1 washington state health care authority richard onizuka, phd, executive sponsor health record bank...

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 juan.alaniz@hca.wa.gov, 360-923-2726

Next Steps for HRB Pilot