National Health IT Week: Sept 10-14, 2012

National Health IT Week

September 10-14, 2012 Excerpted from on Sept 8, 2012

The Seventh Annual National Health IT Week External Links Disclaimer is being held September 10-14, 2012. Health IT Week brings together the entire health IT community under one umbrella to raise awareness about the power of health IT to improve the quality, safety, and cost effectiveness of health care.

The events of the week provide a key opportunity for key stakeholders-vendors, provider organizations, payers, pharmaceutical/biotech companies, government agencies, industry and professional associations, research foundations, and consumer groups- to work together to highlight critical issues and advance a shared vision of improving the nation's health and health care through health IT. During Health IT Week, ONC has developed a specific theme upon which to build each day's events. We hope you are able to join us for as many as your schedule allows.

Health IT Events and Initiatives

  • Monday: Consumer eHealth/Blue Button
    2012 Consumer Health IT Summit: Expanding Access to Health Information
    Monday, September 10
    10:00am – 1:00pm ET (NOTE: Breakout sessions will occur from 1:00 – 3:30PM for attendees who are participating in person)

    Hubert H. Humphrey Building
    200 Independence Avenue S.W.
    Washington, D.C., 20201

    The 2012 Consumer Health IT Summit External Links Disclaimer will bring together federal leaders including: Todd Park, U.S. Chief Technology Officer and Farzad Mostashari, National Coordinator, Office of the National Coordinator for Health Information Technology, and inspiring leaders from the private and non-profit sectors. ONC's Pledge Program has grown more than ten-fold since last year-the 2012 Consumer Health IT Summit is a chance to learn from and share your experiences with others who are leading the charge to empower consumers to be better partners in their health.

    View the latest agenda [PDF - 104 KB] External Links Disclaimer

    Event will be Webcast Live at

  • Health IT Blog Carnival

    The Health IT Blog Carnival External Links Disclaimer is an open call for healthcare and IT industry bloggers who would like to comment on the impact health IT will have in 2013.

  • Tuesday: Improving Patient Care Through Meaningful Use
    ONC – HRSA Webinar Demo of the New ONC Privacy and Security Training Game and Program Update for Safety Net Providers|
    Tuesday, Septeber 11
    10:00am – 11:00am ET

    This webinar will feature a new training tool from the Office of National Coordinator for Health IT (ONC) Privacy and Security Group. ONC will demo an interactive training game for providers and staff on the "do's and don'ts" of privacy and security issues regarding health IT. This training tool can be used to help fulfill a safety net provider's HIPAA privacy training requirements. In addition, ONC will provide a privacy and security update on recent program changes and how they affect safety net providers.


    • Laura Rosas, JD, MPH, Policy Analyst, ONC
    • William Phelps Policy Analyst, ONC

    Register for the webinar External Links Disclaimer

  • PCPCC Advancing Primary Care through Health IT
    Tuesday, September 11
    2:00pm – 3:30pm ET

    The Patient Centered Primary Care Collaborative (PCPCC) is holding a webinar featuring speakers from CMS, ONC, and NCQA to discuss various aspects of health information technology and the patient-centered medical home. Please join us for a free and informative webinar from 2:00-3:30pm ET on Tuesday, September 11, entitled "Advancing Primary Care through Health Information Technology".


    • Richard Baron, MD, MACP, Group Director, Seamless Care Models, CMS Innovation Center
    • Jacob Reider, MD, Acting Chief Medical Officer, ONC
    • Mat Kendall, Director of Office Provider Adoption Support, ONC
    • Johann Chanin, Director in Product Development, NCQA

    Register for the webinar External Links Disclaimer

  • Wednesday: Privacy and Security
    NeHC Privacy and Security Programs|
    Wednesday, September 12
    11:00am – 12:00pm ET

    As part of Health IT Week External Links Disclaimer, National eHealth Collaborative External Links Disclaimer (NeHC) will offer a series of programs with the Office of the National Coordinator for Health IT (ONC) to highlight their various initiatives, including those related to privacy and security. Joy Pritts, Chief Privacy Officer at ONC will kick off the program and Laura Rosas, Privacy and Security Professional at ONC and Will Phelps, HIT Cyber Security Program Officer with HHS, will provide an interactive demonstration of Cybersecure: Your Medical Practice, a new avatar-based game meant to enhance organizations' understanding of privacy and security.


    • Joy Pritts, Chief Privacy Officer, ONC
    • Laura E. Rosas, JD, MPH, Privacy and Security Professional, Office of the Chief Privacy Officer, ONC
    • Will Phelps, HIT Cyber Security Program Officer, US Department of Health and Human Services

    URL: External Links Disclaimer

    Fee: No charge

  • Thursday: Standards, Interoperability, and Health Information Exchange
    NeHC Standards & Interoperability Framework
    Thursday, September 13
    1:00p – 2:30pm ET

    Continuing with the HIT Week Program Series, National eHealth Collaborative External Links Disclaimer (NeHC) will offer a program with Deputy National Coordinator David Muntz and Director of the Office of Science and Technology, Dr. Doug Fridsma to lead a discussion on the progress of the Standards and Interoperability Framework. Dr. Holly Miller from MedAllies, Inc. and David Tao from Siemens Healthcare will discuss the S&I Framework from the perspective of a provider and a vendor respectively.


    • David Muntz, Principal Deputy National Coordinator, ONC
    • Dr. Doug Fridsma, Director, Office of Standards and Interoperability, ONC
    • Dr. Holly Miller, Chief Medical Officer, MedAllies, Inc.
    • David Tao, Senior Key Expert and Interoperability Champion, Siemens Healthcare

    URL: External Links Disclaimer

    Fee: No charge

  • Friday: Quality and Health IT
    eHC Quality in Health IT Webinar
    Friday, September 14
    11:00am – 12:00pm ET

    The final webinar of the HIT Week Program Series External Links Disclaimer, National eHealth Collaborative  External Links Disclaimer (NeHC) will provide a program featuring Dr. Farzad Mostashari, Dr. Carolyn Clancy, and Dr. Patrick Conway to discuss how ONC, AHRQ, and CMS are collaborating to leverage health IT to improve healthcare quality. Speakers will provide a vision for the quality measurement enterprise of the future as well as the necessary steps to transition to health IT-enabled measurement, reporting and feedback that drives improvement in care and outcomes. They will also identify challenges moving forward in realizing this vision, including the need for continued public-private collaboration to continuously evolve and improve the enterprise.


    • Dr. Farzad Mostashari, National Coordinator for Health Information Technology, ONC
    • Dr. Carolyn Clancy, Director, Agency for Healthcare Research and Quality (AHRQ)
    • Dr. Patrick Conway, Chief Medical Officer, Director, Office of Clinical Quality Standards and Quality , Centers for Medicare and Medicaid Services (CMS)

    URL: External Links Disclaimer

    Fee: No charge

  • HRSA Leadership Tips During a Health IT Implementation Webinar

    Friday, September 14
    2:00pm – 3:30pm ET

    This webinar focuses on the importance of leadership in successfully steering an organization through a health IT implementation. It features established leaders who have conducted more than 70 health IT implementations in health centers, rural health clinics, and critical access hospitals. The presenters will also focus on how leadership is important in helping staff, clinicians, patients, a safety net providers' board, and partners adjust to and overcome the barriers that typically accompany a health IT implementation and impede success. Lastly, the presenters will provide leadership examples of unique health IT implementation situations such as meeting meaningful use objectives, changing vendors, and implementing health IT in multiple provider sites. Presenters include:

    • Terry Hill, MPA, Executive Director and Joe Wivoda, Chief Information Officer
      National Rural Health Resource Center
    • Greg Wolverton, Chief Information Officer
      White River Rural Health Center, Arkansas
    • Doug Smith, Executive Director
      Greene County Healthcare, North Carolina

    Register for the webinar External Links Disclaimer


  • HIMSS "Health IT is…" Twitter Chat

    Friday, September 14

    On Friday, September 14, @HIMSS External Links Disclaimer and @HealthStandards External Links Disclaimer are moderating at #HITsm Twitter chat on National Health IT Week at 12 noon ET. More details including chat questions will be shared on the HL7 Standards blog External Links Disclaimer closer to the day.


  • Celebrate in Your Hometown

    Find out 10 ways to get involved External Links Disclaimer, whether externally in your community and/or by communicating the value of health IT within your own organization.


    View a full list of National Health IT activities taking places across the U.S. External Links Disclaimer, or to visit the National Health IT Week website External Links Disclaimer to learn more.

    It's also easy for individuals and organizations across the country to participate. Potential partners – including corporate, non-profit and academic institutions – should visit the National Health IT Week website Partners page External Links Disclaimer to learn more about generating awareness of health IT in their communities.



Blumenthal Reviews ONC’s 2010 Accomplishments on ONC Blog

2010 ONC Update Meeting: Advancing the Dialogue on Health IT
Monday, December 27th, 2010 | Posted by: Dr. David Blumenthal on ONC’s Health IT Buzz blog and republished here by e-Healthcare Marketing.

Thank you to everyone who participated in the 2010 ONC Update on December 14-15, 2010 where we had the opportunity to discuss ONC’s strategies and programs, hear about your experiences in the field, assess progress to date, and get caught up on HITECH’s implementation. Video-recordings of the webcast are now available through the ONC website at

The 2010 ONC Update was held in conjunction with 2010 ONC Grantee Meeting which brought together for the first time the awardees of all of the ONC programs , including the Beacon Communities Program, Regional Extension Center Program, SHARP Program, State Health Information Exchange Program, and the many Workforce Development Programs.

This year, significant strides were made in health information technology. And for us, information technology has always been a means to an end, the end of improving health, improving the health system, making the lives of our fellow Americans better, making our nation’s health professionals and institutions able to live up to their aspirations, empowering Americans to have and take control of their own health and lives. These are the reasons why the Congress and the President enacted the HITECH Act and the reason that the Office of the National Coordinator exists today.

But, of course, there are many organizations and groups that have those high aspirations. Our unique contribution comes from a core insight that good intentions have to be powered by strong capabilities. And science and technology have created for us an enormously powerful new set of tools in the form of health information technology.

We are here to make sure that those tools are used fully to realize our collective aspirations. Information is the lifeblood of medicine. As health professionals and institutions, we are only as good as the information we have about the patients that we care for. Health IT is destined to be the circulatory system for that information in the decades to come.

The last several months have been a whirlwind of activity. And it is easy to forget how much we’ve accomplished. We established the meaningful use framework, one that I think is unprecedented in the history of electronic health information systems. No other country has laid out a similar framework for what can and should be accomplished using health information technology. And on January 3, the Centers for Medicare & Medicaid Services will launch the registration process for those who wish to participate in the Medicare and Medicaid EHR Incentive Programs.

We’ve issued a standards and certification regulation. As of this week, we have five certifying bodies that are available to certify electronic health records. They’ve certified more than 200 records and modules in the several months since they’ve been in existence.

Regional extension centers – 62 of them are working hard to provide hands-on assistance to those providers that need the most help in making this transition. As of this week, 30,000 physicians have already enrolled in these extension programs across the United States.

The State Health Information Exchange Program has provided 56 states and territories with planning grants. More than 20 of these states and territories have approved implementation plans, and new implementation plans are being approved every day.

Seventeen Beacon Communities are now in place. They didn’t exist a year ago. They are paving the way toward real improvements in health and health care in the communities they serve, leveraging health information technology. The SHARP Program is tackling new challenges through research and development.

And ONC’s Workforce Development Programs are preparing a whole new workforce and creating new jobs to support the transformation of our health care system through the use of information technology. To date, we have seen almost 2,300 new enrollees in community college programs and close to 400 in University‑based Training Programs focused on health information technology. And we are well on our way in these very early stages toward meeting that target of 10,000 new health professionals trained annually during the lifetime of the program.

In addition to our grants, we have dozens of contracts that are supporting programs like the Nationwide Health Information Network. And our Health IT Policy Committee and Health IT Standards Committee continue to provide enormously valuable guidance on the many policies and standards that are needed to support execution against our mission.

All of these efforts not only play a critical role in our strategy related to the improvement of health and health care through information technology, but also provide the foundation for health systems change and upcoming reforms in how we deliver and pay for care.

As we look to 2011, there will be many challenges. Driving change is hard. And it takes leadership, commitment and the ability to move forward – despite the many obstacles that each of you will encounter. I hope your sense of contributing something unique to health care and the American people – for most certainly you are – balances the incredibly hard work that you are undertaking. Someday you will look back and realize that you were present at the creation of something big.

Thanks again, and we look forward to our continued collaboration in the new year.
###To comment directly on ONC’s Health IT Buzz Blog, click here.
See Blumenthal Letter #22 on e-Healthcare Marketing.

Blumenthal Letter #22: Ready for Jan 3 EHR Incentives Registration?

Registration for EHR Incentive Programs
Starts January 3, 2011: Are You Ready?

Dr. David Blumenthal

Dr. David Blumenthal

A Message from Dr. David Blumenthal, the National Coordinator for Health Information Technology
December 27, 2010

Published by ONC on 12/27/2010 and republished here.

The New Year is just around the corner, and so is another milestone in our nation’s work to improve health care through health information technology. Starting on January 3, 2011, eligible health care professionals, hospitals, and critical access hospitals may register to participate in the Medicare and Medicaid EHR Incentive Programs.

This is an auspicious time. Nearly two years ago, the Health Information Technology for Economic and Clinical Health (HITECH) Act, part of the American Recovery and Reinvestment Act of 2009, was signed into law. Since then Department of Health and Human Services (HHS) agencies like the Office of the National Coordinator for Health Information Technology (ONC), the Centers for Medicare & Medicaid Services (CMS), the Office for Civil Rights (OCR), and others have implemented HITECH policies and programs to help providers adopt and achieve meaningful use of certified electronic health record technology and ensure that electronic health information remains private and secure.

[See Blumenthal's review of 2010, originally posted on ONC's Health IT Buzz blog.]

Why Become a Meaningful User?

Qualify for financial incentives from the federal government
Eligible professionals who demonstrate meaningful use have the opportunity to receive incentive payments through the Medicare and Medicaid EHR Incentive Programs—up to $44,000 from Medicare, or $63,750 from Medicaid.  Under both Medicare and Medicaid, eligible hospitals may receive millions of dollars for implementing and meaningfully using certified EHR technology. Providers can get started now with the help of financial incentives from the federal government. If they wait, those incentives may not be available. And financial penalties are scheduled to take effect in five years. 

Build a sustainable medical practice
The next generation of health care professionals will expect and demand that their own medical facility home have a state-of-the-art information system.  Becoming a meaningful user of electronic health records will allow providers who are building their practices to recruit and retain talented young clinicians.

Improve the safety and quality of health care 
The meaningful use of electronic health records will help health care providers and hospitals offer higher quality and safer care. By adopting electronic health records in a meaningful way, providers and hospitals can:

  • See the whole picture. All of a patient’s health information—medical history, diagnoses, medications, lab and test results—is in one place. Providers don’t have to settle for a snapshot when they can have the entire album.
  • Coordinate care. Providers involved in a patient’s care can access, enter, and share information in an electronic health record.
  • Make better decisions. With more comprehensive health information at their fingertips, providers can make better testing, diagnostic, and treatment decisions.
  • Save time and money. Providers who have implemented electronic health records say they spend less time searching for paper charts, transcribing, calling labs or pharmacies, reporting, and fixing coding errors.

ONC and CMS: Here To Help

Registration for the incentive programs may be close at hand, but so is assistance. If you need help in registering for the Medicare and Medicaid EHR Incentive Programs or selecting a certified EHR system, ONC and CMS have resources and services to help you.

  • The Medicare and Medicaid EHR Incentive Programs website contains educational resources and fact sheets with information to help eligible professionals and hospitals adopt, implement, and upgrade certified EHR technology and demonstrate meaningful use to receive EHR incentive payments.
  • Regional Extension Centers, which cover every region of the country, provide on-the-ground technical assistance to health care providers working to adopt and meaningfully use certified EHR technology.
  • The Health IT Workforce Development Program prepares skilled workers for new jobs in health IT.

Connecting to Your Community
ONC also has other programs in place to help advance the meaningful use of certified EHR technology and health information exchange:

As 2010 comes to a close, we are well on our way as a nation to achieving the benefits of widespread adoption of EHRs. If you haven’t made any preparations to register to receive incentive payments, I encourage you to get started now. Resolve today to become a meaningful user in 2011.

David Blumenthal, MD, MPP
National Coordinator for Health Information Technology 
The Office of the National Coordinator for Health Information Technology (ONC) encourages you to share this information as we work together to enhance the quality, safety and value of care and the health of all Americans through the use of electronic health records and health information technology.

For more information and to receive regular updates from the Office of the National Coordinator for Health Information Technology, please subscribe to our Health IT News list.

Health IT Special Issue of The American Journal of Managed Care: Dec 2010

AJMC Publishes Health Information Technology Special Issue Online Dec 20, 2010
“Featuring scholarly articles and perspectives from policymakers, payers, providers, pharmaceutical companies, health IT vendors, health services researchers, patients, and medical educators, this [December 2010 special] issue of  The American Journal of Managed Care is a reflection” of  “the  dramatic growth of interest in the potential for HIT to improve health and healthcare delivery,” writes Sachin H. Jain, MD, MBA and David Blumenthal, MD, MPP in their introductory article titled “Health Information Technology Is Leading Multisector Health System Transformation.”  Both Jain and Blumenthal are with the Office of the National Coordinator for Health Information Technology.

Authors of 23 Articles in Special Issue
Sachin H. Jain, MD, MBA; and, David Blumenthal, MD, MPP; Cynthia L. Bero, MPH; and Thomas H. Lee, MD; Aaron McKethan, PhD; and Craig Brammer; John Glaser, PhD; Pete Stark; Newt Gingrich, PhD, MA; and Malik Hasan, MD; James N. Ciriello, MS; and Nalin Kulatilaka, PhD, MS; Seth B. Cohen, MBA, MPA; Kurt D. Grote, MD; Wayne E. Pietraszek, MBA; and Francois Laflamme, MBA; Amol S. Navathe, MD, PhD; and Patrick H. Conway, MD, MSc; Reed V. Tuckson, MD; Denenn Vojta, MD; and Andrew M. Slavitt, MBA; Marc M. Triola, MD; Erica Friedman, MD; Christopher Cimino, MD; Enid M. Geyer, MLS, MBA; Jo Wiederhorn, MSW; and Crystal Mainiero; Nancy L. Davis, PhD; Lloyd Myers, RPh; and Zachary E. Myers; Bryant A. Adibe, BS; and Sachin H. Jain, MD, MBA; Spencer S. Jones, PhD; John L. Adams, PhD; Eric C. Schneider, MD; Jeanne S. Ringel, PhD; and Elizabeth A. McGlynn, PhD; Jeffrey L. Schnipper, MD, MPH; Jeffrey A. Linder, MD, MPH; Matvey B. Palchuk, MD, MS; D. Tony Yu, MD; Kerry E. McColgan, BA; Lynn A. Volk, MHS; Ruslana Tsurikova, MA; Andrea J. Melnikas, BA; Jonathan S. Einbinder, MD, MBA; and Blackford Middleton, MD, MPH, MS;Alexander S. Misono, BA; Sarah L. Cutrona, MD, MPH; Niteesh K. Choudhry, MD, PhD; Michael A. Fischer, MD, MS; Margaret R. Stedman, PhD; Joshua N. Liberman, PhD; Troyen A. Brennan, MD, JD; Sachin H. Jain, MD, MBA; and William H. Shrank, MD, MSHS; Amir Dan Rubin, MBA, MHSA; and Virginia A. McFerran, MA; Fredric E. Blavin, MS; Melinda J. Beeuwkes Buntin, PhD; and Charles P. Friedman, PhD Robert D. Hill, PhD; Marilyn K. Luptak, PhD, MSW; Randall W. Rupper, MD, MPH; Byron Bair, MD; Cherie Peterson, RN, MS; Nancy Dailey, MSN, RN-BC; and Bret L. Hicken, PhD, MSPH; Jeffrey A. Linder, MD, MPH; Jeffrey L. Schnipper, MD, MPH; Ruslana Tsurikova, Msc, MA; D. Tony Yu, MD, MPH; Lynn A. Volk, MHS; Andrea J. Melnikas, MPH; Matvey B. Palchuk, MD, MS; Maya Olsha-Yehiav, MS; and Blackford Middleton, MD, MPH, MSc; Emily Ruth Maxson, BS; Melinda J. Beeuwkes Buntin, PhD; and Farzad Mostashari, MD, ScM; Daniel C. Armijo, MHSA; Eric J. Lammers, MPP; and Dean G. Smith, PhD; Katlyn L. Nemani, BA.

Look for an upcoming post on e-Healthcare Marketing reviewing this special issue of AJMC.

New Series of ONC Fact Sheets on EHR, HIE Programs and Health IT Topics

ONC Fact Sheets Page
New Information Pages/Sheets published by ONC on 12/3/2010.

'Get The Facts' Fact Sheet

'Get The Facts' Fact Sheet

 On December 3, 2010, the Office of the National Coordinator (ONC) for Health IT published seven new one-page Fact Sheets on a range of their Health IT initiatives in both HTML and PDF formats. In addition ONC published links to two Health IT programs, one from Department of Health and Human Services in 2007, and the other updated in September 2009 from AHRQ. 

 The seven ONC one-pagers appear to be the first shots of a more extensive PR campaign to get the word out  beyond those “already in the know,” to those physicians, healthcare professionals, and the general public who have not been following HITECH, ONC, and the state-level  Health IT programs as closely as the early adopters. They will also provide materials for the regional extension centers to distribute to physicians and clinicians.

About Electronic Health Records

HITECH Programs
     Get the Facts about

Health IT Topics

Links to HTML versions of the seven ONC Fact Sheets on e-Healthcare Marketing.
In addition to the links above which go to the ONC Web site, the seven Fact Sheets are available in HTML on e-Healthcare Marketing.

1. Electronic Health Records: Advancing America’s Health Care
2. Using EHRs to Improve Health Care in Your Practice and Community
3. Beacon Community Program
4. State Health Information Exchange
5. HIT Extension Program (Regional Extension Centers)
6. SHARP (Strategic Health IT Advanced Research Projects) Program
7. Health IT Workforce Development Program

ONC Fact Sheet: Strategic Health IT Advanced Research Projects (SHARP) Program

ONC Fact Sheet: Strategic Health IT Advanced Research Projects (SHARP) Program
Published on ONC site 12/3/2010.

The nation has made great strides towards a technologically advanced health care system that offers improved quality, safety, and efficiency. However, there remain challenges and barriers to the adoption of electronic health records and other forms of health information technology (health IT).

The Office of the National Coordinator for Health Information Technology has funded the Strategic Health IT Advanced Research Projects (SHARP) program to directly confront these challenges.

The SHARP program supports the discovery of “breakthrough” research findings that will accelerate the nationwide use of health IT and will support dramatic improvements in health care.

About the SHARP Program
SHARP program grants have been awarded to four universities and health care organizations that are leading the way in health IT research and innovation. Each awardee has received $15 million to lead a large collaborative of diverse health care stakeholders, conducting research in one of the following areas:

  • Security and Health Information Technology 

Goals:Develop technologies and policies to increase security safeguards and reduce risk; develop technologies to build and protect public trust

  • Patient-Centered Decision-Making Support

Goals:Use the power of health IT to integrate and support doctors’ reasoning and decision-making as they care for patients

  • Health Care Application and Network Design

Goals:Create new and improved system designs to achieve information exchange and ensure privacy and security of electronic health information

  • Secondary Use of EHR Information

Goals:Develop strategies for using information stored in electronic health records for improving the overall quality of health care while maintaining the privacy and security of protected health information

To accelerate health IT adoption, the universities and health care organizations will also work with technology developers, vendors, and health care providers to apply their findings to the practice of medicine.

For More Information About:

Download Get the facts about SHARP Program [PDF - 276 KB]

New Health IT Fact Sheet on State & Regional Demonstration Projects Now Available: AHRQ

New Health IT Fact Sheet on State & Regional Demonstration Projects Now Available
Received notice shown immediately below via email on October 8, 2010.
A new AHRQ factsheet is now available. The factsheet, “Health Information Technology: State and Regional Demonstration Projects,” highlights the work of six states in improving health information exchange at a state or regional level. The new factsheet is available online, select to access.

Health Information Technology: State and Regional Demonstration Projects
Fact Sheet

The Agency for Healthcare Research and Quality (AHRQ) awarded projects for supporting statewide data sharing and interoperability activities on a State or regional level aimed at improving the quality, safety, efficiency, and effectiveness of health care for patients and populations.Select to download print version (PDF File, 265 KB). PDF Help.

In 2004, the Agency for Healthcare Research and Quality (AHRQ) awarded five “State and Regional Demonstrations (SRDs) in Health Information Technology” contracts to organizations in Colorado, Indiana, Rhode Island, Tennessee, and Utah. A sixth contract, awarded to Delaware, was added in 2005. The 5-year, $5 million projects were aimed at developing data sharing at the regional or State level, with the overarching goal of improving the quality, safety, efficiency, and effectiveness of health care for patients and populations.

Although the six SRDs each completed a common set of deliverables, over the course of the contracts, they also developed a variety of approaches with different technical, business, and governance models. The results of the SRDs’ work have informed the types of organizations that may serve as data sharing partners, the policies that pertain to this work, and the sustainability plans for health information exchange (HIE) in their States. The SRDs are involved with some aspect of the statewide HIE, Regional Extension Center, and/or Beacon Community cooperative agreements, which are supported by the Office of the National Coordinator for Health IT, as funded under the Health Information Technology for Economic and Clinical Health Act of the 2009 American Recovery and Reinvestment Act. An overview of each project and its key achievements is provided here.

State and Regional HIE Projects

Colorado Regional Health Information Organization (CORHIO). CORHIO began as a nonprofit organization aimed at building a prototype federated data exchange among its four initial partners: Denver Health, Kaiser Permanente of Colorado, The Children’s Hospital, and University of Colorado Hospital. CORHIO and its partners went live with a 1-year data exchange demonstration on December 1, 2008. The system offered the authorized emergency department (ED) practitioners at three sites and call center employees at one site access to the most common radiology reports, laboratory results, prescribed and dispensed medication information, registration information, electrocardiogram images and/or reports, and problem lists aggregated from all sites. CORHIO’s achievements include the development of a useful enterprise Master Patient Index (MPI) and a robust set of policies that can be applied to future HIE efforts. Following the conclusion of its SRD contract, CORHIO has contracted with a new vendor and will be implementing a clinical messaging service. CORHIO is also developing a multiyear plan to bring services to multiple communities across the State.

Delaware Health Information Network (DHIN). DHIN was created by an act of the Delaware General Assembly, which was signed into law in 1997 to advance the creation of a statewide health information and electronic data interchange network for public and private use. In 2007, DHIN became the first operational statewide clinical HIE. Four of Delaware’s hospital systems currently provide data through the DHIN (a fifth will be added in fall 2010), along with LabCorp, Quest Diagnostics, and Doctors Pathology Services, a local pathology laboratory. Taken together, DHIN’s data senders provide more than 85 percent of laboratory tests and 81 percent of hospital admissions performed in the State of Delaware. Since going live, DHIN has worked to add value for Delaware’s health care community by providing new data types (e.g., transcribed reports) and new functions (e.g., medication history). As of July 2010, DHIN’s users include 65 percent of the State’s health care providers working at more than 230 practices around the State. DHIN is currently transitioning to a new nonprofit, public/private governance structure that will support ongoing operations and the expansion of services.

Indiana Network for Patient Care (INPC). The INPC was created by Regenstrief Institute in 1994, with the goal of providing clinical information at the point of care for treating patients in the ED. For the SRD project, Regenstrief Institute expanded its activities by bringing on new data sharing partners, provided additional interfaces for laboratory and pathology data, and expanded its activities outside Indianapolis to other surrounding geographic areas. They are also seeking to resolve issues related to scalability and data normalization, given the huge volume of data and number of transactions (INPC processes an average of 2.5 million Health Level 7 messages per week). INPC captures data from a wide range of sources, including over 50 hospitals, physician practices, public health departments, laboratories, radiology centers, pharmacies, pharmacy benefit managers (via SureScripts®), payers, convenience clinics (e.g., those attached to a pharmacy), and long-term care facilities. As of July 2010, the INPC included more than 3 billion coded results, 526 million encounters, and over 53 million text reports. As part of its evaluation, Regenstrief Institute is measuring the value of aggregated clinical data delivered by the INPC for quality improvement. The expected outcome is improved provider compliance with selected clinical quality measures.

Rhode Island: currentcare. The Rhode Island Department of Health (HEALTH) applied for and received the SRD contract from AHRQ on behalf of stakeholders across the State. Development of the statewide exchange, known as currentcare, has been a collaborative effort between HEALTH and the Rhode Island Quality Institute (RIQI). Project governance has been led by RIQI, which became the State-designated health information organization in 2008 and which received contractual and operational responsibility for currentcare in July 2010. The project’s goals are to design, develop, test, deploy, and evaluate an initial health information network to support the secure and reliable exchange of health information, beginning with laboratory results and medication history information. The system is envisioned to link longitudinal patient-level information from source data systems using an MPI, provide a Web-accessible viewer to authorized users in any setting, and interface with electronic health record systems. One of this project’s most important achievements is the development of a broad set of governance, management, and operating policies for currentcare. These policies are integral to ensuring compliance with the RI HIE Act of 2008, which stipulates privacy and confidentiality protections for currentcare that are stricter than some State and Federal health information privacy laws. The project’s evaluation will focus on the development of those policies.

Tennessee: MidSouth eHealth Alliance. The MidSouth eHealth Alliance was formed as a policy-setting body to govern the HIE in Memphis, TN, sponsored by the State of Tennessee and managed in its first 4 years under a sole subcontract to Vanderbilt University. During the initial years, all technical and administrative functions were provided by Vanderbilt. Complete control of the Exchange has been transferred from Vanderbilt and the State to the MidSouth eHealth Alliance. Data services have migrated from Vanderbilt Medical Center to an independent corporation—Informatics Corporation of America. The Exchange began serving clinicians in May 2006 and, as of March 2010, data from 14 hospitals (inpatient and outpatient), 14 primary care safety-net clinics, and the University of Tennessee Medical Group were available to several hundred clinicians working in 14 EDs, 14 primary care clinics, and in hospitals. The overall data are composed of admission, discharge, and transfer data (patient registration data), encounter codes, and clinical data. The latter include laboratory results, diagnostic imaging reports, cardiac study reports, discharge summaries, dictated ED notes, operative notes, history and physical exams, diagnostic codes, patient demographics and other identification, and encounter data. Clinical data, particularly hospital discharge summaries, are most widely used. In the EDs, data are accessed on approximately 7 percent of ED visits.

Utah Health Information Network (UHIN). UHIN is a nonprofit whose partners include physicians, hospitals, laboratories, payers, local health departments, and health centers. UHIN’s project initially involved enhancing the existing gateway for administrative exchange to build clinical information exchange. Ultimately, UHIN and its stakeholders decided to purchase a clinical platform to facilitate clinical exchange, which they call the Clinical Health Information Exchange (cHIE). The cHIE has a modest electronic medical record (EMR), commonly referred to as “EMR lite,” if needed by the clinician (most clinicians in Utah have an EMR); an MPI; results delivery; e-prescribing; and virtual health records query functionality. UHIN is enrolling key data sources and building support among health care providers for participation in the cHIE. As of June 2010, laboratory data is being supplied by two data sources and seven clinics are connected to the cHIE. UHIN has developed a patient consent policy for use with the cHIE. As part of its evaluation, UHIN is analyzing providers’ workflow before and after they implement use of the cHIE at their sites.

For More Information

For additional information on AHRQ projects on health information technology, please visit or contact staff at the AHRQ National Resource Center (NRC) for Health IT at

Return to Contents

AHRQ Publication No. 10-P011
Replaces AHRQ Pub. No. 07-P005
Current as of August 2010

Internet Citation:

Health Information Technology: State and Regional Demonstration Projects. Fact Sheet. AHRQ Publication No. 10-P011, August 2010. Rockville, MD: Agency for Healthcare Research and Quality.

Atul Gawande Keynotes AHRQ Annual Conference

Second Plenary Session of AHRQ 2010 Annual Conference
Tue, Sept 28

Clancy Addresses AHRQ

Clancy Addresses AHRQ

Dr. Carolyn Clancy, Director of AHRQ, the health research arm of Health and Human Services, introduced the second plenary session of AHRQ 2010 Annual Conference in Bethesda, Maryland on September 28, 2010.

Clancy introduced Atul Gawande, MD, MPH, Boston surgeon, author, and New Yorker writer as this morning’s keynote speaker. Gawande said he insists that members of his research team read Michael Lewis’s Money Ball about the man who introduced metrics (stats) into choosing the best baseball talent.

If the metrics baseball innovator, Billy Dean, were a government man, the title of Lewis’s book would have been Baseball Services Research. Gawande went on to describe how research had been used to improve the medical support for US troops in the field including achieving the actual use of kevlar in the field, redesigning sunglasses that previously looked uncool, and  conducting partial surgery right in the field, and leaving the remainder to be done elsewhere.

Atul Gawande, MD prior to keynote

Atul Gawande, MD prior to keynote

After speaking about comparative effectiveness research, Gawande mentioned the work of Jeffrey Brenner, MD, of Camden, NJ, without naming him in his talk. This “Camden physician” has studied and set up services that help the most vulnerable, chronically ill patients, mostly with drug and alcohol problems, many homeless. This project is being performed under the umbrella of Camden Coalition for Healthcare Providers.

As a New Jersey resident, this blogger first heard about Dr. Brenner’s project from a presentation he gave at a New Jersey Health IT Commission meeting. Dr. Brenner’s work is now forming the foundation for the Camden Health Information Exchange in a partnership between three highly competitive hospital systems–Cooper University Hospital, Virtua Health System, and Lady Of Lourdes Health System, with support from the Merck Company Foundation. Camden HIE is one of the four HIEs within the state which will receive funding via the state from the Office of the National Coordinator (ONC) for Health IT, as part of the State’s HIE Cooperative plan with ONC.
AHRQ has so many research areas, including Health IT. There will be additions to this post over the next few days about some of those other areas.

ONC Site Map Updated in Conjunction with New Health IT Unified Theme

“Connecting America for Better Health” – ONC for HIT
Web Site Map for Office of the National Coordinator for Health IT
On August 27, 2010, the Office of National Coordinator (ONC) for Health IT announced a new “unified identity for Health IT”  which includes a “new theme and visual identity” for the ONC Web site and ONC and can be seen at the top of ONC Web pages.

The site map below for  ONC’s Web site is pulled primarily from the left navigation bar on the ONC site with some additional links to key areas. [Please send any corrections or comments to e-Healthcare Marketing. This is an update to a previous site map posted on February 16, 2010 on e-Healthcare Marketing, including new workgroups.]

While the visible structure of the Web site remains mainly the same, the home page and much of the underlying architecture appears to have been updated to simplify access to users, highlight new and important content, and simplify the addition of new information anticipated to come soon, such as announcements of the  Authorized Testing and Certification Bodies (ATCB) and Certified EHRs and EHR Modules.

The new theme and identity ”really captures the spirit of these combined efforts to boost national adoption of electronic health records and ensure success. The insignia will also help people easily identify and connect with official HITECH information, resources, programs, and partners,” wrote Communucations Director Peter Garrett on the Health IT Buzz blog on August 27, 2010. Now to the site map.


          Meaningful Use
          Certification Program
          Privacy and Security
          HITECH Programs
          On the Frontlines of Health Information Technology
               NEJM Articles: Dr. Blumenthal
                                             Dr. Benjamin
          Federal Advisory Committees

Top Banner Links
          Get email updates from ONC
          Follow ONC on Twitter

HITECH & FUNDING Opportunities
          Contract Opportunities
          Learn about HITECH
          HIT Extension Program — Regional Extension Centers Program
          Beacon Community Program

     State Health Information Exchange Cooperative Agreement Program
     Health Information Technology Extension Program
     Strategic Health IT Advanced Research Projects (SHARP) Program
     Community College Consortia to Educate HIT Professionals Program
     Curriculum Development Centers Program
     Program of Assistance for University-Based Training
     Competency Examination Program
     Beacon Community Program

                  (Meeting Calendar At-A-Glance)

HIT Policy Committee Meetings
          Meeting Webcast & Participation
Upcoming Meetings
Past Meetings
HIT Policy Committee Recommendations
HIT Policy Committee Workgroups
          Meaningful Use
          Information Exchange
          Nationwide Health Information Network (NHIN)
          Strategic Planning
          Privacy & Security Policy
          Privacy & Security Tiger Team
          Quality Measures

Health IT Standards Committee Meetings
          Meeting Webcast & Participation
Upcoming Meetings
Past Meetings
HIT Standards Committee Recommendations
HIT Standards Committee Workgroups
          Clinical Operations
          Clinical Quality
          Privacy & Security
          Vocabulary Task Force

           Meaningful Use
           Privacy and Security
           Standards and Certification
          State-Level Health Initiatives 
          Nationwide Health Information Network
          Federal Health Architecture
          Clinical Decision Support & the CDS Collaboratory
                 FACA Meeting Calendar
          Fact Sheets
          Federal Health IT Programs
          Technical Expert Workshops

         News Releases (2007 – Present)
         FACA Meeting Calendar
         Fact Sheets
         Federal Health IT Programs
         Technical Expert Workshops

          Coordinator’s Corner: Updates from Dr. Blumenthal
          Budget & Performance
          Contact ONC and Job Openings
#                             #                     #

For a review of the new look and feel of the ONC site, see an earlier post on e-Healthcare Marketing.

ONC Launches SHARP Web site for Strategic Health IT Advanced Research Projects

ONC Launches SHARP Web site for Research Programs
The Office of National Coordinator for Health IT launched its new Web site area on August 20, 2010 for the four research initiatives within the Strategic Health IT Advanced Research Projects Program  overseen by Wil Yu, Special Assistant of Innovations and Research, who  serves as Senior Project Officer for SHARP program.

SHARP Overview

SHARP Overview

Excerpted from ONC Site on August 21, 2010:

“SHARP awardees are currently conducting research along the following areas:

“AREA ONE: Security and Health Information Technology – The University of Illinois at Urbana-Champaign is helping develop technologies and policy recommendations that reduce privacy and security risks and increase public trust.

“AREA TWO: Patient-Centered Cognitive Support – Innovative cognitive research is being led by the University of Texas, Houston to harness the power of health IT to integrate and support physician reasoning and decision-making as providers care for patients.

“AREA THREE: Health Care Application and Network Design – Harvard University is leading platform based research to create new and improved system designs that facilitate information exchange while ensuring the accuracy, privacy, and security of electronic health information.

“AREA FOUR: Secondary Use of EHR Information – Mayo Clinic of Medicine is developing strategies to improve the overall quality of healthcare by leveraging existing EHR data to generate new, environmentally appropriate, best practice suggestions.”

SHARP Project Officer:
Wil Yu, Special Assistant, Innovations
ONC, Office of the Chief Scientist

Frequently Asked Questions
Original Funding Announcement

Direct Links to Programs
Security and Health Information Technology:
Patient-Centered Cognitive Support:
Health Care Application and Network Design: .
Secondary Use of EHR Information:
#                     #                  #

For more on project officer Wil Yu, see e-Healthcare Marketing blog.

Previous e-Healthcare Marketing posts on SHARP Program:
June 7, 2010: Updates on ONC’s SHARP — Strategic Healthcare IT Advanced Research Projects
April 7, 2010: Blumenthal Letter #11: Research and Innovation that Translates to Practice–SHARP Grants  includes Health IT Buzz Blog Post from Dr. Charles Friedman, Chief Scientific Officer, ONC: “SHARP: Confronting IT Challenges Head-on and Investing in the Future of Health Care”