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DOH Announces Major Health IT Initiative

From the DOH website, August 8, 2007:

Health Commissioner Richard F. Daines, M.D., today announced the launch of a comprehensive health information technology program, part of Governor Eliot Spitzer's agenda to advance patient-centered care and enable improvements in health care quality, affordability and outcomes for each person, family and business in New York.

An initial $106 million will be invested in the health care community during 2007-2008 to support the implementation of health IT tools to allow portability of patients' medical records and new tools to assess and target improvements in health care quality.

Lots more detail below the fold.

The press release continues:

The Commissioner has charged his new Office of Health Information Technology Transformation with coordinating health IT programs and policies across the public and private health care sectors. These programs and policies will establish the health IT infrastructure and capacity to support clinicians in quality-based reimbursement programs and new models of care delivery.

. . .

DOH's effort is part of Governor Spitzer's 'Patients First' health care agenda to improve the quality of health care as it shifts from institution-based care to community care. The following key objectives will drive DOH's investment in a community-based health information infrastructure, including:

  • Ensuring the privacy and security of patients' individually identified health information, and supporting the right of New Yorkers to have greater control over and secure access to their personal health information.
  • Providing public information about the quality and cost of care by payers and providers so consumers can compare costs and value.
  • Using health IT as a tool to support better management of chronic disease, community-based long-term care, improved public health surveillance and reporting, and a modified certificate-of-need process to advance health care reform.
  • Providing health IT tools required for validated quality measurement and reporting to support reimbursement reform, which is under way in the Medicaid program – the largest health care insurance payer in the state.
  • Helping prepare New Yorkers for health care emergencies by developing the capacity to receive and exchange health care information, such as medications and lab test results.
  • Helping clinicians and providers in small practices, community health centers and rural and under-served areas close the health IT gap between them and larger or urban institutions. This requires development of a sustainable financing plan, which includes public- and private-sector investment in health IT.
  • Increasing the use of telemedicine, remote monitoring devices and other medical device applications to exchange information regardless of the venue where the patient receives services.
To kick off this effort, DOH has set initial activities to advance a statewide interoperable health information and quality infrastructure, as follows:
  • A strategic health IT implementation plan. The plan – a guide for implementing an interoperable health information infrastructure in New York – will be submitted to Commissioner Daines within 90 days and available publicly on the DOH Web site, nyhealth.gov. The plan, to be updated regularly, will include key clinical, patient, technical, organizational, financial and policy components required to advance statewide interoperable health IT.
  • A health IT coordinating council. The council will bring together internal DOH programs and policies involving health IT to align strategies, avoid duplication and streamline programs. The council will also serve as a liaison for health IT among health-related state agencies and the New York City Department of Health and Mental Hygiene. The council's first priority will be a children's health care initiative to align programs with corresponding information systems for immunization registries, lead and newborn screening, and vital records to support improvements in children's health.
  • The health IT public-private partnership. The partnership will help DOH collaborate with public and private health care leaders on health IT. DOH has asked the New York eHealth Collaborative (NYeC), based in New York City, to coordinate this effort in an inclusive and open manner. NYeC is a non-profit organization dedicated to improving health care quality, safety and efficiency through health IT.

Read the full DOH press release here.

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