Track 5: Policy and Advocacy

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Presentation transcript:

eHealth Initiative’s 2006 Connecting Communities Learning Forum April 10, 2006 Washington D.C. Track 5: Policy and Advocacy Working with State Governors and Legislators: Nuts and Bolts Kala Ladenheim National Conference of State Legislatures Project HITCh

Pressure for Legislation Cost (Medicaid, public employee) Quality (safety and error, medical malpractice) Consumerism (transparency, P4P) Competition (industry or interstate) Common ground (standards, connection) Reform (aging population, access)

Opportunity for Legislation Budget pressure easing Federal grant and study opportunities Public health / Homeland Security Mobilized sector Convergence with quality/safety

Obstacles to action: variations on distrust High cost, uncertain benefit Complexity Lack of consensus Privacy and security concerns

Local variables Health and insurance sector engagement Business interest, consumer concern Perception of government: expertise, trust Strong leader or convener Prior investment, current market

States wet their toes E-Rx Electronic health data transmission or EHR Telehealth Studies/convening Agency mission

State Legislation 2006 Commissions for study and action Study/commission: at least 10 states Designated agency: at least 4 state Defining Standards: at least 3 Privacy and breach legislation- 4 Hospital licensing requirement Safety and error reporting – 2 EHR - 1

State Legislation 2006 Financing P4P with Medicaid Revolving funds - 4 State purchasing - 1 Corrections, chronic Create Fund, grants - 3 Tax credit - 2 Bonding - 1

State Legislation 2006 Services Pilots and demos State & local clinics and hospitals Medical education requirements Pilots and demos corrections advanced directives virtual monitoring EMR for schedule drugs

contact Kala Ladenheim Program Director, Project HITCh Forum for State Health Policy Leadership National Conference of State Legislatures 444 N. Capitol Street, NW Suite 515 Washington, DC 20001 Kala.Ladenheim@NCSL.org 202-624-3557 fx 202-737-1069 ****************************************************************** State Health Notes has a new look and a new location. Best of all, it's free! Check it out at www.ncsl.org/shn ***********************************************************