1. 1
February 2, 2010February 2, 2010
CIO State NetworkCIO State Network
StateNet Conference CallStateNet Conference Call

2. 2
CHIME MissionCHIME Mission
Mission:Mission:
To advance and advocate the role of CIOs andTo advance and advocate the role of CIOs and
senior healthcare IT leaders by providingsenior healthcare IT leaders by providing
educational, collaborative, and advocacyeducational, collaborative, and advocacy
programs that lead to improved health andprograms that lead to improved health and
healthcare in our communities.healthcare in our communities.
Advocacy Supporting Goal:Advocacy Supporting Goal:
Pursue advocacy and educational programmingPursue advocacy and educational programming
efforts with organizations that share ourefforts with organizations that share our
common goal of advancing the effective use ofcommon goal of advancing the effective use of
IT in healthcare.IT in healthcare.

3. 3
CIO StateNet Leadership
• Randy McCleese/Kentucky
• Russ Branzell/Colorado
• Neal Ganguly/New Jersey

4. 4
Overview of MeetingOverview of Meeting
• Introductions – CHIME Staff
• Purpose and Background
Randy
• Template and Resources
Neal
• CIO State-level activity
Russ
• Timeline and Next Steps
• Qs and As

5. 5
CIO StateNet
• Ensure that CIOs can leverage State-level
HITECH implementation
• Engage State CIO Volunteers for all 50
States and District of Columbia
• Volunteers will serve as liaison for HITECH
State activity
• Completion of template information for upload
to CHIME StateNet webpages
• Website and in-state listservs to foster CIO
information sharing

6. State’s Responsibility for Building
HIT Infrastructure
• HIT infrastructure development process
Health information data sources
Establish Health Information Organizations
Build data exchange systems
Identify health information business associates
Identify most commonly used electronic health
record systems
Clinical Data Repositories
Organize health information users community

7. 7
State’s Responsibility for
Building HIT Infrastructure
• HIT business and operational processes
Security and Privacy
Operations management and accountability
• State designated authority
Policy setting and removing barriers to health
information exchange
Project and funding priority setting
Oversight
Governance
Long range HIT planning and development

8. 8
StateNet Resources/Tools
• Template data collection
information/links re--
HIT planning authority
Strategic and operational plans
State-level directories
HIE business and operational processes
Other relevant data points
• HIMSS State HIT website Links
• CHIME Eligibility & Website Policy

9. State HIE Cooperative Agreements Grants
Template Data
Purpose: To support planning and implementation of HIE.
Requires states to:
• Identify state level authority for HIT planning and
implementation,
• Appoint a agency level HIT coordinator,
• Perform an assessment and develop and implement strategic
and operational plans for HIE infrastructure,
• Develop state level directories and enable state wide
technology platform for HIEs,
• Develop HIE business and operational processes,
• Remove barriers to health information exchange and
interoperability between electronic health record systems.
For meeting those requirements states will be eligible to receive
$4.0 to $40.0 million in federal support over the next four years.

10. Medicaid EHR Incentive Program
• Requires Meaningful use of certified EHR system
• Hospital EHR incentive program participants
– Acute Hospitals
– Children Hospitals
• Eligible Non Hospital Based Provider EHR incentive includes:
– Physicians
– Nurse Practitioners
– Certified Nurse Midwife
– Physician Assistants (practicing in rural clinic or FQHC)
– Dentist
– Community Health Centers and Rural Clinics
• Providers attestation and validation process: Medicaid will be
determine provider eligibility and EHR eligible incentive payment
amount
• All processes must be auditable and transparent

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StateNet Eligibility and
and Website Policy
• StateNet Liaisons (or designee)
responsible for uploading documents to
StateNet Webpages and any changes to
documents. A password and log-in will be
provided.
• Each State webpage will include a
template for inputting data.
• Other State CIOs have access to
webpages on read-only basis and may
suggest changes by communicating with
CIO State Liaison and other CIOs via in-
state list-serves.

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StateNet Eligibility and
and Website Policy
• CHIME members will register for their
state’s list-serve through CHIME list-
serves.
• Any non-CHIME member CIO requesting
participation in a particular state list-serve
and website must register and be
approved by the State Liaison.
• Only CHIME members and registered non-
CHIME members will have access to
contact information for CHIME member
State Liaison and other participants.

13. 13
StateNet
Timeline and Next Steps
March 30 – website live/proposed
April 1 – 1st
data submissions
April 7 – Next call/proposed

14. 14
StateNet Eligbility
and Website Policy
• StateNet Liaisons (or designee) are
responsible for uploading documents to
StateNet Webpages and subsequent
changes. A password and log-in will be
provided.
• Each State webpage will include a template
for inputting data.
• Other State CIOs have access to webpages
on read-only basis and may suggest changes
by communicating with CIO State Liaison and
other CIOs via in-state list-serves.

15. 15
StateNet Eligbility
and Website Policy
• CHIME members will register for their state’s
list-serve through CHIME list-serves.
• Any non-CHIME member CIO requesting
participation in particular state list-serve and
website must register and be approved by the
State Liaison.
• Only CHIME members and registered non-
CHIME members will have access to contact
information for CHIME member State Liaison
and other participants.

16. The Connected Healthcare System
Remote Patient
Self Monitoring
Hospital Care
Coordination
Order
Entry Lab
Result
Reporting
Specialist Referral
E-Prescribing
MCO Medical
Medical Mgmt.
Primary
Care
Medical
Home
Provider
Research
Diagnostics
EHR/HIE

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Questions?
Your CHIME StateNet Advocacy Team
Sharon Canner, Senior Director of Advocacy Programs /CHIME
703-562-8834 scanner@cio-chime.org
Kathie Westpheling, Manager, Public Policy/HIMSS
703-562-8831 kwestpheling@himss.org
Co-Chairs
Russ Branzell/Colorado
Neal Ganguly/New Jersey
Randy McCleese/Kentucky
Richard A. Correll
President and CEO/CHIME
CHIME Arlington Office
4300 Wilson Boulevard, Suite 250
Arlington, VA 22203