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TRANSCRIPT
ARRA/HITECH Update
HRB Summit
Juan Alaniz
Deputy, State eHealth Coordinator
February 5, 2010
Agenda
• ARRA/HITECH Funding Opportunities• Timeline• A Lot of Work To Do!• Roles• HITECH Program Status• Other ARRA Programs• Next Steps• Communications
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HITECH Appropriations$2 billion for loans, grants, and technical assistance:
HITECH EntitlementNew Medicare and Medicaid incentives for providers
who adopt HIT
Health Information Exchange (HIE)• $564 million total funding through the Office of the
National Coordinator for HIE planning and/or implementation
• Funneled through States or qualified State-designated entities
• $11.3M set aside for Washington State
Medicare • ~$34 billion expected outlays, 2011-2016• $20 billion in expected payments through Medicare to
hospitals & physiciansMedicaid• $14 billion in expected payments through Medicaid
Electronic Health Records (EHR) State Loan Fund for providers
Workforce Training and Development• $80M to train over 10,000 new workers over the next
two years through “Community College Consortiums”• US Department of Labor: $4 billion for training and
employment services, including $750 million for “emerging and growth industries”, specifically including health care.
Other ARRA Provisions (not in the HITECH Act, but related to the HCA’s
Health Information Infrastructure work)
Regional Extension Centers (REC)• $350M for Cycle 1• $290M for Cycle 2
Broadband and Telehealth• $4.3 billion for broadband and $2.5 billion for distance
learning/ telehealth grantsCommunity Health Centers• $1.5 billion in grants through HRSA for construction,
renovation and equipment, including acquisition of HIT systems.
Research and Development• R&D of (1) computer infrastructure; (2) data security;
and (3) development of large scale, distributed, reliable computing systems.
Sources: Manatt Health Solutions and Washington State Health Care Authority
ARRA/HITECH Funding
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Program
HIE Planning & Development
HER Adoption Loan Program
Workforce Training & Development
Health IT Extension Programs
New Technology Research & Development
Use of Funds
Planning and Implementation Grants
Loan Funds
Health IT Research Center and RECs
Medical Health Informatices / EHR in Med
School Curricula
Health Care Information Enterprise Integration
Research Centers
Recipients
State Designated Entity
States
Indian Tribes
Non-Profits
Higher Education
Federal Government Labs
End User
Funding Flow - Appropriated
Health Care Providers
Least-advantaged
Providers
ONC to issue guidance on EHR loan program and craft Meaningful Use
definition
State HIE Grant Application
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Regional Extension Center Applications
Full application
s due by Nov 3rd
Awardee Selection
Preliminary applications under 2nd cycle due by Dec 22nd
Full applications
due by January 29th
Awardee Selection
ONC releases State HIE
Procurement
•ONC to release Meaningful Use definition and CMS to issue proposed rule by end of December 2009
•60 day public comment period
•First round of administrative HIT payments could be released in Q1 2010
Final Rule issued on Meaningful Use
Earliest Meaningful Use payments by
CMS
Aug2009
Sept Oct Nov Dec Jan 2010
Feb Mar April May Jun July Aug Sept Oct 2010
Letter of Intent due 5pm EST on Sept 11th
Application due by 5pm EST on October 16th
Anticipated Award Announcements
Anticipated Project Start
Date
ONC releases REC Procurement
Preliminary applications under 1st cycle due by Sept 8th
Community College Consortia to Educate Health Information Technology Professionals
Sources: Manatt Health Solutions and Washington State Health Care Authority
ONC releases Health Education
Procurement
Application due on January 22nd
Anticipated Award Announcements
Medicaid Agency Implementation of State Medicaid HIT
PlansIncentive payments begin 2011
ARRA/HITECH Timeline
Consortia begins program instruction
A Lot of Work To Do!
• The Health Care Authority (HCA) appointed by Governor Gregoire to coordinate HITECH Act funding activities
• State Health IT Coordinator appointed• Legislation - SSB 5501• HCA formed eHealth Collaborative Enterprise work
group within the HCA– Fulfill requirements of ARRA/HITECH Act– Fulfill requirements of SSB 5501– Get $$$ into the state– Monitor grants and report out to ONC
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Roles
• Health Care Authority – sponsor• eHealth Collaborative Enterprise – state
coordinator for HITECH activity• Lead Organizations
– SSB 5501 – designates HCA to select lead organizations and form public/private partnerships to lead development of processes, guidelines, and standards of HITECH grant programs
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HITECH Program Status
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Health Information Exchange
• Lead Organization – OneHealthPort– Held statewide public meetings to gauge
interest in statewide HIE– Second round of public meetings via
webinar in February
• HCA submitted application for HIE Cooperative Agreement with ONC
• Award announcement expected 1/15
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Electronic Health Records
• State loan funding for providers who adopt Electronic Health Records
• No Status – waiting for funding opportunity announcement from ONC
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Workforce Training & Development
• Lead Organization – Bellevue College– Seeking $6.2M in funding for health IT training. – WA community colleges will participate by
launching newly developed classes to ready health care workforce for rollout of electronic medical records.
– If funded in March, 2010, Bellevue College will lead both the state and regional consortium in two years of rapid response training.
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Regional Extension Centers
• Lead Organization – Qualis Health– Applied for REC funding – First cycle selection announcements
expected in February
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Research and Development
• Lead Organization - The University of Washington– Looking for applied research grant
opportunities– Not applying for the Strategic Health IT
Advanced Research Projects (SHARP) grant opportunity
– Hosting the 2010 International Partnership in Health Informatics Education (IPHIE) Master Class sessions at UW in late June, 2010
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Telehealth/Telemed/Broadband
• Lead Organization - Washington TeleHealth Consortium (WTC) – Reviewed the TeleHealth lead org roles and
responsibilities at their regular meeting on 1/12/10.
– Watching for the USDA to announce ARRA funded grants for TeleHealth and TeleMedicine as part of their regular annual granting cycle 1st quarter of 2010.
– Waiting for broadband award announcement.– Met with DIS re: broadband activity.
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Medicare/Medicaid
• Entitlement funds• Collaborating with HRSA and DOH on
environmental scan
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Track Funding Opportunities
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http://www07.grants.gov/search/search.do;jsessionid=hG2TLrsP6RDnCnbDQqpGyVH0hPP4hn1Jhscjhh38lL6DJW7Tmd4l!-1299818899
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Next Steps
• Patiently awaiting award notifications for HIE and REC
• Working with OHP on shared technical infrastructure and statewide HIE governance models
• Working with DIS, HRSA, DOH on Environmental Scan
• Working with HRSA/Medicaid on “meaningful use”
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Communications/Contact Info
• Web Site– Newsletter– E-mailing list
• Contact:– juan.alaniz@hca.
wa.gov– LO contacts
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http://www.hca.wa.gov/arra/ehealth.html