California:
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  • TA for EHR/HIE for health homes, application of tele-health/mobile-health
  • Develop All-Payer Claims Database

Colorado:
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Connecticut:
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  • Information Technology elements of Plan initially focused on developing and enhancing provider and payer analytics: patient attribution, risk stratification, risk adjusted cost comparisons, quality and utilization metrics. In Year 3, plan focuses on integration with public health systems. (p. 108)
  • Developing an All Payer Claims Database (APCD).

Delaware:
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  • Very high Health Information Exchange adoption rate.

Hawaii:
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Idaho:
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  • Idaho has very low Health Information Exchange participation and no Statewide Health Improvement Plan. A first priority for the new Coalition is to develop baseline metrics for population health improvement and uniform measuring capability.

Illinois:
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  • Plan is to establish All-Payer Claims Database (APCD).

Iowa:
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  • Adoption of Health Information Exchange and Electronic Health Record use. (pg. 97)

Maryland:
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  • Currently a strong Health Information Technology (HIT) foundation, including an All-Payer Claims Database (APCD), Health Information Exchange (HIE), and integrated public health data.
  • To be added: Operational Management System: for Community Health Hubs (CHHs) to track the fidelity to community evidence-based interventions (EBIs) and their outcomes. Will also track the efficiency of various CHHs.
  • Uniform consent form to be developed.

Michigan:
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  • Chapter F provides thorough overview of Health Information Technology (HIT) plan. (pg. 115)
  • Data enhancements include a health provider directory to track provider affiliations to Patient Centered Medical Homes (PCMHs) and Accountable Systems of Care; collection and aggregation of cost and quality data from multiple payers and sources; mechanisms to prominently display progress towards overall State Innovation Model (SIM) goals; mechanisms to provide ratings and non-financial rewards to top-performing Accountable Systems of Care and Community Health Innovation Regions; and, public recognition programs that include profiling and performance rating of Patient Centered Medical Homes, Accountable Systems of Care, and Community Health Innovation Regions. (pg. 110)

New Hampshire:
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  • Plans to develop a robust, database-driven , web-based system to allow access to Life Plan, activities, long term services and supports (LTSS) budgets (family/individual), health outcomes, and consumer access. For use by consumers, state systems, and provider systems. (pg. 44)

New York:
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  • Goal is to achieve 80% primary care provider (PCP) participation in the all-payer claims database (APCD) and/or Health Information Exchange (HIE). Second goal is to engage 20% of consumers in active use of their patient portal.
  • Work with county health departments and regional planning entities to develop & maintain registries of local organizations that provide care, support and education to improve community health and well-being.
  • Role of transparency and data sharing. (pg. 65)
  • More details on Health Information Technology. (pg. 124)

Ohio:
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  • Capitalize on existing in-state data and Health Information Technology (HIT) to regularly assess the progress of the models toward their specific goals of improving quality and patient care and lowering costs. These measures will, unlike now, be standardized to a much greater degree across payers and providers throughout the state and tracked on a more regular basis to evaluate the state’s performance across three main categories:
  • Goal achievement in overall program components: tracking the state’s progress toward reaching scale in patient centered medical homes (PCMHs) and episodes;
  • Specific program outcomes: achieving improvement in health system transformation, and improved risk reduction; and,
  • Stakeholder engagement: measuring satisfaction and level of involvement.
  • Plan calls for increasing adoption and use of HIT and electronic health information exchanges
  • Leverage Medicaid incentives for meaningful use; electronic health record adoption; and provider portal
  • Health Information Exchanges (HIE) – two exchanges in Ohio.

Pennsylvania:
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  • Accountable Provider Organizations (APOs) and Patient-Centered Medical Homes (PCMHs) report common quality measures from electronic health records (EHRs) to Pennsylvania Health Care Cost Containment Council (PHC4), which will aggregate the data and make info available to providers, insurers and consumers.
  • Use data to inform performance improvement; insurers will use data for accountability & to modify payment; consumers will use data to inform provider choice.
  • Detailed Plan (pg. 100)
  • Enhanced collection, analysis and dissemination of claims-related data from hospitals.
  • integration of claims and clinical data. (pg. 111)

Rhode Island:
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  • Technology solutions to allow for effective coordination of care – information sharing and tracking of critical health factors.
  • Engaging patients in their health requires an effective patient interface.
  • Payment models that are based on costs of care for a population require provider organizations to understand and address trends of the costs of their population.
  • Technical systems that effectively and accurately record and report outcomes.
  • Use of Health information technology (HIT) in practice; centralized information. (pgs. 68 and 73)
    1. Enable real-time and point of care patient data – expand the presence & usability of electronic health records (EHRs).
    2. Offer technical assistance (TA), training and shared analytic resources to providers.
    3. Align quality, cost and utilization measures among payers & government.
    4. Use data to drive state health policy.
  • Establish a statewide authoritative Provider Directory. (pg. 77)

Tennessee:
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  • Engage stakeholders in designing solutions to expand the use and adoption of health information technology (HIT). Central to the state’s plan is to utilize existing HIT initiatives that are serving the dual objectives of improving quality and lowering costs. The state plans to utilize direct secure messaging under both Patient Centered Medical Home (PCMH) and episodes.
  • The state will also invest in infrastructure; future plans may include performance reporting to all primary care providers in the state leveraging the All-Payer Claims Database, as well as development of a multi-payer portal.
  • More details on pg. 63

Texas:
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  • Expand electronic health records (EHR) adoption and meaningful use, health information exchange (HIE) participation and sustainability (Model 1). The proposed initiatives will include coordinated research, governance, planning and marketing (pg.138-144)
  • Texas Health Care Innovations Tracking Center (Model 3, Innovation 3) (pg. 164)
  • "Collaboration for Public‐Private Data Sharing (Model 5, Innovation 3)” (pg. 178)
  • State legislature created the THSA to support improvement of the Texas healthcare system by promoting and coordinating HIE and Health IT (HIT) throughout the state, the Office of e-Health Coordination (OeHC) serves as a single point of coordination for HIT initiatives in the State of Texas etc. (pg. 98-107)
  • Improved patient satisfaction is a key outcome for the Texas SHIP. The Texas SIM initiative will track improvement on satisfaction with overall health care, personal doctor and specialist seen most often (pg.133)
  • SIM initiative will act as a resource for technical assistance and incentives for practice transformation and EHR adoption, particularly in rural areas and among select provider types (pg. 130)

Utah:
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  • Aim 1 details how Utah will adapt and perform in a VBP environment through improved utilization of health information technology tools and the development of value- based metrics which will inform providers’ and payers’ purchasing decisions.
    1. Subaim 1.1: Increase Utah stakeholder use of key health information technology (HIT)-enabled tools by 60 percent to support timely and accurate information for value-based delivery of care and payment reform.
    2. Subaim 1.2: Improve security measures of key HIT enabled tools.

  • A fundamental element of developing VBP systems is the ability of those systems to follow patients across time and sectors. Subaims 1.1 and 1.2 will increase stakeholder use of a state-wide master person index (sMPI),
  • improve the use of electronic medical records (particularly in rural areas), provide a more secure clinical health information exchange, and increase the accessibility and usefulness of the All-Payer Claims Database (APCD).
  • It is the goal of the sMPI to act as the definite master person index for all healthcare activities in Utah. Utah Department of Health (DOH) will be responsible for the sMPI.
  • The Plan includes a technical assistance intervention program to help providers in areas and stages that will not be covered by other programs. Through the intervention program, providers with high Utah Medicaid patient volumes can continue to receive subsidized support in order to meet the demands of state and federal requirements as they increase and become more challenging over time.

Washington:
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  • Leverage and align state data capabilities. (pg. 33)
  • Washington will partner with the Institute for Health Metrics and Evaluation and local public health to develop new data capabilities and technical assistance to support community population health management.