# Presentation: 726140

## American Health Information Community Quality Work Group February 8, 2008

- Lori M. Evans
- Deputy Commissioner
- New York State Department of Health
- Office of Health Information Technology Transformation
- lme03@health.state.ny.us

## Today’s Discussion

- Brief Background on New York’s Health IT Strategy
- Five Major Policy Principles To Realize Value from Health IT
- Implications for Reimbursement Reform

## Brief Background

- Health IT plays an important role in the Governor’s progress to transform health care
- Executive Level Office of Health IT Transformation
- $160 M Investment To Date
- Public-Private Partnership and Statewide Collaborative Process
- Privacy and Security
- Consumer Advocacy Coalition
- Financial Sustainability and Incentives
- Health Information Evaluation Consortium
- Telehealth Initiatives

## New York’s Statewide Health IT Strategy  -- Policy Principle  

- 1.	Health IT must serve as a substrate or underpinning to many other transformative programs and policies with respect to supporting improvements in quality, safety, efficiency, affordability and outcomes
- Health IT by itself will not result in value
- Sustainable and scalable transformative value will not be realized without health IT as a component

## New York’s Statewide Health IT Strategy  -- Policy Principle  

- 2.	Health IT building blocks are fundamentally the same and must be streamlined and coordinated regardless of transformative goal and in order to support progress toward transformative goals

## Health IT Building Blocks Are Fundamentally the Same Regardless of Transformative Goals

## New York’s Statewide Health IT Strategy  -- Policy Principle  

- 3.	Major health IT building blocks – organizational, clinical/quality, technical – must co-evolve and advance together in order to realize value
- Clinical/Quality
- An environment must be created and substantial efforts made for clinicians to realize up front and consistent value from vastly improved availability and use of health information.
- Organizational
- Trust and cooperation must be established among stakeholders and is achieved through governance and policy
- Statewide collaboration process, RHIOs, CHITAs
- Technical
- Statewide Health Information Network for New York
- Clinical Informatics Services to aggregate, measure and report data for quality and population health improvement
- Electronic Health Records and Personal Health Records

## New York’s Statewide Health IT Strategy  -- Policy Principle  

- 4.	Clinical, quality and public health priorities must drive health IT adoption and common actions among public and private health care sectors
- Medicaid
- Immunization Registry
- Public Health
- Quality Measurement and Reporting

## Statewide Public-Private Partnership & Collaboration Process – 

**Governance & Policy Framework for New York’s Health IT Agenda**

## New York’s Statewide Health IT Strategy  -- Policy Principle  

- With respect to the technical building block, “***Cross-Sectional Interoperability***” is necessary to support policy alignment, value realization for clinicians and sustainable transformation

## Framework for New York’s Health Information Infrastructure 

## Critical Policy Alignment Enabled by  Cross-Sectional Interoperability 

## Implications for Health IT Enabled Reimbursement Reform 

- There is no long term sustainable business model for health IT without reimbursement reform
- There are limited opportunities for new, quality-based reimbursement without health IT
- The quality measurement, payment and health IT constituency must converge – organizationally and technically – to advance reimbursement reform
- Avoiding siloed approaches (e.g., value exchange vs. health information exchange vs. data steward)
- Ensuring clinicians and consumers are target of incentives through shared infrastructure and utilize clinical decision support
- Medicaid and Medicare must lead the way and ensure alignment with private payers
- Value realization must be occur by integrating demand and supply through the infrastructure to build policy/budget case
- Clinical and administrative data required