Utah Digital Health Commission Meeting Minutes
Friday July 13, 2007, 9:30 a.m. -11:30 a.m.
Utah Department of Health
288 North 1460 West, Room 114
Salt Lake City, Utah
Members Present: Joseph Cramer, Scott Barlow, Via Video Conferencing: Brad LeBaron, Dennis Moser, and Deb LaMarche.
Members Absent: Rulon Barlow, Terry Holmes, Michael Jensen, Chet Loftis, Mark Munger, and Rod Ross.
Staff Members: Don Beckwith, Francesca Lanier, Barry Nangle, Humaira Shah, and Wu Xu
Guests: Christie North (HealthInsight), Sharon Donnelly (HealthInsight), and John Nelson (HealthInsight).
Welcome and Introduction: Dr. Joseph Cramer, UDHS Commission Chair, opened the meeting by welcoming the members, Staff and Guests from HealthInsight. Each person introduced themselves and their agency. An attendance roster was passed around for members and guests to update their information.
Review of May 11, Meeting: Dr. Joseph Cramer (Chair) talked about the importance and success of May 11, meeting. The May 11th meeting included six different states from Region 8. We had Dennis Moser, as part of the panel, we appreciate that. It was the first time that all of the individuals from those six states met to talk about digital health issues and I think that was meaningful. We also learned that everyone is at different states and at different levels and there's some things that we can learn form these other states. I want to thank all those who participated, who helped. Sharon Donnelly commented that, as an outsider of the digital health commission, she thought it was a great meeting and went really well.
Discussion on Value Exchange: The discussion was lead by Christie
North. She was representing Dr. Kim Bateman, who is the vice president for Medical
affairs at HealthInsight. She begins by talking about the four cornerstones that
are the pieces that Mike Leavitt says if you pay attention to these four things
health care value will be improved, people will be able to make better decisions.
The four cornerstones of value are:
- Interoperable health information technology (connectivity)
- Measure and publish quality information (transparency of quality)
- Measure and public price information (Transparency of cost/price) and
- Promote quality and efficiency of care (appropriate incentives).
Approximately fourteen Governors have signed executive orders to support this
nationwide initiative. A question was asked: what is the significance for the
Governor to sign some executive order?
Christie answered that the significance of Huntsman signing would be only one thing it gets on the national website about the value driven partnership in Utah. It gives the state some national recognition. Without Governor's involvement it might appear that we were a splinter group.
Christie also explained what a chartered value exchange is. So a chartered value exchange really is the next step, we are now a community leader, and UPV is now a community leader, designated by HHS. We will soon be able to become a value exchange which is then a multi state organization who has clearly got permission for action in the community and has all of the right partners and has stated they will be focused on the four cornerstones. She also talks about UPV steering Committee and steering committee membership and UPV task forces and the next phase.
Technical Assistance to Medicaid Providers in Adopting EMR: Sharon Donnelly said: Kerry Stratford at the Utah Medical Association met with Senator Christensen during the last session and talked him into ear-marking some funds for a project that UMA and HealthInsight have been doing jointly. The project is that UMA is promoting electronic medical health records and health insight was able to do this with primary care providers but not with specialists and pediatricians and others, so out of their own foundation they funded us to work with specialty clinics and through legislature he obtained more money so he could work with more specialty clinics. It was approved for $90,000 so later it doubled to $180,000.
FCC- Rural Health Pilot Program: Deb LaMarche is introduced and says: The FCC wants to do a rural health care pilot program. The commission has the universal service program that provides discounts for telecommunications lines. They have a school and library program that they spend 1.2 billion a year supporting. On the rural health care they originally budget $400 million a year and never use more than $40 million a year. The FCC thought that no one was interested so they decided to see a more creative way to use the program by opening up a proposal process; four states to come together with proposals for using universal service funding to begin to build state health networks that would eventually be part of a nation health network. Even though we already have a telehealth network in our states that includes a lot of sites, it still doesn't include several. One of the things we're finding is the T1 lines just aren't cutting it anymore. There's too much IT traffic for a T1 line to do it. We're looking toward the idea of adding T1 lines to sites.
Review of Washington Meeting about HISPIC: Dr. Joseph Cramer
mentioned how Francesca Lanier has done a stellar job at moving it forward and
putting a lot of work into contacting different groups. This basically is the
piece of privacy and security. He also mentioned that he went to Washington
and met people from other states about the project. He came back very excited
about the opportunities as a commission that he hopes to see in the next two
months. He anticipates having this more formal conversation about the roll of
Francesca gave information to the fact that they had received funding which was about $145,000 for Phase Two on the contract extension.
Conclusion: Dr. Joseph Cramer (chair) reminds his colleagues about the next meeting on September 7, 2007. The main focus of the next meeting will be following up on what Terry has asked. It is really what we want a statement out of this commission about that we then can forward up the chain. Both to Dr. Sundwall and also perhaps to legislatures and also other state entities as the law allows us to do. Then he introduced the new commission secretary, Humaira Shah, who he mentioned to be very polite, gentle voiced and trustworthy. He was also thanking Marsha Latham for being helpful in working with them.
Meeting was adjourned.