Transcript Chartpack

Figure 1. State Responses to E-Health Survey
WA
MT
VT NH ME
ND
MN
OR
ID
WY
WI
UT
AZ
CO
MI
PA
IL
KS
OK
NM
WV VA
MO
KY
NC
TN
AR
SC
MS
TX
OH
IN
AL
GA
LA
AK
FL
HI
Responses Received
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
MA
NY
IA
NE
NV
CA
SD
NJ
DE
MD
DC
RI
CT
Figure 2. Top State E-Health Priorities for Next Two Years
Electronic HIE Adoption
25
Electronic HIE Policy Development
12
EHRs and EMRs
9
E-Prescribing
7
Privacy and Security Issues
5
Quality & Transparency
3
Telehealth
3
Public Health Registries
2
PHRs
2
Medicaid HIT or MMIS Upgrades
Other
1
6
Number of States
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
Figure 3. State-Reported Barriers to
Release of Health Data, by Service Area
Disability
8%
School-Based
8%
Adolescent
8%
Mental Health
17%
Substance
Abuse
16%
General
11%
Genetic Testing
9%
Communicable
Disease
9%
HIV/AIDS
14%
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
Figure 4. Breakdown of State-Reported Barriers
Related to Release of Health Data in Electronic HIE
Substance Abuse
25
Mental Health
27
HIV/AIDS
17
16
22
General Health
13
Communicable Disease
12
Genetic Testing
14
Disability
12
School-based
Adolescent
13
11
20
16
Implementation of
Consent Process
12
Lack of Authorization and
Authentication Standards
9
Lack of Access Control
and Audit Standards
10
8
10
19
11
11
10
10
10
12
24
14
15
16
9
13
0
14
11
9
14
14
6
Federal Privacy
Requirements
9
30
40
50
60
70
Number of Barriers Reported
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
80
Figure 5. Measures of Utilization and Performance
Within Medicaid and State Health Benefit Plans
HEDIS
CAHPS
State Designs
Medicare Measures
Medicaid Managed Care
State Health Benefit Plans
NQF Measures
Medicaid FFS
0
3
6
9
12
Number of States
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
15
18
21
24
Figure 6. Lead State Agencies for E-Health Activities
Governor's Office
12
Public Health
9
Medicaid
9
Information Technology
Shared Across Agencies
8
3
Number of States
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
Figure 7. E-Health Activities Implemented Within Public Health
(Total = 234 Activities Reported by 41 States)
Disease Registry
41
Immunization Registry
39
Newborn Registry
38
Surveillance Registry
36
EPSDT Tracking
17
Decision-Support Tools
14
Telehealth
13
12
eProvider Enrollment or Certification
Electronic Medical Record
5
Electronic Signature
5
Metadata Repository
5
Electronic Health Record
3
Advance Directive Repository
3
E-Prescribing
3
Number of States That Have Completed Implementation
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
Figure 8. E-Health Activities Implemented Within Medicaid
(Total = 170 Activities Reported by 37 States)
Web-Based MMIS
EPSDT Tracking
27
22
21
20
Decision-Support Tools
Telehealth
eProvider Enrollment or Certification
Immunization Registry
15
11
10
E-Prescribing
Metadata Repository
9
9
Electronic Signature
Electronic Health Record
8
Electronic Medical Record
Personal Health Record
5
5
Disease Registry
4
Newborn Screening Registry
Surveillance Registry
Advance Directive Repository
3
1
0
States That Have Completed Implementation
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
Figure 9. Barriers to Accomplishing E-Health Priorities
26
Funding
20
Stakeholder Impacts, Buy-in
13
Establishing Business Case, Sustainability
12
Lack of Standards
11
Privacy/Security Concerns
Governance Issues
4
Technical Resources
4
Legal Issues
4
Other
7
Number of States
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.
Figure 10. Lessons Learned from State E-Health Activities
Collaboration &
Engagement
24
10
Time Required
Communication &
Education
8
Unknown/Too
Early
7
Funding
7
Consumer
Focus/Involvement
5
Leadership
5
Governance
5
14
Other
Number of States
Source: The Commonwealth Fund and National Governors Association E-Health Survey,
conducted by Health Management Associates, 2007.