Home > Pertinent Articles & Documents
Documents and Articles on Issues Related to the ARRA Stimulus
Package
- Migrating
Toward Meaningful Use: The State of Health Information Exchange
A Report Based on the Results of the eHealth Initiative's 2009
Sixth Annual Survey of Health Information Exchange, August 2009
http://www.sftvision.com/2009SurveyReportFINAL.pdf
The sixth annual survey of health information exchanges by
eHealth Initiative provides extensive information of what is
working and where it is working. eHI documents 193 active initiatives
with 57 of these being in the operational stages. The report
contains charts on what HIEs are operational, what information
is being exchanged, what functionalities are being provided,
and how the HIEs are being funded. For the first time in six
years, initiatives identified “addressing privacy and
confidentiality issues” as the most pressing challenge
they face, surpassing “developing a sustainable business
model”. At the eHI web-site users can download maps, charts
and a directory of all of the reporting HIEs. The 8/4/09 webinar
presentation of this report contains many of these highlights.
- The
Impact of Federal Stimulus Efforts on the Privacy and Security
of Health Information in California, published May
2009 by the California Healthcare Foundation. http://www.sftvision.com/CHF_PrivacyHealthInfo_5-09.pdf
ARRA includes a number of provisions related to health privacy
law that go beyond those of HIPAA. This Issue Brief by the California
Health Foundation examines how the ARRA provisions impact California.
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HHS American Recovery and Reinvestment Act (Recovery Act) Implementation
Plan Health Information Technology – Medicare and Medicaid
Incentives and Administrative Funding, issued May
22, 2009, by HHS. This in-depth document describes the timelines,
milestones, and allocated dollars for providers and administrative
funding of these provisions of ARRA. http://www.sftvision.com/CMS%20hit_implementation%205-22-09.pdf
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HHS Outlines Plans for Health IT Incentive Payment Program,
iHealthBeat May 21, 2009, article that outlines the timelines
and milestones for HHS to implement the Medicare/Medicaid “meaningful
use” incentives to providers. http://www.sftvision.com/HHS-Outlines-Plan%205-21-09.pdf
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Health
Information Technology American Recovery and Reinvestment Act
(Recovery Act) Implementation Plan, Issued May 18,
2009 by the Office of the National Coordinator for Health Information
Technology. This ONC operating plan includes its funding table
for the dollars received from ARRA and an outline of the immediate
actions it will undertake to meet statutory requirements. The
plan also includes ONC’s current performance measures.
http://www.sftvision.com/onc_hit_plan%205-18-09.pdf
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Achieving
the Health IT Objectives of the American Recovery and Reinvestment
Act: A Framework for ‘Meaningful Use’ and ‘Certified
or Qualified’ EHR Meaningful Use, by the Markle
Foundation, April, 2009. This in-depth article explores four
critical issues of the ARRA legislation:
- Regulatory and technical guidance for the new privacy and
security provisions
- Discussion of the “Meaning Use” provision under
the Medicare/Medicaid incentive plan
- Discussion of the validation criteria for the “Meaningful
Use” provision
- Discussion of the “Certified or Qualified” technology
and the role of certification
The article also makes recommendations for HHS initial interoperability
certification. http://www.sftvision.com/20090430_meaningful_use.pdf
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An Unprecedented Opportunity: Using Federal Stimulus Funds to
Advance Health IT in California by the California
Health Foundation, February, 2009.
Although directed specifically at the state of California, this
article is an excellent summary of the HITECH Act and how it
can be utilized by states. The narrative contains:
- charts that show the flow of dollars from the Act and the
HIT Policy and Standards Process
- a discussion of the federal privacy framework provided in
the Act
- a summary of the Medicare Incentive Payment Provisions
- a discussion of the newly established Health Information
Technology Research Center (HITRC) and the regional extension
centers that are to provide communities with technical assistance
and disseminate best practices
- an overview of the Workforce Training Grants that are available
http://www.sftvision.com/AnUnprecedentedOpportunity%20CHF%202-09.pdf
Articles Related to Other Aspects of Healthcare Information
Technology
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Congress of the
United States, The Congressional Budget Office, “
Evidence on the Costs and Benefits of Health Information Technology,”
published May, 2008. http://cbo.gov/ftpdocs/91xx/doc9168/05-20-HealthIT.pdf
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Francois De Brantes et al., “The Potential of
HIEs as Infomediaries” Journal of Healthcare
Information Management, Vol. 21, No. 1, February, 2008.
http://www.himss.org/content/files/jhim/21-1/14_OC_Potential.pdf
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Department of Health and Human Services, Office of the National
Coordinator for Health Information Technology, “The
ONC-Coordinated Federal Health IT Strategic Plan: 2008-2012”,
June 3, 2008. http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_848083_0_0_18/HITStrategicPlan508.pdf
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eHealth Initiative and The Center for Improving Medication
Management, “Electronic Prescribing: Becoming
Mainstream Practice,” published June 10, 2008.
http://www.sftvision.com/eHI_CIMM_ePrescribing_ReportBecoming%20Mainstream_6-10-08.pdf
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eHealth Initiative, “Financial Sustainability
Toolkit,” July 2007. Connecting Communities sustainability
module that includes a business plan template, a value and sustainability
model, a market readiness assessment tool, etc. The complete
toolkit is free with registration on the site at: http://www.ehealthinitiative.org/welcome-ehealth-initiative-toolkit.html
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eHealth Initiative et al., “A Clinician’s
Guide to e-Prescribing” published on line October
7, 2008. http://www.sftvision.com/ClinicianGuie-e-prescribing.pdf
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eHealth Initiative, "Migrating Toward Meaningful
USE: The State of Health Information Exchange, A Report Based
on the Results of the eHealth Initiative's 2009 Sixth Annual
Survey of Health Informatin Exchange" http://www.sftvision.com/2009SurveyReportFINAL.pdf
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eHealth Initiative, “5th Annual Survey of Health
Information Exchange at the State and Local Levels, Overview
of 2008 Findings,” September 2008. http://www.sftvision.com/eHealthInitiativeResults2008SurveyonHIEs.pdf
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Foundation of Research and Education of American Health Information
Management Association, “State Level Health Information
Exchange, Final Report: Part II, Coordinating Policies That
Impact Access, Use and Control of Health Information, Executive
Summary,” prepared for the Department of Health
and Human Services Office of the National Coordinator for Health
Information Technology (ONC), March 2008. http://www.slhie.org/Docs/ExecutiveSummaryPart2.12.pdf
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Foundation of Research and Education of American Health Information
Management Association, “State Level Health Information
Exchange: Roles in Ensuring Governance and Advancing Interoperability
Final Report Part I”, prepared for the Department
of Health and Human Services Office of the National Coordinator
for Health Information Technology (ONC), March 2008. http://www.slhie.org/Docs/FinalReportPart1.8.pdf
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Foundation of Research and Education, American Health Information
Management Association, “State-level HIE Value
and Sustainability - Interim Report,” November
5, 2008. http://www.slhie.org/work.asp
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Federico Girosi, Robin Meili et al., “ Extrapolating
Evidence of Health Information Technology Savings and Costs,”
RAND Corporation, Santa Monica, Calif., 2005. http://www.rand.org/pubs/monographs/MG410
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Joy M. Grossman, Kathryn L. Kushner Kathryn L., et al., “Creating
Sustainable Local HIEs: Can Barriers to Stakeholder Participation
Be Overcome?” Center for Studying Health System
Change, Research Brief #2, February 2008. http://www.hschange.org/CONTENT/970/
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Blackford Middleton MD, MPH, MSc, Michael Fleming MD, FAAFP,
et al., Best Practices for Community Health Information
Exchange, Volume 1, Center for Community Health Leadership,
2007. http://www.healthdatamanagement.com/white_papers/26441-1.html
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Robert H. Miller Ph.D. and Bradley S. Miller M.D., M.B.A.,
“The Santa Barbara County Care Data Exchange:
Lessons Learned,” California HealthCare Foundation,
August 2007. http://www.chcf.org/topics/view.cfm?itemID=133404
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Julia Adler-Milstein, Andrew P. McAfee et al., “The
State Of Regional Health Information Organizations: Current
Activities And Financing,” Health Affairs, the
Policy Journal of Health Sphere, published online December 11,
2007. http://content.healthaffairs.org/cgi/content/abstract/hlthaff.27.1.w60v1
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National Association of State CIOs (NASCIO), “On
the Road to RHIO: What State CIOs Need to Know,”
July 27, 2007. http://www.nascio.org/publications/documents/NASCIO-OnTheRoadToRhio.pdf
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Eric Pan MD, MSc, Douglas Johnston, MA, et al., The
Value of Healthcare Information Exchange and Interoperability,
Center for Community Health Leadership, Wellesley, Mass.: 2004.
http://content.healthaffairs.org/cgi/content/full/hlthaff.w5.10/DC1
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Beckie Kelly Schuerenberg, “RHIOs Struggle to
Find a Map to Success,” Health Data Management,
February 1, 2008. http://www.healthdatamanagement.com/issues/2008_45/25619-1.html
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