A draft model of the State of Oregon Strategic Plan for Well being IT offers high-level priorities, steering, and route for well being IT over the subsequent 5 years, with a concentrate on interoperability and group info change.
The draft strategic plan was developed by the Oregon Well being IT Oversight Council (HITOC), which was created to make sure well being system transformation efforts are supported by well being IT.
Sustaining a well being fairness lens, the plan famous that Oregon nonetheless must work on prioritizing supporting teams with decrease EHR adoption charges in an effort to shut gaps that contribute to well being inequities. This may require filling gaps in information assortment on EHR adoption and usefulness and supporting actions to handle limitations.
The plan mentioned the state ought to encourage extra participation in HIE networks and broader use of HIE options and supply funding and assist. The report notes that at the moment suppliers sometimes want a number of HIE instruments to fulfill their wants, and important gaps stay, notably for behavioral well being, oral well being, small suppliers, rural suppliers, and long-term post-acute care. The state can make clear requirements, present clear steering, and share finest practices on data-sharing priorities and HIE choices to make interoperability simpler, and make extra information out there for HIE, particularly state information.
It additionally said that the state ought to promote data-sharing fashions and approaches which can be appropriate throughout all techniques (i.e., vendor agnostic) and enhance perception into HIE adoption and proceed to watch the panorama.
There are a number of elements inflicting the state to concentrate on group info change (CIE) efforts that hyperlink healthcare techniques and community-based organizations (CBOs). “Connecting healthcare and social companies sectors by way of well being IT can assist higher well being outcomes and assist decision-makers higher perceive well being and social wants gaps so assets will be allotted to fulfill these wants,” the report says. “Data sharing may help organizations higher perceive and handle disparities for populations going through well being inequities. Moreover, there are new drivers for digital info sharing, together with value-based fee, Oregon’s 1115 Medicaid Waiver, and the necessity to modernize the general public well being system.”
Though CIE efforts are nonetheless in improvement, they’ve grown quickly throughout Oregon. All 16 Coordinated Care Organizations (CCOs) contract with CIE distributors; adoption and use by suppliers, CBOs, and different companions varies. To this point, integration of HIE and CIE into supplier EHRs or digital workflow is usually restricted.
To speed up, and enhance statewide CIE efforts, the report says the state ought to:
• Present assist for CBOs and extra companions to take part in
CIE.
• The Oregon Well being Authority and Division of Well being Providers ought to play roles in statewide CIE efforts.
• Mixture CIE information so it may be used for coverage suggestions and useful resource allocation.
• Guarantee communities have entry to the information and inform how it’s managed and analyzed.
• Align privateness and safety efforts with ideas that heart group/particular person decision-making round their info, relevant legal guidelines and requirements, fairness, transparency, and inclusivity.
Within the realm of governance, the plan suggests the necessity to discover new fashions of governance for CIE, HIE, and different cross-sector well being IT governance in Oregon. “New fashions with new companions are wanted as extra sectors are concerned in exchanging info to enhance well being outcomes,” the report mentioned. The state might take a look at advancing inclusive, impartial statewide CIE governance, utilizing a impartial convener or public/non-public partnership, pushed by priorities of people and communities with illustration throughout social service, well being, and authorities sectors with equal CBO to non-CBO illustration and a multi-tiered construction.
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