Attachment G2_SHOWCARDs final

Guide to the Topics for Technical Assistance

This guide is intended to help you review and rank order a series of topics that may be of assistance to your agency in planning and implementing health IT and health information exchange.

Questions 40 through 50 ask about specific topics that we are considering for targeted workshops and webinars where representatives for a number of agencies will come together to focus on a specific issue that the agency is working through related to health IT and/ or HIE.

Please review the topics for technical assistance prior to the meeting so that you are familiar with the topics and have some time to think about how we can best support your agency’s efforts.

Please have this handout with you to use as a reference during the discussion.

Thank you!

Topics for Targeted Work Shops

CARD 1

40. Please rank the following topics related to Overall Health IT/HIE Policy Issues from 1 to 4 with 1 being the highest priority and 4 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Overall Health IT/HIE Policy Issues

RANK (1 to 4) TOPIC
______	Federal and state regulations/laws/guidance which impact Medicaid/SCHIP plans for Health IT and HIE initiatives
______	Defining and refining the Medicaid/SCHIP agency’s Health IT/HIE policies and plans
______	Overview of national Health IT and HIE initiatives, standards, and products
______	Prioritizing Health IT/HIE projects and opportunities

CARD 2

41. Please rank the following topics related to Health IT/HIE Privacy and Security Issues for Medicaid and SCHIP Agencies from 1 to 6 with 1 being the highest priority and 6 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Health IT/HIE Privacy and Security Issues for Medicaid and SCHIP Agencies

RANK (1 to 6) TOPIC

______	Overview of privacy and security issues that affect the implementation of Health IT and HIE projects and activities for Medicaid/SCHIP agencies
______	Overview of federal and state legal and regulatory environment on privacy and security for Medicaid and SCHIP
______	Privacy and patient consent approaches (opt-in, opt-out, notice-only)
______	Standards for capturing, maintaining and transmitting electronic patient consent directives
______	Certification criteria on privacy and security standards for EHR products
______	Security approaches to user identification, authentication, authorization, access control and audit trails

CARD 3

42. Please rank the following topics related to Adoption and Use of Data and Technical Standards from 1 to 4 with 1 being the highest priority and 4 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Adoption and Use of Data and Technical Standards

RANK (1 to 4) TOPIC

______	Implementation of HIPAA and other administrative and financial transaction standards through Health IT and HIE
______	Understanding, adopting and implementing the new harmonized interoperability standards from the Health Information Technology Standards Panel (HITSP)
______	Understanding, adopting and implementing health care vocabulary and terminology standards for health information exchanges (SNOMED, LOINC and others)
______	Utilizing the certification criteria from CCHIT to evaluate and implement Health IT products

CARD 4

43. Please rank the following topics related to General Health IT Projects and Initiatives from 1 to 3 with 1 being the highest priority and 3 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Medicaid/SCHIP Health IT Projects and Initiatives - General

RANK (1 to 3) TOPIC

______	Business process analysis for the implementation of Health IT projects in Medicaid/SCHIP agencies
______	Cost/benefit analysis to support the implementation of Health IT projects by Medicaid/SCHIP agencies (assessing resource requirements and cost/value to agency)
______	Evaluating Medicaid/SCHIP Health IT vendors and technology partners

CARD 5

44. Please rank the following topics related to EHRs from 1 to 5 with 1 being the highest priority and 5 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Specific Medicaid/SCHIP Health IT Projects and Initiatives - EHRs

RANK (1 to 5) TOPIC

______	Overview of EHR approaches and components
______	Evaluation of EHR options and opportunities
______	Integration of EHR with MMIS, MITA and other internal Medicaid/SCHIP systems
______	EHR privacy and security issues (including management of consent, authentication, authorization, access control, audit directives)
______	Interoperability of EHRs and interaction with provider EHRs, EHRs from other payers

CARD 6

45. Please rank the following topics related to PHRs from 1 to 5 with 1 being the highest priority and 5 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Specific Medicaid/SCHIP Health IT Projects and Initiatives - PHRs

RANK (1 to 5) TOPIC

______	Overview of PHR approaches, components, cost-benefits, value
______	Evaluation of PHR options and opportunities
______	Integration of PHR with MMIS, MITA and other internal Medicaid/SCHIP systems
______	PHR privacy and security issues (including management of consent directives, authentication, authorization, access control, audit)
______	Interoperability of PHRs and interaction with PHRs and EHRs from providers, payers and others

CARD 7

46. Please rank the following topics related to Medication Management and e-Prescribing from 1 to 4 with 1 being the highest priority and 4 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Specific Medicaid/SCHIP Health IT Projects and Initiatives – Medication Management and e-Prescribing

RANK (1 to 4) TOPIC

______	Overview of e-Prescribing and Medication Management approaches, components
______	Evaluation of e-Prescribing and Medication Management options and opportunities for Medicaid/SCHIP agencies
______	Integration of e-Prescribing and Medication Management with MMIS, MITA and other internal Medicaid/SCHIP systems
______	Integration of e-Prescribing and Medication Management with EHRs, PHRs, and HIE

CARD 8

47. Please rank the following topics related to Health Information Exchanges from 1 to 6 with 1 being the highest priority and 6 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Medicaid/SCHIP and Health Information Exchanges (HIEs)

RANK (1 to 6) TOPIC

______	Overview of national and regional HIE efforts, characteristics, components and technical approaches
______	HIE organizational and operational options
______	HIE privacy and security issues (including consent directives including authentication, authorization, access control, audit)
______	HIE patient and user identification issues
______	Identifying opportunities where active, collaborative participation in local and regional HIEs will result in improvements for enrollees and the program in general

CARD 9

48. Please rank the following topics related to the Role of Health IT and HIE in Quality Improvement and Business Process Improvement from 1 to 7 with 1 being the highest priority and 6 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

The Role of Health IT and HIE in Quality Improvement and Business Process Improvement

RANK (1 to 6) TOPIC

______	The relationship of Health IT and HIE to quality measurement, business process improvement. (For example, pay for performance, reducing/eliminating health disparities, evidence-based utilization management/utilization review, management of prescription drugs)
______	Identifying and implementing tools to assist the agency to turn data into useful information to help achieve the agency’s access, cost containment, quality of care, or other goals.
______	Identifying and implementing warehousing/data mining tools to assist in collection, management and analysis of the program’s data
______	Preparing and training agency workforce for the use of data analysis and knowledge management tools.
______	Evaluating the costs/value of adopting new Health IT/HIE

CARD 10

50. Please rank the following TA topic areas from 1 to 9 with 1 being the highest priority and 9 being the lowest priority for your agency’s plans to implement Health IT and HIE initiatives.

Overall Health IT/HIE Policy Issues (including the following topics)

RANK        (1 to 9)                          TOPIC AREA

______	Overall Health IT/HIE Policy Issues
______	Health IT/HIE Privacy and Security Issues for Medicaid and SCHIP
______	Adoption and use of data and technical standards
______	Medicaid/SCHIP Health IT Project Initiatives – General Topics
______	Medicaid/SCHIP and EHRs
______	Medicaid/SCHIP and PHRs
______	Medicaid/SCHIP and Medication Management/e-Prescribing
______	Medicaid/SCHIP and Health Information Exchanges
______	The Role of Health IT and HIE in Quality Improvement and Business Process Improvement

12

AHRQ Technical Assistance to Medicaid and SCHIP for Health IT and HIE