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Technology and Interoperability Work Group Meeting Minutes - April 18 2011 

April 18, 2011

In-person

  • James Anfield, Blue Cross and Blue Shield
  • Stanley Krok, Children's Memorial Hospital
  • Elizabeth McKnight, CHITREC
  • Ron Warren, Infinite Support Systems

Attended by Phone:

  • Tom Dombrosky, Lincoln Land HIE
  • Doreen Haaksma, Independent consultant
  • Peter Ingram, Sinai Health System
  • Terry Jacobsen, MCHC
  • Steve Lawrence, IHIP
  • John Lynch, Provena Health
  • Jay McCutcheon, SIU
  • David Miller, Central IL HIE
  • Bill Odman, HIESI
  • Mary Ring, Illinois Critical Access Hospital Network
  • Crystal VanDeventer, Lincoln Land HIE
  • Frank Waterstraat, University of Illinois

Office of Health Information Technology (OHIT)

  • Mark Chudzinski
  • David Fagus
  • Ivan Handler
  • Krysta Heaney
  • Saroni Lasker
  • John Lekich
  • Laura Zaremba

Ivan Handler, Chief Technology Officer of the Office of Health Information Technology (OHIT), opened the meeting at 9:00 a.m. hosted by OHIT at the State of Illinois J.R. Thompson Center in Downtown Chicago, with a telephone conference call-in number. It was noted that notice of the meeting and the agenda were posted on the OHIT Web site and at the Chicago meeting location no later than 48 hours prior to the meeting. Roll was taken, and the ability of those attending by telephone to hear and participate was confirmed.

OHIT Update

Mr. Handler reported that provided the group with an overview of the goals and objectives for the Work Group. The group recommended adding State and local HIE updates as a standing agenda item. A reporting template will be created for the local HIEs to provide their updates.

Mr. Handler reported that OHIT is presently preparing to soon issue a Request for Proposal (RFP) for the acquisition of the core services of the state-level health information exchange (ILHIE). The RFP reflects the ILHIE Strategic and Operational Plan submitted to and approved by the Office of National Coordinator for Health Information Technology (ONC) of the Federal Department of Healthcare and Family Services, which had provided the State of Illinois an $18.8M grant under the American Recovery and Reconstruction Act (ARRA) of 2009 for the development and implementation of the state-level HIE. 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; and a Web-based portal to facilitate provider enrollment for Direct services. In the group discussion it was noted that OHIT needs to provide more information regarding the proposed relationship of ILHIE to the emerging local/regional HIEs in Illinois.

Progress Reports from Local HIEs

  1. Metro Chicago Health Information Exchange (Metro Chicago HIE). Terry Jacobsen reported that Metro Chicago HIE is in the process of completing vendor negotiations, and anticipates an announcement on vendor selection by the end of the month. It is in the process of completing governance structure for transition to implementation, has completed its plan for early adopters, and continues to meet with early adopters.

  2. Central Illinois Health Information Exchange (CIHIE). David Miller reported that Central Illinois HIE has made a vendor decision (ICA) and is entering into vendor negotiations; it anticipates a vendor contract signed in early May. Services roll-out is planned for Q4 2011. The governance structure is in place with approved by-laws; they are working on submitting documents for non-profit status. CIHIE currently has 8 charter members.

  3. Illinois Health Exchange Partners (IHEP). Steve Lawrence reported that IHEP has completed Vendor selection (Medicity), and is continuing with contract negotiations. IHEP has released an RFP for legal/operating agreements for participation; anticipates legal services vendor selection in early May. IHEP currently has 5 charter members.

  4. Southern Illinois Health Information Exchange (HIESI). Bill Odman reported that HIESI is in the midst of vendor selection, and anticipates a live pilot by the end of the year.

  5. Lincoln Land Health Information Exchange (LLHIE). Jay McCutcheon reported that a written update report had been submitted to OHIT, which OHIT should feel free to distribute to the work group.

  6. Illinois Critical Access Hospital Network Exchange (ICAHN Exchange). Mary Ring reported that the ICAHN Exchange activities are on schedule. NextGen in the process of releasing a new version of its solution, scheduled for June 2011, and ICAHN is holding off on incorporating new participants until the version transition is completed. Some member hospitals plan to attest to Meaningful Use in year 1 of the Payment Incentive Program.

  7. Northern Illinois Health Information Exchange (NIHIE). No report given.

Report from ONC Direct Boot Camp

Mr. Handler provided an overview of the Direct Project standards, their use in facilitating data exchange, and potential points of integration with the ILHIE and the local HIEs. As previously announced, ILHIE will not function as a HISP; instead, the ILHIE plans to develop a portal from which providers can select among available HISPs in Illinois (which will be required to share with ILHIE relevant address information). As the Direct implementation pilots continue to demonstrate success, additional Direct-enabled exchange functionalities will be considered for incorporation into the ILHIE. For example, Rhode Island is using the Direct standards to facilitate clinical care summary document exchange and exchange with State public health. OHIT plans to engage Rhode Island for additional information on their Direct strategy.

In the ensuing group discussion, concern was expressed about how various exchange partners will parse data sent using the Direct standards. Mr. Handler explained that several EHR vendors are incorporating the Direct standards into their EHR products and services and that the State plans to do the same.

Other Matters

During the group's discussion of the Federal incentive payment program for adoption and Meaningful Use of EHR systems, it was noted that some commentators are suggesting that hospital providers refrain from submitting their Meaningful Use attestation this year in order to have a longer period of time within which to satisfy the requirements for Meaningful Use Year Two attestation.

Mr. Handler requested Work Group members submit agenda items a week prior to the next meeting.

The initial meeting of the Illinois Health Information Exchange Authority is scheduled for April 27 in Chicago.

Public Comment

There were no comments offered from the general public.

Adjournment

The meeting was adjourned at 10:00 am.