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IILHIE Committee as a Whole Meeting Minutes for August 10 2011 

The Board of Directors (the "Board") of the Illinois Health Information Exchange Authority ("Authority") meeting as a Committee of the Whole ("Committee"), pursuant to notice duly given, held a meeting at 1:30 p.m. on August 10, 2011, at the offices of the Office of Health Information Technology ("OHIT"), State of Illinois James R. Thompson Center, 100 W. Randolph, Suite 2-201, 100 W. Randolph St., Chicago, IL 60601.

Appointed Members Present [by phone]:

  • Dr. Bechara Choucair
  • Mr. David Holland
  • Dr. William Kobler
  • Mr. Mark Neaman
  • Dr. Nancy Newby
  • Dr. Cheryl Whitaker

OHIT Staff Present:

  • Laura Zaremba
  • Mark Chudzinski
  • Diego Estrella
  • David Fagus
  • Ivan Handler
  • Krysta Heaney
  • Saroni Lasker
  • Mary McGinnis
  • Cory Verblen

Ex-Officio Members Present:

  • OOG – Mr. Michael Gelder

Ex-Officio Members Present [by phone]:

  • DPH – Director Damon T. Arnold, MD
  • DOI – Colleen Burns
  • DHS – Susan Locke

Members Absent:

  • Dr. Nicholas Panomitros
  • Dr. Bruce Wellman

Ex-Officio Members Absent:

  • HFS – Director Julie Hamos

Vacancies

Executive Director

Call to Order and Roll Call

Dr. Cheryl Whitaker welcomed the appointed and ex-officio members of the Illinois Health Information Exchange Authority. She noted that the Committee of the Whole meeting was informational only, featuring a presentation by OHIT's Chief Technology Officer, Mr. Ivan Handler. Mr. Chudzinski, Secretary to the Board, confirmed the presence of the Members of the Authority Board noted above. The ability of the members to clearly participate by telephone was confirmed, and no objection was expressed to their participation in this manner

ILHIE Core Services Overview

Mr. Handler narrated his presentation "ILHIE Core Services Overview – Why the core services are core services & a peek into the future of ILHIE", a copy of which had been circulated in advance to the Board. The initial core services that will be provided by the ILHIE will be: provider directory; payer directory; public health entity directory; master patient index; record locator service management; a Web-based portal to facilitate provider enrollment for Direct services; and a privacy, security and patient consent service which can be configured and used by any ILHIE participating member. The anticipated use of the ILHIE core services was illustrated in the context of an emergency room patient admission, a referral of a patient to a specialist, the submission by a provider of required public health reports; and the eligibility of providers to receive Provider Incentive Payments related to their Meaningful Use of electronic medical record (EMR) systems. Among the challenges to implementation noted was the need for robust technical interface standards which need to be embraced by EMR vendors.

In the ensuing discussion, Mr. Handler provided the following additional clarifications:

  • While the ILHIE core services will enable connectivity among ILHIE participants for the exchange of health information, the ILHIE can also be viewed as a platform which will enable the provision of services which utilize one or more of the ILHIE core services. Significant among such anticipated users of the ILHIE's platform are the agencies of the State of Illinois engaged in providing healthcare services. The various directories created and maintained by the ILHIE (e.g. patients, providers, payers, public health agencies) can be used by existing State systems such as the Medicaid Management Information System (MMIS), the Provider Incentive Payment (PIP) program, and the immunization and other registries of the Department of Public Health. When made available to users in the private sector, a thoughtfully-developed ILHIE platform could serve to stimulate the development of new software applications and services of value to Illinois patients and healthcare providers. Such value-added additional services built upon the ILHIE platform could indeed provide revenue to ILHIE and the service developer.
  • The State needs to ensure that all providers in the State are able to attest to Meaningful Use and receive the Federal incentive payment for EMR adoption. For providers in the State who have no reasonable access to a local/regional HIE service ("white spaces"), the State will need to enable connectivity to the State-level HIE. To the extent that connectivity to the State-level HIE may be provided to any provider in the State, the prospect will exist of some providers having a choice whether to connect to the State-level HIE directly, or through a local/regional HIE
  • The ILHIE architecture does not presently anticipate the creation of clinical data repositories for providers at the State level as part of the ILHIE core services, but such a capability could in the future be ancillary to the ILHIE core services.

The consensus of the Committee was that OHIT should at the earliest possible opportunity share Mr. Handler's presentation with a wide audience of stakeholders, including the emerging local/regional HIEs in the State, and engage in a discussion with each of the emerging local/regional HIEs in the State of the best way to cooperatively promote adoption of EMR and the development of HIE in the State while avoiding unnecessary redundancy. The OHIT staff committed to arranging a public Webinar featuring Mr. Handler's presentation, and discussions with the emerging local/regional HIEs in the State in advance of the next meeting of the Authority Board on September 7.

Public Comment

There were no comments offered from the general public.

Adjournment

The meeting was adjourned at 3:00 p.m.

Minutes submitted by:
Mark Chudzinski, Secretary