paper 324): http://www.legis.state.wi.us/lfb/2007-09budgethttp://www.legis.state.wi.us/lfb/2007-09budget

/Budget%20Papers/June%208_taxes.htm/Budget%20Papers/June%208_taxes.htm

Health Care Quality and Patient Safety Health Care Quality and Patient Safety Council and Grant Program (Paper 372):Council and Grant Program (Paper 372): http://www.legis.state.wi.us/lfb/2007-09budgethttp://www.legis.state.wi.us/lfb/2007-09budget

/Budget%20Papers/June%208.htm/Budget%20Papers/June%208.htm

Wisconsin Health and Educational Wisconsin Health and Educational Facilities Authority (no paper completed):Facilities Authority (no paper completed): http://www.legis.state.wi.us/lfb/2007-9budget/http://www.legis.state.wi.us/lfb/2007-9budget/

Budget%20Papers/Cover%20sheets/whefa.pdfBudget%20Papers/Cover%20sheets/whefa.pdf

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For more information on the WI eHealth Initiative

Go to:Go to:

http://ehealthboard.dhfs.wisconsin.gov/http://ehealthboard.dhfs.wisconsin.gov/

DHFS Contacts:DHFS Contacts:

Kathy Farnsworth, eHealth Chief of StaffKathy Farnsworth, eHealth Chief of StaffFarnsK@dhfs.state.wi.usFarnsK@dhfs.state.wi.us(608) 267-2082(608) 267-2082

Denise Webb, Policy Initiatives Advisor,Denise Webb, Policy Initiatives Advisor,Health Care ITHealth Care ITwebbdb@dhfs.state.wi.uswebbdb@dhfs.state.wi.us(608) 267-6767(608) 267-6767